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	<title>Comments on: Why krill oil?</title>
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	<link>http://www.proteinpower.com/drmike/uncategorized/why-krill-oil/</link>
	<description>A critical look at nutritional science and anything else that strikes my fancy.</description>
	<lastBuildDate>Sat, 07 Nov 2009 20:23:47 -0500</lastBuildDate>
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		<title>By: Robert (Manhattan)</title>
		<link>http://www.proteinpower.com/drmike/uncategorized/why-krill-oil/comment-page-4/#comment-234355</link>
		<dc:creator>Robert (Manhattan)</dc:creator>
		<pubDate>Thu, 17 Sep 2009 20:15:28 +0000</pubDate>
		<guid isPermaLink="false">http://www.proteinpower.com/drmike_blog/?p=262#comment-234355</guid>
		<description>Quoting: &quot;I would avoid anything with evening primrose oil in it. I’ve had patients experience inflammatory-type problems from taking too much evening primrose oil (and it doesn’t take a lot to be too much).&quot;

There are numerous studies out there going back at least to the 1990&#039;s showing the combination of gamma-linolenic acid (evening primrose, black currant and borage seed oils) combined with the long-chain fatty acids in fish oil (EPA and DHA) results in superior anti-inflammatory results than either by themselves.  

Probably the latest study:

Graefes Arch Clin Exp Ophthalmol. 2009 Sep;247(9):1191-203.
A dietary combination of omega-3 and omega-6 polyunsaturated fatty acids is more efficient than single supplementations in the prevention of retinal damage induced by elevation of intraocular pressure in rats.

http://www.ncbi.nlm.nih.gov/pubmed/19437028  

CONCLUSIONS: This study demonstrates that a 6-month supplementation with a combination of omega-3 and omega-6 PUFAs is more effective than single supplementations, since the EPA + DHA + GLA dietary combination prevented retinal cell structure and decreased glial cell activation induced by the elevation of IOP in rats.

Note the 6-month horizon, which mirrors exactly the human study findings showing dramatic reductions of inflammatory cytokine levels (60-80%) in human subjects subject to the oxidative stress of colorectal cancer and its treatment.

Clin Sci (Lond). 1994 Dec;87(6):711-7.
Modulation of cytokine production in vivo by dietary essential fatty acids in patients with colorectal cancer.

&quot; Essential fatty acids, at the dose and duration (6 months) used in this study, reduced total serum interleukin-1 beta levels by 61% (P = 0.044), interleukin-2 by 63% (P = 0.05), interleukin-4 by 69% (P = 0.025), interleukin-6 by 83% (P = 0.030), tumour necrosis factor-alpha by 73% (P = 0.040) and interferon-gamma by 67% (P = 0.050). 6. Three months after cessation of essential fatty acid intake, however, these cytokine levels returned to presupplementation values.&quot;

http://www.ncbi.nlm.nih.gov/pubmed/7874864

A recent review of why and how this combination works:

Am J Clin Nutr. 2008 Feb;87(2):498S-503S.

Mechanisms by which botanical lipids affect inflammatory disorders.

