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Omega-3 Fatty Acids

Also known as fish oil, EPA, DHA

Reasonable anti-inflammatory evidence, modest skin benefit, and one of the few supplements worth taking if your diet is poor.

Evidence
Moderate
Typical cost
$10 – $40
Permanence
Ongoing use
Timeline
Inflammatory markers shift over 8–12 weeks.

$10–40/month for a quality supplement.

How it works

EPA and DHA are incorporated into cell membranes and compete with arachidonic acid, shifting eicosanoid production toward less inflammatory mediators. This underpins the modest benefits observed in inflammatory acne and general skin barrier function.

How it's used

Two to three portions of oily fish weekly, or 1–2g combined EPA/DHA daily from a supplement. Choose third-party tested products — oxidised fish oil is common and counterproductive. Store refrigerated.

Trade-offs

In favour

  • Genuine anti-inflammatory effects
  • Cardiovascular benefits independent of appearance
  • Some evidence for inflammatory acne
  • Supports barrier function

Against

  • Effect on appearance is modest and slow
  • Supplement quality varies widely
  • Fishy aftertaste and burps
  • Oxidised products may do more harm than good

Risks and side effects

Read before deciding
  • High doses can affect bleeding time — relevant before surgery, disclose to your surgeon
  • Interacts with anticoagulants
  • Contaminant concerns with low-quality products

How good is the evidence?

Moderate
Real but modest effect, or small trials only.

Good evidence for anti-inflammatory action; skin-specific outcomes are supported by smaller trials with modest effect sizes.

Sources

Sources point to guideline bodies and literature searches rather than single papers, so they stay accurate as the evidence moves.

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