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Do Omega-3 Supplements Make You Smell Fishy? Here’s Why and How to Stop It

6 min read

According to research, up to 20% of omega-3 supplement users experience unpleasant, fishy-smelling burps. So, do omega-3 supplements make you smell fishy? For many, the answer is a qualified yes, but the root cause is often preventable and fixable.

Quick Summary

This article explores the reasons why omega-3 supplements can cause fishy odors, including product quality, digestion, and rare metabolic conditions. It details effective strategies to prevent and manage the issue, covering everything from supplement type to timing and storage techniques.

Key Points

  • Rancid Oil is a Key Culprit: A primary cause of fishy burps and aftertaste is rancid or oxidized fish oil, which results from poor quality or improper storage.

  • Poor Digestion Causes Fishy Burps: Because fish oil is not water-soluble, it can sit on top of stomach acid, leading to fishy-smelling burps, especially when taken on an empty stomach.

  • Rare Metabolic Condition: In rare instances, a persistent fishy odor can signal trimethylaminuria, a metabolic disorder affecting the body's ability to process trimethylamine.

  • Take with Food to Improve Digestion: Consuming omega-3 supplements with a fatty meal can significantly improve digestion and reduce the chance of fishy burps.

  • Try Alternative Supplement Types: Opt for enteric-coated capsules that bypass the stomach or consider plant-based algae oil, which naturally lacks a fishy odor.

  • Freeze Capsules for Delayed Release: Storing capsules in the freezer can help them pass through the stomach more slowly, preventing the oil from being released and causing burps.

  • Choose High-Quality Brands: Select reputable brands known for purity and freshness, indicated by transparent sourcing and low oxidation (TOTOX) values.

  • Consult a Doctor for Persistent Issues: If fishy odors persist despite trying these methods, it’s advisable to consult a healthcare provider to rule out underlying medical conditions.

In This Article

Why Omega-3 Supplements Can Cause Fishy Odor

There are several key reasons why a fish oil supplement can lead to fishy smells. Understanding these can help you pinpoint the cause and find the right solution.

1. Rancidity and Product Quality One of the most common culprits for a strong, fishy aftertaste is rancid or oxidized fish oil. Fresh, high-quality fish oil should have a neutral taste and smell, not a pungent, old-fish aroma. Omega-3 fats are polyunsaturated, making them highly susceptible to oxidation when exposed to heat, light, and air. This can happen during processing or if the product has been stored incorrectly. Cheaper, poorly processed supplements are particularly prone to this issue. If you break open a capsule and it smells distinctly like old fish, it's likely rancid.

2. Poor Digestion and Stomach Breakdown Fish oil is not water-soluble, which means it doesn't mix easily with the watery contents of the stomach. This can cause the oil to sit on top of your stomach's digestive fluids. When you burp, a small amount of this oil-rich gas is released, causing the characteristic "fishy burp". This is especially common when taking supplements on an empty stomach. Some individuals may also be more sensitive due to differences in stomach acid production or overall digestive speed.

3. Rare Metabolic Disorders In very rare cases, a persistent and pervasive fishy odor (including breath, sweat, and urine) could be a sign of a metabolic disorder known as trimethylaminuria (TMAU), or “fish odor syndrome”. This genetic condition prevents the body from properly breaking down the chemical compound trimethylamine (TMA). Instead of being converted into its odorless form, TMA builds up and is excreted through bodily fluids, causing a strong fishy smell. Taking fish oil supplements can exacerbate this condition.

4. Excessive Dosage Taking very high doses of omega-3 supplements can overwhelm the body's digestive system, increasing the likelihood of side effects like fishy burps and digestive upset. The US Food and Drug Administration (FDA) suggests that consuming more than 5 grams of EPA and DHA combined per day from supplements may increase the risk of side effects, though most adverse effects are mild. Adjusting your dosage can often mitigate the problem.

