@@jenniferhutson8579 Agree Gil is exceptional. A collaboration between the two of them would be great. Dr. Greger is put on a pedestal way too much and he also consumes certain foods in high amounts because he does not want to supplement with extracts. His approach (Greger now) is unrealistic for most people as supplements can be more convenient than filling up a starch condom with copious amounts of spices, mushrooms etc. that not everyone can digest as well.😂
@@jenniferhutson8579 agreed, I'm a vegan nutritionist and whenever I want to start updating myself of fome especificamente nutrition subject, I first go to these 2 channels to get a first overview of the totality of the evidence!
I agree with others that Nutrition Made Simple is also a source with pretty thoughtful and objective recommendations. Dr. Gil Carvalho comes across as very concerned for evidence based conclusions.
I don't eat fatty fish, so I take a modest supplement most days (300 DHA, 150 EPA from algae), and continue to listen to the information. I'm more interested in cognitive than cardiac effects.
Simon, DHA EPA discussion incomplete without discussion on Dementia and Alzhimers. Could you kindly do a second part at some point later. Thank You !! I'm a true Fan of your podcasts admire your professionalism coupled with your sincerity.
@@TheProofWithSimonHill- Simon, please ask Dr Dayspring how much ezetimibe interferes with proper Omega 3 absorption. Carriers of at least 1 ApoE allele who are hypo absorbers can benefit from optimal Omega 3 levels but will ezetimibe create a firewall? Thx u!
Rhonda Patrick is another YT influencer that borders on being manic toward the latest research du jour. She'll read a study, get all excited and almost immediately take action and give recommendations. I prefer a more conservative approach, first and foremost for safety, second for efficacy, and third not to waste money. Also, she's part of the Attia/ Huberman crowd, which makes me dubious.
As someone who never met a pro-supplement study she didn't love, she did surprise me a bit when giving AG1 a thumbs down (thumbs down relative to her usual stance on external chemistry). one wonders if AG1 sponsored shitty studies the same way the olive, nut, egg, dairy and meat business associations (also sometimes called marketing boards) have, if Patrick would recommend AG1.
@@lowbarbillcraig3689 When did she? I heard her say something like it was a "very good vitamin," knowing full well her friends endorse and invest in it falling way short of being critical. I don't think there's anything "athletic" about that over priced green powder.
@@Gman-nb9ge Exactly, and I don't know that she lifts. Outside of a calorie deficit, or you're an athlete or weight training there's no need for all that extra protein. But that's the crowd she runs with. Protein videos for nutrition influencers is like pizza videos for foodtubers, it brings the views.
Pretty sure that people who stress and worry over lifestyle will do better than people who can't care less and eats junk, no exorcise and drinks/smokes regularly.
@@orion9k it's important to be councious and try to eat healthy, but worrying and stress about food creates a negative reaction and it's not healthy long term. It can have the opposite effect and lead to eating disorders
@@plantbasedethos5726 I think Simon and his petty camp of vegans are constantly stoking fear. Ketone is bad, saturated fat is bad, fatty fish oil now is bad, seed oil on the other hand surely good, sugar not so evil etc, give me a break… he is one of the better interviewer that I trust the least, and I seldom do that with any good interviewer m.
It can't be, but you have to have to have a critical thought process, and Simone does that very well. If you did nothing but stay here, you'd be doing a world of good for yourself. I find his presentations extremely thorough and science based. Thus channel is criminally undersubed!
@@orion9k You're probably right. Let's not forget, just because someone isn't stressing about their health doesn't mean they're not stressing in other ways. If they weren't, why would they need to drink, smoke and stuff themselves with unhealthy junk?
Thank you Simon It's essential to critically assess research, particularly on complex topics like omega-3 fatty acids. Your emphasis on the study's limitations and the potential impact of dosage is crucial. While I agree that the focus on atrial fibrillation is significant, it's important to consider the broader picture of heart health. Atrial fibrillation is one of many factors influencing overall cardiovascular well-being. The relationship between omega-3 fatty acids and heart health is complex. While fish oil supplements have been extensively studied, the role of plant-based omega-3s, such as alpha-linolenic acid (ALA), deserves more attention. It's crucial to acknowledge potential research bias, which often favours animal-based products, as this can skew results and overshadow the potential benefits of plant-based alternatives. To optimise ALA intake and its potential conversion, consider increasing consumption of ground flaxseed, chia seeds, and hemp seeds. Exploring ALA oil might also be beneficial, although research is limited. Optimising dietary factors like zinc, magnesium, and vitamin B6, involved in the conversion process, could be helpful. Reducing n-6 fatty acids by consuming fewer processed foods might enhance ALA's effects. Steradonic acid, found in smaller amounts in plant-based foods, might also play a role in the conversion process. While research is limited, it's an area of interest. Plant-based diets offer numerous heart-healthy benefits beyond omega-3s, including fibre, antioxidants, and phytochemicals. Focusing solely on omega-3s overlooks the holistic advantages of this dietary approach. While fish oil may have a role in certain circumstances, a plant-based approach centred around whole foods, like flaxseed, chia, and hemp, provides a sustainable and potentially beneficial alternative. By understanding the complexities of omega-3 metabolism and optimising dietary factors, individuals can make informed decisions to support their heart health. Further research into the potential benefits of plant-based omega-3s and the factors influencing their conversion to EPA and DHA is encouraged.
Amazing Simon! It is an honor to see your progress, your path, your commitment to the science since the beginning of your career. I follow you for a long time and can only thank you for the perseverance on a world where everything is being doubted! Keep the good work!
The quality of content on this channel has always been high, but as of late it has been elevated to a whole new level. The information here is amazing!
You content is consistently high-quality, Simon. Loved the information about algae sourced supplements-going to change my own protocol and recommendations to patients. I realize this video was focused on omega 3’s for cardiovascular health. But the data on brain protection is, I think, even more compelling, especially for anyone carrying an APOE4, like Rhonda Patrick. I believe this is why she supplements aggressively. I can send you references on that, if helpful.
Simon, ive been a fan for a few years, thank you for all of your well organized information! Your show delivers a wealth of knowledge and i am happy that you enjoy bringing this information to the world..
Could you go over optimal daily protein intake as a vegan looking to maximize longevity? I've been seeing more and more recommendations for protein restriction, also by Dr. Greger. You seem to be more of a proponent of shooting for the optimal intake for improving lean mass rather than trying to restrict it, in order to e.g. increase fgf21 levels. I'm torn between the two conflicting viewpoints! Thanks for all you do!
@@TheProofWithSimonHill Thanks! You don't seem to go over the potential benefits of protein restriction and fgf21 in that video, though. Unless I'm missing something.
I want to thank you so much for this video and for sharing the fish content. I discovered you with the video on the podcast on creatine with Dr. Candow. Keep digging excellent info ❤
Thank you Simon for yet another beautifully crafted discussion on a fascinating nutrition subject. Your down-to-Earth, straightforward delivery is very appreciated. Keep up the terrific work!
