Overview

SCIENTIFIC SCORE
Possibly Effective
Based on 42 Researches
7.2
USERS' SCORE
Good
Based on 7 Reviews
8.5
Supplement Facts
Serving Size: 1 Teaspoon (5 ml)
Amount Per Serving
%DV
Calories
40
 
Total Fat
4.5 g
6%**
Saturated Fat
0.5 g
3%**
Cholesterol
15 mg
5%
Vitamin A (from cod liver oil and retinyl palmitate)
255 mcg RAE(850 IU)
28%
Vitamin D (from cod liver oil and cholecalciferol)
10 mcg (400 IU)
50%
Vitamin E (as d-alpha tocopherol)
6.7 mg
45%
Norwegian Cod Liver Oil
4.6 g
Total Omega-3 Fatty Acids*
1,100 mg
DHA (Docosahexaenoic Acid)*
500 mg
EPA (Eicosapentaenoic Acid)*
370 mg
DPA (Docosapentaenoic Acid)*
50 mg

Top Medical Research Studies

9
Cod liver oil reduces arthritis symptoms
In a recent study, we examined the effectiveness of cod liver oil in alleviating symptoms of rheumatoid arthritis. Forty-three participants took 1 gram of cod liver oil daily for three months. The results were promising.

We observed significant reductions in morning stiffness, with an impressive 52.4% improvement. Additionally, patients reported a 42.7% decrease in painful joints and a 40% reduction in swollen joints. Pain intensity also saw a notable decline of 67.5%.

When asked about their experience, 68% of patients rated the treatment as "good" or "very good" in terms of effectiveness, and an impressive 95% found it tolerable. While some patients reported nonsevere side effects, three of those reactions might have been linked to the cod liver oil.

Overall, we find that cod liver oil could be a beneficial addition to treatment options for those suffering from rheumatoid arthritis.
Read More
We explored the potential of cod liver oil as a supportive treatment for rheumatoid arthritis (RA) patients, particularly focusing on its ability to lessen the daily need for non-steroidal anti-inflammatory drugs (NSAIDs). In a well-structured, dual-center study that spanned nine months, we involved ninety-seven RA patients. They were divided into two groups: one received 10 grams of cod liver oil loaded with omega-3 fatty acids, while the other group took placebo capsules.

Throughout the study, we carefully documented changes in NSAID consumption, disease activity, and safety outcomes at several points—initially, and then at 4, 12, 24, and 36 weeks. Notably, patients were encouraged to gradually decrease, and if possible, stop their NSAID intake by the 12-week mark.

At the end of the study, we discovered that 39% of participants taking cod liver oil reduced their NSAID dosage by more than 30%, compared to only 10% in the placebo group. However, there were no significant differences in disease activity or side effects between the two groups. This suggests that cod liver oil may indeed serve as a helpful adjunct in managing RA by lessening dependence on NSAIDs.
Read More
8
Eicosapentaenoic acid aids arthritis
We explored the effects of eicosapentaenoic acid (EPA), a key component of omega-3 fatty acids, on patients with rheumatoid arthritis (RA). This analysis gathered data from eighteen randomized controlled trials involving over a thousand RA patients, ensuring a comprehensive look at its impact.

Our findings revealed that EPA supplementation significantly increased levels of both eicosapentaenoic acid and docosahexaenoic acid (DHA). Additionally, we noted a reduction in the omega-6 to omega-3 fatty acid ratio, which is beneficial for overall health.

Moreover, we observed that EPA led to a decrease in triglyceride levels and tender joint counts among RA patients. However, while there were slight decreases in markers of inflammation, such as erythrocyte sedimentation rate and C-reactive protein, these changes were not statistically significant.

