"DHA for concerns above the neck, and EPA for issues below the neck"
Using EPA and DHA Separately Enhances the Effects of Omega-3

Introduction

Omega-3 fatty acids, a vital group of nutrients known for their profound health benefits, have been a focus of nutritional science for many years. These essential fatty acids, which our bodies cannot produce independently, must be obtained through diet or supplementation. Omega-3 fatty acids are predominantly found in fish oil, select plant oils, and fortified foods, playing a crucial role in various bodily functions. These include regulating inflammation, facilitating cellular signaling, and maintaining the integrity of cell membranes. It’s important to note that these benefits are primarily associated with marine-sourced omega-3 fatty acids. While terrestrial sources of omega-3 also contribute to cardiovascular health, marine omega-3s are generally more effective in this regard, offering a broader range of cardiovascular benefits.

At the heart of the omega-3 discussion are Eicosapentaenoic acid (EPA) and Docosahexaenoic acid (DHA), the two main marine omega-3 fatty acids. These long-chain polyunsaturated fatty acids are particularly lauded for their roles in heart health, cognitive function, and overall systemic wellness. Traditionally, EPA and DHA have been collectively studied and supplemented, given their synergistic roles in health promotion and disease prevention. For decades, the common belief in nutritional science was that the combination of EPA and DHA provided the most comprehensive health benefits. This perception stemmed from numerous studies advocating the synergistic effects of these fatty acids, particularly in combating cardiovascular diseases (CVD) and supporting cognitive health. 

However, recent scientific insights have begun to unravel the unique properties and distinct roles of EPA and DHA. This emerging perspective suggests that while both are valuable, their individual contribution to health is more significant than previously understood. In light of these findings, the approach to omega-3 supplementation is evolving, highlighting the importance of customizing intake based on specific health needs and goals.
This article delves into the evolving understanding of EPA and DHA, unraveling the science behind their individual health impacts. We explore how separating these omega-3 fatty acids can enhance their efficacy and better cater to specific health goals.

Understanding EPA and DHA

Eicosapentaenoic Acid (EPA)
Eicosapentaenoic acid, or EPA, is a key player in combating inflammation, a root cause of numerous chronic diseases. Its anti-inflammatory properties are especially significant in the context of ‘inflammaging’, a chronic low-grade inflammation associated with aging. EPA combats this by influencing the production of eicosanoids, molecules that play a critical role in the inflammatory response. This action is crucial in preventing the onset and progression of heart diseases, as chronic inflammation is a known contributor to atherosclerosis and other cardiovascular conditions.

Furthermore, EPA’s anti-inflammatory benefits extend beyond cardiovascular health. Recent studies have also revealed EPA’s unique role in mental health. It has been found effective in the management of mood disorders, including depression. These are attributed to EPA’s influence on brain chemistry and its ability to modulate neurotransmitter activity. EPA’s influence on reducing inflammation is also seen in its potential to alleviate symptoms of autoimmune diseases where inflammation is a contributing factor.

Docosahexaenoic Acid (DHA)
Docosahexaenoic acid, commonly referred to as DHA, is vital for brain health, particularly during the critical stages of development in pregnancy and early childhood. DHA constitutes about 20% of the brain’s cerebral cortex fat volume, underscoring its fundamental role in brain structure and function. It is essential for the growth and functional development of the brain in infants and is necessary for the maintenance of normal brain function in adults. 

The significance of DHA extends to visual health as well, being a major structural component of the retina. Studies emphasize the importance of adequate DHA levels during pregnancy and early childhood, a period marked by rapid brain and eye development. Ensuring sufficient DHA intake during these stages can have long-lasting effects on cognitive and visual abilities.

Beyond its critical role during pregnancy and early childhood, DHA continues to demonstrate significant benefits across various life stages. In children, adolescents, and adults, DHA shows promising prospects for improving learning and behavior, particularly in conditions such as Attention Deficit Disorder (ADD) and Attention Deficit Hyperactivity Disorder (ADHD). Furthermore, as individuals advance into later stages of life, DHA’s importance becomes increasingly evident in the context of neurodegenerative diseases.