Perfect timing! I’ve been looking for a good vegan option and the Costco recommendation is great! It’s $28.99 per bottle here in Los Angeles. Thanks for always giving us such great, reliable info!
Great overview and lots of useful info - thanks! Didn't the brain docs talk about the benefits of omega 3 and dementia too? I wish I could afford to get tested 😔 sadly I don't think the NHS cover it in the UK. Has anyone asked?
Good episode. Do not eat fish and take about 750 mg a day and wondering is that enough, so I'm taking the advice and test and will go from there. Thanks!
Atrial fibrillation is the leading cause of stroke. Health seeking individuals routinely supplement and exercise. Long term endurance exercisers (specifically cyclists) are at an increased risk for and incidence of atrial fibrillation. Perhaps supplementing Omega threes in this population should be discouraged.
@@VEGASDAZE I wonder a little about that too. I’ve had a number of very fit cycling friends on Tour de France-style diets, essentially pescatarian, suffer from afib. A couple of them died from it way too young. One was 37 and a cardiologist. 😔 It makes me want to understand afib more than I do.
A-fib can be caused by increased venous development in the left atrial appendage. It makes sense to me that long endurance athletes may develop this condition as a natural course. I think that makes more sense than a fish oil causation. I used to run marathons in college and continued to run distance into my fifties. I have had two incidents of A-fib about ten years apart, other CV health appears normal, accept some mild calcification. I’m in my sixties now, take under one gram of fish oil daily, vit K2, cycle, swim and lift weights. However all in moderation, no longer really long distance, I do push the pace. I tend to believe as with all things in life, moderation is key, rather than worrying about something like fish oil.
That's very sad. Unfortunately, I had the same. I tried a few times Omega-3, but unfortunately, after some time, I had AF. I know that because I am a cardiologist and I have a Holter; otherwise, because they were during sleep, I would never have noted them. @@Viva-Longevity
This has come just in time for me since my doc wants me to take a statin. My father died at 52 of a stroke (atherosclerosis was extensinve post mortem) while doing his morning run. He was a meat eater, so different over his lifetime to me. My doc is super afraid of my genetic inheritance although my cholesterol is not high, my triglycerides have gone up a bit with no metabolic disease factors. I've been taking Phyco Health NSW South Coast algal supplements for 2 years. I stopped taking fish oil supplements 15 years ago because of quality concerns, but maybe I need to look into taking an oil supplement. As a vegan its really good to have as much fyi as possible, so as always, thanks Simon, you really are a great nutrition and biology communicator. One thing I absolutely must do since I've heard you with Dr Dayspring is get better tests done, including ApoB (my doc is now researching it since I'm the first person to ask her for a referral).
I hope in that Adventist study they really hone in those who eat routinely if not exclusively whole vegan foods and have been for the majority if not their entire life. I'm talking plenty of greens, broccoli, nuts and seeds, appropriate doses of course, and those with a favorable ratio of fatty acids, and every meal is a whole vegan food meal of legumes, greens, grains, fruits, veggies, mushrooms, nuts and seeds, herbs and spices. It is so important to see data looking at those specifically and seeing if they even need to supplement. And considering those who may or may not be genetically predisposed with a vegetarian allele. If we don't study those on a well-planned vegan diet p we don't know how to make recommendations at all and make epigenetics work in our favor. It may be that we don't need anything beyond alpha linolenic acid. And if that's the case that would be the most sustainable. The serum levels from the omega-3 index, and testing normal people who aren't necessarily eating healthy, I mean there's so many things with the current science that seem fishy. If there's at all a chance all we need to be doing is consuming whole plant foods, we really need to know this, and we need science to absolutely look at this. Not making inferences from completely irrelevant lifestyles. And it seems like the recommendation is every 6 months for the omega-3 test. It's my understanding 250 to 500 mg is the recommended dosage amount. It seems like most recommendations have been for this low dose. Maybe if you would have done a low dose longer it would have been sufficient? I mean how much longer are you going to test yourself? That's expensive too. And who's testing the test lol? It would be cool if you took two different tests and had them to sent to two different labs. Rhonda, she's exciting and fun to listen to, or was back in the day, I just don't see her presenting enough science to support her enthusiasm.
This was very informative. Just wanted to note that when Simon mentions, "how did our ancestors eat so much omega's from algae and fish, it's because outside of the arctic our ancestors probably didn't," but that's actually not entirely true and this may hugely effect our experience with omega-3... Most large civilisations lived (and do live) near water sources. This means not only the arctic coast, but all coasts, large lakes, rivers, water ways, canals, forest creek, or even springs. These include diets from the tropics to the mediterranean as well. Sardinia, Costa Rica or Japan which are BLUE ZONES still include large amounts of fish in their diets. Populations benefitting from water redirection processes in places like Turkey, Greece, Egypt, and interior cities Mediterranean cities, even North or South Asian cities, also ate/eat fish -- and have fishing traditions that still take place in order to meet global supplies.... So, essentially, the variation of what we may "need" (such as types of fish and algae) has meant we've evolved in different ways (gut-wise) and it may account for why our tolerance levels and gut absorption vary (as well as any allergies). This also means *due to genetic evolution to parents or grandparents* that some people may achieve a certain level with smaller amounts or others needed to take in more (absorption wise). I only wanted to mention this so that people who don't genetically need to have a high amount, won't over do it and have adverse effects. Fish themselves and types of algae vary region to region globally so this also plays a part in why we all may need to be careful/observant/watchful of our levels, types of fish we eat and check our readings along the way, with attention to how we're feeling overall with these doses or servings just to reach a clear hard "8%" As mentioned, this is a rare long-term study but we are still a modern population with diverse genetics/tolerances/absorption capacity, thus, still figuring out what works for each individual may be on a spectrum. Basically, the "average" is still quite a variable we have to be mindful when we measure our food and/or supplement intake, and monitor how we feel and how other body readings are doing, in order to reach a stasis that actually "works" for us and doesn't become toxic to any one of us. The overall info certainly helps us to *begin* making more informed choices as a start. :)
I agree there’s genetic variations that affect conversion of ALA to DHA/EPA. If your ancestors ate more fish you may not be a great converter (they didn’t need to) So a direct source of dha/epa may be more important for you (or a higher dose). Only way to know is to test your 03 index and nitrate accordingly. Thanks for your feedback
Well isn't there a lot of religious tradition around fish consumption? Once weekly. Then there's also the fasting components of religious stuff. I mean the more we advance diet and lifestyle the more we end up looking back at things people figured out from trial and error over generations, using their own epidemiological data from much smaller but more cohesive feeding patterns. Yet why are we rediscovering all this stuff now and not 100 years ago? Not with the Banting diet or epilepsy keto, or Atkins... How am I supposed to trust scientific evaluation if diets that weren't healthy 200 years ago (no supplements) are being hyped up, and diets that were fine long before type 2 diabetes, obesity, cancer, etc keep blowing up?
Most simple chemical reactions double for every 10 degree Celsius rise in temperature. I get the newest product on the shelf and keep them in the freezer. Winter in the tropics, I buy mine from a cool self store before I leave Canada. Your production quality continues to improve unabated. Thanks.
