Omega-3 supplementation for vegetarians with cardiovascular disease
Dr Joshi. I have a question specially for Vegeterian people. What would be your suggestion on taking omega 3 as supplement for veg people with heart condition on top of regular medication statin etc
EPA/DHA (fish‑derived) have the strongest evidence. High‑dose pure EPA (icosapent ethyl 4 g/day) lowered events in high‑risk patients with elevated triglycerides despite statins. However, mixed EPA+DHA capsules haven’t consistently reduced events, and over‑the‑counter doses (1 g/day) are unlikely to help the heart. If triglycerides are ≥150–200 mg/dL after lifestyle and statin, discuss prescription‑grade EPA (icosapent ethyl) rather than OTC . If you prefer vegan, a higher‑dose algal EPA/DHA (around 1–2 g/day combined) is reasonable for triglyceride lowering, recognizing outcomes evidence is weaker. If triglycerides are normal, focus on diet quality: daily ALA foods, fiber (chana/rajma, millets/atta blends), and keep LDL targets tight (often <55–70 mg/dL in established ASCVD).