{"id":6665,"date":"2024-04-05T17:48:41","date_gmt":"2024-04-05T14:48:41","guid":{"rendered":"https:\/\/suprastratum.com\/?p=6665"},"modified":"2024-06-01T15:12:52","modified_gmt":"2024-06-01T12:12:52","slug":"omega-3-fatty-acids-and-longevity","status":"publish","type":"post","link":"https:\/\/suprastratum.com\/en\/2024\/04\/05\/omega-3-fatty-acids-and-longevity\/","title":{"rendered":"OMEGA-3 LONG-CHAIN FATTY ACIDS AND LONGEVITY"},"content":{"rendered":"<p style=\"text-align: justify;\">In this article we will look at eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), the main long-chain polyunsaturated omega-3 fatty acids that have been proposed for their cardiovascular health benefits.<br \/>\n<!--more--><br \/>\nEicosapentaenoic (EPA) and docosahexaenoic (DHA) acids are the main long-chain polyunsaturated omega-3 fatty acids found in seafood and oily fish and have been suggested for use in the prevention and treatment of cardiovascular disease.<\/p>\n<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"6691\" data-permalink=\"https:\/\/suprastratum.com\/en\/2024\/04\/05\/omega-3-fatty-acids-and-longevity\/1-pexels-krisztina-papp-2374946\/\" data-orig-file=\"https:\/\/i0.wp.com\/suprastratum.com\/wp-content\/uploads\/2024\/04\/1-pexels-krisztina-papp-2374946.jpg?fit=1280%2C960&amp;ssl=1\" data-orig-size=\"1280,960\" data-comments-opened=\"1\" data-image-title=\"1-pexels-krisztina-papp-2374946\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/suprastratum.com\/wp-content\/uploads\/2024\/04\/1-pexels-krisztina-papp-2374946.jpg?fit=840%2C630&amp;ssl=1\" class=\"aligncenter size-full wp-image-6691\" src=\"https:\/\/i0.wp.com\/suprastratum.com\/wp-content\/uploads\/2024\/04\/1-pexels-krisztina-papp-2374946.jpg?resize=320%2C240&#038;ssl=1\" alt=\"Eicosapentaenoic Acid, EPA, Docosahexaenoic Acid, DPA, Omega-3 Fatty Acids Long Soluble, Omega-3 Fatty Acids Long Soluble, Omega-3 Fatty Acids, Omega 3\" width=\"320\" height=\"240\" srcset=\"https:\/\/i0.wp.com\/suprastratum.com\/wp-content\/uploads\/2024\/04\/1-pexels-krisztina-papp-2374946.jpg?w=1280&amp;ssl=1 1280w, https:\/\/i0.wp.com\/suprastratum.com\/wp-content\/uploads\/2024\/04\/1-pexels-krisztina-papp-2374946.jpg?resize=300%2C225&amp;ssl=1 300w, https:\/\/i0.wp.com\/suprastratum.com\/wp-content\/uploads\/2024\/04\/1-pexels-krisztina-papp-2374946.jpg?resize=1024%2C768&amp;ssl=1 1024w, https:\/\/i0.wp.com\/suprastratum.com\/wp-content\/uploads\/2024\/04\/1-pexels-krisztina-papp-2374946.jpg?resize=768%2C576&amp;ssl=1 768w, https:\/\/i0.wp.com\/suprastratum.com\/wp-content\/uploads\/2024\/04\/1-pexels-krisztina-papp-2374946.jpg?resize=16%2C12&amp;ssl=1 16w, https:\/\/i0.wp.com\/suprastratum.com\/wp-content\/uploads\/2024\/04\/1-pexels-krisztina-papp-2374946.jpg?resize=1200%2C900&amp;ssl=1 1200w, https:\/\/i0.wp.com\/suprastratum.com\/wp-content\/uploads\/2024\/04\/1-pexels-krisztina-papp-2374946.jpg?resize=467%2C350&amp;ssl=1 467w\" sizes=\"auto, (max-width: 320px) 85vw, 320px\" \/><\/p>\n<p style=\"text-align: justify;\">Diet is the main source of these fatty acids, but personal preferences and dietary restrictions, among other factors, can prevent people from consuming sufficient amounts of EPA- and DHA-rich foods, so adequate intake of omega-3 fatty acids is not always achieved.