One can't help but wonder, from an evolutionary perspective, if the likelihood of achieving sufficient EPA/DHA by only eating plants, ranges from unlikely to impossible depending on an individual's ability to elongate ALA, are we not thus 'designed' to eat seafood as a matter of need? Obviously our ancestors didn't have access to algae derived Omega 3 supplements. Seems an interesting anthropological question to me. (Edit: it's scandalous that this brilliant, science based and objective channel doesn't have more subscribers. One of the best out there. Really appreciate the time, effort and rigour put into these producions. Thanks.)
Thank you for this video, it was very helpful. My omega 3 index was 1.4 which freaked me out and was the push I needed to spend the money on a vegan omega 3. Even after supplementing with about a gram I only increased to 3.8 (after retesting 3 months) so I increased the amount. The omega 3 calculator on the omega quant site is very helpful. Thanks for sharing that and also the Costco recommendation for ovega!
I personally find omega 3 thins my blood, or impedes clotting (?) and I take an algae based supplement. If you're taking it with any drugs, e.g. a daily aspirin or even OTC NSAIDs please consult your MD for advice, especially if you're a senior (I am not) as the risk of bleeding increases with age.
@@zaffaro It's been my personal experience. But you can look into it further, I believe it's not uncommon. "Fish oil is a natural anticoagulant, which means it can prevent the blood from clotting,"
With family history of CVD, I’ve been taking fish oil supplements for over 30 years. Initially starting off with a low dose 300mg omega-3 in my early twenties, now up to a bit more than 3g daily in my fifties. My omega index came in at over 10 last time I checked and I’m happy. I never had Afib diagnosed during check up at my regular doctor and cardiologist, and my wearable never detected Afib in the many years I used them. So, I’ll continue to do fish oil supplements for optimal CV and Cognitive benefits. By the way, I attributed my low triglycerides level to my fish oil consumption. I might try lowering my fish oil intake to 2g a day and see if I can keep my omega-3 index above 8.
Another excellent presentation. I know this was focussed on cv risk but a number of years ago I was taught that taking omega 3 to a total of 2mg dha a day was research backed to mitigate inflammatory conditions such as osteo arthritis. I did find it successful. It would be interesting to hear your update on that at some stage.
Dr Amen has a supplement line called BrainMD. He is a brain doc and has formulated an algae based omega 3 with higher EPA- DHA ratio which apparently is better for mood support. It is costly about $50-$60 per month
If you have a big enough N, just about any group difference can be statistically significant. I eat WFPB and literally just bought algae Omega 3 supplements today!! Well done, science-based video, Simon!
I have also been impressed with Chef AJ's report that her levels have been good without supplementation - this is in the nutritional context of her consuming a [metric ton] of dark leafy greens and cruciferous veg every day and low/natural levels of Omega 6, presumably meaning she's effectively converting her ALA as needed. I can't sustain a dietary pattern like hers and I supplement, but this is likely another answer to "how could we have evolved to eat so much fish?"... that certain populations may have achieved reasonable levels through eating high volumes of leaves, tubers, fruits and other foraged plants. It's a thought.
I love it when you make episodes like this. So grounded and practical. 👏 One nit: my understanding of the REDUCE-It trial is it was a false positive because they chose mineral oil as the placebo, which turned out to be inflammatory. Steve Nissen had things to say about that. Let’s see if RUclips allows a link: ruclips.net/video/DGz4ETVCEdM/видео.htmlsi=xC4TeDCMSNFxy2yW
I think the presumption here was that this would explain the difference between STRENGTH and REDUCE-IT. My understanding is the likely difference is actually probably a function of EPA dose. Given what we understand about EPA specifically for plaque stabilisation. Ill add to my list to look at this again as it was a while ago I looked at the mineral oil placebo
Another brilliantly thoughtful and science backed video, thank you Simon. I'm still a little unsure on how to best get my Omega 3 levels measured. As a fit, middle aged vegan in Australia, I don't find it easy to get some of these things looked at and my GP just thinks I'm a bit nuts 😂
Can you further discuss the ideas behind the different forms, not quite sure of the names, triglyceride form vs ethyl-ester form is it? Thanks, looking forward to your discussions with the Brain Docs.
there have been some studies where they've compared ethyl-ester against triglyceride forms and for the same effect you would have to take a bit more of the ethyl-ester form! Quote: "With a baseline O3i of 2-4%, an individual would need to consume 1,500-2,250 mg/d EPA and DHA as TAG's or 2,250-3,250 mg/d EE's to reach 8%. For individuals with baseline O3i from 4 to 6%, a dose of 1,000-1,500 mg/d as TAG's or 1,500-2,250 mg/day as EE's is recommended." - www.ncbi.nlm.nih.gov/pmc/articles/PMC9892774/
Loved the logic, Simon, but am confused by the arithmetic; you mentioned that not all Omega oils are pertinent, and that the DHA & EPA were the ones to make sure totaled at least 1 gram per day, yet... the Costco brand you highlighted, Ovega 3, has a daily serving of DHA=420mg & EPA=140, equaling a daily total of 560mg, about half of the 1 gram you of total DHA/EPA you recommended. Unless one doubled the daily serving, or daily ate salmon, sardines or Herring, the Ovega 3 falls far short of the total DHA/EPA you recommended. Please clarify. Thanks.
Yes there was a miscalculation with the OVEGA-3 supp. you would need 3-4 capsules a day. Which makes it a 45-60 day supply. Still on the cheaper side of things!
Hi Simon. This is perfect timing. Thank you so very much. Unfortunately Omegaquant don't ship to Australia. Can you advise where I can get reliable testing done in Western Australia? Not sure I can get the revommended supplements here either, well, not for a reasonable price. Have we lost you to America? The thought saddens me terribly.
How are fish oil supplements made? What chemicals are used in the process and do they cause harm to gut health and cells? I don't know so I dropped taking them. I now try and eat more seafood than I used to.
I am confused 🤣. Why would people think 85g fish a day is hard. I can easily eat a lb if I want. One can of Sardine from Costco is almost twice as much of this daily recommendation. Many fishes are cheaper than steak as well, especially canned sardine and tuna. They are literally some of the cheapest protein sources I can find in Costco and Wal-Mart. Only chicken and eggs can be cheaper I suppose. Many fishes are pretty friendly for a budget meal.
Amazing thank you❤ I recently changed my protein intake to fish 6 days a week + I take 1 g fish oil for the past year I started to feel pain in the heart at high intense exercise I wonder if it because of too much fish oil ??
Cyrus Khambatta PhD and Robbie Barbaro MPh of Mastering Diabetes measured their EPA and/or DHA and were OK with just their ALA conversion. Testing might be good idea.
@@TheProofWithSimonHill they where normal. Don't remember the numbers. They are both type I diabetics, 30 grams fat per day and a lot of fresh fruit. They eat Whole Food Plant Based no Sugar no Oil no Salt (.WFPB-SOS)
Yep! Genetics, body mass etc will play a role in the dose you need. What I’ve said is what will work for ‘most’ people. But at an individual level testing your 03 index and then tittering your dose to get to 8-12% is the best strategy.
