Omega-3 Fatty Acids (EPA & DHA, incl. rTG Form)Omega-3 fatty acids (EPA/DHA, incl. re-esterified triglyceride form)
EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid) are long-chain omega-3 fatty acids found mainly in the oil of oily fish. The rTG (re-esterified triglyceride) form takes fatty acids that were converted to the ethyl ester (EE) form during concentration and re-binds them to glycerol, restoring the same triglyceride structure as natural fish oil.
After intake, EPA and DHA are incorporated into the phospholipids of red blood cells and other cell membranes, influencing membrane fluidity and the cell signalling environment. In cell membranes, they compete with arachidonic acid (omega-6), shifting the ratio of inflammatory eicosanoids produced, and serve as precursors to 'specialised pro-resolving mediators' (SPMs) such as resolvins, protectins and maresins. In the liver, they are known to lower triglyceride synthesis (VLDL production), and DHA is a major fatty acid in brain and retinal cell membranes. Absorption depends on the bound form, and the rTG form has been reported to raise blood EPA and DHA more than the EE form.
- A dose-response meta-analysis of 71 randomised controlled studies (4,973 participants) in adults observed changes of about 2.6 mmHg in systolic and about 1.6–1.8 mmHg in diastolic blood pressure with 2–3 g/day of EPA+DHA, identifying this range as the most efficient intake.
- In a comparative study in which 72 adults took about 3.3 g of EPA+DHA in various forms for 2 weeks, absorption relative to natural fish oil was 124% for the rTG form and 73% for the ethyl ester form.
- In a double-blind randomised study of 60 healthy young adults lasting more than 16 weeks, the product group with 95% or more rTG showed greater increases in red blood cell membrane EPA and DHA ratios and the EPA:arachidonic acid ratio than the group with less than 70%.
- A review summarised that human studies have observed increased blood concentrations of some pro-resolving mediators (SPMs) with higher EPA and DHA intake.
- meta-analysisZhang X et al. Omega-3 Polyunsaturated Fatty Acids Intake and Blood Pressure: A Dose-Response Meta-Analysis of Randomized Controlled Trials. J Am Heart Assoc. 2022. PMID 35647665
- clinical studyDyerberg J et al. Bioavailability of marine n-3 fatty acid formulations. Prostaglandins Leukot Essent Fatty Acids. 2010. PMID 20638827
- RCTMinton ST et al. Comparative membrane incorporation of omega-3 fish oil triglyceride preparations differing by degree of re-esterification: A sixteen-week randomized intervention trial. PLoS One. 2023. PMID 36706088
- reviewCalder PC et al. Eicosapentaenoic and docosahexaenoic acid derived specialised pro-resolving mediators: Concentrations in humans and the effects of age, sex, disease and increased omega-3 fatty acid intake. Biochimie. 2020. PMID 32860894