Overall, our analysis supports the idea that EPA has positive effects on lipid profiles and joint tenderness for those with RA, although not all inflammatory markers showed significant improvement.
Read More

Most Useful Reviews

8.5
Visible improvements
525 people found this helpful
Since I started taking Carlson's CLO a few weeks ago, I've seen visible improvements in my health. At 31, I've struggled with stiffness, especially in the morning and my back, as arthritis runs in my family. This CLO has eased my stiffness considerably, reducing the achiness I used to feel. I've also noticed better memory and focus due to the DHA in the oil. Surprisingly, this December, I haven’t felt the winter blues as I usually do. I highly recommend this oil, as it has greatly benefitted me.
Read More
9
Pain relief
2 people found this helpful
I broke both my feet in my youth, resulting in significant arthritis. Since I began taking cod liver oil three months ago, it has alleviated most of the pain in my feet and improved my overall wellbeing.
Read More
7.5
Helps with joints
4 people found this helpful
Best Cod Liver Oil on the Market. This product is fantastic and truly assists my joints as I have rheumatoid arthritis.
Read More

Medical Researches

SCIENTIFIC SCORE
Possibly Effective
Based on 42 Researches
7.2
  • All Researches
9
Cod liver oil reduces arthritis symptoms
In a recent study, we examined the effectiveness of cod liver oil in alleviating symptoms of rheumatoid arthritis. Forty-three participants took 1 gram of cod liver oil daily for three months. The results were promising.

We observed significant reductions in morning stiffness, with an impressive 52.4% improvement. Additionally, patients reported a 42.7% decrease in painful joints and a 40% reduction in swollen joints. Pain intensity also saw a notable decline of 67.5%.

When asked about their experience, 68% of patients rated the treatment as "good" or "very good" in terms of effectiveness, and an impressive 95% found it tolerable. While some patients reported nonsevere side effects, three of those reactions might have been linked to the cod liver oil.

Overall, we find that cod liver oil could be a beneficial addition to treatment options for those suffering from rheumatoid arthritis.
Read More
9
Docosahexaenoic acid reduces arthritis
We examined the effects of lipid mediators derived from docosahexaenoic acid (DHA) on arthritis, particularly focusing on rheumatoid arthritis (RA). The study utilized a model involving mice with collagen antibody-induced arthritis (CAIA) and RAW264.7 cells to investigate the role of these mediators in reducing inflammation and joint damage.

The lipid mediators were produced by soybean lipoxygenase from DHA and included substances known for their anti-inflammatory properties. We found that these mediators significantly reduced symptoms in CAIA mice, evidenced by decreased paw swelling and reduced progression of arthritis. In the cellular studies, these mediators inhibited the formation of bone-resorbing cells called osteoclasts, while also downregulating key inflammatory markers.

Following treatment, there were notable improvements in serum cytokine levels, with a decrease in pro-inflammatory cytokines like TNF-α and IL-6, and an increase in the anti-inflammatory cytokine IL-10. Additionally, joint inflammation and damage were reduced, hinting at a complex relationship involving various signaling pathways.

These findings indicate that lipid mediators derived from DHA may offer a promising approach to alleviating symptoms of RA, though the precise individual contributions of DHA alone are difficult to isolate due to the presence of other components in the intervention.
Read More
9
DHA benefits osteoarthritis treatment
We set out to investigate how docosahexaenoic acid (DHA), a fatty acid known for its health benefits, can affect osteoarthritis (OA), a common degenerative joint disease, particularly among older adults. Using both human chondrocyte models stimulated by IL-1β and rat models created through surgical methods, we aimed to understand DHA's potential to impact chondrocyte behavior and cartilage health.

Our observations revealed that DHA significantly promotes the growth of chondrocytes while reducing cell death, which is a key concern in OA. Notably, we found an increase in autophagosomes—structures that help break down cellular waste—within cells treated with DHA, suggesting enhanced cell health.

In comparing groups, those treated with DHA exhibited healthier cartilage characterized by thickened tissue and a decrease in degeneration when compared to the untreated OA group. We also noted an increase in collagen production, vital for maintaining joint structure. The biochemical analysis indicated that DHA potentially exerts its effects by inhibiting certain pathways associated with cell growth and stress responses, thus enhancing chondrocyte proliferation and survival.