http://www.ajcn.org/cgi/content/full/87/2/498S

Although I have never tried the krill / evening primrose oil combination, it is at least theoretically interesting, although probably best accomplished with EPO extraction methods that best retain the oil&#039;s protective natural antioxidants.</description>
		<content:encoded><![CDATA[<p>Quoting: &#8220;I would avoid anything with evening primrose oil in it. I’ve had patients experience inflammatory-type problems from taking too much evening primrose oil (and it doesn’t take a lot to be too much).&#8221;</p>
<p>There are numerous studies out there going back at least to the 1990&#8217;s showing the combination of gamma-linolenic acid (evening primrose, black currant and borage seed oils) combined with the long-chain fatty acids in fish oil (EPA and DHA) results in superior anti-inflammatory results than either by themselves.  </p>
<p>Probably the latest study:</p>
<p>Graefes Arch Clin Exp Ophthalmol. 2009 Sep;247(9):1191-203.<br />
A dietary combination of omega-3 and omega-6 polyunsaturated fatty acids is more efficient than single supplementations in the prevention of retinal damage induced by elevation of intraocular pressure in rats.</p>
<p><a href="http://www.ncbi.nlm.nih.gov/pubmed/19437028" rel="nofollow">http://www.ncbi.nlm.nih.gov/pubmed/19437028</a>  </p>
<p>CONCLUSIONS: This study demonstrates that a 6-month supplementation with a combination of omega-3 and omega-6 PUFAs is more effective than single supplementations, since the EPA + DHA + GLA dietary combination prevented retinal cell structure and decreased glial cell activation induced by the elevation of IOP in rats.</p>
<p>Note the 6-month horizon, which mirrors exactly the human study findings showing dramatic reductions of inflammatory cytokine levels (60-80%) in human subjects subject to the oxidative stress of colorectal cancer and its treatment.</p>
<p>Clin Sci (Lond). 1994 Dec;87(6):711-7.<br />
Modulation of cytokine production in vivo by dietary essential fatty acids in patients with colorectal cancer.</p>
<p>&#8221; Essential fatty acids, at the dose and duration (6 months) used in this study, reduced total serum interleukin-1 beta levels by 61% (P = 0.044), interleukin-2 by 63% (P = 0.05), interleukin-4 by 69% (P = 0.025), interleukin-6 by 83% (P = 0.030), tumour necrosis factor-alpha by 73% (P = 0.040) and interferon-gamma by 67% (P = 0.050). 6. Three months after cessation of essential fatty acid intake, however, these cytokine levels returned to presupplementation values.&#8221;</p>
<p><a href="http://www.ncbi.nlm.nih.gov/pubmed/7874864" rel="nofollow">http://www.ncbi.nlm.nih.gov/pubmed/7874864</a></p>
<p>A recent review of why and how this combination works:</p>
<p>Am J Clin Nutr. 2008 Feb;87(2):498S-503S.</p>
<p>Mechanisms by which botanical lipids affect inflammatory disorders.</p>
<p><a href="http://www.ajcn.org/cgi/content/full/87/2/498S" rel="nofollow">http://www.ajcn.org/cgi/content/full/87/2/498S</a></p>
<p>Although I have never tried the krill / evening primrose oil combination, it is at least theoretically interesting, although probably best accomplished with EPO extraction methods that best retain the oil&#8217;s protective natural antioxidants.</p>
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		<title>By: Lynne</title>
		<link>http://www.proteinpower.com/drmike/uncategorized/why-krill-oil/comment-page-4/#comment-228916</link>
		<dc:creator>Lynne</dc:creator>
		<pubDate>Thu, 27 Aug 2009 00:36:08 +0000</pubDate>
		<guid isPermaLink="false">http://www.proteinpower.com/drmike_blog/?p=262#comment-228916</guid>
		<description>I started taking Carlson&#039;s Cod Liver Oil several weeks ago after a blood test ordered by my doctor showed I had very low levels of Vitamin D. (He wants me to take 1,000 - 2,000 units per day. In addition to 1 1/2 teaspoons of the oil, I am also supplementing with Vitamin D and calcium combo cap for a total of about 1400 units per day.) The krill oil sounds like it might have some other benefits, and I would like to start taking it. Does it contain sufficient Vitamin D that I would substitute it for the Carlson&#039;s, or is it O.K. to continue with that and take them both? 

Thanks!

P.S. I have Type 1 diabetes - love your books!!

