Fish Oil and Your Body: Why One Size Doesn’t Fit All

Instead of taking a one-size-fits-all approach, research continues to show that your genes can influence what the “right dose” of fish oil looks like for your body.

This helps explain why some people notice a clear difference when taking omega-3s… while others don’t feel much at all.

Your genetic information helps explain how your body absorbs, processes, and uses omega-3s like EPA and DHA.


What Is Fish Oil?

Fish oil comes from fatty fish like salmon, sardines, mackerel, and anchovies. It contains omega-3 fatty acids that your body cannot make on its own, so they must come from food or supplementation.

The two main types are:

  • EPA (eicosapentaenoic acid): Supports heart health and helps calm inflammation
  • DHA (docosahexaenoic acid): Essential for brain function, vision, and nervous system support

Unlike plant-based omega-3s, fish oil provides these nutrients in their active form, making them easier for your body to use.


Why People Take Fish Oil

Many people take fish oil because they’re not getting enough fatty fish in their diet.

It’s one of the most common supplements used to support overall health, especially when it comes to the heart, brain, and inflammation.

Supporting Heart and Blood Vessel Health
Omega-3s in fish oil, especially EPA and DHA, play a role in keeping your heart and blood vessels functioning well. They can help lower triglyceride levels, support healthy blood pressure, and improve circulation. They also help reduce plaque buildup in the arteries, which is one of the reasons they’re often used to support long-term cardiovascular health.

Helping the Brain and Nervous System
DHA is a major structural component of the brain and nervous system. It helps brain cells communicate more efficiently, which can impact memory, focus, and mood. In children, DHA supports brain development. In adults, it plays a role in maintaining cognitive function as we age.

Reducing Inflammation in the Body
Inflammation is part of the body’s natural defense system, but when it stays elevated, it can contribute to long-term health issues. EPA helps regulate this process by producing compounds that calm the immune response. This is why fish oil is often used for joint discomfort, stiffness, and inflammatory-related concerns.

Supporting Eye and Joint Health
DHA is also a key part of the retina, which is important for maintaining clear vision. Getting enough omega-3s may help support eye health over time. For joints, omega-3s can help reduce stiffness and discomfort by lowering inflammation, which is especially helpful for individuals dealing with ongoing joint issues.


Does Everyone Need the Same Amount?

Not at all.

General recommendations suggest around 250 to 500 mg of combined EPA and DHA daily for overall health. Higher amounts are sometimes used, but more is not always better.

Fish oil can be helpful, but it’s not one-size-fits-all.

In some individuals, depending on dose, medications, and overall health, fish oil may:

  • Increase bleeding tendency
  • Affect heart rhythm in certain populations
  • Interact with medications like blood thinners
  • Be less effective if the product quality is poor

This is why taking a generic dose without understanding your body can lead to mixed results.


Where Genetics Comes In

This is where things start to make more sense.

Your genetic information can influence:

  • How well you convert plant-based omega-3s into usable forms
  • How efficiently your body transports and uses EPA and DHA
  • Your baseline omega-3 levels

Some people naturally have a harder time converting plant sources like flax or chia into the forms their body actually uses. Others may process omega-3s efficiently and need less support.


Is Fish Oil Always the Best Option?

Fish oil is one of the most direct ways to get EPA and DHA. However:

  • Algae-based supplements can provide similar benefits
  • Plant sources require conversion, which may not work well for everyone

What works best depends on how your body functions.


How to Decide What’s Right for You

Instead of guessing, start by understanding what your genes are telling you about what your body actually needs. From there, you can take a more informed approach:

  • Start with a general recommendation if needed
  • Look at your diet. If you eat fatty fish regularly, you may already be getting enough
  • Consider your overall health and medications
  • Most importantly, understand how your body functions

Should You Base It Only on Genetics?

No.

Your genetic information gives direction, but it’s only one piece of the full picture. The most effective approach combines:

  • Your genetic profile
  • Your diet and lifestyle
  • Your health goals
  • Lab work when appropriate

This is how you move from guessing to being more precise.


Who Should Be More Careful

Some individuals should take extra care when using fish oil:

  • Pregnancy and breastfeeding
  • Children
  • Those consuming high-mercury fish
  • Anyone on blood-thinning medications

How Genetic Wellness Approaches This Differently

At Genetic Wellness, the goal is not to hand you a generic supplement list or guess what might work.

It’s to help you understand how your body functions so you can make decisions that actually make sense for you.

Because the reality is this:

You can’t change the genes you were born with, but you can influence how those genes function. That’s called gene expression, and it’s one of the most important pieces of your health that most providers never even mention.

And when it comes to something as common as fish oil, that difference matters more than most people realize.

So instead of wondering if you’re taking the right supplement… or the right dose…
you can actually know.

It’s very common to see patients taking supplements without clear direction on dose, need, or effectiveness.

That’s where your genetic information comes in.

At Genetic Wellness, testing is simple, done from home with a cheek swab, and gives you clear direction on what your body needs when it comes to nutrition, supplements, and overall health.

You don’t have to guess anymore.

If you’re ready to take a more personalized approach to your health, you can get started at www.mygeneticwellness.com

Jessica Jones, PharmD, BCMTMS, CPGx

Jessica Jones, PharmD, BCMTMS, CPGx

Founder of Genetic Wellness, LLC, and a clinical pharmacist certified in Pharmacogenomics and Nutrigenomics. She specializes in helping patients optimize their medications, nutrition, and wellness through personalized genetic testing and root-cause analysis.