<\/p>\n<p style=\"text-align: justify;\">Therefore, the recommendation to take omega-3 supplements containing EPA and DHA to reduce major cardiovascular disease outcomes is not uncommon, especially for people at high risk for cardiovascular disease or for people with cardiovascular disease who do not consume adequate omega-3 from dietary sources.<\/p>\n<p style=\"text-align: justify;\">Meta-analyses <a href=\"https:\/\/doi.org\/10.1016\/j.mayocp.2020.08.034\" target=\"_blank\" rel=\"noopener\">have<\/a> <a href=\"https:\/\/doi.org\/10.1016\/j.mayocp.2021.03.004\" target=\"_blank\" rel=\"noopener\">suggested<\/a> that adequate supplementation with EPA and DHA may play a role in the prevention of cardiovascular disease and that their protective effect on the prevention of cardiovascular disease and myocardial infarction appears to have a dose-response relationship.<\/p>\n<p style=\"text-align: justify;\">The UK Biobank is a large, prospective cohort study involving around 500,000 participants who were aged 40-69 years at the time of their baseline assessment visit, i.e. between 2006 and 2010.<\/p>\n<p style=\"text-align: justify;\"><a href=\"https:\/\/doi.org\/10.1016\/j.mayocp.2023.11.026\" target=\"_blank\" rel=\"noopener\">In a recent study<\/a> which analysed UK Biobank data, blood levels of DHA were inversely associated with the risk of death from all causes, as well as death from cardiovascular disease, cancer and other causes (EPA levels were not available in this cohort).<\/p>\n<p style=\"text-align: justify;\">This is one of the largest population-based studies examining the relationship between DHA and long-term mortality.<\/p>\n<p style=\"text-align: justify;\">In a secondary analysis, these findings from UK Biobank were merged with those from another recent <a href=\"https:\/\/doi.org\/10.1038\/s41467-021-22370-2\" target=\"_blank\" rel=\"noopener\">meta-analysis<\/a> which included 17 prospective cohort studies examining the associations between DHA and mortality.<\/p>\n<p style=\"text-align: justify;\">The cumulative sample population included 160,404 individuals and 24,342 deaths during an average 14-year follow-up period.<\/p>\n<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"6694\" data-permalink=\"https:\/\/suprastratum.com\/en\/2024\/04\/05\/omega-3-fatty-acids-and-longevity\/salmon-7216960_1920\/\" data-orig-file=\"https:\/\/i0.wp.com\/suprastratum.com\/wp-content\/uploads\/2024\/04\/salmon-7216960_1920.jpg?fit=1920%2C1280&amp;ssl=1\" data-orig-size=\"1920,1280\" data-comments-opened=\"1\" data-image-title=\"salmon-7216960_1920\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/suprastratum.com\/wp-content\/uploads\/2024\/04\/salmon-7216960_1920.jpg?fit=840%2C560&amp;ssl=1\" class=\"aligncenter size-full wp-image-6694\" src=\"https:\/\/i0.wp.com\/suprastratum.com\/wp-content\/uploads\/2024\/04\/salmon-7216960_1920.jpg?resize=320%2C240&#038;ssl=1\" alt=\"Eicosapentaenoic Acid, EPA, Docosahexaenoic Acid, DPA, Omega-3 Fatty Acids Long Soluble, Omega-3 Fatty Acids Long Soluble, Omega-3 Fatty Acids, Omega 3\" width=\"320\" height=\"240\" \/><\/p>\n<p style=\"text-align: justify;\">After multivariable adjustment for relevant risk factors, compared with lower, higher levels of DHA were found to be associated with 17% lower risk of all-cause mortality, 21% lower risk of cardiovascular disease mortality, 17% lower risk of cancer mortality, and 15% lower risk of all other forms of mortality.