Fish Oil / Omega-3... how much?

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geminisunset
Regular Member


Date Joined Sep 2008
Total Posts : 153
   Posted 3/30/2009 2:44 PM (GMT -6)   
I recently started taking a fish oil supplement. I take Kirkland Enteric Coated Fish Oil supplements. But I am not sure how much to take. According to the label, each pill has: 1200 mg Fish Oil, 684 mg Omega-3 Fatty Acids per serving. The directions suggest taking one daily. But it doesn't seem to be helping much. Is one enough for people with UC? How much does everyone here take on a daily basis? If you take more than one pill, do you take it all at once or some in the morning and some at night?
GeminiSunset
Diagnosed w/IBS: Oct. 2006
Diagnosed w/UC: Jan. 2007 (proctitis), July 2008 (pancolitis)
Medications: Canasa (helped the first flare when it was just proctitis); Rowasa enemas (did not help as the following colonoscopy confirmed pancolitis); Lialda (2 pills in the morning, 2 pills in the evening, soon to be 2 pills in the morning only once I'm off steriods); Prednisone; Protonix (only took while on prednisone); Remicade infusions, started at 5mg/kg, increased in March to 7.5mg/kg (started Aug 2008 - 6 infusions so far, next infusion on 4/30 continuing every 8 weeks); Zyrtec-D (for allergies); Toprol (a generic form, 25 mg, for a rapid heart rate)
Supplements: Women's One-a-day multi-vitamin; Super B-complex w/vitamin C, Iron supplements, Omega-3 Fish Oil (coated, not sure how much except one soft-gel daily), Aloe Vera supplement (two daily), Acidopholis
Diet: Spinach and Sunflower seed butter diet (starting 3/21/09)
Current Status: Reached remission for a few weeks in October 2008, but symptoms returned after I allowed myself to enjoy wine again.... gave up wine and have not been in full remission again yet. 


princesa
Veteran Member


Date Joined Aug 2007
Total Posts : 2204
   Posted 3/30/2009 4:55 PM (GMT -6)   
The recommended dose is usually not sufficient to have an effect on IBD. I've seen different dosage recommendations but I believe 3-5 grams daily in divided doses seems to be the range for UC.
Diagnosed with ulcerative colitis spring 1999.
 
Maintenance dose sulfasalazine. Probiotics, l-glutamine, vitamin D and fish oil caps. George's aloe vera juice. Oregano oil antibiotic, antiviral, antifungal. Mostly grain-free and dairy-free diet. Long-term remission with only minor blips.
 
 


Dr-A
Veteran Member


Date Joined Jul 2006
Total Posts : 2105
   Posted 3/30/2009 6:43 PM (GMT -6)   
IMO, the only thing that matters on the back of the label is the DHA content. You want a good formula with at minimum 500 mg DHA. More DHA than EPA is great if you can find one. If I wanted a good dose I would do 3000-5000 mg DHA. That's what I tell my patients at least. The bigger dose of DHA per capsule you can find the fewer you have to take to reach a good level.

Pretty decent article here with lots of links: http://www.nutraingredients.com/Research/ALA-DHA-conversion-negligible-say-fatty-acids-experts
Proctitis DX 1999, Pancolitis DX 2008
Lialda 1 day
Immuran
Golimumab study (100mg every 4 weeks)
Vitamin E Enemas as needed
Probiotis/GreenTea/VitD+Ca/SuperDHA


princesa
Veteran Member


Date Joined Aug 2007
Total Posts : 2204
   Posted 3/30/2009 8:18 PM (GMT -6)   
That's interesting. Dr. James Scala emphasizes EPA in his book The New Eating Right for a Bad Gut. He says, "EPA is king of inflammation relief. EPA is the critical omega-3 fatty acid pertaining to inflammation since it's the only material our bodies use to make the beneficial protaglandins and leukotrines that prevent inflammation and tissue damage. Most experts (who have used up to 18 grams of EPA daily in clinical studies) seem to agree that if you eat a diet low in arachidonic acid (found in animal fat), 3 or more grams of EPA per day from fish and supplements should be adequate, and more is fine."

Diagnosed with ulcerative colitis spring 1999.
 
