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What Happens When You Take Fish Oil Pills Every Day?

4 min read

According to the National Institutes of Health, fish oil is one of the most commonly used non-vitamin/non-mineral dietary supplements in the U.S.. For those who take fish oil pills every day, the effects can range from subtle, long-term benefits to noticeable side effects, depending on the dosage and individual health status.

Quick Summary

Taking fish oil pills every day can offer benefits for heart, brain, and joint health due to its omega-3 content, but potential side effects and health risks exist, especially at high doses.

Key Points

  • Heart Health: Daily fish oil intake helps reduce triglycerides and blood pressure, supporting overall cardiovascular function.

  • Brain Function: The omega-3s in fish oil are vital for brain cell health and may improve memory and cognitive function in older adults.

  • Anti-Inflammatory: Fish oil can help reduce inflammation, offering relief for inflammatory conditions like rheumatoid arthritis.

  • Side Effects: Common side effects include fishy burps, heartburn, and nausea, especially at high doses.

  • Bleeding Risk: High daily intake (over 3g) can increase the risk of bleeding by slowing blood clotting.

  • Consult a Doctor: Before starting a daily regimen, especially with existing health conditions or medications, consult a healthcare professional.

  • Food vs. Supplements: While supplements are an alternative, obtaining omega-3s from whole fish is often more beneficial due to the broader nutrient profile.

In This Article

The Benefits of Daily Fish Oil Consumption

When taken regularly and at an appropriate dosage, the omega-3 fatty acids EPA and DHA found in fish oil can support several key areas of your health.

Cardiovascular Health

One of the most well-documented benefits is its positive effect on heart health. EPA and DHA are known to help reduce triglycerides, a type of fat in the blood that can contribute to heart disease when elevated. Regular intake may also help lower blood pressure and prevent the formation of atherosclerotic plaques, which harden the arteries. The American Heart Association (AHA) recommends consuming omega-3s to reduce the risk of cardiovascular events, especially for those with existing coronary heart disease.

Brain and Mental Health Support

Omega-3 fatty acids are crucial for normal brain function and development. DHA, in particular, is an important component of brain cell membranes, and adequate intake has been linked to better cognitive function throughout life. Some studies suggest that fish oil supplements can help improve symptoms of depression, particularly when taken alongside antidepressant medication. For older adults with age-related cognitive decline, omega-3s may also help improve memory and learning.

Reduced Inflammation and Joint Pain

Inflammation is a factor in many chronic diseases, and omega-3s possess powerful anti-inflammatory properties. For people with conditions like rheumatoid arthritis (RA), fish oil supplements have been shown to help reduce joint tenderness, morning stiffness, and pain. In some cases, this relief is enough to reduce the need for anti-inflammatory medications.

Improved Skin and Eye Health

Daily supplementation may also benefit your largest organ—your skin—which contains a lot of omega-3s. Some research indicates benefits for skin disorders like psoriasis and dermatitis. For eye health, studies show that people with higher omega-3 intake have a lower risk of age-related macular degeneration (AMD), a leading cause of vision loss.

Potential Side Effects and Risks of Daily Intake

While daily fish oil is safe for most people in moderation, consistently high doses can lead to negative side effects.

Gastrointestinal Discomfort

Many people report minor digestive issues when taking fish oil, which are more common with higher doses.

  • Fishy aftertaste: Burping with a fishy taste or smell is a very common complaint.
  • Heartburn and acid reflux: The high fat content of fish oil can stimulate acid production in the stomach.
  • Nausea and diarrhea: Upset stomach, nausea, or loose stools can occur, especially when not taken with a meal.

Increased Bleeding Risk

Omega-3s can slow blood clotting. Taking more than 3 grams daily might increase the risk of bleeding, especially for individuals on anticoagulant or antiplatelet medications. This is a critical consideration for anyone undergoing surgery or with a bleeding disorder.

Other Potential Complications

Excessive fish oil intake can also have broader systemic effects.