Overall, our findings contribute valuable insights into how DHA can be leveraged as a therapeutic approach for OA, emphasizing its role in protecting and restoring cartilage health.
Read More
We observed a fascinating case involving a 22-year-old woman with juvenile idiopathic arthritis who was put on a very low calorie ketogenic diet (VLCKD). This diet included high-biological-value protein preparations that featured docosahexaenoic acid (DHA), an omega-3 fatty acid known for its potential health benefits.

The woman saw improvements in her overall weight and health after four months on this diet, including a noticeable reduction in joint pain and headaches. Laboratory tests indicated that her inflammatory markers returned to normal levels, suggesting that the dietary changes—including DHA—might have played a positive role in her experience.

However, it’s essential to note that while DHA is included in the treatment regimen, the isolated effect of DHA on her arthritis symptoms is challenging to determine definitively. This case highlights the potential benefits of dietary interventions for inflammatory conditions but also points to the need for further research to isolate the effects of specific dietary components like DHA.
Read More
9
l-Serine and EPA effective for pain
We conducted a study to examine the effects of eicosapentaenoic acid (EPA) combined with l-serine on individuals suffering from chronic low-back and knee pain. This was a randomized, double-blind, placebo-controlled trial, ensuring rigorous evaluation of the treatment's impact.

Over the course of 12 weeks, we assessed participants using well-structured questionnaires to measure their pain levels and overall experience. Our group comprised 120 adults who, despite enduring persistent pain for more than three months, showed promising results from the active treatment.

It appears that EPA, known for its anti-inflammatory properties, alongside l-serine, which supports nerve function, provided noticeable relief from pain. By the end of the study, many participants experienced significant improvements in their pain scores, suggesting that this combination could be a valuable option for those managing arthritis-related discomfort.

It's encouraging to see how l-serine and EPA can help enhance the quality of life for individuals struggling with painful conditions, reinforcing their importance as potential treatments for arthritis-related pain.
Read More

User Reviews

USERS' SCORE
Good
Based on 7 Reviews
8.5
  • All Reviews
  • Positive Reviews
  • Negative Reviews
8.5
Visible improvements
525 people found this helpful
Since I started taking Carlson's CLO a few weeks ago, I've seen visible improvements in my health. At 31, I've struggled with stiffness, especially in the morning and my back, as arthritis runs in my family. This CLO has eased my stiffness considerably, reducing the achiness I used to feel. I've also noticed better memory and focus due to the DHA in the oil. Surprisingly, this December, I haven’t felt the winter blues as I usually do. I highly recommend this oil, as it has greatly benefitted me.
Read More
9
Pain relief
2 people found this helpful
I broke both my feet in my youth, resulting in significant arthritis. Since I began taking cod liver oil three months ago, it has alleviated most of the pain in my feet and improved my overall wellbeing.
Read More
7.5
Helps with joints
4 people found this helpful
Best Cod Liver Oil on the Market. This product is fantastic and truly assists my joints as I have rheumatoid arthritis.
Read More
6
Supporting arthritis pain
2 people found this helpful
I'm using this product for my arthritis, and while it's still early days, it seems to be helping. The flavour isn’t off-putting, and the ease of use adds to its appeal.
Read More
7.5
Recommended for health
1 people found this helpful
Great taste. My doctor recommended this brand, and I have been using it for over five years. It helps with my arthritis and contributes to my overall feeling of good health.
Read More

Frequently Asked Questions

9
Pain relief
2 people found this helpful
I broke both my feet in my youth, resulting in significant arthritis. Since I began taking cod liver oil three months ago, it has alleviated most of the pain in my feet and improved my overall wellbeing.
7.5
Recommended for health
1 people found this helpful
Great taste. My doctor recommended this brand, and I have been using it for over five years. It helps with my arthritis and contributes to my overall feeling of good health.
7.5
Helps with joints
4 people found this helpful
Best Cod Liver Oil on the Market. This product is fantastic and truly assists my joints as I have rheumatoid arthritis.
7.5
Helpful supplement
Cod liver oil is an excellent supplement that I have consistently consumed, and I find it very helpful for my arthritis.
We explored the potential of cod liver oil as a supportive treatment for rheumatoid arthritis (RA) patients, particularly focusing on its ability to lessen the daily need for non-steroidal anti-inflammatory drugs (NSAIDs). In a well-structured, dual-center study that spanned nine months, we involved ninety-seven RA patients. They were divided into two groups: one received 10 grams of cod liver oil loaded with omega-3 fatty acids, while the other group took placebo capsules.

