Blog Page

The Truth About Fish Oil

The wrong fish oil can cause serious health damageFor all the talk about fish oil being the “cure all” of our time, I find it ironic that 95% of fish oil being sold and consumed is being delivered in a form that is not ideally absorbed by the body.

And I don’t say that lightly.

The problem comes from the way fish oil is processed.

In ancient times, fish oil was a staple. It had a long tradition and everyone understood its nourishing and energizing effects.

Even soldiers in the Roman army were given a ration of fish oil to support their strength, stamina and clarity of mind.

But back then, fish oil was made by hand and was usually fermented. This allowed for the fish oil to be transported and eliminated the danger of it spoiling.

Today, the process is much different and not nearly as effective.

Because almost all of the fish we eat contains heavy metals like mercury, fish oil must be decontaminated using a method called “molecular distillation.” Of course, making sure your fish oil is free from heavy metals and other toxins is critical, but the way they take out the toxins creates a new problem.

When found in nature, omega-3 fatty acids are in their natural triglyceride form (TG). However, in order to to purify the oil it is necessary to add ethanol (an industrial alcohol) to form a synthetic substrate.

In a vacuum, the mix is then distilled and the result is a concentrated omega-3 ethyl ester (EE) solution. Chemically, this new form replaces the glycerol backbone of the oil with ethanol.

The benefit is a pure fish oil, and the ability to concentrate the healthy omega-3’s like DHA and EPA. This is why almost all of the “highly concentrated” fish oils are in the EE form.

However, research is now showing that although this form of fish oil can yield higher concentrations of omega-3s, there are some absorbability issues.

The EE Form of Fish Oil Is Not As Easily Absorbed

According to multiple published studies the EE version was up to 50% less absorbable1 than the triglyceride form, and almost 300% less absorbable2 than the triglyceride form if not taken with a high fat meal.

So if you are going to take the EE form, make sure to consume it with a high fat meal at the very least.

What most people don’t know is that manufacturers can in fact convert the omega-3 concentrated EE form back into the healthy triglyceride form.

But manufacturers do NOT do it because the costs are significantly higher.

So instead, they sell you “powerful” fish oil that you have a hard time absorbing. Even worse, very few (if any) manufacturers of the EE form indicate that it is EE on the bottle.

How to Tell if Your Concentrated Fish Oil is EE or TG

This is a cool experiment (and fun for the kids).

1. Get some small Styrofoam cups and put them on some paper towels.
2. Take 3 of your fish pills and empty the liquid into one cup.
3. Get a certified TG form bottle of fish oil and empty 3 of those into another cup.
4. Wait 10 minutes.
5. Come back and take a look!

If the cup has disintegrated, your pills are the EE form. If they are TG, there will still be liquid in the cup and very little if any disintegration.

Why this happens is under debate. I find it a little unsettling to watch the EE form eat into the cup… but remember we are not made of Styrofoam so it is doubtful the EE form is doing any actual damage.

It is simply not as powerful as advertised.

Stay tuned and I can share more about the benefits of the concentrated TG form.

Until next time,

Steven Sisskind, M.D.

P.S. As you may have guessed, when we formulated our Omega-3 product we chose TG over EE even though it costs more. We also did two other things to make our Omega-3 product better than the rest. Click Here and learn why RealDose Super Critical Omega-3TG is the best omega-3 delivery system in the industry.

1J Lipid Res. 1990 Jan; 31(1):137-Visioli F. Rise P, Barassi MC, Marangoni F. Galli C. (2003) Dietary intake of fish vs. formuations leads to higher plasma concentrations of n-3 fatty acids. Lipids, 38, 415-8

2Lawson LD, Hughes BG., 1988. Absorption of eicosapentaenoic acid and
docosahexaenoic acid from fish oil triacylycerols or fish oil ethyl esters co-ingested with a high-fat meal. Biochem Biophys Res Commun. Oct 31; 156(2):960-3

Print This Post Print This Post


  1. Audrey Wilson. says:

    Wow thanks for the information, I will test the ones I have.

    • Rob Kennery says:

      I just received my Omega 3 TG shipment and there is something Red floating inside the capsules? Please explain what this is as I am nervous and will not consume them as they look contaminated?

      • Hi Rob,

        Thank you for sending in your feedback! And more importantly, bringing the case of you RealDose Omega 3 TG to my attention. Your capsules should be encased in a clear gel and the contents within should be clear as well, and golden in color. If you are having doubts, please return the item and we will be more than glad to replace them for you. A member of our Customer care team will be in contact with you to help you how to go about it. Have a healthy day!

  2. Don Gruver says:

    I have been using regular fish oil for some time. I must assume it is the EE kind, since I just buy the cheapest I can find. No brand loyalty here. I am just cheap. I have had excellent results. Over the last couple of years my cholesterol level has dropped to 110 or so, the good cholesterol has increased from almost none to a healthy 95 or so. Additional side benefits I not longer suffer from regular constipation, bouts of hemorroids. Sounds like a win-win thing to me. Fish Oil works. If you have any of the above mentioned problems GO FOR THE FISH OIL, until someones comes up with something better.

  3. jo jo says:

    Dear Dr. Steve: Your advice/help is needed.
    Dr Steve: I would like your advice.
    I have been on the program for 21days now.
    I have been a A+ student as far as following the guidelines.
    My first question for you is since I have not lost one pound yet, should I go on to continue the pills for a second month?
    I am reading about all the terrific results.
    My second question is: Do you recommend any jump start helping ideas?
    Thank you in advance for you response. I will check back here.
    Jo Jo

  4. Dr Mahmoud A.R Said says:

    Many thanks for information

  5. JR says:

    Is Krill oil better than fish oil? Can I use the same “water in styrofoam” experiment?