<\/p>\n<p style=\"text-align: justify;\">In this study, the researchers were not able to measure EPA levels or separate the benefits of consumption or blood levels of DHA versus EPA on cardiovascular disease or all-cause mortality.<\/p>\n<p style=\"text-align: justify;\">It has been suggested that EPA may provide greater protection than the combination of EPA and DHA, as <a href=\"https:\/\/doi.org\/10.1016\/s0140-6736(07)60527-3\" target=\"_blank\" rel=\"noopener\">previous<\/a> <a href=\"https:\/\/doi.org\/10.1056\/nejmoa1812792\" target=\"_blank\" rel=\"noopener\">studies<\/a>, that used high doses of EPA alone, reported clearly impressive reductions in cardiovascular disease outcomes. However, there are <a href=\"https:\/\/doi.org\/10.1016\/j.mayocp.2020.08.034\" target=\"_blank\" rel=\"noopener\">data indicating<\/a> <a href=\"https:\/\/doi.org\/10.1016\/j.pcad.2021.11.002\" target=\"_blank\" rel=\"noopener\">that there is no clear superiority<\/a> of EPA versus the combination of EPA and DHA for comparable doses.<\/p>\n<p style=\"text-align: justify;\">It should be noted here that concerns have been raised about the effects of omega-3 fatty acids on increasing the risk of atrial fibrillation, but the increase observed from lower doses (\u22641 g\/day) is from <a href=\"https:\/\/doi.org\/10.1007\/s10557-021-07204-z\" target=\"_blank\" rel=\"noopener\">relatively small<\/a> to <a href=\"https:\/\/doi.org\/10.1016\/j.jacc.2023.05.024\" target=\"_blank\" rel=\"noopener\">disputed<\/a>.<\/p>\n<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"6693\" data-permalink=\"https:\/\/suprastratum.com\/en\/2024\/04\/05\/omega-3-fatty-acids-and-longevity\/salmon-518032_1280\/\" data-orig-file=\"https:\/\/i0.wp.com\/suprastratum.com\/wp-content\/uploads\/2024\/04\/salmon-518032_1280.jpg?fit=1280%2C960&amp;ssl=1\" data-orig-size=\"1280,960\" data-comments-opened=\"1\" data-image-title=\"salmon-518032_1280\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/suprastratum.com\/wp-content\/uploads\/2024\/04\/salmon-518032_1280.jpg?fit=840%2C630&amp;ssl=1\" class=\"aligncenter size-full wp-image-6693\" src=\"https:\/\/i0.wp.com\/suprastratum.com\/wp-content\/uploads\/2024\/04\/salmon-518032_1280.jpg?resize=320%2C240&#038;ssl=1\" alt=\"Eicosapentaenoic Acid, EPA, Docosahexaenoic Acid, DPA, Omega-3 Fatty Acids Long Soluble, Omega-3 Fatty Acids Long Soluble, Omega-3 Fatty Acids, Omega 3\" width=\"320\" height=\"240\" srcset=\"https:\/\/i0.wp.com\/suprastratum.com\/wp-content\/uploads\/2024\/04\/salmon-518032_1280.jpg?w=1280&amp;ssl=1 1280w, https:\/\/i0.wp.com\/suprastratum.com\/wp-content\/uploads\/2024\/04\/salmon-518032_1280.jpg?resize=300%2C225&amp;ssl=1 300w, https:\/\/i0.wp.com\/suprastratum.com\/wp-content\/uploads\/2024\/04\/salmon-518032_1280.jpg?resize=1024%2C768&amp;ssl=1 