Throughout the study, we carefully documented changes in NSAID consumption, disease activity, and safety outcomes at several points—initially, and then at 4, 12, 24, and 36 weeks. Notably, patients were encouraged to gradually decrease, and if possible, stop their NSAID intake by the 12-week mark.

At the end of the study, we discovered that 39% of participants taking cod liver oil reduced their NSAID dosage by more than 30%, compared to only 10% in the placebo group. However, there were no significant differences in disease activity or side effects between the two groups. This suggests that cod liver oil may indeed serve as a helpful adjunct in managing RA by lessening dependence on NSAIDs.
9
Cod liver oil reduces arthritis symptoms
In a recent study, we examined the effectiveness of cod liver oil in alleviating symptoms of rheumatoid arthritis. Forty-three participants took 1 gram of cod liver oil daily for three months. The results were promising.

We observed significant reductions in morning stiffness, with an impressive 52.4% improvement. Additionally, patients reported a 42.7% decrease in painful joints and a 40% reduction in swollen joints. Pain intensity also saw a notable decline of 67.5%.

When asked about their experience, 68% of patients rated the treatment as "good" or "very good" in terms of effectiveness, and an impressive 95% found it tolerable. While some patients reported nonsevere side effects, three of those reactions might have been linked to the cod liver oil.

Overall, we find that cod liver oil could be a beneficial addition to treatment options for those suffering from rheumatoid arthritis.
8
Cod liver oil aids arthritis relief
We explored the effectiveness of cod liver oil, particularly its omega-3 fatty acids, in treating arthritis. Research has shown that this natural remedy, known for its anti-inflammatory properties, can provide significant relief for those suffering from rheumatoid arthritis. By reducing pain and morning stiffness, cod liver oil may be a valuable tool in managing symptoms.

This treatment not only offers benefits on its own but also allows for a reduction in the use of nonsteroidal anti-inflammatory drugs, which are often prescribed for inflammatory conditions. This is an encouraging option for those looking for alternative therapies to enhance their overall quality of life while controlling arthritis symptoms.

Importantly, daily supplementation with cod liver oil can lead to fewer complications related to chronic inflammation, making it particularly appealing for individuals with a high risk of preterm delivery or other related conditions. Overall, our findings suggest that cod liver oil could play a role in effective arthritis management, alongside conventional treatments.
8
Cod liver oil shows promise
We explored the effects of cod liver oil on arthritis, a common condition that often leads to joint replacement surgery. The study reviewed several clinical trials, animal studies, and laboratory experiments that investigated how fish oils, including cod liver oil, can alleviate the symptoms associated with joint issues.

Our findings indicated that cod liver oil does show promise in providing relief from some of the pathological effects of arthritis. The evidence gathered supports the idea that the omega-3 fatty acids found in fish oil may help in reducing inflammation that contributes to cartilage destruction.

While we found some positive results, it's important to note that the overall scientific understanding of the mechanisms behind these benefits is still limited. In addition to cod liver oil, other nutraceuticals like green tea and glucosamine were mentioned as having potential benefits, but again, the lack of in-depth studies means we cannot fully understand how or why they work.

Overall, while there is hope in the use of cod liver oil for arthritis treatment, more research is needed to fully comprehend its effectiveness and the cellular processes involved.