    • Dr. Steve says:

      Hi Jr, thanks for writing in. You can do the same water test with krill oil. There is some evidence that fish oil may absorb more easily than krill oil.

    • Crystal Macisaac says:

      I have been on the program for a month as well
      The only thing I found was I got really cranky
      Taking the pills. I was so disappointed . I am about to start
      My second months with absolutely no results

      • Hi Crystal – Thanks for checking in with us. Lets get you started on our Healthy Life Program to determine what may be your weight loss factor. I have asked one of our specialists to contact you with more information.

      • bob says:

        i took it for 60 days and did not lose any weight, very dissapointed.

        • Hi Bob – I’m so sorry to hear about this. Omega 3′s don’t usually cause weight loss alone, but rather can support a healthy metabolism. So if you were to take 2 people who were dieting and exercising for a long period of time, the one getting enough omega-3 fats is predicted to lose more weight in the future. I want each of my customers to get beneficial results, so I will have a Healthy Life Specialist contact you to offer additional support! Please let us know how we can help you best.

  6. SERGE says:

    Dr. Steve. I don’t have the time to do all that testing with the fish. Could you just give us a few brands which you know to be TG? By the way I’m doing great on the program. I’m in my 3rd week and I’ve lost a great deal of weight already.My biggest satisfaction is the energy I have when I leave home every morning. A little secret. I make fresh juice every morning of celery, spinach, ginger, garlic, and carrots. That juice is an energy bomb. I also eat a salad everyday along with protein like egg white and beans.I don’t do it perfectly yet. I still eat bread as I love salmon sandwiches.But we don’t have to follow the system perfectly to see great results. I’m fitting into clothes I haven’t worn in years as my waist is melting. Thanks dr. Steve.

  7. mike says:

    For TG fish oil, try Rockwell Nutrition. Hope it helps

  8. Paul Lenz says:

    Fish Oil with the ethanol backbone is generally a petroleum based distillate. Any liquid based on petroleum will disolve styrofoam since it is a plastic which is also a produced from petroleum. A little science behind the experiment. Thank you for the experiment by the way. I’m going to go home and try it tonight on my Cosco Fish Oil.

    • Frankie says:

      Costco fish oil, the Kirkland brand, does dissolve a styrofoam cup. I had already switched to one I buy at a natural food store called made by Nordic Naturals. It did not dissolve the cup one bit. Thank you for this experiment. I did it and showed it to my husband. We were both AMAZED at watching it happen. The difference was so apparent. I then looked up your article again and read it to him. He was convinced immediately and said that’s why you say your fish oil makes a difference and mine doesn’t.

  9. kathy says:

    Dr.Steve….what about liquid fish oils…are there the same absorption problems as with the capsules?

  10. Cheryl says:

    Thanks for this info. Very interesting. Tried it with my capsules and the oil did not disintegrate the styrofoam cup as expected. Mine are CVS odorless Fish Oil 1200 mg. Heart, Joint & Skin Health. Total Omega-3 Fatty Acids are 360 mg.

  11. Liz says:

    How much of each type of oil is required to deliver the same dosage? I take omega 3 oil E-EPA precisely because it is separated, purified and ethylated, and more effective than EPA with DHA. The ethyl molecule ensures the EPA crosses the blood-brain barrier quickly, and EPA is absorbed in the brain more effectively singly than if delivered with DHA. DHA levels remain fairly stable in the brain while EPA must be replenished often. DHA also competes with EPA for absorption when delivered together. E-EPA can be safely used as anti-depressant and anti-anxiety agent, or with other medication for ADHD and bi-polar depression, without side effects, even for the treatment resistant.

    • Dr. Steve says:

      Hi Liz – Thank you for writing in. I can see your main goal is brain health specifically. I couldn’t say how much oil is required specifically, as this really depends on the type of oil/product. Though individual needs can vary, its recommended you take in at least 1-2g of both EPA and DHA each day.
      While EPA and DHA can compete for the blood brain barrier, they are both very essential to brain health and development. Having ethyl forms of the fatty acid, though it raises transfer in the brain, it is first poorly absorbed in the blood stream from the intestine. This is shown in the following study:

      Certain conditions like ADHD or depression warrant the separate use of the two fatty acids, or higher concentrations of one or the other. However for most it is not necessary and triglyceride forms of fish oil raise serum levels of both fatty acids. Thanks for writing in! These are good questions each person needs to evaluate for themself.

  12. Mary says:

    I have yet to do the experiment to find out about the fish oil I take. Do you think it is necessary if you can see you are having good results? Should I assume that the results would be better if I took the TG form of fish oil?

    Currently, I found that the brand Health From The Sun PFO (pure fish oil) liquid that is molecularly distilled with 715mg EPA and 470mg DHA per tsp. seems to be a tremendous help in treating my depression. I am taking 3 tablespoons (not tsp) a day with some fat in a meal, along with added mixed tocopherols (vitamin E) and keeping the fish oil refrigerated. Another important piece to this puzzle is to add L-Carnitine since this aids in the transport of the fatty acids.

    Another brand I keep is Natural Factors RxOmega-3 Factors Pharmaceutical Grade, 400mg EPA 200mg DHA but it does not say if it is molecularly distilled? I wonder if this means it is the TG form? I look forward to doing the experiment on these two fish oils and thank you for bringing it to my attention. I am currently using this brand for my twin 18 year olds who suffer from Aspergers Syndrom and the other boy has Bipolar. They are able to do without any medication, due in part with using fish oil and specific amino acids.

    For reference please read, The Omega-3 Connection by Dr. Andrew Stoll and The LCP Solution by Dr. Jacqueline Stordy. These are just two of the many books I have investigated to find the way to stability for my family. Please note, I am not connected to these brands of fish oil or the authors of these books. I only mention them because it is hard to keep a good thing to myself. Good health to you all!