&lt;em&gt;I don&#039;t think the krill oil has the same amount of vitamin D as does the cod liver oil, so I would up my intake a little.  And you&#039;re right, the krill oil will provide more benefit.&lt;/em&gt;</description>
		<content:encoded><![CDATA[<p>I started taking Carlson&#8217;s Cod Liver Oil several weeks ago after a blood test ordered by my doctor showed I had very low levels of Vitamin D. (He wants me to take 1,000 &#8211; 2,000 units per day. In addition to 1 1/2 teaspoons of the oil, I am also supplementing with Vitamin D and calcium combo cap for a total of about 1400 units per day.) The krill oil sounds like it might have some other benefits, and I would like to start taking it. Does it contain sufficient Vitamin D that I would substitute it for the Carlson&#8217;s, or is it O.K. to continue with that and take them both? </p>
<p>Thanks!</p>
<p>P.S. I have Type 1 diabetes &#8211; love your books!!</p>
<p><em>I don&#8217;t think the krill oil has the same amount of vitamin D as does the cod liver oil, so I would up my intake a little.  And you&#8217;re right, the krill oil will provide more benefit.</em></p>
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		<title>By: Joanne</title>
		<link>http://www.proteinpower.com/drmike/uncategorized/why-krill-oil/comment-page-4/#comment-227706</link>
		<dc:creator>Joanne</dc:creator>
		<pubDate>Sat, 22 Aug 2009 02:28:53 +0000</pubDate>
		<guid isPermaLink="false">http://www.proteinpower.com/drmike_blog/?p=262#comment-227706</guid>
		<description>I Been taking krill oil for two weeks and been taking fish oil five years. I no longer have ankle pain and I lost five pounds. Does it help loose weight?

&lt;em&gt;Sounds like it may have in your case, but I wouldn&#039;t take it specifically for that.&lt;/em&gt;</description>
		<content:encoded><![CDATA[<p>I Been taking krill oil for two weeks and been taking fish oil five years. I no longer have ankle pain and I lost five pounds. Does it help loose weight?</p>
<p><em>Sounds like it may have in your case, but I wouldn&#8217;t take it specifically for that.</em></p>
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		<title>By: Robert T.</title>
		<link>http://www.proteinpower.com/drmike/uncategorized/why-krill-oil/comment-page-4/#comment-227482</link>
		<dc:creator>Robert T.</dc:creator>
		<pubDate>Thu, 20 Aug 2009 21:21:22 +0000</pubDate>
		<guid isPermaLink="false">http://www.proteinpower.com/drmike_blog/?p=262#comment-227482</guid>
		<description>Hello Doc,

I recently started taking &quot;Health Resources&quot; Brand Super Krill-Omega.  I purchased three bottles, and got one free.  I noticed the capsules are hard and not spongy as you mentioned about another brand.  Should I be concerned?  The expiration date is 2011, so they should be fine, and they have a slight fishy odor, but it&#039;s not overbearing.

&lt;em&gt;They&#039;re probably okay as far as being fresh.&lt;/em&gt;</description>
		<content:encoded><![CDATA[<p>Hello Doc,</p>
<p>I recently started taking &#8220;Health Resources&#8221; Brand Super Krill-Omega.  I purchased three bottles, and got one free.  I noticed the capsules are hard and not spongy as you mentioned about another brand.  Should I be concerned?  The expiration date is 2011, so they should be fine, and they have a slight fishy odor, but it&#8217;s not overbearing.</p>
<p><em>They&#8217;re probably okay as far as being fresh.</em></p>
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		<title>By: Rod Antes</title>
		<link>http://www.proteinpower.com/drmike/uncategorized/why-krill-oil/comment-page-4/#comment-224693</link>
		<dc:creator>Rod Antes</dc:creator>
		<pubDate>Fri, 07 Aug 2009 17:23:17 +0000</pubDate>
		<guid isPermaLink="false">http://www.proteinpower.com/drmike_blog/?p=262#comment-224693</guid>
		<description>Hello Dr. Eades,

Just wondering if there is any concern about Mercury and any other dangerous metals or chemicals with Krill Oil?