Maintenance dose sulfasalazine. Probiotics, l-glutamine, vitamin D and fish oil caps. George's aloe vera juice. Oregano oil antibiotic, antiviral, antifungal. Mostly grain-free and dairy-free diet. Long-term remission with only minor blips.
 
 


geminisunset
Regular Member


Date Joined Sep 2008
Total Posts : 153
   Posted 3/31/2009 8:20 AM (GMT -6)   
Thanks for all of the input. I am obviously not taking enough fish oil, lol. I think I'll take it a couple times per day and see if that makes a difference.
GeminiSunset
Diagnosed w/IBS: Oct. 2006
Diagnosed w/UC: Jan. 2007 (proctitis), July 2008 (pancolitis)
Medications: Canasa (helped the first flare when it was just proctitis); Rowasa enemas (did not help as the following colonoscopy confirmed pancolitis); Lialda (2 pills in the morning, 2 pills in the evening, soon to be 2 pills in the morning only once I'm off steriods); Prednisone; Protonix (only took while on prednisone); Remicade infusions, started at 5mg/kg, increased in March to 7.5mg/kg (started Aug 2008 - 6 infusions so far, next infusion on 4/30 continuing every 8 weeks); Zyrtec-D (for allergies); Toprol (a generic form, 25 mg, for a rapid heart rate)
Supplements: Women's One-a-day multi-vitamin; Super B-complex w/vitamin C, Iron supplements, Omega-3 Fish Oil (coated, not sure how much except one soft-gel daily), Aloe Vera supplement (two daily), Acidopholis
Diet: Spinach and Sunflower seed butter diet (starting 3/21/09)
Current Status: Reached remission for a few weeks in October 2008, but symptoms returned after I allowed myself to enjoy wine again.... gave up wine and have not been in full remission again yet. 


princesa
Veteran Member


Date Joined Aug 2007
Total Posts : 2204
   Posted 3/31/2009 9:35 AM (GMT -6)   
I feel this is why alot of folks say, "I tried X and it did nothing for me." It's often because they're not taking near enough of certain supplements to provide therapeutic effects when you're extremely ill with IBD and your digestion and assimilation is compromised.
Diagnosed with ulcerative colitis spring 1999.
 
Maintenance dose sulfasalazine. Probiotics, l-glutamine, vitamin D and fish oil caps. George's aloe vera juice. Oregano oil antibiotic, antiviral, antifungal. Mostly grain-free and dairy-free diet. Long-term remission with only minor blips.
 
 


JLG45
Regular Member


Date Joined Feb 2009
Total Posts : 114
   Posted 3/31/2009 9:51 AM (GMT -6)   
Another link that has a recommended dosage based on a study.

http://www.oilofpisces.com/inflammatoryboweldisease.html
Diagnosed U.Proctitis 07

Flare Feb 09 - Diagnosed with Severe Pancolitis
Remicade, 50mg Prednisone, Cortenema PM, 1g 5 ASA suppository AM


geminisunset
Regular Member


Date Joined Sep 2008
Total Posts : 153
   Posted 3/31/2009 10:31 AM (GMT -6)   
Wow. Thanks for sharing the links Jratt and Dr-A. It seems that all of the articles are pretty consistant in recommending a combined total of around 4.5g of EPA and DHA daily to see marked improvements. That means I need to take about 7 softgels per day! Of course ONE wasn't doing anything!
GeminiSunset
Diagnosed w/IBS: Oct. 2006
Diagnosed w/UC: Jan. 2007 (proctitis), July 2008 (pancolitis)
Medications: Canasa (helped the first flare when it was just proctitis); Rowasa enemas (did not help as the following colonoscopy confirmed pancolitis); Lialda (2 pills in the morning, 2 pills in the evening, soon to be 2 pills in the morning only once I'm off steriods); Prednisone; Protonix (only took while on prednisone); Remicade infusions, started at 5mg/kg, increased in March to 7.5mg/kg (started Aug 2008 - 6 infusions so far, next infusion on 4/30 continuing every 8 weeks); Zyrtec-D (for allergies); Toprol (a generic form, 25 mg, for a rapid heart rate)
Supplements: Women's One-a-day multi-vitamin; Super B-complex w/vitamin C, Iron supplements, Omega-3 Fish Oil (coated, not sure how much except one soft-gel daily), Aloe Vera supplement (two daily), Acidopholis
Diet: Spinach and Sunflower seed butter diet (starting 3/21/09)
Current Status: Reached remission for a few weeks in October 2008, but symptoms returned after I allowed myself to enjoy wine again.... gave up wine and have not been in full remission again yet. 