1024w, https:\/\/i0.wp.com\/suprastratum.com\/wp-content\/uploads\/2024\/04\/salmon-518032_1280.jpg?resize=768%2C576&amp;ssl=1 768w, https:\/\/i0.wp.com\/suprastratum.com\/wp-content\/uploads\/2024\/04\/salmon-518032_1280.jpg?resize=16%2C12&amp;ssl=1 16w, https:\/\/i0.wp.com\/suprastratum.com\/wp-content\/uploads\/2024\/04\/salmon-518032_1280.jpg?resize=1200%2C900&amp;ssl=1 1200w, https:\/\/i0.wp.com\/suprastratum.com\/wp-content\/uploads\/2024\/04\/salmon-518032_1280.jpg?resize=467%2C350&amp;ssl=1 467w\" sizes=\"auto, (max-width: 320px) 85vw, 320px\" \/><\/p>\n<p style=\"text-align: justify;\">Although the dose-response relationship suggests that the effect is real, there is considerable uncertainty about its magnitude. Unfortunately, there are not plenty of data so there is uncertainty in this area.<\/p>\n<p style=\"text-align: justify;\">At present, although there are data suggesting that among patients with atrial fibrillation, <a href=\"https:\/\/doi.org\/10.1161\/strokeaha.123.044281\" target=\"_blank\" rel=\"noopener\">higher levels of omega-3 are associated with a lower risk of total and ischaemic stroke<\/a>, it seems unwise to recommend doses greater than 1 g\/day in this population.<\/p>\n<p style=\"text-align: justify;\">In conclusion, we can say that the study that was our focus provides additional evidence on the application of omega-3 fatty acids in a healthy diet in the prevention of cardiovascular disease and other disease outcomes.<\/p>\n<p style=\"text-align: justify;\">These data support the notion that DHA, a marine-derived omega-3 consumed along with EPA, mainly from oily fish or omega-3 supplements, is beneficial for health overall and for cardiovascular health in particular.<\/p>\n<p style=\"text-align: justify;\">-Suprastratum: The authority on health, fitness and nutrition<\/p>\n<p>Sources\/bibliography\/more reading:<\/p>\n<ul>\n<li><em><a href=\"https:\/\/doi.org\/10.1016\/j.mayocp.2023.11.026\" target=\"_blank\" rel=\"noopener noreferrer\">O'Keefe EL, O'Keefe JH, Tintle NL, Westra J, Albuisson L, Harris WS. Circulating Docosahexaenoic Acid and Risk of All-Cause and Cause-Specific Mortality. Mayo Clin Proc. 2024 Apr;99(4):534-541. doi: 10.1016\/j.mayocp.2023.11.026. epub 2024 Mar 20. PMID: 38506781.<\/a><\/em><\/li>\n<li><em><a href=\"https:\/\/doi.org\/10.1016\/j.mayocp.2024.02.015\" target=\"_blank\" rel=\"noopener noreferrer\">Laukkanen JA, Bernasconi AA, Lavie CJ. Bringing the Potential Benefits of Omega-3 to a Higher Level. Mayo Clin Proc. 2024 Apr;99(4):520-523. doi: 10.1016\/j.mayocp.2024.02.015. PMID: 38569806.<\/a><\/em><\/li>\n<li><em><a href=\"https:\/\/doi.org\/10.1016\/j.mayocp.2020.08.034\" target=\"_blank\" rel=\"noopener noreferrer\">Bernasconi AA, Wiest MM, Lavie CJ, Milani RV, Laukkanen JA. Effect of Omega-3 Dosage on Cardiovascular Outcomes: an Updated Meta-Analysis and Meta-Regression of Interventional Trials. mayo Clin Proc. 2021 Feb;96(2):304-313. doi: 10.1016\/j.mayocp.2020.08.034. doi: 10.1016\/j.mayocp.2020.08.034. Epub 2020 Sep 17. PMID: 32951855.