Oil

    Flaxseed Oil

    Linum usitatissimum oil

    TL;DR

    Flaxseed oil supplies ALA, which humans convert to EPA at roughly 5-8% and to DHA at under 1%. It is a reasonable vegan source of ALA itself, but a poor way to raise EPA and DHA — algal oil does that directly.

    Ideal For

    • Vegans and vegetarians wanting an ALA source
    • Mildly elevated blood pressure, using whole flaxseed
    • Constipation and cholesterol, where ground seed suits better
    • Those who will not take marine oils

    Avoid If

    • Needing EPA and DHA specifically — use algal oil
    • Bowel obstruction or stricture, with whole seed
    • Hormone-sensitive cancers, regarding lignans, without advice
    • On anticoagulants at high doses

    Frequently Asked Questions

    Overview

    Flaxseed oil gets recommended as the plant alternative to fish oil, and the conversion arithmetic is the reason that recommendation only partly works. Alpha-linolenic acid must pass through delta-6 desaturase, elongase and delta-5 desaturase to become EPA, and then through a further elongation and peroxisomal beta-oxidation step to become DHA. Human tracer studies put ALA to EPA conversion at around 5-8% and ALA to DHA at under 1%, with women converting somewhat better than men because of oestrogen's effect on desaturase activity. High linoleic acid intake, which is the norm on Western diets, competes for the same enzymes and depresses conversion further. The practical consequence is that a tablespoon of flaxseed oil delivering roughly 7 g of ALA yields perhaps 350-560 mg of EPA equivalent and almost no DHA — not nothing, but not a fish oil substitute either. Where flaxseed does have independent evidence is blood pressure, with meta-analyses showing modest reductions, and whole ground flaxseed additionally supplies lignans and soluble fibre that lower LDL cholesterol, effects the oil alone does not provide. For vegans wanting EPA and DHA specifically, algal oil is the direct answer.

    How It Works

    • ALA converts to EPA at only 5-8%, to DHA at under 1%
    • Delta-6 desaturase is shared with, and inhibited by, omega-6 intake
    • Women convert somewhat better than men
    • Lignans and fibre in whole flaxseed, not the oil, lower LDL

    Quick Facts

    • ALA to EPA conversion is only 5-8%
    • ALA to DHA conversion is under 1%
    • Omega-6 intake competes and lowers conversion further
    • Ground seed, not oil, provides the lignans and fibre

    Benefits & Outcomes

    No linked outcomes yet. Research is ongoing.

    Supporting Research
    5 studies

    Consumption of Buglossoides arvensis seed oil is safe and increases tissue long-chain n-3 fatty acid content more than flax seed oil: results of a phase I randomised clinical trial

    Score: 5/10
    2016
    rct
    n=40

    Lefort N, LeBlanc R, Giroux MA +1 more

    Ahiflower oil raised eicosapentaenoic acid (EPA) and total long-chain n-3 content in blood and cells significantly more than flaxseed oil, consistent with stearidonic acid bypassing the rate-limiting delta-6-desaturase step. No adverse effects on safety biomarkers were seen. Docosahexaenoic acid (DHA) did not increase.

    View source

    Effects of dietary hempseed oil on serum lipids and fatty acid composition in healthy adults: a randomised crossover trial

    Score: 6/10
    2006
    crossover
    n=14

    Schwab US, Callaway JC, Erkkila AT +3 more

    Hempseed oil raised plasma gamma-linolenic acid and altered fatty acid composition but did not significantly improve total or LDL cholesterol compared with flaxseed oil.

    View source

    Meta-analysis of the effects of flaxseed interventions on blood lipids

    Score: 8/10
    2009
    meta_analysis
    n=1539

    Pan A, Yu D, Demark-Wahnefried W +2 more

    Significant reductions in cholesterol were observed with whole flaxseed and lignan supplements but not with flaxseed oil.

    View source

    Effects of flaxseed supplements on blood pressure: A systematic review and meta-analysis of controlled clinical trials

    Score: 7/10
    2016
    meta_analysis
    n=1302

    Ursoniu S, Sahebkar A, Andrica F +2 more

    Flaxseed supplementation significantly reduced diastolic blood pressure; systolic reductions were significant only in trials lasting 12 weeks or longer.

    View source

    Potent antihypertensive action of dietary flaxseed in hypertensive patients (FlaxPAD)

    Score: 8/10
    2013
    rct
    n=110

    Rodriguez-Leyva D, Weighell W, Edel AL +8 more

    Systolic and diastolic blood pressure were roughly 10 and 7 mmHg lower in the flaxseed group than in the placebo group.

    View source

    Safety Information

    Potential Side Effects

    Loose stools and gastrointestinal upset at higher doses. Rancid oil causes nausea and is common if storage is poor. Whole seed can worsen bloating.

    Contraindications

    Bowel obstruction or oesophageal stricture with whole or ground seed, which must be taken with adequate fluid. Caution with lignans in hormone-sensitive conditions.

    Drug Interactions

    • Anticoagulants — mild additive bleeding risk at high doses
    • Oral medications — fibre in whole seed can delay absorption; separate by two hours
    • Antihypertensives — additive blood pressure lowering
    • Tamoxifen — theoretical lignan interaction

    Pregnancy & Breastfeeding

    Pregnancy: likely_safe

    Breastfeeding: likely_safe

    Dosage Guidelines

    Dosage Used in Studies

    1000-15000 mg

    Best Time to Take

    With meals

    Best Form

    Cold-pressed, dark bottle, refrigerated; or ground whole flaxseed for lignans and fibre

    Bioavailability

    ALA is well absorbed; the bottleneck is enzymatic conversion downstream, not absorption.

    Forms Compared

    Cold-pressed oil

    Ground flaxseed

    Whole flaxseed

    Algal oil (alternative)

    Food & Timing

    With food. Never heat it — the polyunsaturated fatty acids oxidise readily.

    Medical Disclaimer

    The information provided on this website is for educational and informational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or before starting any supplement regimen.

    Individual results may vary. The statements on this website have not been evaluated by the Food and Drug Administration. Products and information are not intended to diagnose, treat, cure, or prevent any disease.