Thank you

Rod

&lt;em&gt;No, not in the NKO brand.  I can&#039;t speak to the others.&lt;/em&gt;</description>
		<content:encoded><![CDATA[<p>Hello Dr. Eades,</p>
<p>Just wondering if there is any concern about Mercury and any other dangerous metals or chemicals with Krill Oil?</p>
<p>Thank you</p>
<p>Rod</p>
<p><em>No, not in the NKO brand.  I can&#8217;t speak to the others.</em></p>
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		<title>By: Patty</title>
		<link>http://www.proteinpower.com/drmike/uncategorized/why-krill-oil/comment-page-4/#comment-222851</link>
		<dc:creator>Patty</dc:creator>
		<pubDate>Thu, 30 Jul 2009 00:19:54 +0000</pubDate>
		<guid isPermaLink="false">http://www.proteinpower.com/drmike_blog/?p=262#comment-222851</guid>
		<description>My 15 year old son&#039;s psychiatrist recently recommended fish oil to help in treating his mild case of depression and anxiety.  We all agreed that we want to avoid the use of anti-depressants if we can find an alternative that helps. When we shared this information with his counselor, she told us to consider krill oil, as she has heard from others it is preferable. I&#039;m confused by some of the advice above, specifically if he should take one or the other, or a little of both?

&lt;em&gt;I would use the krill oil because it is more potent and absorbs better.  Plus it contains some useful antioxidants.  There are multiple krill oil products out there, but all the studies have been done with krill oil produced by Neptune Technologies, so I would get one made by that company.  You can find them multiple places.  Just look for the NKO on the bottle.&lt;/em&gt;</description>
		<content:encoded><![CDATA[<p>My 15 year old son&#8217;s psychiatrist recently recommended fish oil to help in treating his mild case of depression and anxiety.  We all agreed that we want to avoid the use of anti-depressants if we can find an alternative that helps. When we shared this information with his counselor, she told us to consider krill oil, as she has heard from others it is preferable. I&#8217;m confused by some of the advice above, specifically if he should take one or the other, or a little of both?</p>
<p><em>I would use the krill oil because it is more potent and absorbs better.  Plus it contains some useful antioxidants.  There are multiple krill oil products out there, but all the studies have been done with krill oil produced by Neptune Technologies, so I would get one made by that company.  You can find them multiple places.  Just look for the NKO on the bottle.</em></p>
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		<title>By: Joanna Maria Woodward</title>
		<link>http://www.proteinpower.com/drmike/uncategorized/why-krill-oil/comment-page-4/#comment-222318</link>
		<dc:creator>Joanna Maria Woodward</dc:creator>
		<pubDate>Mon, 27 Jul 2009 09:06:58 +0000</pubDate>
		<guid isPermaLink="false">http://www.proteinpower.com/drmike_blog/?p=262#comment-222318</guid>
		<description>Hello from Denmark,

I see that this post closed on 16/07, but I hope it reaches you anyway! I would appreciate an email response if that is possible. I have read all the comments on this post and am very interested in trying Krill oil capsules to help with what is becoming a quite serious arthritis, affecting feet, knees and hands. I am a woman, 68, still working and I trek/climb in the Himalayas and want to be able to continue. I take 75 mg of Hjertemagnyl (acetylsalicylic acid) because of a possible blood clot (could not be confirmed) which may have hit a channel to my left ear. I had an &#039;incident&#039; where I lost my hearing in the left ear quite suddenly some years ago. Would you anticipate any problems with a combination of Krill oil and the anti-coagulant I am taking? As 75mg is quite a low dose, could the Krill oil capsules replace the necessity for the Hjertemagyl because of its blood-thinning attributes?