How to Prevent and Eliminate Fishy Odor

Fortunately, there are many effective strategies to prevent or stop the fishy side effect of omega-3 supplements.

  • Choose High-Quality, Fresh Supplements: Opt for pharmaceutical-grade brands that use a process called molecular distillation to remove impurities and minimize oxidation. A transparent label indicating low oxidation values (TOTOX) is a good sign of quality. Look for products stored in dark, airtight containers and check the expiration date. Some brands also add antioxidants like rosemary extract or tocopherols to maintain freshness.
  • Refrigerate or Freeze Capsules: Storing your fish oil capsules in the refrigerator or freezer can slow down the breakdown of the gelatin shell. This delays digestion until the capsule reaches the small intestine, bypassing the stomach where most burping occurs.
  • Take with Meals: Consuming your supplement with a fatty meal significantly aids digestion. The presence of other fats stimulates bile and digestive enzymes, helping the body process the fish oil more efficiently. Taking capsules in divided doses throughout the day can also reduce the load on your stomach.
  • Consider Enteric-Coated Pills: These specialized capsules have a coating that resists stomach acid and only dissolves once they reach the small intestine. This prevents the fish oil from being released in the stomach and effectively eliminates fishy burps.
  • Switch to an Alternative Omega-3 Source: If fish oil continues to be a problem, consider other options. Algae oil is a plant-based source of DHA and EPA that is naturally free of fishy odors and is also a great option for vegetarians and vegans. Another alternative is krill oil, which is bound to phospholipids, making it more digestible for some people.
  • Consult a Healthcare Provider: If the fishy odor persists despite implementing these strategies, especially if it's a new or overwhelming symptom, consult a healthcare provider. They can rule out underlying medical conditions like trimethylaminuria and provide tailored recommendations.

Comparison of Omega-3 Supplement Types

Feature Fish Oil Algae Oil Krill Oil
Source Fatty fish (e.g., salmon, anchovy) Marine algae Krill, tiny crustaceans
Omega-3 Type EPA and DHA EPA and DHA EPA and DHA
Primary Cause of Fishy Burps Oil is not water-soluble; can sit on stomach acid Very low risk; naturally free of fishy odor Bound to phospholipids, may be more digestible
Risk of Rancidity High if processed poorly; requires good manufacturing practices Lower risk; less prone to oxidation Lower risk; contains astaxanthin, a powerful antioxidant
Capsule Coating Standard gelatin or enteric-coated available Often plant-based capsules Standard gelatin or enteric-coated available
Best for Standard, cost-effective supplementation Vegans, vegetarians, and those highly sensitive to fish burps Those seeking potentially higher bioavailability and antioxidant benefits

Conclusion

While it's true that some omega-3 supplements can cause a fishy odor, this side effect is not inevitable and can often be easily resolved. By prioritizing high-quality, fresh products, taking supplements with meals, and exploring alternatives like algae oil or enteric-coated capsules, you can enjoy the cardiovascular, brain, and joint health benefits of omega-3s without the unpleasant smell. Persistent odor, however, warrants a conversation with a doctor to rule out rare metabolic issues.

Visit the Arthritis Foundation for tips on stopping fish oil aftertaste.

Additional Tips for Managing Fishy Odor

  • Take with Digestive Enzymes: Taking a lipase digestive enzyme supplement with your fish oil can help break down the fats more effectively.
  • Try Flavored Liquids: Some manufacturers offer liquid fish oil with added lemon or other flavors to mask the taste and odor.
  • Optimize Your Diet: Instead of relying solely on supplements, increase your intake of whole foods rich in omega-3s, such as fatty fish, walnuts, chia seeds, and flaxseeds.
  • Keep Hydrated: Staying well-hydrated can aid overall digestion and may help reduce the concentration of odorous compounds excreted through sweat and urine.

