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Unbekoming's avatar

Author's Note

Thank you for the thoughtful comments and questions. A few points of clarification based on recurring themes:

On krill oil: Several readers have asked whether krill oil escapes the problems described in this essay. Krill oil contains astaxanthin, a natural antioxidant that provides some protection against oxidation—more than fish oil capsules typically have. However, the fundamental chemistry remains: you are still dealing with highly unsaturated omega-3 fats (EPA and DHA with their five and six double bonds) that have been extracted, processed, and encapsulated. Whether krill oil oxidizes more slowly is a question of degree, not kind. The same three-legged stool framework applies: Is it necessary? Is it safe? Does it work? I have not reviewed the krill oil literature with the same depth as fish oil, so I cannot offer a definitive assessment—but the questions worth asking are the same.

On liquid fish oil (e.g., Carlson's): Liquid fish oil in dark glass bottles, kept refrigerated, allows you to smell what you're consuming—which is an advantage over capsules. If it smells rancid, you know. If it smells mildly fishy but not off, that's better information than a smell-proof capsule provides. However, liquid fish oil is still industrially processed, still subject to oxidation during manufacturing and shipping, and still contains the most oxidation-prone fats in nature. Refrigeration and dark glass slow degradation but don't prevent it. The nose test is useful but not definitive—early oxidation products are often odorless.

On canned fish: Sardines, mackerel, salmon, and other canned fish are whole foods. The omega-3s remain within cell membranes, protected by the fish's natural structure, and are heat-processed once during canning rather than subjected to the extended extraction, refining, and storage chain of supplements. Canned fish is not the same category as fish oil capsules. The essay's argument is against industrially extracted and encapsulated oils, not against eating fish.

On cod liver oil: Cod liver oil occupies a middle ground. Traditional cod liver oil was minimally processed, valued for vitamins A and D as much as omega-3s, and consumed fresh. Modern cod liver oil varies enormously by brand and processing method. The same questions apply: How was it processed? How long has it been stored? Can you smell it? The three-legged stool remains a useful framework.

On the omega-3 hypothesis itself: One commenter linked to research suggesting that both omega-6 and omega-3 PUFAs promote inflammatory pathways at the genomic level. This is worth investigating. The essay focused on the product quality problem—what's actually in the capsule—rather than questioning whether omega-3 supplementation is beneficial even in ideal conditions. That's a deeper question I may address in future writing.

On all-cause mortality: A sharp-eyed reader noted that the cardiovascular meta-analyses report reductions in specific endpoints (MI, CHD death) but don't always report all-cause mortality. This is an important point. A treatment that reduces heart attacks but increases deaths from other causes provides no net benefit. It's a limitation of much cardiovascular research that deserves more attention.

Thank you all for reading and engaging critically.

MoonlitNight's avatar

Back to sardines I guess. Just ditched my expensive capsules. Thanks for this info! I have read about this before but was stubborn.

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