Notably, it serves as an essential nutrient in combating and managing conditions like Alzheimer’s disease, underpinning its pivotal role in maintaining cognitive health throughout the lifespan.

In addition to its neurological benefits, DHA also plays a role in heart health. It helps in reducing triglycerides, blood pressure, and the risk of thrombosis, thereby contributing to cardiovascular health. However, its effects on heart health are more indirect compared to the direct benefits provided by EPA.

Benefits of Individualized Use

Tailoring omega-3 intake to meet specific health needs can lead to more effective outcomes. For instance, individuals focusing on heart health benefit more from an EPA-only supplement. In contrast, during pregnancy and early childhood, a different approach is needed. During these critical developmental stages, DHA is essential for brain growth and function. Therefore, supplements containing only DHA, with no EPA, are recommended for pregnant women and young children. This recommendation is based on concerns that high levels of EPA, in the absence of a balanced DHA intake, may not be conducive to optimal fetal and infant brain development. DHA-only supplements ensure that the developing brain receives the specific nutrients it requires without the potential counteracting effects of EPA.

Tailoring Omega-3 Intake for Specific Health Goals

The growing understanding of the distinct roles of EPA and DHA presents an opportunity to refine our approach to omega-3 supplementation, aligning it more closely with individual health objectives. This section explores practical tips for customizing omega-3 intake based on specific needs.

Customizing for Cardiovascular Health

For individuals focusing on cardiovascular health, EPA should be a primary consideration. EPA’s potent anti-inflammatory effects and its role in reducing triglyceride levels make it particularly effective for heart health. Those at risk of heart disease or with a family history of cardiovascular issues might benefit from an EPA-only supplement more than EPA and DHA combined supplements.

Optimizing for Brain Health and Development

DHA is particularly important for brain health during pregnancy and early childhood. Expectant mothers and young children can greatly benefit from DHA supplementation to support brain development. A diet rich in DHA or supplementation is crucial during these critical developmental stages. For adults, DHA continues to play a significant role in maintaining cognitive function and overall brain health.


In contrast, while EPA is beneficial for health in various conditions, it is not the primary focus during pregnancy and early childhood. This is because EPA, which is primarily known for its anti-inflammatory and cardiovascular benefits, does not play as direct a role in neural development as DHA. As explained above, some studies suggest that high EPA levels—especially in the absence of sufficient DHA—may not be optimal for fetal and infant brain development. This makes DHA the most essential omega-3 fatty acid for supporting mental and visual health during these periods.


For pregnant women and children, a DHA-rich diet or an omega-3 supplement containing only DHA is recommended. An omega-3 supplement with DHA alone ensures that the developing brain receives the essential nutrients needed for proper growth and function.

Addressing Inflammation and Mental Health

Individuals dealing with chronic inflammation or mental health issues such as mood disorders may find EPA particularly beneficial. EPA’s influence on brain chemistry and its ability to modulate neurotransmitter activity can be a vital part of a holistic approach to treating these conditions.

Conclusion

The separation of EPA and DHA in omega-3 supplements marks a significant advancement in nutritional science. It acknowledges that while both are essential, their individual contributions to health are unique and sometimes even competitive.


EPA, with its potent anti-inflammatory properties and cardiovascular benefits, is crucial for addressing issues ‘below the neck’. In contrast, DHA is indispensable for brain health and development, playing a vital role in concerns ‘above the neck’, particularly during the critical stages of pregnancy and early childhood.


This delineation between EPA and DHA underscores the importance of personalized nutrition. As we’ve discussed, tailoring omega-3 intake to meet specific health objectives can lead to more effective outcomes. Whether it’s supporting cardiovascular health, enhancing cognitive functions, or addressing specific developmental needs, the choice of omega-3 type should be as unique as the individual taking it.


The journey to optimal health is personal and ever-evolving. By understanding and embracing the distinct benefits of EPA and DHA and choosing supplements that align with your individual health goals, you are taking a significant step towards a healthier, more vibrant life. Remember, in the world of omega-3s, the right choice can make all the difference.


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