    • Dr. Steve says:

      Hi Mary – Thanks for commenting. It couldn’t hurt to do the styrofoam test to be more well informed about your product. I couldn’t comment on the integrity of these other products, but you can always search for external testings which have been done through sites like
      Thanks for sharing your beneficial strategies!

      • Janet McCabe says:

        I tried looking at testing results on but they don’t show RealDose as one of the brands they tested.

        • Hello Janet,

          Thank you for sharing your concern with us! Both our Weight Loss Formula No.1 and Super Critical Omega 3 TG are tested for quality and purity by an independent laboratory. Our 3rd party laboratory is Atlas Bioscience Labs in Tucson, AZ. Atlas is DEA registered, and members of several industry wide organizations including AOAC (Association of Official Analytical Chemists), and currently undergoing accreditation with ACLASS for ISO:17025 certification.
          We send every batch of Weight Loss Formula No. 1 and Super Critical Omega 3 TG to Atlas Bioscience to test for active ingredients, as well as heavy metals, residual solvents, organochlorides, organophosphates and microbiology.

          I hope this helps! Make it a healthy day!

  13. Malcolm says:

    I have been using “Life Extension ” ‘Super Omega-3′
    EPA/DHA with Sesame Lignans & Olive Fruit Estract.
    What can you tell me about these please …

    • Dr. Steve says:

      Hi Malcolm – Thank you for your comment. I looked at this product and couldn’t say much. If you would like more information regarding what form their omega 3 product is in (triglyceride or something else). If you contact them by phone or email, their customer service should be able to answer this question. I hope that helps!

  14. D,Peacock says:

    Dear Dr. Steve, Thank you for the info about the styrofoam cup and omega 3 capsule. I was taking a heart synergy combo including the omega 3 capsule which I have now cancelled after doing the test. Thanks also for the tip about drinking 2 cups of water before meals. I will start doing this. I am in my 70′s and find it hard to remember to take my formula No.1 30 minutes before meals, I don’t always have my meals at the same time of day to take them.. Do you have any tips for remembering to take them.

    • Dr. Steve says:

      Hi D – Thank you for your comment. Some customers find it helpful to split a bottle of the product in half and keep half of the product’s pills with them in a purse or bag and keep the other half at work. Also, The research studies completed on our product were done on each ingredient individually. In the studies, the ingredients were administered 30 minutes prior to meals. So in an effort to keep things consistent with the studies we recommend taking the capsules 30 minutes before each meal. This is why we suggest taking it as close to 30 minutes before your meal as possible, however if you forget, please do not skip the dose.
      Take it as soon as you remember, this will help it be most effective. I hope that helps!

  15. Malcolm says:

    What do I have to do to be able to read any replies there may have been added please?

  16. mary says:

    Dear Dr.Steve

    I have been taking Real dose Formula#1 since June and have only lost 4 pounds. Whats wrong???

    • Hi Mary – I’m sorry to hear about your lacking effects. With no information, I couldn’t say what is happening, but I will put you in touch with one of our Healthy Life Specialists to determine if there isn’t something you can do for more results.
      Good luck!

      • Melody Keller says:

        I have ordered the weight loss and the TG. I started taking the weight loss capsules less than 30 days ago and tried not to think about it. I am not a scales kind of person. I can tell by my clothes – especially my jeans. So I take my TG and I take the 3 capsules for loss and it has been a month and although I cannot tell you the amount I have lost, I am satisifed because I can tell my pants are not as tight. I see a small tummy and behind. The capsule just seems to make me not feel hungry. I eat less and sometimes realize I have eaten only fruits, some vegies and chicken. (I am allergic to beef and all bovine products. Bad thing for a Texan.) I have never been overtly heavy but did see it creepy up on me as my age did. I am ordering my second bottle to see if the trend continues. Along with walking my dog and continued use, I hope to loose more and then maintain. I feel the price is high though. Thank you.

        • Hi Melody,

          Thank you for taking the time to share your story with us! I am glad that you are getting good results with RealDose Weight Loss Formula No.1! I encourage you to not only continue with the supplements, but more importantly the healthy lifestyle changes you have adapted long after you have your weight loss goals. Our Fat Loss Fast Start program guide (comes free with your purchase of RealDose Weight Loss Formula No.1) is a simple and practical guide to help you choose your food items and their combinations wisely.

          I would love to hear more of your progress, Melody! Feel free to send us a quick note in the future! Make it a healthy day!

  17. Alessandro Gionfriddo says:

    This is my second month.I lost only 2 pounds and I completely and religiously following the diet. I am taking also the Real dose Omega 3.I am giving a second try but I am little bit disappointed.Any advices????

    • Hi Alessandro – Thanks for commenting. I’m sorry you have not had adequate weight loss at this time. Our customers benefit the most by a couple of key changes in their diet:
      1. Eliminating wheat and wheat products from their diet (Wheat isn’t necessarily bad, but it tends to be so heavily processed that it spikes blood sugars and causes a lot of body fat storage).
      2. Eating as much vegetables as you can (at least 5 EACH day). Fruits are also very important. Research shows over and over how those who eat more vegetables each day tend to weigh less over time.

      I hope this helps! I will also forward your information on to one of our specialists to see if there may be some strategies that they can identify with you.

  18. Penny P says:

    Too too good – I just read my email, WHILE watching the news – and as strange as the timing is – it was great – they just discussed the same EXACT issue – about fish oil – which I have taken for 4 years. Luckily I went into the drawer in the bathroom and I am taking the natural triglyceride form! ! ! Thank you -

  19. Mike Moulton says:

    Well I have just written to Blackmore’s down here in Au to ask what process they use. I want to hear it from the company. I have used their product for years. I use it for brain food rather than my heart.

