The Good and Bad of Cholesterol in Fish

When speaking about fish oil cholesterol levels, it is important to begin with clarifying the difference between "good" and "bad" cholesterol. Without this clarification, terms can get confusing.

Low-density lipoprotein (LDL)="bad" cholesterol

High-density lipoprotein (HDL)="good" cholesterol

Along with triglycerides, which are a form of fat made in the body, and Lp(a) cholesterol, a genetic variation of LDL (bad) cholesterol, these tow lipids make up your total cholesterol count.

Whereas LDL's build up in the inner walls of the arteries, high levels of HDL seem to protect against heart attacks, because doctors believe they carry cholesterol to the liver, where it is passed from the body. Recent studies have suggested that "good" cholesterol also prevents memory loss. Regular exercise, eliminating trans-fats, consuming monounsaturated fats all help raise HDL and lower LDL cholesterol. 

Now where does fish oil cholesterol come into play?

In epidemiological and clinical trials Omega-3 fatty acids, DHA and EPA, in the form of fish or fish oil supplements lower triglycerides. However, for patients needing to lower triglycerides it is recommended that they take 2 to 4 grams of EPA+DHA per day. However, taking more than 3 grams daily of omega-3 fatty acids should be done only under a physician's care since high intakes can cause excessive bleeding in some people. Fish oils don't directly affect LDL cholesterol.

Recent studies suggest that coupled with lifestyle changes including improved diet and exercise habits, supplements of fish oil and red yeast rice, can reduce cholesterol as much as statins, or standard cholesterol-lowering medications. Increased physical exercise also is correlated to weight loss, improved mental and heart health. The clear benefit of traditional medicine is that there are governing bodies who regulate it, whereas supplements like red yeast and fish oil are largely unregulated. Though with the increased demand of omega-3 fatty acids, organizations like The Council for Responsible Nutrition (CRN) has an Omega-3 Monograph, which is considered even more stringent than the standards set by EPA. It verifies that supplements are free of containment.

Fish oil cholesterol alternatives are attractive to patients interested in more homeopathic treatments, but as always, patients should first consult a doctor before self-medicating. However scientific studies citing the benefits of natural and homeopathic options are encouraging.