Any input on the increase in ldl for many who supplement with dha/epa? This was the case with my lipid panel.. so not sure which is better, to have an uptick in ldl and more optimal omega 3 index or the opposite.
Sometimes also what we leave out is more important. I'm sure that someone eating a clean diet high in nitrates and other foods that help blood pressure is better than someone taking omega 3 supplements while having a bad diet with oils and other omega 6 rich foods
Interestingly, I get ectopic heart beats when taking omega-3 supplements but don't get them when eating a lot of oily fish on a daily basis. I've also had a comprehensive genetic test which states that I have a decreased conversion rate of the plant based omega-3 fatty acid ALA to DHA and should choose animal based sources instead. This is related to FADS2 gene polymorphisms. Simple solution - keep eating oily fish every day!
You wouldn't believe me if I told you how many "health" videos and podcasts I listen to. This is rated in the top 10 of all time in terms of info. Also, I noticed Walmart carries the Ovena brand (750mg) for $30.
This depends on many factors. How much you need will depend on how much linoleic acid you consume, your gender, your genetics, the way you consume them (whole or ground, seeds or oil) and so on and so forth. I've tried to raise my Omega 3 Index this way and I've tried hard. My Omega 3 index decreased from 2,3% to 2,2% in the course of 10 months.
Simon, contrary to what you stated here, the company you recommended for getting omega 3 levels tested (Omegaquant) claims on their website that plant-based omega-3 sources will not raise one's omega-3 index.
They are not referring to algae oil that contains dha/epa. They are referring to flax, chia, hemp etc. I know the guys at omega quant very well and per Dr Harris in this video, algae oil is just as well absorbed and has same effect on ones omega 3 index as fish/krill oil
I had an Omega 3 panel run by Quest Diagnostics and they measured a third Omega 3 called DPA (docosapentanoic acid). They included it in the Omega 3 total along with EPA and DHA and my total was 7.7% Anyone know about DPA?
Any ideas for people with histamine intolerance? Can’t eat fish or take either animal or plant omega supplements, increases heart rate causes insomnia.
Hi Simon,I follow ur yt channel since 3 months, As a medical Graduate It will be kind if you can share the literature link,so that everyone can read & have a PROOF,becoz most of u are unaware of papers & findings u mention.
So for the gal who takes 4g a day, even the cheap Costco supplement would cost $1 USD per day (1 $29 bottle would only last her 15 days). That is an absurd amount for one supplement.
You recommend 3 capsules a day of Ovega-3 - and yet 3 capsules only comes out to 840 mg/day (1 serving = 2 capsules, which in turn combine 420 mg of DHA and 140 mg of EPA; 560 mg x 1.5 (i.e., 3 capsules) = 840) - Do you feel that 840 mg/day is "good enough"?
Great info. Thanks! One note: wouldn’t it be way less sustainable to take the fish oil than eat the fish directly? (Considering how many fish need to be killed to make an oil?) Or did you mean “unsustainable” as in “not likely to…”?
All polyunstaurated oils can be dangerous, whether omega 3 or omega 6 oils (hence the high processing and use of lots of unnatural chemicals) as they go rancid very quickly because of their long chain of fragile carbon atoms. The best fat source is therefore monunsaturated or saturated fat. Fish go off very quickly so I prefer frozen, wild caught salmon once or twice a week rather than supplements. The EPA and DHA are much higher in fish than plant sources which also go rancid quickly when their seeds are broken.
I love that you mention the amount of fish needed to be eaten would be highly unsustainable for the environment! I just wish you'd mentioned that for the fish oil supplements as well. It seems that people don't understand the connection. I find it so distressing to see the shelves upon shelves of massive containers of fish oil supplements in the shops. World over I can't even begin to think how many fish it takes to get that amount and how we are sustaining it at all! Also, I'd like to know if the algae for the supplements is grown sustainably? No point depleting the fish food.
That's why I find it hard to believe we really need that much EPA/DHA it seems unrealistic that we ever consistently get that much in nature depending on geography. I think the requirements are overblown in order to sell supplements.
This chanel is probably the best and most science based source of information about nutrition on the internet !
This channel is always good; Gil Carvalho at Nutrition Made Simple is phenomenal. Collaboratives between these two are just excellent.
@@jenniferhutson8579 Agree Gil is exceptional. A collaboration between the two of them would be great. Dr. Greger is put on a pedestal way too much and he also consumes certain foods in high amounts because he does not want to supplement with extracts. His approach (Greger now) is unrealistic for most people as supplements can be more convenient than filling up a starch condom with copious amounts of spices, mushrooms etc. that not everyone can digest as well.😂
@@jenniferhutson8579 agreed, I'm a vegan nutritionist and whenever I want to start updating myself of fome especificamente nutrition subject, I first go to these 2 channels to get a first overview of the totality of the evidence!
I agree with others that Nutrition Made Simple is also a source with pretty thoughtful and objective recommendations. Dr. Gil Carvalho comes across as very concerned for evidence based conclusions.
I don't eat fatty fish, so I take a modest supplement most days (300 DHA, 150 EPA from algae), and continue to listen to the information. I'm more interested in cognitive than cardiac effects.
This is an excellent segment, Simon. Thank you for being here.
Glad you enjoyed it
Simon, DHA EPA discussion incomplete without discussion on Dementia and Alzhimers. Could you kindly do a second part at some point later. Thank You !! I'm a true Fan of your podcasts admire your professionalism coupled with your sincerity.
Of course. This was purposefully focussed on one outcome or it would be 1 hour +. More to come including depression and skeletal muscle hypertrophy 🙏🏼
@@TheProofWithSimonHill- Simon, please ask Dr Dayspring how much ezetimibe interferes with proper Omega 3 absorption. Carriers of at least 1 ApoE allele who are hypo absorbers can benefit from optimal Omega 3 levels but will ezetimibe create a firewall? Thx u!
Simon you have been the best in breaking down & explaining this topic on Omega 3. Looking forward to more. Thank you.
More to come!
The only person I turn to now for genuine and well-considered health and nutrition information. Thanks again!
Thanks for the interesting summary!
My pleasure!
Rhonda Patrick is another YT influencer that borders on being manic toward the latest research du jour. She'll read a study, get all excited and almost immediately take action and give recommendations. I prefer a more conservative approach, first and foremost for safety, second for efficacy, and third not to waste money. Also, she's part of the Attia/ Huberman crowd, which makes me dubious.
As someone who never met a pro-supplement study she didn't love, she did surprise me a bit when giving AG1 a thumbs down (thumbs down relative to her usual stance on external chemistry).
one wonders if AG1 sponsored shitty studies the same way the olive, nut, egg, dairy and meat business associations (also sometimes called marketing boards) have, if Patrick would recommend AG1.
@@Joseph1NJ I agree, she has been mad for protein too
@@lowbarbillcraig3689 When did she? I heard her say something like it was a "very good vitamin," knowing full well her friends endorse and invest in it falling way short of being critical. I don't think there's anything "athletic" about that over priced green powder.
