Skip to content

Omega-3 (fish oil): how much to take

EPA and DHA are long-chain omega-3 fats from fish and algae. What counts is the EPA + DHA amount, not the total oil.

Calculator Official intake Study doses Expert targets Best form Safety Sources

Adults 18+ only
Loading calculator…

Official daily intake

EFSA (European Food Safety Authority)

AI (adequate intake)

Men250 mg
Women250 mg
Pregnancy250 mg
Breastfeeding250 mg

Safe upper limit: not set

EFSA found no adequate data to set a safe limit for EPA, DHA and DPA.

Pregnancy and breastfeeding: EFSA adds 100 to 200 mg DHA on top.

Source: EFSA 2017 · EFSA 2025

NIH / NASEM (United States)

No official value

The US has no RDA for EPA or DHA. It only sets an AI for the plant omega-3 ALA (1.6 g men, 1.1 g women).

Source: National Academies (NASEM) 2019

Doses used in studies

These are doses tested in research, not personal advice. Some exceed the upper limit because they were short courses or given under medical care.

Strong evidenceStrong: meta-analyses of randomised trials or a large trial, with results that agree.Based on 1 official reference.How grades work

Lower high triglycerides (prescription dose)

4,000 mg a day

AHA advisory: 4 g a day of prescription EPA + DHA or EPA lowers high triglycerides by about 20 to 30%. This is for patients under medical care; regular supplements are not approved for this.

Siscovick DS et al. 2017

Strong evidenceStrong: meta-analyses of randomised trials or a large trial, with results that agree.Based on 1 review or position paper.How grades workNo benefit or harm found

Prevent heart disease or cancer in healthy adults

1,000 mg a day

VITAL also tested 1 g marine omega-3 a day. It did not lower major cardiovascular events or cancer in healthy older adults.

Manson JE, Bassuk SS, Buring JE 2020

Moderate evidenceModerate: smaller trials, mixed results or official guidance.Based on 1 randomised trial. 1 finding disagrees.How grades work

Fewer heart attacks and strokes in high-risk statin users (EPA only, prescription)

4,000 mg a day

REDUCE-IT: 8,179 people with heart disease or diabetes and raised triglycerides took 4 g a day of purified EPA (icosapent ethyl). Major cardiovascular events fell by about 25%.

Bhatt DL et al. 2019

Other findings

STRENGTH tested 4 g a day of EPA + DHA in 13,078 similar patients and found no benefit, with more atrial fibrillation and stomach upset. Part of the REDUCE-IT effect may come from its mineral-oil placebo, so the result is debated.

Nicholls SJ et al. 2020

Moderate evidenceModerate: smaller trials, mixed results or official guidance.Based on 1 meta-analysis.How grades work

Depression (EPA-rich formulas)

1,000 mg a day

Meta-analysis of randomised trials: formulas with at least 60% EPA, at up to about 1 g EPA a day, helped depression symptoms. DHA-rich formulas did not. Use alongside, not instead of, treatment.

Liao Y et al. 2019

Targets from expert bodies

These targets come from named organisations, not from EFSA or the NIH. They are listed so you can see the case for a higher intake, with the source behind each one.

Moderate evidenceModerate: smaller trials, mixed results or official guidance.Based on 2 official references.How grades workMedical or scientific body

American Heart Association: People with coronary heart disease

1,000 mg a day

For people who already have coronary heart disease, the AHA recommends about 1 g a day of EPA plus DHA, preferably from oily fish; supplements can be considered with a doctor. That is four times the EFSA adequate intake of 250 mg. It is advice for patients, not for healthy adults.

Siscovick DS et al. 2017 · NIH Office of Dietary Supplements 2026

Best form and why

Best form

Triglyceride form (TG or rTG), not ethyl ester

Why: In a 72-person trial at 3.3 g EPA + DHA a day, re-esterified triglyceride gave 124% of the blood rise from natural fish oil, while ethyl esters gave 73%. Many cheap concentrates are ethyl esters and the label may not say so. Whatever the form, compare the EPA + DHA amount, not the oil weight.

Alternatives: Ethyl esters still work and cost less; take them with a meal that contains fat, which narrows the gap. Algae oil gives DHA (and sometimes EPA) for vegans, and its DHA was absorbed as well as DHA from salmon in a small study.

NIH Office of Dietary Supplements 2026 · Dyerberg J et al. 2010

Forms and labels

  • Label shows EPA + DHA (mg)
  • EPA only (own line on the label)
  • DHA only (own line on the label)
  • Only total fish oil known (estimate 30% EPA + DHA)

Standard fish oil is often about 30% EPA + DHA, concentrates much more. If your label lists EPA and DHA on separate lines, enter one and add the other with "Add another form from the label".

Food sources

Salmon, mackerel, herring, sardines, trout; algae oil for vegans.

Interactions

High doses may add to bleeding risk with blood thinners.

Safety

Fishy burps are common; taking it with meals helps.

Pregnant, breastfeeding, on medication, or managing a health condition? Check with a doctor or pharmacist before starting a supplement.

Sources

  1. Official reference EFSA (2017). Dietary Reference Values for nutrients: Summary report. EFSA Supporting Publications
  2. Official reference EFSA (2025). Overview on Tolerable Upper Intake Levels as derived by the SCF and the EFSA NDA Panel (version 11, August 2025). EFSA
  3. Official reference National Academies (NASEM) (2019). Dietary Reference Intakes: RDA, AI and UL tables (via NIH ODS Nutrient Recommendations). Food and Nutrition Board
  4. Official reference Siscovick DS et al. (2017). Omega-3 polyunsaturated fatty acid (fish oil) supplementation and the prevention of clinical cardiovascular disease: a science advisory from the American Heart Association. Circulation 135:e867-e884
  5. Review / position paper Manson JE, Bassuk SS, Buring JE (2020). Principal results of the VITamin D and OmegA-3 TriaL (VITAL) and updated meta-analyses. J Steroid Biochem Mol Biol 198:105522
  6. Randomised trial Bhatt DL et al. (2019). Cardiovascular Risk Reduction with Icosapent Ethyl for Hypertriglyceridemia (REDUCE-IT). N Engl J Med
  7. Randomised trial Nicholls SJ et al. (2020). Effect of High-Dose Omega-3 Fatty Acids vs Corn Oil on Major Adverse Cardiovascular Events (STRENGTH). JAMA 324:2268-2280 (ACC trial summary)
  8. Meta-analysis Liao Y et al. (2019). Efficacy of omega-3 PUFAs in depression: A meta-analysis. Transl Psychiatry 9:190
  9. Official reference NIH Office of Dietary Supplements (2026). Omega-3 fatty acids: fact sheet for health professionals (checked November 2026). NIH ODS
  10. Randomised trial Dyerberg J et al. (2010). Bioavailability of marine n-3 fatty acid formulations. Prostaglandins Leukot Essent Fatty Acids 83(3):137-141

Values checked: November 12, 2026.

Fact sheets on other sites

Independent summaries to read alongside this page. PillMath is not affiliated with these sites.

Other supplements