  20. Jay says:

    Hi there,
    I just tried the styrofoam trick. Wow! My cheap brand leaked in about 5 minutes and by morning had eaten the whole bottom of the cup and part way up the sides. My expensive brand was still in the cup(Nordic Naturals). The other brand is now in the trash.
    Regarding the RealDose, maybe I lost a pound the first month. I have about 7 pounds I would like to shed. I am female and almost 70 and would love to gain muscle mass and strength.
    Would love help in this department.

  21. Maria Rivers says:

    Hi Dr Steven I have been using omega 3 liquid form of Nordic Naturals and it is written that is a superior triglyceride form, is this secure to know is easy absorbed ?
    Thank you

    • Hi Maria – Thank you for your email. Companies can say this about their product without it actually being true, though I don’t think that is the case with Nordic Naturals. The best way is to do the styrofoam cup experiment. This will tell you whether or not the product is in a triglyceride form. Good question!

  22. Nina Cruz says:

    How many capsules of your fish oil do you have to take to get 2.4 grams of EPA & DHA daily? Am I correct in assuming that if a capsule says it has 500 mg, you would need to take 5 a day to get 2.5 grams?

  23. Efraim Sagiv says:

    The stomach is HIGHLY ACIDIC, therefore any oil that is swallen (wethere it is oilive oil, fish oil or beef fat) will be broken down (digested by the stomach acid) and it will be indistiguishable.
    Then, how one oil is different than another?

    • Hello Efraim,

      Thank you for posting your question to our website. Beef fat is normally High in cholesterol and can take longer for the body to digest where as oil oil and fish oil are Not high in cholesterol and tend to digest easier in the body that animal fats. I hoped I have answered your question. If you have any additional questions please feel free to post them to our website. Here’s To Your Good Health!

  24. Derek Jones says:

    Dr. Steve,
    I unfortunately sustained a TBI(traumatic brain injury) back in Jan. of 2003 when I had a Shunt put in my brain,. I’ve been taking 2 fish oil pills (almost) every morning ever since then because I’m trying to regain SOME of the memory that I use to have.
    You see, I had just graduated high school in 2002 and I finished my 1st semester of college, when BOOM! My life was brought to a screaming hault! I’m still in Jr. college and I’m almost 29 now. I’ve been taking 1 or 2 classes(some passed/some failed) every semester since fall of ’05. Though when I did return to school, I took various cognitive skills classes for the first couple of years. I’m not writing to tell you about my horrific accident, though I am writing to ask if you know of any treatment(s) to help my memory. –I’ve also done (about) 120 Hyperbaric Oxygen treatments for 1 or 2 hours per session, trying to re-grow some of the neurons that were damaged or lost.
    Thank You–Derek

    • Hi Derek,

      Thank you for taking a moment and posting your questions and story to our website. I am very sorry that you have underwent so much trauma in your young life. As much as I would like to help you, I do not have your medical history, so I not comfortable providing you with any medical advice related to your injuries. I would suggest that you contact your physician and discuss further treatments and rehabilitation options that may be available to you. “You many want to contact the people at:, this is their specialty and I know and trust Dr. Amen. Thanks” I am sorry I could not be more helpful and thank you again for posting to our website.

  25. mchnhed (Scott) says:

    Fish Oil Gives Me a Reaction Because I Have Gout So I Take Salmon Oil ans I Have No Problems.

    Fish Oil is Mackeral and Sardines. Both are Bad for People with Gout.

  26. Zabi says:

    HI Dr. Steven,

    We eat fresh sardines every day (baked), as they are fished from Arabian Gult they are very salty (and we don’t add any salt to the fish). Does this high content of salt in the sardines is a cause for concern in relation to BP. And taking two sardines 5 days a week does it take of care of our daily requirement of EPA & DHA. Thank you.

    • Hi Zabi,

      Thank you for posting your question to our website. Sardines are a wonderful source of Protein and Omega 3 and in conjunction with an Omega 3 fish oil supplement I am sure you are getting your daily required EPA & DHA.

  27. stan says:

    Will this experiment ork with liquid cod liver oil?

  28. Steve,
    I tried your test on my Fish Oil pills. It is not EE type. States on bottle that they use the State of the art purtification process and use only fish from deep ocean waters and no farm fish. The barnd I use is Nature Made,1000mg with 300 mg OMEGA-3. Has Healthy Heart seal.

    Thank you for very very much for this interesting article and the others, too. And thank you for keeping it short and to the point. Some go on for hours and wind up trying to sell something. Appreciate all your articles.

    • HI Jerry,

      Thank you for posting your thoughts to our website. being healthy and having accurate scientific information is very important to maintaining a Healthy lifestyle. Thank you for your comments about our Realdose articles.

    • Bob says:

      In reference to NatureMade fish oil. I have a bottle in my hand that states it is ethyl esters in very small print.
      Saves me having to do the test.

  29. Nolan says:

    Great info about fish oil. I tried the test and my fish oil flunked. It ate through the cup in a matter of minutes. I am taking what I thought was a high quality brand from a major vitamin company. It looks like I need to change my brand.

    They claim it’s produced from calamari which gives it much more DHA per volume.

    Does the fact that its from squid affect how it’s processed?
    Is more DHA necessarily better?
    Does the source of the oil (fish, shrimp,squid) affect the quality of the end product?

    Thanks for the help.