@@Gman-nb9ge Exactly, and I don't know that she lifts. Outside of a calorie deficit, or you're an athlete or weight training there's no need for all that extra protein. But that's the crowd she runs with. Protein videos for nutrition influencers is like pizza videos for foodtubers, it brings the views.
@@lowbarbillcraig3689 ah I haven't seen that one, but glad she did
This is a highly informative channel with information presented thoughtfully and responsibly. Thank you for all you do.
This is awesome, glad you gave recommendations as well.
Glad you enjoyed!
The Stress that comes from also worrying about everything in nutrition is also detrimental to long term health. I'm guilty of this for sure 😅
Pretty sure that people who stress and worry over lifestyle will do better than people who can't care less and eats junk, no exorcise and drinks/smokes regularly.
@@orion9k it's important to be councious and try to eat healthy, but worrying and stress about food creates a negative reaction and it's not healthy long term. It can have the opposite effect and lead to eating disorders
@@plantbasedethos5726 I think Simon and his petty camp of vegans are constantly stoking fear. Ketone is bad, saturated fat is bad, fatty fish oil now is bad, seed oil on the other hand surely good, sugar not so evil etc, give me a break… he is one of the better interviewer that I trust the least, and I seldom do that with any good interviewer m.
It can't be, but you have to have to have a critical thought process, and Simone does that very well. If you did nothing but stay here, you'd be doing a world of good for yourself. I find his presentations extremely thorough and science based. Thus channel is criminally undersubed!
@@orion9k You're probably right. Let's not forget, just because someone isn't stressing about their health doesn't mean they're not stressing in other ways. If they weren't, why would they need to drink, smoke and stuff themselves with unhealthy junk?
Another masterclass! This format is great. Thank you
Another stellar job on an important topic.
Thanks glad it was helpful
Thank you Simon
It's essential to critically assess research, particularly on complex topics like omega-3 fatty acids. Your emphasis on the study's limitations and the potential impact of dosage is crucial.
While I agree that the focus on atrial fibrillation is significant, it's important to consider the broader picture of heart health. Atrial fibrillation is one of many factors influencing overall cardiovascular well-being.
The relationship between omega-3 fatty acids and heart health is complex. While fish oil supplements have been extensively studied, the role of plant-based omega-3s, such as alpha-linolenic acid (ALA), deserves more attention. It's crucial to acknowledge potential research bias, which often favours animal-based products, as this can skew results and overshadow the potential benefits of plant-based alternatives.
To optimise ALA intake and its potential conversion, consider increasing consumption of ground flaxseed, chia seeds, and hemp seeds. Exploring ALA oil might also be beneficial, although research is limited. Optimising dietary factors like zinc, magnesium, and vitamin B6, involved in the conversion process, could be helpful. Reducing n-6 fatty acids by consuming fewer processed foods might enhance ALA's effects. Steradonic acid, found in smaller amounts in plant-based foods, might also play a role in the conversion process. While research is limited, it's an area of interest.
Plant-based diets offer numerous heart-healthy benefits beyond omega-3s, including fibre, antioxidants, and phytochemicals. Focusing solely on omega-3s overlooks the holistic advantages of this dietary approach. While fish oil may have a role in certain circumstances, a plant-based approach centred around whole foods, like flaxseed, chia, and hemp, provides a sustainable and potentially beneficial alternative. By understanding the complexities of omega-3 metabolism and optimising dietary factors, individuals can make informed decisions to support their heart health. Further research into the potential benefits of plant-based omega-3s and the factors influencing their conversion to EPA and DHA is encouraged.
Thanks for your thorough investigation of this topic.
Pleasure
This channel is my trusted source of information. Thank you Simon
I appreciate that!
Amazing Simon! It is an honor to see your progress, your path, your commitment to the science since the beginning of your career. I follow you for a long time and can only thank you for the perseverance on a world where everything is being doubted! Keep the good work!
The quality of content on this channel has always been high, but as of late it has been elevated to a whole new level. The information here is amazing!
Another nice treatise of an important topic - wee done Simon and thanks
Glad you enjoyed it
Excellent information and very well communicated, Simon. This really helped me to synthesize everything I have learned about Omega 3. Thank you!
Great to hear!
You content is consistently high-quality, Simon. Loved the information about algae sourced supplements-going to change my own protocol and recommendations to patients.
I realize this video was focused on omega 3’s for cardiovascular health. But the data on brain protection is, I think, even more compelling, especially for anyone carrying an APOE4, like Rhonda Patrick. I believe this is why she supplements aggressively. I can send you references on that, if helpful.
Simon, ive been a fan for a few years, thank you for all of your well organized information! Your show delivers a wealth of knowledge and i am happy that you enjoy bringing this information to the world..
Glad you’re enjoying the episodes!
Could you go over optimal daily protein intake as a vegan looking to maximize longevity? I've been seeing more and more recommendations for protein restriction, also by Dr. Greger. You seem to be more of a proponent of shooting for the optimal intake for improving lean mass rather than trying to restrict it, in order to e.g. increase fgf21 levels. I'm torn between the two conflicting viewpoints! Thanks for all you do!
Watch this:
Layne Norton Gets It Wrong on Best Protein Sources for Longevity!
ruclips.net/video/qC3Euh8Ghbs/видео.html
@@TheProofWithSimonHill Thanks! You don't seem to go over the potential benefits of protein restriction and fgf21 in that video, though. Unless I'm missing something.
Love the deep dive, thanks for this! Amazing content
My pleasure! Thanks Zach
I want to thank you so much for this video and for sharing the fish content. I discovered you with the video on the podcast on creatine with Dr. Candow. Keep digging excellent info ❤
Thank you Simon for yet another beautifully crafted discussion on a fascinating nutrition subject. Your down-to-Earth, straightforward delivery is very appreciated. Keep up the terrific work!
My pleasure!
Absolutely brilliant. Thanks for the explanation and the guidelines. Very helpful.
Glad it was helpful!
Best presentation about fish oil I have ever seen.
Thank you so very much for this informative videos.
Perfect timing! I’ve been looking for a good vegan option and the Costco recommendation is great! It’s $28.99 per bottle here in Los Angeles. Thanks for always giving us such great, reliable info!
Perfect!
Great information Simon.
Great overview and lots of useful info - thanks! Didn't the brain docs talk about the benefits of omega 3 and dementia too? I wish I could afford to get tested 😔 sadly I don't think the NHS cover it in the UK. Has anyone asked?
Good episode. Do not eat fish and take about 750 mg a day and wondering is that enough, so I'm taking the advice and test and will go from there. Thanks!
This chanel is amazing! Loved the episode!
Glad to hear it!
Nice work Simon. You have just saved me some money! I was taking twice the amount needed of epa/dha algae oil each day. Thank you 🙏
Atrial fibrillation is the leading cause of stroke. Health seeking individuals routinely supplement and exercise. Long term endurance exercisers (specifically cyclists) are at an increased risk for and incidence of atrial fibrillation. Perhaps supplementing Omega threes in this population should be discouraged.