LondonRed
Veteran Member


Date Joined Oct 2007
Total Posts : 1198
   Posted 3/31/2009 2:59 PM (GMT -6)   
THE DOSAGE FOR IBD IS 4g or 4000mg for Combined EPA and DHA per day. It is clinically proven to work too.

Diagnosis Oct 07 and then Aug 08: Inditerminate Patchy Colitis. Also suffer from Peptic Ulcers could be related to Asacol. Current Medication: 500mg Asacol Suppositories, 800mg Asacol Tablets x 2 a day.


geminisunset
Regular Member


Date Joined Sep 2008
Total Posts : 153
   Posted 4/3/2009 7:55 AM (GMT -6)   
Did anyone have issues when starting on high doses of fish oil? I started taking 6 softgels a day on Wednesday - 2 right before every meal. And Wednesday night, all day yesterday, and still right now, I've been worse than before. From more urgency at times, to more D at times, to just a general feeling of being sluggish and blah. I'm wondering if it's related to the increase in fish oil.

There's only one other thing that I did differently in the last few days - I ate pasta roni - but I used to be able to eat that all the time with no issues (as long as I took a Lactaid). I don't see how all of a sudden it would give me these kinds of problems. Really, the fish oil is the only new thing.
GeminiSunset
Diagnosed w/IBS: Oct. 2006
Diagnosed w/UC: Jan. 2007 (proctitis), July 2008 (pancolitis)
Medications: Canasa (helped the first flare when it was just proctitis); Rowasa enemas (did not help as the following colonoscopy confirmed pancolitis); Lialda (2 pills in the morning, 2 pills in the evening, soon to be 2 pills in the morning only once I'm off steriods); Prednisone; Protonix (only took while on prednisone); Remicade infusions, started at 5mg/kg, increased in March to 7.5mg/kg (started Aug 2008 - 6 infusions so far, next infusion on 4/30 continuing every 8 weeks); Zyrtec-D (for allergies); Toprol (a generic form, 25 mg, for a rapid heart rate)
Supplements: Women's One-a-day multi-vitamin; Super B-complex w/vitamin C, Iron supplements, Omega-3 Fish Oil (coated, not sure how much except one soft-gel daily), Aloe Vera supplement (two daily), Acidopholis
Diet: Spinach and Sunflower seed butter diet (starting 3/21/09)
Current Status: Reached remission for a few weeks in October 2008, but symptoms returned after I allowed myself to enjoy wine again.... gave up wine and have not been in full remission again yet. 


princesa
Veteran Member


Date Joined Aug 2007
Total Posts : 2204
   Posted 4/3/2009 8:53 AM (GMT -6)   
One thing I've learned is our bodies and our ability to digest are constantly changing. What didn't bother you in the past could certainly cause problems now. Also, allergies and food sensitivities have been described as a "straw that broke the camel's back" situation. You have to consider the whole load of possible offending items. During allergy season, when so many are struggling with the load of inhaled allergens, people may find themselves more sensitive to foods that don't bother them at other times of the year.

That said, I would gradually ramp up your dose of fish oil to let your body adapt to the new supplement. In other words, don't go from taking none or one a day to six a day. If that doesn't give relief, the next thing I'd look at is the brand of fish oil you're taking. Some of the cheaper brands could be rancid or could contain traces of mercury, so you may want to experiment with another, higher quality brand.
Diagnosed with ulcerative colitis spring 1999.
 
Maintenance dose sulfasalazine. Probiotics, l-glutamine, vitamin D and fish oil caps. George's aloe vera juice. Oregano oil antibiotic, antiviral, antifungal. Mostly grain-free and dairy-free diet. Long-term remission with only minor blips.
 
 

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