Hoping to hear from you. Joanna-Maria

&lt;em&gt;It might be able to replace the anti-coagulant, but I wouldn&#039;t switch without consulting your doctor.  I don&#039;t think the krill along with the anti-coagulant would be problematic, but, again, you should check with your doctor.&lt;/em&gt;</description>
		<content:encoded><![CDATA[<p>Hello from Denmark,</p>
<p>I see that this post closed on 16/07, but I hope it reaches you anyway! I would appreciate an email response if that is possible. I have read all the comments on this post and am very interested in trying Krill oil capsules to help with what is becoming a quite serious arthritis, affecting feet, knees and hands. I am a woman, 68, still working and I trek/climb in the Himalayas and want to be able to continue. I take 75 mg of Hjertemagnyl (acetylsalicylic acid) because of a possible blood clot (could not be confirmed) which may have hit a channel to my left ear. I had an &#8216;incident&#8217; where I lost my hearing in the left ear quite suddenly some years ago. Would you anticipate any problems with a combination of Krill oil and the anti-coagulant I am taking? As 75mg is quite a low dose, could the Krill oil capsules replace the necessity for the Hjertemagyl because of its blood-thinning attributes?</p>
<p>Hoping to hear from you. Joanna-Maria</p>
<p><em>It might be able to replace the anti-coagulant, but I wouldn&#8217;t switch without consulting your doctor.  I don&#8217;t think the krill along with the anti-coagulant would be problematic, but, again, you should check with your doctor.</em></p>
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		<title>By: Denise</title>
		<link>http://www.proteinpower.com/drmike/uncategorized/why-krill-oil/comment-page-4/#comment-222264</link>
		<dc:creator>Denise</dc:creator>
		<pubDate>Sun, 26 Jul 2009 16:19:28 +0000</pubDate>
		<guid isPermaLink="false">http://www.proteinpower.com/drmike_blog/?p=262#comment-222264</guid>
		<description>Hi, 

My dad is 78 and has Normal Pressure Hydrocephalus with the associated symptoms of dementia/difficulty walking/incontinence.  He also has very itchy skin and of course, times his confusion is worse than others.  His doctor said that sometimes dementia patients are itchy or have perceived itchiness.  I will certainly discuss krill oil with her but wanted to get your opinion on whether you thought the krill oil could be beneficial to his itchiness and dementia?  

Thank you,

&lt;em&gt;It certainly couldn&#039;t hurt, and it may well help.&lt;/em&gt;</description>
		<content:encoded><![CDATA[<p>Hi, </p>
<p>My dad is 78 and has Normal Pressure Hydrocephalus with the associated symptoms of dementia/difficulty walking/incontinence.  He also has very itchy skin and of course, times his confusion is worse than others.  His doctor said that sometimes dementia patients are itchy or have perceived itchiness.  I will certainly discuss krill oil with her but wanted to get your opinion on whether you thought the krill oil could be beneficial to his itchiness and dementia?  </p>
<p>Thank you,</p>
<p><em>It certainly couldn&#8217;t hurt, and it may well help.</em></p>
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		<title>By: Lewis</title>
		<link>http://www.proteinpower.com/drmike/uncategorized/why-krill-oil/comment-page-4/#comment-221688</link>
		<dc:creator>Lewis</dc:creator>
		<pubDate>Thu, 16 Jul 2009 23:48:18 +0000</pubDate>
		<guid isPermaLink="false">http://www.proteinpower.com/drmike_blog/?p=262#comment-221688</guid>
		<description>Hello,
Is there a better time to take Krill oil, morning or night?
Also, does it matter if i take the krill Pill at the same time as I take my multi vitamin?
Thank you

&lt;em&gt;Any time is fine.  You can take it with your multi.&lt;/em&gt;</description>
		<content:encoded><![CDATA[<p>Hello,<br />
Is there a better time to take Krill oil, morning or night?<br />
Also, does it matter if i take the krill Pill at the same time as I take my multi vitamin?<br />
Thank you</p>
<p><em>Any time is fine.  You can take it with your multi.</em></p>
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		<title>By: Ting Chen</title>
		<link>http://www.proteinpower.com/drmike/uncategorized/why-krill-oil/comment-page-4/#comment-220333</link>
		<dc:creator>Ting Chen</dc:creator>
		<pubDate>Mon, 06 Jul 2009 02:51:45 +0000</pubDate>
		<guid isPermaLink="false">http://www.proteinpower.com/drmike_blog/?p=262#comment-220333</guid>
		<description>Hi, Dr.

I have been researching different brand of NKO krill oil. Could you tell me what brand you are using?

Thanks,

Ting

&lt;em&gt;I use Neptune Technologies krill oil, usually branded NKO.&lt;/em&gt;</description>
		<content:encoded><![CDATA[<p>Hi, Dr.</p>
<p>I have been researching different brand of NKO krill oil. Could you tell me what brand you are using?</p>
<p>Thanks,</p>
<p>Ting</p>
<p><em>I use Neptune Technologies krill oil, usually branded NKO.</em></p>
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