    • Hi Nolan – Thanks for writing in. I’ve never heard of kinds made from calamari. I’m sure it’s possible, though it seems like this product did not live up to the test. It’s hard to say if there is a best source of omega 3′s like DHA. Everyone needs DHA, so having the largest possible amount from a supplement is preferred. Smaller fish like anchovies and mackeral have less pollutants and are more environmentally friendly to use, however there are still high quality supplements made from other fish as well. I hope that helps!

  30. John L. Parker says:

    I am interest at your opinion of Bio Trust Nutrition products? I tried the Lepitburn and Ic5 and suffered the worst constipation of m y life. I do drink at least six to eight glasses of water daily when doing a weight loss is constipation .aside effect?
    Also do you know a brand that has 800 to1000 milligrams of total omega-3 per softgel. I would also like a enteric-coated softgel with vitamin D3 approved by International Fish OIL Standards for purity.

    • Hi John – I’m sorry you experienced this side effect! We know the principals of BioTrust and have determined that they are producing high quality products and are supporting their customers well. For those who don’t feel like RealDose is the product for them, we recommend Biotrust products. There may be a supplement that contains that level of omega 3 per capsule, however the downside is that the capsule itself would be huge and possibly difficult to swallow. You can see the details of our high quality omega 3 by going to this link and viewing the supplement facts:
      If you have any additional questions, feel free to comment again or write us at
      Thanks and take care!

  31. Pam Klein says:

    Hi Dr. Steve,

    What are your thoughts on krill oil vs. fish oil.


    • Hi Pam,

      Thanks for posting your question to our website. Studies have shown Omega 3 Fish Oil to help reduce inflammation, improve brain health, enhance heart health, help with natural weight management, and improve mood. You may not see anything visibly dramatic in the first 30 days, however, customers often report that they “feel” better, their mood and mental performance seems to be improved, and they have more energy with less perceived inflammation. Over time, it’s possible you’ll notice additional benefits, such as accelerated weight loss or improved immunity, however, it’s unrealistic to expect dramatic weight loss in 30 days, just from taking Fish Oil alone.
      To learn more visit our website:

  32. Phyllis says:

    Dear Dr. Susskind,
    I am starting my second bottle of your weight loss Realdose, I have not seen any difference and I have given up so many foods that I have eaten and tried to lose weight. I can see no difference or loss of weight. I am going to keep it upone more month taking the realdose. Do you give a money back guenantee with this since it was $150.00 and that i a lot of money to me.? I am disappointed, but I have not given up. I will not give up but I can not afford to pay so much if I am not getting results. Thank you for answering my request. P

    • Hello Phyllis,

      Thank you for posting to our website. We’re sorry you are not yet getting the results you expected. For some people, it does take some time for your body to begin to respond to the product and changes you are making. We recommend a slow and gradual weight loss of 1-2 lbs/week. This is what is best to prevent the weight from coming back. I don’t want you to get discouraged, because it sounds like you are doing things right. However, because it has taken a while for you to gain the weight, it will most likely take some time to get rid of. How long that is, I couldn’t say, but I have no doubts that with your continued efforts you will eventually see results. We are here to help every step of the way with advice, coaching and guidance so that you don’t feel like you are doing this alone. If you would like help on any area of weight loss which you may be struggling with, please let me know and I could arrange a time for one of our Health Specialists to speak with you about our complimentary Healthy Life Program.If you’re not happy with your results, simply notify us up to one full year after purchase by calling (800) 928-5580 (Outside U.S. +1-307-222-6725 ) or visiting and we’ll make arrangements for you to receive a 100% refund (less shipping, if applicable). No questions asked. No unusual hoops to jump through.

  33. Andy says:

    I am wondering what can of effect taking your Omega 3 pills will have on helping relieve my allergies. I have read that Omega 3 can help with this problem but I haven’t seen any hard results or any comments on this page.

    • Hello Andy,

      Thank you for posting an interesting question. You are correct that there is little in the way of hard evidence that Omega-3 fish oils can help with allergies. In a clinical review and meta-analysis study published spring of 2009 in Allergy, 3129 articles were examined regarding Omega-3 and 6 oils ability to help with allergies. Of those articles, 6 double-blind randomized controlled trials, were identified that met the criteria warranting further analysis. The review of those 6 clinical trials concluded with the examiners stating that it is unlikely that Omega-3 and 6 play a significant role in helping with allergies.

      Additionally, WebMD, does not even list “Allergies” as one of the possible benefits of Omega-3 supplementation. The closest affliction even somewhat related to allergies that Omega-3 may help with is asthma. Research points positively to Omega-3′s ability to help with inflammation. Since asthma can cause inflammation of the airways, omega-3 is being researched as a treatment. A small study of asthmatic children indicated that omega-3 supplementation did help to reduce the number of asthmatic episodes the children had. Further research is indicated for a definitive answer on whether omega-3 supplementation helps with asthma. May you have a healthy day!

  34. Monique says:

    I have been taking evening primrose oil (efamol or Organika brand) to help regulate my menstrual cycle and minimize my PMS symptoms. My period is regular and I have less pre-menstrual symptoms. I decided to go this route because the side effects ( nausea/constant migraines etc) from all the birth control pills my doctor prescribed I couldn’t deal with. I want to know if the omega 3 fish oil capsules your brand provides will do the same thing cause I’m concerned about taking them both. I also heard that red macca powder helps to do the same thing. I add it to my morning whey protein shakes but I am unsure about whether I should be taking both?!?!?

    • Hello Monique,

      Taking RealDose Super Critical Omega-3 TG will help with your PMS symptoms. Strong clinical evidence shows improvement of PMS symptoms with omega-3 supplementation. Since fish oil benefits the body by reducing bodily inflammation, regular supplementation may prevent or completely eliminate the bloating and pain caused by PMS. Studies have also shown that omega-3 fatty acids are beneficial to balancing moods in general, which could definitely help with the severity and frequency of the moods swings that sometimes are associated with PMS.