<\/a><\/em><\/li>\n<li><em><a href=\"https:\/\/doi.org\/10.1016\/j.mayocp.2021.03.004\" target=\"_blank\" rel=\"noopener noreferrer\">Bernasconi AA, Lavie CJ, Milani RV, Laukkanen JA. Omega-3 Benefits Remain Strong Post-STRENGTH. Mayo Clin Proc. 2021 May;96(5):1371-1372. doi: 10.1016\/j.mayocp.2021.03.004. epub 2021 Apr 8. PMID: 33838920.<\/a><\/em><\/li>\n<li><em><a href=\"https:\/\/doi.org\/10.1038\/s41467-021-22370-2\" target=\"_blank\" rel=\"noopener noreferrer\">Harris WS, Tintle NL, Imamura F, Qian F, Korat AVA, Marklund M, Djouss\u00e9 L, Bassett JK, Carmichael PH, Chen YY, Hirakawa Y, K\u00fcpers LK, Laguzzi F, Lankinen M, Murphy RA, Samieri C, Senn MK, Shi P, Virtanen JK, Brouwer IA, Chien KL, Eiriksdottir G, Forouhi NG, Geleijnse JM, Giles GG, Gudnason V, Helmer C, Hodge A, Jackson R, Khaw KT, Laakso M, Lai H, Laurin D, Leander K, Lindsay J, Micha R, Mursu J, Ninomiya T, Post W, Psaty BM, Ris\u00e9rus U, Robinson JG, Shadyab AH, Snetselaar L, Sala-Vila A, Sun Y, Steffen LM, Tsai MY, Wareham NJ, Wood AC, Wu JHY, Hu F, Sun Q, Siscovick DS, Lemaitre RN, Mozaffarian D; Fatty Acids and Outcomes Research Consortium (FORCE). Blood n-3 fatty acid levels and total and cause-specific mortality from 17 prospective studies. Nat Commun. 2021 Apr 22;12(1):2329. doi: 10.1038\/s41467-021-22370-2. PMID: 33888689; PMCID: PMC8062567.<\/a><\/em><\/li>\n<li><em><a href=\"https:\/\/doi.org\/10.1016\/s0140-6736(07)60527-3\" target=\"_blank\" rel=\"noopener noreferrer\">Yokoyama M, Origasa H, Matsuzaki M, Matsuzawa Y, Saito Y, Ishikawa Y, Oikawa S, Sasaki J, Hishida H, Itakura H, Kita T, Kitabatake A, Nakaya N, Sakata T, Shimada K, Shirato K; Japan EPA lipid intervention study (JELIS) Investigators. Effects of eicosapentaenoic acid on major coronary events in hypercholesterolaemic patients (JELIS): a randomised open-label, blinded endpoint analysis. Lancet. 2007 Mar 31;369(9567):1090-8. doi: 10.1016\/S0140-6736(07)60527-3. Erratum in: Lancet. 2007 Jul 21;370(9583):220. PMID: 17398308.<\/a><\/em><\/li>\n<li><em><a href=\"https:\/\/doi.org\/10.1056\/nejmoa1812792\" target=\"_blank\" rel=\"noopener noreferrer\">Bhatt DL, Steg PG, Miller M, Brinton EA, Jacobson TA, Ketchum SB, Doyle RT Jr, Juliano RA, Jiao L, Granowitz C, Tardif JC, Ballantyne CM; REDUCE-IT Investigators. cardiovascular risk reduction with icosapent ethyl for hypertriglyceridemia. n Engl J Med. 2019 Jan 3;380(1):11-22. doi: 10.1056\/NEJMoa1812792. doi: 10.1056\/NEJMoa1812792. Epub 2018 Nov 10. PMID: 30415628.<\/a><\/em><\/li>\n<li><em><a href=\"https:\/\/doi.org\/10.1016\/j.pcad.2021.11.002\" target=\"_blank\" rel=\"noopener noreferrer\">Lavie CJ, Bernasconi A. Impressive results with EPA, but EPA\/DHA combinations also reduce cardiovascular outcomes. Prog Cardiovasc Dis. 2021 Nov-Dec;69:110-112. doi: 10.1016\/j.pcad.2021.11.002. Epub 2021 Nov 15. PMID: 34793777.<\/a><\/em><\/li>\n<li><em><a href=\"https:\/\/doi.org\/10.1007\/s10557-021-07204-z\" target=\"_blank\" rel=\"noopener noreferrer\">Jia X, Gao F, Pickett JK, Al Rifai M, Birnbaum Y, Nambi V, Virani SS, Ballantyne CM. Association Between Omega-3 Fatty Acid Treatment and Atrial Fibrillation in Cardiovascular Outcome Trials: a Systematic Review and Meta-Analysis. Cardiovasc Drugs Ther. 2021 Aug;35(4):793-800. doi: 10.1007\/s10557-021-07204-z. Epub 2021 May 31. PMID: 34057665.