The omega-3 index test should be used to determine appropriate dosing, as individuals may not raise their index even with 2-3 grams of ethyl ester form.

“in fact when you look at a couple of a couple of papers looked at the effects of giving pure EPA four grams on on red-blood-cell DHA levels for example and DHA levels actually go down a little bit EPA goes up of course you're feeding EPA but the DHA component in the red cell membrane goes down or or another study stays the same but doesn't grow up you're not not increasing DHA tissue levels”

“if I consumed staggering amounts of flaxseed oil by the way a friend of mine once gave me a recipe to make flaxseed tea and I a it tasted really good when I had it at her place so part of it is just it was really amazing and part of it is the recipe was so complicated that I took pride in like taking two days to make a vat of flaxseed tea that could feed a small village I was never able to get it quite right but let's assume I could get it right and I could consume a near infinite amount of flaxseed oil could that amount of ala ever give me sufficient enough substrate epa and DHA to rival what we're talking about in these supplemental doses of four grams no”

“I think it's probably all the benefits of EPA are transmitted through EPA not through conversion it not through the conversion to DHA no no”

“what about somebody who's taken the 4 grams of epa and the omega-3 index shows you're still deficient in dha then i think you got to scratch your brain and do what you want to do and it might be hey let's start giving a little dha”

“if i'm giving you four grams of epa only but your omega-3 index shows me you have adequate dha in your system i know some of that epa is being converted so i'm kind of happy and i don't perhaps necessarily have to co-prescribe some degree of dha with you”

“So, really testing is important part of this equation here.”