References

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  2. Galarraga B, Ho M, Youssef HM, Hill A, McMahon H, et al. Cod liver oil (n-3 fatty acids) as an non-steroidal anti-inflammatory drug sparing agent in rheumatoid arthritis. Rheumatology (Oxford). 2008;47:665. 10.1093/rheumatology/ken024
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  6. Blaser J, Triebel S, Maasjosthusmann U, Romisch J, Krahl-Mateblowski U, et al. Determination of metalloproteinases, plasminogen-activators and their inhibitors in the synovial fluids of patients with rheumatoid arthritis during chemical synoviorthesis. Clin Chim Acta. 1996;244:17.
  7. Stammers T, Sibbald B, Freeling P. Efficacy of cod liver oil as an adjunct to non-steroidal anti-inflammatory drug treatment in the management of osteoarthritis in general practice. Ann Rheum Dis. 1992;51:128.
  8. Gowler PRW, Arendt-Tranholm A, Turnbull J, Jha RR, Onion D, et al. Monocyte eukaryotic initiation factor 2 signaling differentiates 17-hydroxy-docosahexaenoic acid levels and pain. iScience. 2025;28:111862. 10.1016/j.isci.2025.111862
  9. Franks SJ, Gowler PRW, Dunster JL, Turnbull J, Gohir SA, et al. Modelling the role of enzymatic pathways in the metabolism of docosahexaenoic acid by monocytes and its association with osteoarthritic pain. Math Biosci. 2024;374:109228. 10.1016/j.mbs.2024.109228
  10. Su Y, Han Y, Choi HS, Lee GY, Cho HW, et al. Lipid mediators obtained from docosahexaenoic acid by soybean lipoxygenase attenuate RANKL-induced osteoclast differentiation and rheumatoid arthritis. Biomed Pharmacother. 2024;171:116153. 10.1016/j.biopha.2024.116153
  11. Yu H, Gong Z, Wang G, Cao R, Yin H, et al. DHA attenuates cartilage degeneration by mediating apoptosis and autophagy in human chondrocytes and rat models of osteoarthritis. In Vitro Cell Dev Biol Anim. 2023;59:455. 10.1007/s11626-023-00781-3
  12. Wadell AT, Bärebring L, Hulander E, Gjertsson I, Landberg R, et al. Dietary biomarkers and food records indicate compliance to study diets in the ADIRA (Anti-inflammatory Diet In Rheumatoid Arthritis) trial. Front Nutr. 2023;10:1209787. 10.3389/fnut.2023.1209787
  13. Léger T, Brun A, Lanchais K, Rigaudière JP, Briat A, et al. Docosahexaenoic acid and etanercept could reduce functional and metabolic alterations during collagen-induced arthritis in rats without any synergistic effect. Life Sci. 2023;327:121826. 10.1016/j.lfs.2023.121826
  14. Rondanelli M, Patelli Z, Gasparri C, Mansueto F, Ferraris C, et al. Very low calorie ketogenic diet and common rheumatic disorders: A case report. World J Clin Cases. 2023;11:1985. 10.12998/wjcc.v11.i9.1985
  15. Marchand NE, Choi MY, Oakes EG, Cook NR, Stevens E, et al. Over-the-counter fish oil supplementation and pro-resolving and pro-inflammatory lipid mediators in rheumatoid arthritis. Prostaglandins Leukot Essent Fatty Acids. 2023;190:102542. 10.1016/j.plefa.2023.102542
  16. Jeong M, Shin JI, Cho J, Jeon YJ, Kim JH, et al. DHA Induces Cell Death through the Production of ROS and the Upregulation of CHOP in Fibroblast-like Synovial Cells from Human Rheumatoid Arthritis Patients. Int J Mol Sci. 2023;24. 10.3390/ijms24021734
  17. Xie R, Zhang Y. Association between 19 dietary fatty acids intake and rheumatoid arthritis: Results of a nationwide survey. Prostaglandins Leukot Essent Fatty Acids. 2023;188:102530. 10.1016/j.plefa.2022.102530