Interesting thought. Be good to see a study on this in the future - I’ll do some hunting in case I missed anything .
@@VEGASDAZE I wonder a little about that too. I’ve had a number of very fit cycling friends on Tour de France-style diets, essentially pescatarian, suffer from afib. A couple of them died from it way too young. One was 37 and a cardiologist. 😔 It makes me want to understand afib more than I do.
A-fib can be caused by increased venous development in the left atrial appendage. It makes sense to me that long endurance athletes may develop this condition as a natural course. I think that makes more sense than a fish oil causation. I used to run marathons in college and continued to run distance into my fifties. I have had two incidents of A-fib about ten years apart, other CV health appears normal, accept some mild calcification. I’m in my sixties now, take under one gram of fish oil daily, vit K2, cycle, swim and lift weights. However all in moderation, no longer really long distance, I do push the pace. I tend to believe as with all things in life, moderation is key, rather than worrying about something like fish oil.
That's very sad. Unfortunately, I had the same. I tried a few times Omega-3, but unfortunately, after some time, I had AF. I know that because I am a cardiologist and I have a Holter; otherwise, because they were during sleep, I would never have noted them. @@Viva-Longevity
Thank you Simon. This was excellent.
Glad you enjoyed it
This has come just in time for me since my doc wants me to take a statin. My father died at 52 of a stroke (atherosclerosis was extensinve post mortem) while doing his morning run. He was a meat eater, so different over his lifetime to me. My doc is super afraid of my genetic inheritance although my cholesterol is not high, my triglycerides have gone up a bit with no metabolic disease factors. I've been taking Phyco Health NSW South Coast algal supplements for 2 years. I stopped taking fish oil supplements 15 years ago because of quality concerns, but maybe I need to look into taking an oil supplement. As a vegan its really good to have as much fyi as possible, so as always, thanks Simon, you really are a great nutrition and biology communicator. One thing I absolutely must do since I've heard you with Dr Dayspring is get better tests done, including ApoB (my doc is now researching it since I'm the first person to ask her for a referral).
Such an important podcast!! Thank you, thank you, thank you!!
Thanks for listening
Great video
I hope in that Adventist study they really hone in those who eat routinely if not exclusively whole vegan foods and have been for the majority if not their entire life. I'm talking plenty of greens, broccoli, nuts and seeds, appropriate doses of course, and those with a favorable ratio of fatty acids, and every meal is a whole vegan food meal of legumes, greens, grains, fruits, veggies, mushrooms, nuts and seeds, herbs and spices. It is so important to see data looking at those specifically and seeing if they even need to supplement. And considering those who may or may not be genetically predisposed with a vegetarian allele.
If we don't study those on a well-planned vegan diet p we don't know how to make recommendations at all and make epigenetics work in our favor. It may be that we don't need anything beyond alpha linolenic acid. And if that's the case that would be the most sustainable.
The serum levels from the omega-3 index, and testing normal people who aren't necessarily eating healthy, I mean there's so many things with the current science that seem fishy.
If there's at all a chance all we need to be doing is consuming whole plant foods, we really need to know this, and we need science to absolutely look at this. Not making inferences from completely irrelevant lifestyles.
And it seems like the recommendation is every 6 months for the omega-3 test.
It's my understanding 250 to 500 mg is the recommended dosage amount. It seems like most recommendations have been for this low dose. Maybe if you would have done a low dose longer it would have been sufficient?
I mean how much longer are you going to test yourself? That's expensive too. And who's testing the test lol?
It would be cool if you took two different tests and had them to sent to two different labs.
Rhonda, she's exciting and fun to listen to, or was back in the day, I just don't see her presenting enough science to support her enthusiasm.
This was very informative. Just wanted to note that when Simon mentions, "how did our ancestors eat so much omega's from algae and fish, it's because outside of the arctic our ancestors probably didn't," but that's actually not entirely true and this may hugely effect our experience with omega-3... Most large civilisations lived (and do live) near water sources. This means not only the arctic coast, but all coasts, large lakes, rivers, water ways, canals, forest creek, or even springs. These include diets from the tropics to the mediterranean as well. Sardinia, Costa Rica or Japan which are BLUE ZONES still include large amounts of fish in their diets. Populations benefitting from water redirection processes in places like Turkey, Greece, Egypt, and interior cities Mediterranean cities, even North or South Asian cities, also ate/eat fish -- and have fishing traditions that still take place in order to meet global supplies.... So, essentially, the variation of what we may "need" (such as types of fish and algae) has meant we've evolved in different ways (gut-wise) and it may account for why our tolerance levels and gut absorption vary (as well as any allergies). This also means *due to genetic evolution to parents or grandparents* that some people may achieve a certain level with smaller amounts or others needed to take in more (absorption wise). I only wanted to mention this so that people who don't genetically need to have a high amount, won't over do it and have adverse effects. Fish themselves and types of algae vary region to region globally so this also plays a part in why we all may need to be careful/observant/watchful of our levels, types of fish we eat and check our readings along the way, with attention to how we're feeling overall with these doses or servings just to reach a clear hard "8%" As mentioned, this is a rare long-term study but we are still a modern population with diverse genetics/tolerances/absorption capacity, thus, still figuring out what works for each individual may be on a spectrum. Basically, the "average" is still quite a variable we have to be mindful when we measure our food and/or supplement intake, and monitor how we feel and how other body readings are doing, in order to reach a stasis that actually "works" for us and doesn't become toxic to any one of us. The overall info certainly helps us to *begin* making more informed choices as a start. :)
I agree there’s genetic variations that affect conversion of ALA to DHA/EPA. If your ancestors ate more fish you may not be a great converter (they didn’t need to) So a direct source of dha/epa may be more important for you (or a higher dose). Only way to know is to test your 03 index and nitrate accordingly. Thanks for your feedback
Well isn't there a lot of religious tradition around fish consumption? Once weekly.
Then there's also the fasting components of religious stuff.
I mean the more we advance diet and lifestyle the more we end up looking back at things people figured out from trial and error over generations, using their own epidemiological data from much smaller but more cohesive feeding patterns.
Yet why are we rediscovering all this stuff now and not 100 years ago? Not with the Banting diet or epilepsy keto, or Atkins...
How am I supposed to trust scientific evaluation if diets that weren't healthy 200 years ago (no supplements) are being hyped up, and diets that were fine long before type 2 diabetes, obesity, cancer, etc keep blowing up?
Most simple chemical reactions double for every 10 degree Celsius rise in temperature. I get the newest product on the shelf and keep them in the freezer. Winter in the tropics, I buy mine from a cool self store before I leave Canada. Your production quality continues to improve unabated. Thanks.
So to be clear, are the health issues only associated with fish oil, but not algae/non fish sources?
One can't help but wonder, from an evolutionary perspective, if the likelihood of achieving sufficient EPA/DHA by only eating plants, ranges from unlikely to impossible depending on an individual's ability to elongate ALA, are we not thus 'designed' to eat seafood as a matter of need?
Obviously our ancestors didn't have access to algae derived Omega 3 supplements.
