Supplements for IBD: Fish Oil

Fish oil: Quality matters You want it to be enteric coated so that it resists stomach acid breakdown, gets further down into the GI tract Is well-sourced Has been tested for environmental toxins  Dosing matters: 2-3 g EPA/DHA 1.2-1.8 g/d EPA, 0.6-0.9 g/d DHA Anti-inflammatory effect Antioxidant effect (reduced oxidative stress with sulphasalazine @ 4.5 g/day) Most research in UC, but wild-caught fish in both is found to be helpful  Omega HP has added lipase to enhance digestibility, filtered to remove heavy metals/toxins, high potency  High intake of Omega 3’s foods are associated with CRP < 5 Sources:  https://pubmed.ncbi.nlm.nih.gov/1553930/  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4097150/  https://pubmed.ncbi.nlm.nih.gov/15822041/  https://pubmed.ncbi.nlm.nih.gov/1312317/  https://pubmed.ncbi.nlm.nih.gov/17443620/  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1378570/  https://pubmed.ncbi.nlm.nih.gov/17443620/ ⭐starring system criteria: Works well with medications Additional benefits Has evidence to support its benefit  Easy to incorporate into daily routine  Cost effective High Quality Brand Well-absorbed formulation