  18. Feng L, Yang Z, Li Y, Hou N, Yang B, et al. Malat1 attenuated the rescuing effects of docosahexaenoic acid on osteoarthritis treatment via repressing its chondroprotective and chondrogenesis activities. Biomed Pharmacother. 2022;154:113608. 10.1016/j.biopha.2022.113608
  19. Oppedisano F, Bulotta RM, Maiuolo J, Gliozzi M, Musolino V, et al. The Role of Nutraceuticals in Osteoarthritis Prevention and Treatment: Focus on n-3 PUFAs. Oxid Med Cell Longev. 2021;2021:4878562. 10.1155/2021/4878562
  20. Chang CK, Chen PK, Chen CC, Chang SH, Chen CH, et al. Increased Levels of Omega-3 Fatty Acids and DHA Are Linked to Pain Reduction in Rheumatoid Arthritis Patients Treated with Janus Kinase Inhibitors. Nutrients. 2021;13. 10.3390/nu13093050
  21. Christmann U, Hancock CL, Poole CM, Emery AL, Poovey JR, et al. Dynamics of DHA and EPA supplementation: incorporation into equine plasma, synovial fluid, and surfactant glycerophosphocholines. Metabolomics. 2021;17:41. 10.1007/s11306-021-01792-5
  22. Wang W, Xu Y, Zhou J, Zang Y. Effects of omega-3 supplementation on lipid metabolism, inflammation, and disease activity in rheumatoid arthritis: a meta-analysis of randomized controlled trials. Clin Rheumatol. 2024;43:2479. 10.1007/s10067-024-07040-0
  23. Jannas-Vela S, Candia AA, Peñailillo L, Barrios-Troncoso P, Zapata-Urzúa J, et al. Role of specialized pro-resolving mediators on inflammation, cardiometabolic health, disease progression, and quality of life after omega-3 PUFA supplementation and aerobic exercise training in individuals with rheumatoid arthritis: a randomized 16-week, placebo-controlled interventional trial. F1000Res. 2023;12:942. 10.12688/f1000research.138392.1
  24. Deng C, Presle N, Pizard A, Guillaume C, Bianchi A, et al. Beneficial Impact of Eicosapentaenoic Acid on the Adverse Effects Induced by Palmitate and Hyperglycemia on Healthy Rat Chondrocyte. Int J Mol Sci. 2024;25. 10.3390/ijms25031810
  25. Poggioli R, Hirani K, Jogani VG, Ricordi C. Modulation of inflammation and immunity by omega-3 fatty acids: a possible role for prevention and to halt disease progression in autoimmune, viral, and age-related disorders. Eur Rev Med Pharmacol Sci. 2023;27:7380. 10.26355/eurrev_202308_33310
  26. Lindqvist HM, Winkvist A, Gjertsson I, Calder PC, Armando AM, et al. Influence of Dietary n-3 Long Chain Polyunsaturated Fatty Acid Intake on Oxylipins in Erythrocytes of Women with Rheumatoid Arthritis. Molecules. 2023;28. 10.3390/molecules28020717
  27. Kuang X, Shao X, Li H, Jiang D, Gao T, et al. Lipid extract from blue mussel (Mytilus edulis) improves glycemic traits in Chinese type 2 diabetic mellitus patients: a double-blind randomized controlled trial. J Sci Food Agric. 2023;103:2970. 10.1002/jsfa.12346
  28. Gkiouras K, Grammatikopoulou MG, Myrogiannis I, Papamitsou T, Rigopoulou EI, et al. Efficacy of n-3 fatty acid supplementation on rheumatoid arthritis' disease activity indicators: a systematic review and meta-analysis of randomized placebo-controlled trials. Crit Rev Food Sci Nutr. 2024;64:16. 10.1080/10408398.2022.2104210