Summary

Dealing with fishy odors from omega-3 supplements is a common but manageable issue. The primary causes are often rancid oil, poor digestion, or dosage issues. Solutions include choosing high-quality, fresh products, refrigerating capsules, taking them with food, and trying alternative sources like algae oil. By following these simple steps, you can avoid the stink and reap the health rewards of omega-3 fatty acids.

Frequently Asked Questions

Q: Is a fishy burp a sign that my fish oil supplement is rancid? A: Not necessarily, but it is a strong possibility, especially if the taste is unpleasant and persistent. High-quality, fresh fish oil should not cause significant fishy burps. If the oil is truly rancid, it will have a strong, foul odor upon tasting or smelling it.

Q: Can omega-3 supplements cause fishy-smelling sweat? A: Yes, this can be a side effect, though it is less common than fishy burps. It is caused by the excretion of fish oil compounds through the sweat glands, and can be more noticeable with higher doses.

Q: What is trimethylaminuria, and how does it relate to omega-3 supplements? A: Trimethylaminuria (TMAU) is a rare metabolic disorder that prevents the body from properly processing the chemical trimethylamine. For individuals with this condition, consuming fish oil can cause trimethylamine to build up in the body and be excreted through breath, sweat, and urine, leading to a strong fishy odor.

Q: Does freezing my fish oil capsules affect their potency? A: Freezing your capsules does not affect the potency or effectiveness of the omega-3s inside. It simply slows down the digestion process, allowing the capsule to travel farther down the digestive tract before dissolving.

Q: Are enteric-coated omega-3 supplements more effective? A: Enteric-coated capsules are not necessarily more effective overall, but they are highly effective at preventing fishy burps by delaying digestion until the supplement reaches the small intestine. For those who experience this specific side effect, they can be a great option.

Q: I still have fishy burps even after trying all the tips. What should I do? A: If you've tried different brands, formulations (like enteric-coated), and taken them with meals without success, consider talking to your doctor. They can help rule out any underlying medical issues and may suggest alternative sources or a different supplement protocol.

Q: What are the best alternatives to fish oil for avoiding fishy taste? A: For a fish-free source of omega-3s, algae oil is the best option. Krill oil is another alternative that may be more digestible for some and is often associated with fewer burps. Both are good sources of the essential fatty acids EPA and DHA.

Frequently Asked Questions

Not necessarily, but it is a strong possibility, especially if the taste is unpleasant and persistent. High-quality, fresh fish oil should not cause significant fishy burps. If the oil is truly rancid, it will have a strong, foul odor upon tasting or smelling it.

Yes, this can be a side effect, though it is less common than fishy burps. It is caused by the excretion of fish oil compounds through the sweat glands, and can be more noticeable with higher doses.

Trimethylaminuria (TMAU) is a rare metabolic disorder that prevents the body from properly processing the chemical trimethylamine. For individuals with this condition, consuming fish oil can cause trimethylamine to build up in the body and be excreted through breath, sweat, and urine, leading to a strong fishy odor.

Freezing your capsules does not affect the potency or effectiveness of the omega-3s inside. It simply slows down the digestion process, allowing the capsule to travel farther down the digestive tract before dissolving.

Enteric-coated capsules are not necessarily more effective overall, but they are highly effective at preventing fishy burps by delaying digestion until the supplement reaches the small intestine. For those who experience this specific side effect, they can be a great option.

If you've tried different brands, formulations (like enteric-coated), and taken them with meals without success, consider talking to your doctor. They can help rule out any underlying medical issues and may suggest alternative sources or a different supplement protocol.

For a fish-free source of omega-3s, algae oil is the best option. Krill oil is another alternative that may be more digestible for some and is often associated with fewer burps. Both are good sources of the essential fatty acids EPA and DHA.

The best types are enteric-coated fish oil capsules, which prevent digestion in the stomach, or algae oil supplements, which are naturally free of fishy odor. High-quality, non-rancid liquid fish oil can also be mixed with food to reduce the effect.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.