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Understanding the Risks: What is the downside of flaxseed oil?

4 min read

Over 700,000 U.S. adults reported using flaxseed oil in 2012, attracted by its omega-3 fatty acid content. However, for those considering this supplement, understanding what is the downside of flaxseed oil is crucial for a complete and informed nutritional choice.

Quick Summary

Flaxseed oil, while beneficial for omega-3s, has several downsides, including gastrointestinal discomfort, risks associated with bleeding and specific health conditions, and drug interactions. It also lacks the fiber and lignans found in whole flaxseed.

Key Points

  • Digestive Issues: High doses of flaxseed oil can lead to bloating, gas, stomach aches, and diarrhea.

  • Drug Interactions: It can interfere with blood-thinning medications, blood pressure drugs, and diabetes medication, increasing the risk of bleeding or causing unsafe drops in blood pressure/sugar.

  • Oxidation and Instability: Flaxseed oil is highly unstable and can go rancid when exposed to heat or light, losing its nutritional value.

  • No Fiber or Lignans: Unlike ground flaxseed, the oil lacks beneficial fiber for digestion and powerful antioxidant lignans.

  • Inefficient ALA Conversion: The body converts the ALA in flaxseed oil to EPA and DHA inefficiently, meaning it's not a direct substitute for fish oil.

  • Risks for Specific Conditions: Individuals who are pregnant or have hormone-sensitive cancers, high triglycerides, or bleeding disorders should use caution or avoid it.

In This Article

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.

Frequently Asked Questions

Yes, consuming flaxseed oil, especially in higher doses, can cause digestive problems such as bloating, gas, diarrhea, and abdominal pain in some individuals.

Yes, flaxseed oil can interact with medications that thin the blood (anticoagulants), lower blood pressure, and regulate blood sugar, potentially causing dangerous side effects.

The safety of flaxseed oil during pregnancy is uncertain, and high doses are not recommended. It is important for pregnant women to consult a doctor before use.

Ground flaxseed is often the better choice as it contains fiber and lignans, which are absent in the oil. However, flaxseed oil provides a more concentrated source of omega-3 ALA.

Flaxseed oil is very susceptible to oxidation and can go rancid quickly when exposed to heat, light, and air. Storing it in a cool, dark place or the refrigerator helps preserve its quality and nutritional benefits.

No, you should not cook with flaxseed oil because it has a very low smoke point. Heating it will damage the delicate omega-3 fatty acids, rendering them less beneficial.

Flaxseed oil contains the plant-based omega-3 ALA, which the body must convert into usable EPA and DHA. The conversion rate is often inefficient, while fish oil provides these forms directly.

References

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Medical Disclaimer

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