General health guidelines (maintenance)
If you are generally healthy and looking to support cardiovascular, neurological, and immune health, the following intake levels are commonly recommended:
- Daily target: 250–500 mg of combined EPA + DHA from fish or supplements.
- Alternative from food: The American Heart Association recommends eating two servings of fatty fish per week. One serving is 3 ounces cooked (≈85 g) of salmon, sardines, or mackerel.
- Focus: No specific EPA:DHA ratio is firmly established for general health; mixed formulations are acceptable at this intake level.
Therapeutic guidelines (specific conditions)
Important context: Evidence for therapeutic omega‑3 use is nuanced. Many studies show mixed or modest benefits, and dosing varies. The ranges below are discussed in research and practice, but consistent, universal effects are not guaranteed. Therapeutic dosing should be supervised by a healthcare professional.
High triglycerides
Dose: 2,000–4,000 mg EPA + DHA daily.
Note: Prescription omega‑3 products (EPA‑only or EPA+DHA) at 4 g/day are FDA‑approved for lowering triglycerides. OTC products vary in purity and concentration.
Depression
Dose: 1,000–2,000 mg daily (often EPA‑dominant).
Note: Meta‑analyses suggest modest improvements with EPA‑heavy formulations; evidence for anxiety is weaker.
Arthritis / joint pain
Dose: 1,000–3,000 mg daily.
Note: Trials show small reductions in pain/stiffness, especially in rheumatoid arthritis. Results vary.
Pregnancy / nursing
Dose: 500–700 mg DHA+EPA daily, with ≥200–300 mg DHA.
Note: Supports fetal/infant brain and visual development. Choose low‑mercury sources and consult a doctor.
Cognitive support
Dose: 800–1,000 mg daily (often DHA‑dominant).
Note: Evidence is mixed; benefits more likely in low‑intake or early cognitive decline.
Chronic inflammation
Dose: 2,000–4,000 mg daily.
Note: Anti‑inflammatory effects are plausible, but results vary by condition and formulation.
How to choose your supplement
- Check the label: Calculate EPA + DHA; ignore total “fish oil” weight.
- Serving size matters: Verify whether the dose is per capsule or per multi‑capsule serving.
- Quality focus: Prefer products where EPA + DHA are ≥50% of capsule weight.
Safety and upper limits
- Safe upper limit: FDA considers up to 3,000 mg/day EPA+DHA from supplements generally safe. Higher intakes from food are not limited.
- Consultation: Seek medical guidance if exceeding 2,000–3,000 mg/day, especially with anticoagulants or before surgery.
- Other considerations: Very high doses may slightly increase atrial fibrillation risk; some formulations can raise LDL cholesterol.
- Absorption: Take with a fat‑containing meal to improve absorption.
Updated: 19 December 2025
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