Seems an interesting anthropological question to me.
(Edit: it's scandalous that this brilliant, science based and objective channel doesn't have more subscribers. One of the best out there. Really appreciate the time, effort and rigour put into these producions. Thanks.)
Thank you for this video, it was very helpful.
My omega 3 index was 1.4 which freaked me out and was the push I needed to spend the money on a vegan omega 3.
Even after supplementing with about a gram I only increased to 3.8 (after retesting 3 months) so I increased the amount.
The omega 3 calculator on the omega quant site is very helpful. Thanks for sharing that and also the Costco recommendation for ovega!
I personally find omega 3 thins my blood, or impedes clotting (?) and I take an algae based supplement. If you're taking it with any drugs, e.g. a daily aspirin or even OTC NSAIDs please consult your MD for advice, especially if you're a senior (I am not) as the risk of bleeding increases with age.
@@Joseph1NJ curious about the evidence concerning your claim with the increasing risk for bleeding...
@@zaffaro It's been my personal experience. But you can look into it further, I believe it's not uncommon. "Fish oil is a natural anticoagulant, which means it can prevent the blood from clotting,"
Great video ... Good solid information without the usual youtube hype..
With family history of CVD, I’ve been taking fish oil supplements for over 30 years. Initially starting off with a low dose 300mg omega-3 in my early twenties, now up to a bit more than 3g daily in my fifties. My omega index came in at over 10 last time I checked and I’m happy.
I never had Afib diagnosed during check up at my regular doctor and cardiologist, and my wearable never detected Afib in the many years I used them. So, I’ll continue to do fish oil supplements for optimal CV and Cognitive benefits. By the way, I attributed my low triglycerides level to my fish oil consumption.
I might try lowering my fish oil intake to 2g a day and see if I can keep my omega-3 index above 8.
This was brilliant!! Thank you!! 😊
You're so welcome!
Another excellent presentation. I know this was focussed on cv risk but a number of years ago I was taught that taking omega 3 to a total of 2mg dha a day was research backed to mitigate inflammatory conditions such as osteo arthritis. I did find it successful. It would be interesting to hear your update on that at some stage.
any algae supplements that are available in Canada you would recommend? or anyone?
Bottom line , no one Knowles!!!!
I will continue to eat fish, and no meat dairy or meat!
@@brendawood6712 fish IS meat
Dr Amen has a supplement line called BrainMD. He is a brain doc and has formulated an algae based omega 3 with higher EPA- DHA ratio which apparently is better for mood support. It is costly about $50-$60 per month
If you have a big enough N, just about any group difference can be statistically significant. I eat WFPB and literally just bought algae Omega 3 supplements today!! Well done, science-based video, Simon!
I have also been impressed with Chef AJ's report that her levels have been good without supplementation - this is in the nutritional context of her consuming a [metric ton] of dark leafy greens and cruciferous veg every day and low/natural levels of Omega 6, presumably meaning she's effectively converting her ALA as needed. I can't sustain a dietary pattern like hers and I supplement, but this is likely another answer to "how could we have evolved to eat so much fish?"... that certain populations may have achieved reasonable levels through eating high volumes of leaves, tubers, fruits and other foraged plants. It's a thought.
I love it when you make episodes like this. So grounded and practical. 👏
One nit: my understanding of the REDUCE-It trial is it was a false positive because they chose mineral oil as the placebo, which turned out to be inflammatory. Steve Nissen had things to say about that. Let’s see if RUclips allows a link:
ruclips.net/video/DGz4ETVCEdM/видео.htmlsi=xC4TeDCMSNFxy2yW
I think the presumption here was that this would explain the difference between STRENGTH and REDUCE-IT.
My understanding is the likely difference is actually probably a function of EPA dose. Given what we understand about EPA specifically for plaque stabilisation. Ill add to my list to look at this again as it was a while ago I looked at the mineral oil placebo
Thanks!
Another brilliantly thoughtful and science backed video, thank you Simon.
I'm still a little unsure on how to best get my Omega 3 levels measured. As a fit, middle aged vegan in Australia, I don't find it easy to get some of these things looked at and my GP just thinks I'm a bit nuts 😂
Pls ask i-screen - they may know!
Where can we get the vegan options in Australia?
How do you know Algae oil is not coming from contaminated water.?
Fantastic Simon!!❤
Thanks
Can you further discuss the ideas behind the different forms, not quite sure of the names, triglyceride form vs ethyl-ester form is it? Thanks, looking forward to your discussions with the Brain Docs.
Triglyceride or r-TG form is recommend. Most on shelf forms are triglyceride
there have been some studies where they've compared ethyl-ester against triglyceride forms and for the same effect you would have to take a bit more of the ethyl-ester form!
Quote: "With a baseline O3i of 2-4%, an individual would need to consume 1,500-2,250 mg/d EPA and DHA as TAG's or 2,250-3,250 mg/d EE's to reach 8%. For individuals with baseline O3i from 4 to 6%, a dose of 1,000-1,500 mg/d as TAG's or 1,500-2,250 mg/day as EE's is recommended."
- www.ncbi.nlm.nih.gov/pmc/articles/PMC9892774/
Loved the logic, Simon, but am confused by the arithmetic; you mentioned that not all Omega oils are pertinent, and that the DHA & EPA were the ones to make sure totaled at least 1 gram per day, yet... the Costco brand you highlighted, Ovega 3, has a daily serving of DHA=420mg & EPA=140, equaling a daily total of 560mg, about half of the 1 gram you of total DHA/EPA you recommended. Unless one doubled the daily serving, or daily ate salmon, sardines or Herring, the Ovega 3 falls far short of the total DHA/EPA you recommended. Please clarify. Thanks.
Yes there was a miscalculation with the OVEGA-3 supp. you would need 3-4 capsules a day. Which makes it a 45-60 day supply. Still on the cheaper side of things!
Hi Simon. This is perfect timing. Thank you so very much. Unfortunately Omegaquant don't ship to Australia. Can you advise where I can get reliable testing done in Western Australia? Not sure I can get the revommended supplements here either, well, not for a reasonable price. Have we lost you to America? The thought saddens me terribly.
How are fish oil supplements made? What chemicals are used in the process and do they cause harm to gut health and cells? I don't know so I dropped taking them. I now try and eat more seafood than I used to.
If I were to go with fatty fish route, would it be OK to consume the fish with omega 6 fats ( say arachidonic acid like eggs) at the same time?
I am confused 🤣. Why would people think 85g fish a day is hard. I can easily eat a lb if I want. One can of Sardine from Costco is almost twice as much of this daily recommendation. Many fishes are cheaper than steak as well, especially canned sardine and tuna. They are literally some of the cheapest protein sources I can find in Costco and Wal-Mart. Only chicken and eggs can be cheaper I suppose. Many fishes are pretty friendly for a budget meal.
@@lumanliu8457 I think high mercury in sardines can be an issue.
Amazing thank you❤
I recently changed my protein intake to fish 6 days a week +
I take 1 g fish oil for the past year
I started to feel pain in the heart at high intense exercise
I wonder if it because of too much fish oil ??
