Episode Summary 

In this deep-dive episode, Dr. Ravi Kumar explores why omega-3 fatty acids are foundational to human health—touching on their biochemistry, evolutionary history, robust clinical evidence, and practical strategies for optimizing intake. You’ll learn: 

• What “omega-3” really means and why your body can’t make these fats on its own
• Early discoveries by George and Mildred Burr in the 1920s
• The Inuit paradox: high-fat diets with low cardiovascular disease
• Landmark trials such as REDUCE-IT and EVAPORATE demonstrating cardioprotective effects
• Roles across the lifespan: brain development, mood regulation, eye health, immune function, muscle maintenance, liver health, skin integrity, and more
• Evolutionary insights from traditional populations and enzymatic conversion of ALA → EPA/DHA
• Practical guidance on food sources, supplement types (triglyceride vs. ethyl ester, krill, algal oil), dosing, safety (oxidation, contaminants), and certification (IFOS)

 Practical Suggestions

• Daily baseline: Aim for ≥2 g combined EPA + DHA (with at least 1 g EPA)
• High-dose therapy: 3–4 g/day EPA-rich for hypertriglyceridemia, arthritis, depression
• Pregnancy: At least 500 mg DHA daily (algal oil option for vegans)
• Food sources: Prioritize small, low-contaminant fish (sardines, anchovies, mackerel); include wild-caught salmon sparingly
• Supplement selection: Choose triglyceride-form fish oil, IFOS-certified; watch for oxidation (peroxide/anisidine levels) and contaminant removal via molecular distillation
• Lifestyle context: Reduce omega-6 seed oils to improve ALA→EPA/DHA conversion; honor ancestral dietary patterns

References

1. https://pmc.ncbi.nlm.nih.gov/articles/PMC3657456/
2. https://pubmed.ncbi.nlm.nih.gov/25604397/
3. https://pmc.ncbi.nlm.nih.gov/articles/PMC7037798/
4. https://pmc.ncbi.nlm.nih.gov/articles/PMC7759779/
5. https://www.sciencedirect.com/science/article/pii/S000291652312911X?via%3Dihub
6. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0044926
7. https://pmc.ncbi.nlm.nih.gov/articles/PMC9228863/
8. https://pubmed.ncbi.nlm.nih.gov/16825680/
9. https://www.sciencedirect.com/science/article/pii/S0002916523294861
10. https://pubmed.ncbi.nlm.nih.gov/12442909/
11. https://www.sciencedirect.com/science/article/pii/S0002916523275462?via%3Dihub
12. https://pubmed.ncbi.nlm.nih.gov/7270479/
13. https://pmc.ncbi.nlm.nih.gov/articles/PMC7761957/
14. https://pmc.ncbi.nlm.nih.gov/articles/PMC4480667/
15. https://pmc.ncbi.nlm.nih.gov/articles/PMC3021432/
16. https://pmc.ncbi.nlm.nih.gov/articles/PMC7561009/
17. https://pubmed.ncbi.nlm.nih.gov/15857162/
18. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0088103
19. https://pmc.ncbi.nlm.nih.gov/articles/PMC8832668/
20. https://pmc.ncbi.nlm.nih.gov/articles/PMC3138218/
21. https://pmc.ncbi.nlm.nih.gov/articles/PMC6155966/
22. https://pubmed.ncbi.nlm.nih.gov/22023985/
23. https://www.jbc.org/article/S0021-9258(19)36227-1/fulltext
24. https://pubmed.ncbi.nlm.nih.gov/28694914/
25. https://pubmed.ncbi.nlm.nih.gov/12771037/
26. https://pubmed.ncbi.nlm.nih.gov/24553997/
27. https://pubmed.ncbi.nlm.nih.gov/11895157/
28. https://pubmed.ncbi.nlm.nih.gov/28261950/
29. https://pubmed.ncbi.nlm.nih.gov/21569104/
30. https://pubmed.ncbi.nlm.nih.gov/26353789/
31. https://pubmed.ncbi.nlm.nih.gov/22591891/
32. https://pubmed.ncbi.nlm.nih.gov/21961774/
33. https://pmc.ncbi.nlm.nih.gov/articles/PMC9406129/
34. https://pubmed.ncbi.nlm.nih.gov/27541690/
35. https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2024.1440479/full
36. https://pmc.ncbi.nlm.nih.gov/articles/PMC2812063/
37. https://pubmed.ncbi.nlm.nih.gov/15555528/
38. https://pmc.ncbi.nlm.nih.gov/articles/PMC7362115/
39. https://pubmed.ncbi.nlm.nih.gov/28900017/
40. https://pubmed.ncbi.nlm.nih.gov/20434961/
41. https://pmc.ncbi.nlm.nih.gov/articles/PMC10447496/
42. https://pubmed.ncbi.nlm.nih.gov/23515006/
43. https://pubmed.ncbi.nlm.nih.gov/17240089/
44. https://pubmed.ncbi.nlm.nih.gov/17556695/
45. https://pubmed.ncbi.nlm.nih.gov/12509593/
46. https://pmc.ncbi.nlm.nih.gov/articles/PMC9355374/
47. https://pmc.ncbi.nlm.nih.gov/articles/PMC4054797/
48. https://www.ahajournals.org/doi/full/10.1161/CIR.0000000000000709
49. https://pubmed.ncbi.nlm.nih.gov/32860032/
50. https://www.nejm.org/doi/full/10.1056/NEJMoa1812792
51. https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.105.581355
52. https://www.jacc.org/doi/10.1016/j.jacc.2008.04.018
53. https://pubmed.ncbi.nlm.nih.gov/4102857/
54. https://pubmed.ncbi.nlm.nih.gov/38982829/