Potential for Digestive Discomfort
One of the most commonly reported downsides of flaxseed oil, especially in higher doses, is gastrointestinal upset. The human digestive system can react poorly to large amounts of this oil, leading to a range of uncomfortable symptoms. Unlike whole or ground flaxseed which contains fiber, flaxseed oil can cause different types of digestive issues depending on the individual and the dosage.
- Bloating and Gas: For some, introducing a new oil or a high dose can result in increased bloating and flatulence.
- Diarrhea: Taking high doses of flaxseed oil can act as a laxative, sometimes leading to loose stools or diarrhea.
- Nausea: A small number of users may experience nausea or an upset stomach, particularly when starting supplementation.
- Stomach Ache: Abdominal pain or cramping is another possible side effect linked to the ingestion of flaxseed oil.
It is generally recommended to start with a small dosage and gradually increase it to allow the body to adjust. Staying well-hydrated is also key when consuming this supplement.
Increased Risk of Bleeding and Medication Interactions
Flaxseed oil has anticoagulant or blood-thinning properties, which can pose a significant risk, particularly for individuals on specific medications or with certain health conditions.
- Interaction with Anticoagulants: If you are taking medications that slow blood clotting, such as warfarin, enoxaparin, or dalteparin, flaxseed oil can amplify their effects, leading to an increased risk of bruising and bleeding.
- Blood Pressure Medications: Flaxseed oil can also lower blood pressure. For those already on antihypertensive drugs, this could cause blood pressure to drop to dangerously low levels.
- Diabetes Medications: It can also affect blood sugar levels, potentially lowering them too much when combined with diabetes medications like insulin.
- Surgery Risk: Due to its impact on blood clotting, it is essential to stop using flaxseed oil at least two weeks before any scheduled surgery.
Potential for Oxidation and Lower Efficacy
Flaxseed oil is highly susceptible to oxidation, which means it can go rancid quickly when exposed to heat, light, or air. This can degrade the beneficial omega-3 fatty acids, making the oil less effective or even harmful.
- Heat Sensitivity: It has a very low smoke point and should not be used for cooking or high-heat applications. The high temperatures will destroy the delicate fatty acids.
- Improper Storage: To mitigate the risk of oxidation, flaxseed oil should always be stored in a cool, dark place, preferably in the refrigerator, and in a dark glass bottle.
Lack of Fiber and Lignans
One of the main differences between flaxseed oil and whole or ground flaxseed is the removal of fiber and lignans during the pressing process. While the oil provides a concentrated source of ALA (alpha-linolenic acid), it omits other valuable components.
- Missing Fiber: The fiber in whole or ground flaxseed offers significant digestive benefits, such as promoting regularity and relieving constipation, which are completely absent in the oil.
- Missing Lignans: Flaxseeds are also a rich source of lignans, plant compounds with antioxidant and phytoestrogenic properties. Research suggests these lignans may offer protective benefits against certain cancers and heart disease. By choosing the oil, you miss out on these powerful compounds.
Inefficient Conversion of ALA
While flaxseed oil is a great source of the plant-based omega-3 ALA, the body's conversion of ALA into the more readily used forms, eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), is often inefficient. This means that while you may consume a large amount of ALA, your body may only convert a small percentage into the forms that provide the most anti-inflammatory benefits. Individuals who do not consume fatty fish may need to consider an alternative or additional supplement to meet their EPA and DHA needs.
Flaxseed Oil vs. Ground Flaxseed: A Comparison
| Feature | Flaxseed Oil | Ground Flaxseed |
|---|---|---|
| ALA Omega-3 | Highly concentrated source | Excellent source, but lower concentration per tablespoon than oil |
| Fiber Content | None | Excellent source of both soluble and insoluble fiber |
| Lignan Content | None | Rich source of lignans |
| Digestive Impact | Potential for diarrhea in high doses | Can cause bloating/gas if introduced too quickly |
| Sensitivity | Very sensitive to heat and light; prone to oxidation | More stable, though benefits diminish after grinding |
| Versatility | Best for low-temp use (salad dressings, smoothies) | Can be added to a wider variety of foods |
Who Should Be Cautious?
Certain individuals should avoid or exercise caution when using flaxseed oil.
- Pregnant or Breastfeeding Women: High doses of flaxseed oil are not recommended during pregnancy, and its safety during breastfeeding is not well-established.
- Individuals with Hormone-Sensitive Cancers: Because flaxseed contains phytoestrogens, those with hormone-sensitive conditions like certain breast or ovarian cancers should consult a doctor before use.
- People with High Triglycerides: In some cases, partially defatted flaxseed may increase triglyceride levels.
- Bleeding Disorders: Due to its blood-thinning effect, it should be avoided by people with bleeding disorders.
Conclusion
While flaxseed oil offers a convenient and concentrated source of plant-based omega-3s, it is not without its downsides. From the potential for digestive discomfort and interactions with essential medications to its fragility and lack of fiber and lignans, the oil is a compromised version of the whole seed. For many, the more complete nutritional profile of ground flaxseed may be a preferable option. Ultimately, before incorporating flaxseed oil or any new supplement into your diet, it is always wise to consult with a healthcare professional, especially if you have underlying health conditions or take other medications.
For additional information on nutritional supplements, consider consulting authoritative sources like the National Center for Complementary and Integrative Health.