      In regard to using evening primrose oil and red macca powder in addition to our Omega-3 TG, you would need to speak with your own physician or pharmacist. While there are no known interactions of our Omega-3 TG product with any other supplements, it is best to speak with your personal physician for a supplementation regimen that fits your personal history and case. While I am a doctor, I am not your doctor and there may be a detail in your history that would change a recommendation. I apologize that I could not be of further assistance.

      Keep in mind that RealDose Nutrition is built on the premise that you deserve supplements whose effectiveness can be clearly demonstrated. That is why every ingredient we use is all natural, research-backed and included at the real dose used in clinical studies. I hope this has been helpful. Make it a healthy day!

  35. Katie says:

    I have taken, what I thought was a good quality fish oil in the past. A blood vessel in one of my fingers would burst. Of course I stopped taking it. Thinging that something else might have caused it, I tried taking fish oil again. Again a blood vessel in a finger would burst. I also noticed the brand didn’t matter. Do you have any idea why this would happen? ( I didn’t have to hit my finger on something to make it burst. )

    • Hello Katie,

      There are a number of reasons why a blood vessel could burst in your finger. However, fish oil may possibly be a contributing factor. Fish oil capsules do contain high amounts of omega-3 polyunsaturated fatty acids, which act as a natural blood thinner, decreasing the thickness of the blood. If you have concerns or need a definitive answer for your specific case, please consult with your personal physician. While I am a physician, there may be details about your personal history that only your own physician would have access to.

      Additionally, something else to keep in mind and to discuss with your doctor, if a person is taking blood thinning medications, such as Warfarin, Heparin or aspirin or herbal supplements such as garlic pills, red clover or willow, it is advisable to discuss fish oil supplementation with his or her physician before adding the capsules into the daily regimen. Hope this helps! Make it a healthy day!

  36. Devta Kidd says:

    What about algae oil? O-Mega-Zen3 Vegan DHA Supplement by NuTru doesn’t make me burp fish taste all day…

    • Hi Devta,

      Thank you for sharing your question with us! Algae oil is an great way to get your Omega 3 when you are allergic to seafood or simply do not like the fishy taste. What is important is that you get the right amount of Omega 3 in your system to help lower your blood cholesterol levels. I hope this helps!

  37. Kate O'Kane says:

    Hi, I sent off for your Weight loss formula no1 on May 28th the money was taken out of my account through Amazon.
    I have not received anything, I have sent 2 emails via customer services with no result.

    Please can you sort this out for me.

    • Hello Kate,

      I apologize that you feel that you have placed an order but have not yet received it. We have done some checking and cannot find an order in our system using the name or the email that you posted with your comment. I have had one of our RealCare team members contact you directly to the email you provided, to ask for more information. We certainly want to help you, and with you helping us back, we will be able to figure out this puzzle. Thank you for your patience in this matter!

  38. Lisa Bachmeier says:

    My weight loss started slowly so I stopped weighing myself everyday– it was something like watching the grass grow. I did start to SEE results that I was happy with. I weighed myself after the first month was up and I had lost 7 pounds. I feel great and I have been sleeping better. Wish me luck on losing 30 more!

    • Hello Lisa,

      Thank you for sharing your progress and your thoughts on weighing yourself everyday. I am so glad for you that you have shed 7 pounds and that you are feeling great and have been sleeping better. Keep me updated! I want to congratulate you again when you hit your goal weight! Let me know if you have any questions. May you have a healthy day!

  39. Darryl cavanough says:

    Dr Steve,I’ve heard that fish oil tablets causes prostate cancer.I will wait for your comment.
    Thanks Darryl Cavanough

    • Hello Darryl,

      As you may know, a recent study claiming that omega-3 fatty acids adversely affect prostate health is in the news.(1) The tabloid headlines are causing some health-conscious consumers to question their intake of omega-3 fatty acids, whether from foods or supplements. So, I wanted to take the opportunity to help put the study into perspective.

      To be sure, many of the headlines are certainly sensational; however, the reality is the body of research continues to confirm that omega-3 fatty acids are an important part of a healthy diet.

      It’s important to recognize that the study design has several flaws. Of particular note is the fact that the original study was not designed to look at the exact relationship between omega-3 fatty acid intake and prostate health. Rather, the researchers relied on data from the abandoned SELECT trial (Selenium and Vitamin E Cancer Prevention Trial), a trial that included the use of selenium and vitamin E in the treatment arms, which would seriously confound any results. The authors also failed to provide any information about the intake of fish or fish oil in the study group. Most importantly, the authors appear to use statistical methods that are not suitable for this specific type of data analysis. In short: It’s a poorly designed study with highly questionable results.

      It’s also important to note that the study runs counter to decades of robust research supporting the health benefits of omega-3 fatty acids. Over the past 20 years, hundreds of well-designed studies have been completed that demonstrate the positive effect of omega-3 fatty acids on health. Indeed, this evidence is the basis for the American Heart Association (AHA), the World Health Organization (WHO), the U.S. Institute of Medicine’s Food Nutrition Board (IOM FNB) and other authoritative agencies advising Americans and others to consume an optimal intake of omega-3 fatty acids.

      I hope this helps you better understand the challenges with this study and how it relates to the volume of research that confirms an optimal intake of omega-3 fatty acids supports a variety of health benefits including heart health; cognitive function; healthy inflammatory response; joint comfort; prenatal health; brain, eye and nerve health in children; positive mood; and, yes, even prostate health. To your health! Dr. Steve.

  40. Amanda says:

    Dr Steve,
    I’m a vegetarian so I take an algae derived form of EPA-DHA. Do you happen to know if the omega 3s that are in this form are effective? If not, is there another alternative I can substitute this with that is vegetarian friendly?

