Place · Level 3
全球销售第一的补剂之一 · 机制清楚 · 但 RCT 证据近 5 年大翻转 · 食物胜过药丸的经典案例
synergy · 2
Fish-oil clinical benefit depends entirely on actual EPA+DHA dose and baseline TG. The 'fish oil protects the heart' claim is marketing oversimplification; the strongest evidence is for icosapent ethyl in high-TG + high-CV-risk patients.
The VITAL trial design itself was omega-3 + D co-intervention; overall depression/immune/CV hard endpoints null, but subgroup + exploratory analyses showed signal in low-baseline populations. Clinical: not 'supplement everyone' — combine only when correcting documented deficiency.
cofactor · 1
DHA is membrane material, not just an anti-inflammatory: about half the lipid in retinal rod outer segments and 15-20% of brain grey matter, setting membrane fluidity and receptor function. Fetal brain and visual development runs on this.