<\/a><\/em><\/li>\n<li><em><a href=\"https:\/\/doi.org\/10.1016\/j.jacc.2023.05.024\" target=\"_blank\" rel=\"noopener noreferrer\">Qian F, Tintle N, Jensen PN, Lemaitre RN, Imamura F, Feldreich TR, Nomura SO, Guan W, Laguzzi F, Kim E, Virtanen JK, Steur M, Bork CS, Hirakawa Y, O'Donoghue ML, Sala-Vila A, Ardisson Korat AV, Sun Q, Rimm EB, Psaty BM, Heckbert SR, Forouhi NG, Wareham NJ, Marklund M, Ris\u00e9rus U, Lind L, \u00c4rnl\u00f6v J, Garg P, Tsai MY, Pankow J, Misialek JR, Gigante B, Leander K, Pester JA, Albert CM, Kavousi M, Ikram A, Voortman T, Schmidt EB, Ninomiya T, Morrow DA, Bay\u00e9s-Gen\u00eds A, O'Keefe JH, Ong KL, Wu JHY, Mozaffarian D, Harris WS, Siscovick DS; Fatty Acids and Outcomes Research Consortium (FORCE). omega-3 fatty acid biomarkers and incident atrial fibrillation. J Am Coll Cardiol. 2023 Jul 25;82(4):336-349. doi: 10.1016\/j.jacc.2023.05.024. PMID: 37468189.<\/a><\/em><\/li>\n<li><em><a href=\"https:\/\/doi.org\/10.1161\/strokeaha.123.044281\" target=\"_blank\" rel=\"noopener noreferrer\">O'Keefe JH, Tintle NL, Harris WS, O'Keefe EL, Sala-Vila A, Attia J, Garg GM, Hure A, Bork CS, Schmidt EB, Ven\u00f8 SK, Chien KL, Chen YA, Egert S, Feldreich TR, \u00c4rnl\u00f6v J, Lind L, Forouhi NG, Geleijnse JM, Pertiwi K, Imamura F, de Mello Laaksonen V, Uusitupa WM, Tuomilehto J, Laakso M, Lankinen MA, Laurin D, Carmichael PH, Lindsay J, Leander K, Laguzzi F, Swenson BR, Longstreth WT, Manson JE, Mora S, Cook NR, Marklund M, Melo van Lent D, Murphy R, Gudnason V, Ninomiya T, Hirakawa Y, Qian F, Sun Q, Hu F, Ardisson Korat AV, Ris\u00e9rus U, L\u00e1zaro I, Samieri C, Le Goff M, Helmer C, Steur M, Voortman T, Ikram MK, Tanaka T, Das JK, Ferrucci L, Bandinelli S, Tsai M, Guan W, Garg P, Verschuren WMM, Boer JMA, Biokstra A, Virtanen J, Wagner M, Westra J, Albuisson L, Yamagishi K, Siscovick DS, Lemaitre RN, Mozaffarian D. Omega-3 Blood Levels and Stroke Risk: A Pooled and Harmonized Analysis of 183 291 Participants From 29 Prospective Studies.Stroke. 2024 Jan;55(1):50-58. doi: 10.1161\/STROKEAHA.123.044281. Epub 2023 Dec 22. erratum in: Stroke. 2024 Mar;55(3):e109. PMID: 38134264; PMCID: PMC10840378.<\/a><\/em><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>In this article we will look at eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), the main long-chain polyunsaturated omega-3 fatty acids that have been proposed for their cardiovascular health benefits.<\/p>","protected":false},"author":1,"featured_media":6692,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_wpcom_ai_launchpad_first_post":false,"_jetpack_hide_featured_image":false,"_jetpack_featured_image_duplicate_dismissed":0,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[602092477,1746518,602092478],"tags":[602094304,602094302,1114385,602094204,602094303,602094301,602091894,602094206,602091543,602094300],"class_list":["post-6665","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-602092477","category-1746518","category-602092478","tag-dha","tag-epa","tag-1114385","tag-602094204","tag-602094303","tag-602094301","tag-602091894","tag-602094206","tag-602091543","tag--3----"],"yoast_head":"<!-- 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