    • Hi Amanda,

      Thank you for sending in your comment! I cannot say for certain if the supplement you are taking is effective or not, as I am not completely familiar with it. However, what I would like for you to do is to look at the label closely and see the facts presented. The American Heart Association considers taking up to 3 grams of fish oil per day to be safe. The ideal ratio between your EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid) is 2:1. This means you are reaping both heart and brain healthy benefits from your supplement. As for a vegetarian friendly substitute, there are a few ways in which you can get your Omega 3 and that through the consumption of Chia and Flax seeds. Olive oil is one fine example of a reliable Omega 3 Fatty acid source. I hope this helps! Make it a healthy day!

  41. Vanessa says:

    “2) Less Stable: Studies also show that the EE form is also up to 33% more unstable than the TG form10. The more unstable your fish oil, the less effective it is, as rancid oil is neither digestible nor usable by your body.
    This can sometimes be the reason why people “burp” a fishy taste after consuming a typical fish oil product, as a portion of the oil has gone rancid and your body is struggling to digest it.”

    The RealDose Super Critical Omega-3 TG Difference
    “Increased Bio Availability: By adding a cutting edge technology called ClearEnteric™, the capsules pass through the stomach and are instead digested in the small intestine. What this means for you is increased bio-availability15 compared to non-enteric options and NO FISH BURPS.”

    I just copied and pasted this info off of your Super Critical Omega-3 TG page. I just got my order in the mail today, and started taking it. I am EXTREMELY DISAPPOINTED because after reading all of these great things about your high quality fish oil, IT IS GIVING ME FISH BURPS. One of the main reasons I decided to pay the extra money and order your fish oil is because *it specifically said it doesn’t give you fish burps.* I ordered a 3 month supply, and $129 is A LOT of money to spend on 3 bottles of fish oil that make me burp up sardines all day. I’ve taken Norwegian Gold’s Burp Free fish oil in the past, and it never gave me any fishy burps and was less expensive.
    If your fish oil is such high quality, why is it giving me these horrible fish burps???

    • Hello Vanessa,

      Thank you for reaching out to me with your concern. Most people who have tried the product have been happy to be free of having to deal with fishy burps and I apologize that even with the ClearEnteric™ coating, it has still been an issue for you.

      I have checked your records and it looks like one of our RealCare team members has already sent you an email response, letting you know that we will happily process a refund for you. If you do want your full refund please respond to that email or call 800-928-5580 to get your return and refund instructions.

      Thank you for trying the product! We appreciate you.

      • Melody Keller says:

        Concerning the fish burps, I found that on occasion I have noticed this but then realized it was usually in the morning so I needed more water and/or a little something to digest first. Try this, Vanessa, and see if it helps. Do you have a cat? She might like your fish burps!

  42. David says:

    Look guys I’m doing the real dose weight-loss formula 1 for over a month now, I have not lost any weight yet either, but, I do notice that I feel better so I’ll stay on it and see how it goes. As for the fish Oil do your research this is what I found-You make your decision? I’ve used Kirkland brand for a couple of years now and feel its the best bang for your buck.

    The Styrofoam Cup “Parlor Trick”: Do EE fish oil products pose health risks?

    No! A YouTube circulating on the internet demonstrates that the EE form of fish oils is able to dissolve a Styrofoam (polystyrene) cup while the TG form does not. The narrator of the demonstration inaccurately states that the effect of EE on the Styrofoam is due to the “ethanol” in EE fish oil, and implies that ingesting the EE form will have detrimental effects on the digestive tract and liver.

    There is, in fact, no free ethanol in SBH fish oil softgels, nor does polystyrene in any way resemble the human digestive tract. One chemical property of a compound is its polarity (difference in electrical charge between opposite ends of a molecule). Within the body, our diet, and the environment, examples of both polar and non-polar natural compounds abound. Chemistry students learn that polar compounds like ethanol and water will not dissolve non-polar materials like Styrofoam. Only non-polar compounds can dissolve Styrofoam, which is also non-polar. “Like dissolves like” as the saying goes.

    The observation that the EE form is able to dissolve Styrofoam simply reflects the fact that the polarity of EE is extremely similar to Styrofoam. It means nothing more than that, and it certainly does not suggest a concern for safety or toxicity. The EE form of omega-3 fish oil has been judged to be very safe by every regulatory agency that has reviewed the scientific data.
    Go to the following link to get more information.-

    • Hello David,

      Thank you for adding to the conversation. However, I will have to stick to my recommendation that the TG form of omega-3 is better suited for a person’s body. Foods that are high in omega-3 such as salmon, walnuts and flax seed all have omega-3′s provided in the triglyceride (TG) form, which is the way a person’s body prefers to receive it.

      Before an ethyl esther (EE) omega-3 can be utilized by the body it has to go to the liver and be converted into a TG form. This process is inefficient.

      The styrofoam test is a simple way to assess whether the omega-3 you have is in the EE or TG form. The science that you have described as to why the EE dissolves the styrofoam is very likely true, but that misses the point that the TG form of omega-3 is the preferred form by your body. Thank you again for your contribution to the discussion.

  43. Kristina says:

    Thank you so much for educating us Dr Sisskind.
    I have started eating an egg gently fried in olive oil every morning since finding out recently how important it is to start out the day nourished with protein. Does using olive oil in this way alter it significantly in terms of its absorbability? Also, I sometimes add veggies like broccoli and onion In withe the egg/olive oil plus some fruit on the side. Yet I have read somewhere that it’s best to eat fruit by itself. Is fruit and olive oil as used above a good combo? Your thoughts on this are truly appreciated!