  • Low blood pressure: While beneficial for some, it can be problematic for those with naturally low blood pressure, potentially causing dizziness or fainting.
  • Atrial fibrillation (A-fib): Some studies suggest that high-dose fish oil supplements may increase the risk of A-fib in people with existing heart conditions.
  • Reduced immune function: The anti-inflammatory effects could potentially reduce immune system activity at very high dosages over long periods.

Fish Oil vs. Omega-3-Rich Foods: A Comparison

For most people, obtaining nutrients from whole foods is superior to supplementation. Here is a quick comparison:

Feature Fish Oil Supplements Omega-3-Rich Foods (e.g., salmon, sardines)
Nutrient Profile Concentrated EPA and DHA. Some products may contain added vitamins. Balanced profile of EPA, DHA, and other essential nutrients (proteins, vitamins A and D, minerals).
Form Capsules or liquid oil, standardized dosages. Whole food, provides fiber and other components that aid absorption.
Mercury Risk Typically removed during processing and purification, minimizing heavy metal concerns. Potential for mercury contamination, especially in larger fish.
Effectiveness Can effectively raise blood omega-3 levels, especially at specific, high doses for targeted conditions. Strong evidence for heart health and other benefits, often cited as a more holistic nutritional approach.
Side Effects More common for GI issues like reflux and fishy burps, especially with high doses. Side effects less common and generally related to overconsumption of fish itself.

Conclusion: Finding the Right Balance

Taking fish oil pills every day can provide significant benefits for cardiovascular, cognitive, and joint health, particularly for individuals who do not consume enough omega-3 fatty acids from their diet. However, it is not a one-size-fits-all solution. Daily intake can lead to mild side effects such as digestive upset, and high doses carry more serious risks, including increased bleeding tendency and possible heart rhythm issues. The best approach for many is to prioritize dietary sources of omega-3s like fatty fish. For those who choose supplementation, consulting a healthcare provider is essential to determine the appropriate dosage, especially if you have pre-existing conditions or are taking other medications. Always be mindful of the potential risks and listen to your body's response.

How to Choose a Quality Fish Oil Supplement

When opting for a supplement, quality matters. Look for the following indicators on the label:

  • Third-party testing: A seal of approval from organizations like U.S. Pharmacopeia (USP) or NSF International guarantees that the product contains the ingredients listed and is free from harmful contaminants like heavy metals.
  • Concentration: Focus on the amount of active EPA and DHA per capsule, not just the total fish oil amount.
  • Form: Check if the oil is in the more bioavailable re-esterified triglyceride or free fatty acid form.
  • Freshness: High-quality fish oil should not have a strong fishy odor or taste, which can indicate rancidity.

Remember that supplements are intended to complement, not replace, a healthy diet. For those with specific health concerns, personalized medical advice is always the best path forward.

Additional Considerations

  • Timing: Taking your fish oil with a meal, especially one containing other fats, can improve absorption and minimize gastrointestinal side effects.
  • Source: For those avoiding fish, vegetarian or vegan omega-3 supplements derived from algae are available and provide both EPA and DHA.

Frequently Asked Questions

It may take several weeks to a few months of consistent, daily intake to experience the full benefits of fish oil, such as reduced joint stiffness or improved mood.

Yes, it is generally safe to take fish oil alongside a multivitamin. However, if your multivitamin also contains omega-3s or fat-soluble vitamins (A, D, E), check the dosage to avoid excessive intake.

There is no single best time, but many people find that taking fish oil with a meal, particularly one containing fat, improves absorption and helps reduce side effects like acid reflux or a fishy aftertaste.

Yes. Fish oil can interact with medications that slow blood clotting (like warfarin), blood pressure drugs, and certain contraceptive pills. Always consult your doctor before starting supplementation, especially if you are on medication.

While fish oil can improve liver function and reduce fat accumulation associated with non-alcoholic fatty liver disease, there is not enough evidence to suggest it is an effective weight-loss tool on its own.

Yes, individuals with fish or shellfish allergies should exercise caution. While contaminants are typically removed, an allergic reaction is possible. It is best to avoid fish oil or seek medical advice before use.

Fish oil that has gone rancid can have an unpleasant taste and may be less effective. While not immediately dangerous, it's best to use fresh, high-quality supplements and look for products that have a third-party seal for purity.

Medical Disclaimer

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