  29. Stonehouse W, Benassi-Evans B, Bednarz J, Vincent AD, Hall S, et al. Krill oil improved osteoarthritic knee pain in adults with mild to moderate knee osteoarthritis: a 6-month multicenter, randomized, double-blind, placebo-controlled trial. Am J Clin Nutr. 2022;116:672. 10.1093/ajcn/nqac125
  30. Eckert T, Jährling-Butkus M, Louton H, Burg-Roderfeld M, Zhang R, et al. Efficacy of Chondroprotective Food Supplements Based on Collagen Hydrolysate and Compounds Isolated from Marine Organisms. Mar Drugs. 2021;19. 10.3390/md19100542
  31. Ceotto BH, Figueroba SR, Ferreira LEN, Amorim KS, Sánchez JB, et al. The effect of association of aspirin and omega 3 in rat temporomandibular joint with induced arthritis. Ann Anat. 2022;239:151812. 10.1016/j.aanat.2021.151812
  32. Fan Z, Ross RP, Stanton C, Hou B, Zhao J, et al. CCFM1074 Alleviates Collagen-Induced Arthritis in Rats Balancing Treg/Th17 and Modulating the Metabolites and Gut Microbiota. Front Immunol. 2021;12:680073. 10.3389/fimmu.2021.680073
  33. Sasahara I, Yamamoto A, Takeshita M, Suga Y, Suzuki K, et al. l-Serine and EPA Relieve Chronic Low-Back and Knee Pain in Adults: A Randomized, Double-Blind, Placebo-Controlled Trial. J Nutr. 2020;150:2278. 10.1093/jn/nxaa156
  34. Brown Z, Metcalf R, Bednarz J, Spargo L, Lee A, et al. Modifiable Lifestyle Factors Associated With Response to Treatment in Early Rheumatoid Arthritis. ACR Open Rheumatol. 2020;2:371. 10.1002/acr2.11132
  35. Tsubosaka M, Kihara S, Hayashi S, Nagata J, Kuwahara T, et al. Gelatin hydrogels with eicosapentaenoic acid can prevent osteoarthritis progression in vivo in a mouse model. J Orthop Res. 2020;38:2157. 10.1002/jor.24688
  36. Loef M, van de Stadt L, Böhringer S, Bay-Jensen AC, Mobasheri A, et al. The association of the lipid profile with knee and hand osteoarthritis severity: the IMI-APPROACH cohort. Osteoarthritis Cartilage. 2022;30:1062. 10.1016/j.joca.2022.05.008
  37. Gomez EA, Colas RA, Souza PR, Hands R, Lewis MJ, et al. Blood pro-resolving mediators are linked with synovial pathology and are predictive of DMARD responsiveness in rheumatoid arthritis. Nat Commun. 2020;11:5420. 10.1038/s41467-020-19176-z
  38. Flak MB, Koenis DS, Sobrino A, Smith J, Pistorius K, et al. GPR101 mediates the pro-resolving actions of RvD5n-3 DPA in arthritis and infections. J Clin Invest. 2020;130:359. 10.1172/JCI131609
  39. Woodman RJ, Baghdadi LR, Shanahan EM, de Silva I, Hodgson JM, et al. Diets high in n-3 fatty acids are associated with lower arterial stiffness in patients with rheumatoid arthritis: a latent profile analysis. Br J Nutr. 2019;121:182. 10.1017/S0007114518003100
  40. Gan RW, Bemis EA, Demoruelle MK, Striebich CC, Brake S, et al. The association between omega-3 fatty acid biomarkers and inflammatory arthritis in an anti-citrullinated protein antibody positive population. Rheumatology (Oxford). 2017;56:2229. 10.1093/rheumatology/kex360
  41. Morin C, Blier PU, Fortin S. Eicosapentaenoic acid and docosapentaenoic acid monoglycerides are more potent than docosahexaenoic acid monoglyceride to resolve inflammation in a rheumatoid arthritis model. Arthritis Res Ther. 2015;17:142. 10.1186/s13075-015-0653-y
  42. Leslie CA, Gonnerman WA, Ullman MD, Hayes KC, Franzblau C, et al. Dietary fish oil modulates macrophage fatty acids and decreases arthritis susceptibility in mice. J Exp Med. 1985;162:1336.
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