    • Hi Kritina,

      Thank you for writing in and for sharing your concerns with us! Eggs are a good source of protein and a great way to start the day. Heat tends to change both the olive oil and the cholesterol in the egg yolks. You may want to cook your eggs whole and gently as much as possible. You see, heat changes the cholesterol content in your eggs. I recommend poached or boiled eggs when you want to eat them whole.

      In terms of absorption, the body is still able to process your olive oil. However, when you heat any food that is high in cholesterol, the heating process produces COPs (Cholesterol Oxidation Product), which are reported to increase the risk of cancer and heart disease, in part, due to a pro-inflammatory action. I suggest you cut down on the amount you usually use for frying and use a non-stick pan to help.

      Incorporating vegetables into your eggs is great but you may want to opt for the egg whites only, as much as possible. As for the olive oil and fruit combo? I do not see any problem with it. Just be sure to stick to healthy portions! have a healthy day!

  44. Vanessa L. Coe says:

    I have been taking my Formula One and my Omega 3 TG for well over a week now and making sure to take them 30 minutes before a meal. I have been noticing that right after a meal and I am clearly feeling full, I am still feeling these weird hunger pains. I make sure to drink plenty of water, but I will still feel it.

    Do you think this is related at all?

    • Hi Vanessa,

      Thank you for writing in and for sharing your concerns with us! Chances are, your metabolic rate has risen since you have started taking the pills, which could explain the constant hunger pains you are experiencing. I suggest you bring a small healthy snack along with you while your body adjusts to the changes being made. A small baggy with a few nuts, berries, vegetables or any fruit should be more than enough to tide you over until your next meal.

      Drinking plenty of water will help greatly in helping with digestion as it does maintaining your hydration. I recommend that you drink at least 64 ounces or around 2 liters minimum per day. If you have just recently increased your intake, it could explain some of the discomfort you are feeling as adequate hydration improves metabolic rate.

      However, if your hunger pains turns into something more serious, or if your discomfort worsens, I do advise you to speak with your personal doctor. He or she will not only be in a better position to assess your condition but also provide your with the appropriate treatment to relieve your pain. Hope this helps! Have a healthy day!

  45. Sharon Ahern says:

    I’ve always used Nordic Naturals (recommended to me by Dr. Nicholas Gonzalez), which are triglyceride form. Interestingly, when I first started I used capsules, and even though I was taking additional fatty acids such as ground flax seeds, my fatty acids overall did not improve. I switched to liquid form for both the fish oil and flax seed and there is an improvement. Yes, I also discovered that most flax seeds are heated (I found one brand that is not), so omega-3′s are destroyed. Nevertheless, while studying nutrition, I’ve become convinced that liquids in general are more absorb-able for most people. Breaking down those tough capsules is asking a lot of a digestive system, particularly when it is often weakened by the American diet.

    • Hi Sharon,

      Thank you for writing in and for sharing your thoughts with us! I greatly appreciate your insight and for taking the time to share them with us. Yes, while the stomach does absorb some nutrients and medication, it is still the small intestines which does most of the absorption. That said, our Soft Gel Capsules are made with ClearEnteric coating and is quite easy to breakdown but effective in getting the Omega 3 to the intestines for proper absorption. I agree that liquids are, in general, readily absorbed in our body but it the case of Omega 3 fatty acids, there is a chance that some of this will be neutralized by our stomach acids.

      Again, I thank you for sharing, Sharon! Have a healthy day!

  46. Dr. Steve,what is your opinion on the ‘carlson fish oil’brand with lemon? i have been ordering and taking your fish oil and think it is the best but do not mind the taste of the carlson one on salads and other foods like cereals….Many thanks Larry

    • Hi Larry,

      Thank you for writing in and for posting your question! I am unable to comment on the fish oil product you mentioned as I am quite unfamiliar with it. However, these are my thoughts on liquid fish oil supplements. Absorption mainly takes place in the small intestines and your fish oil needs to be able to withstand the stomach acids for them to make their way further south successfully. I am not certain of the dose for liquid fish oil, as these depend on their commercial preparation, but do understand that you may need to take slightly larger dose to meet the daily requirements. Hope this helps! Have a healthy day!

  47. Diana Browning says:

    I don’t have any Styrofoam cups available, but I drink Carlson’s Norwegian Cod Liver Oil bottled in Norway with a lemon taste. it’s processed without the use of chemicals, and the air inside the bottle is replaced with nitrogen. it’s high in EPA & DHA. Must be kept refrigerated after opening. It’s expensive @ $60 per 16oz, but I think its great.

  48. Shelly Williamson says:

    Just wanted to say that I’ve been taking the product for just over a month. While I have experienced some weight loss (yeah), that wasn’t my primary goal. I wanted to feel better. I suffer from fibromyalgia and arthritis and was having some problems with inflammation in my bowels, and wanted some relief from the pain and inflammation. I’m glad to report that I have had a significant improvement on all accounts. My inflammation and pain levels are down significantly. I also have high cholesterol and have been taking a statin. I’ve stopped taking the statin and am curious to see what my cholesterol levels will be at my next checkup.

    • Hi Arturo,

      Thank you for writing in and for sharing your concerns with us! I am truly glad that our Super Critical Omega 3 TG has helped you fight chronic inflammation and has lessened your discomfort. We hope this continues and that you are further spared with the common problems often associated with Fibrolmyalgia and arthritis. Hope to hear from you soon! Have a healthy day!

Speak Your Mind


Latest Articles

Date Posted: June 3, 2014

As much as I adore my wife, I’ve had some … Read More…

Date Posted: June 2, 2014

You exercise faithfully, putting in your time at the gym. … Read More…

*These statements have not been evaluated by the FDA. These products are not intended to diagnose, treat, cure or prevent any disease.