Cyrus Khambatta PhD and Robbie Barbaro MPh of Mastering Diabetes measured their EPA and/or DHA and were OK with just their ALA conversion. Testing might be good idea.
What’s ok? What were their levels
@@TheProofWithSimonHill they where normal. Don't remember the numbers. They are both type I diabetics, 30 grams fat per day and a lot of fresh fruit. They eat Whole Food Plant Based no Sugar no Oil no Salt (.WFPB-SOS)
@@TheProofWithSimonHill ruclips.net/video/9XSE2K9JpOA/видео.htmlsi=u9dbVpVbHc8mVSNf😊
Hey Simon! Thank you for the great video and content in general!
Yep! Genetics, body mass etc will play a role in the dose you need. What I’ve said is what will work for ‘most’ people. But at an individual level testing your 03 index and then tittering your dose to get to 8-12% is the best strategy.
@@TheProofWithSimonHill Thanks for the answer! Copy that! :)
Any input on the increase in ldl for many who supplement with dha/epa? This was the case with my lipid panel.. so not sure which is better, to have an uptick in ldl and more optimal omega 3 index or the opposite.
Sometimes also what we leave out is more important. I'm sure that someone eating a clean diet high in nitrates and other foods that help blood pressure is better than someone taking omega 3 supplements while having a bad diet with oils and other omega 6 rich foods
Interestingly, I get ectopic heart beats when taking omega-3 supplements but don't get them when eating a lot of oily fish on a daily basis. I've also had a comprehensive genetic test which states that I have a decreased conversion rate of the plant based omega-3 fatty acid ALA to DHA and should choose animal based sources instead. This is related to FADS2 gene polymorphisms. Simple solution - keep eating oily fish every day!
Thank you Simon
I’m confused, on the chart of fish, it looked like the sockeye salmon was the better choice than Atlantic.
you had a doctor on, he recommended a genetic test. which test is recommended?
You wouldn't believe me if I told you how many "health" videos and podcasts I listen to. This is rated in the top 10 of all time in terms of info. Also, I noticed Walmart carries the Ovena brand (750mg) for $30.
How much chia seeds and flax seeds to eat?
This depends on many factors. How much you need will depend on how much linoleic acid you consume, your gender, your genetics, the way you consume them (whole or ground, seeds or oil) and so on and so forth. I've tried to raise my Omega 3 Index this way and I've tried hard. My Omega 3 index decreased from 2,3% to 2,2% in the course of 10 months.
@@Arugula100 1/2 cup
So that is DHA and EPA combined to get 1.5 g total, right?
Yep!
is the 1-1.5g of dha&epa combined? or does it need to be 1g of dha & 1g of epa?
Thanks Simon
You’re welcome mate
Simon, contrary to what you stated here, the company you recommended for getting omega 3 levels tested (Omegaquant) claims on their website that plant-based omega-3 sources will not raise one's omega-3 index.
That doesn’t make sense l hope this is not true
They probably mean ALA, which is in flax seeds, for instance.
@@k.h.6991 yeah l think you are right the conversion rate is low for a lot of people
They are not referring to algae oil that contains dha/epa. They are referring to flax, chia, hemp etc. I know the guys at omega quant very well and per Dr Harris in this video, algae oil is just as well absorbed and has same effect on ones omega 3 index as fish/krill oil
I had an Omega 3 panel run by Quest Diagnostics and they measured a third Omega 3 called DPA (docosapentanoic acid). They included it in the Omega 3 total along with EPA and DHA and my total was 7.7%
Anyone know about DPA?
Is the dose of DHA and EPA per each, or combined?
Combined
Any ideas for people with histamine intolerance? Can’t eat fish or take either animal or plant omega supplements, increases heart rate causes insomnia.
Thank you
You're welcome
Did anyone deduce the levels in fish after cooking oxidation has occurred? I’ve read omega 3 diminishes in quantity by 80% after cooking
Hi Simon,I follow ur yt channel since 3 months,
As a medical Graduate It will be kind if you can share the literature link,so that everyone can read & have a PROOF,becoz most of u are unaware of papers & findings u mention.
Did you look at the shownotes?
So for the gal who takes 4g a day, even the cheap Costco supplement would cost $1 USD per day (1 $29 bottle would only last her 15 days). That is an absurd amount for one supplement.
So, EPA is better than DHA?
Wouldn't say that we can be sure about that in terms of overall health but for CVD health, that seems likely.
For some fish consumption can cause gout as it is quite high in purines.
Simon you did not say 1 gram combined or 1 gram of each epa dharma?
1g combined. I believe I make that clear in the video a couple of times. Apologies if it wasn’t clear enough
For vegetarians, high quality grass-fed ghee or grass-fed butter is good source of Omega 3
The CSIRO in Australia has also developed canola that is very high in omega 3.
That’s good to hear!
You recommend 3 capsules a day of Ovega-3 - and yet 3 capsules only comes out to 840 mg/day (1 serving = 2 capsules, which in turn combine 420 mg of DHA and 140 mg of EPA; 560 mg x 1.5 (i.e., 3 capsules) = 840) - Do you feel that 840 mg/day is "good enough"?
Depends on your baseline level before supplementing. If you are around 5% then yes that will likely be enough.
Can one who has ASCVD but not AFib be considered Healthy Status?
What are your thoughts on Complement’s Omega Complex?
Great info. Thanks!
One note: wouldn’t it be way less sustainable to take the fish oil than eat the fish directly? (Considering how many fish need to be killed to make an oil?)
Or did you mean “unsustainable” as in “not likely to…”?
All polyunstaurated oils can be dangerous, whether omega 3 or omega 6 oils (hence the high processing and use of lots of unnatural chemicals) as they go rancid very quickly because of their long chain of fragile carbon atoms. The best fat source is therefore monunsaturated or saturated fat. Fish go off very quickly so I prefer frozen, wild caught salmon once or twice a week rather than supplements. The EPA and DHA are much higher in fish than plant sources which also go rancid quickly when their seeds are broken.
You might like my episode with Philip Calder. He’s an expert on polyunsaturated fats
Unfortunately not knowing dosage makes this study close to worthless
I love that you mention the amount of fish needed to be eaten would be highly unsustainable for the environment! I just wish you'd mentioned that for the fish oil supplements as well. It seems that people don't understand the connection. I find it so distressing to see the shelves upon shelves of massive containers of fish oil supplements in the shops. World over I can't even begin to think how many fish it takes to get that amount and how we are sustaining it at all! Also, I'd like to know if the algae for the supplements is grown sustainably? No point depleting the fish food.
That's why I find it hard to believe we really need that much EPA/DHA it seems unrealistic that we ever consistently get that much in nature depending on geography. I think the requirements are overblown in order to sell supplements.
Hemp, Flax Seeds, Nori, Walnuts are also sources of Omega 3s.
@JakeRichardsong that is discussed. The question is, are they converted in the body to EPA and DHA?
@@julieowens7095 I didn't watch the whole video, and it is converted, though not in large amounts.