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The Real Skinny On Flaxseed and Flaxseed Oil

"Wherever flaxseed becomes a regular food item among the people, there will be better health", said Mahatma Gandhi. He was right. The true nature of flax as a health food has been known for centuries. In the eighth century, Charlemagne considered flax so essential for health that he actually passed laws requiring its use. Flax was one of the original medicines, used by Hippocrates himself.

Flaxseed oil can help protect against cardiovascular disease, cancer, arthritis, and many other degenerative diseases. And though it's primarily a source of omega-3, the oil has the virtue of containing some other fatty acids as well, notably some omega-6's and some heart healthy omega-9's, providing a nice fatty acid balance.

There's been a long-standing controversy among health professionals over the relative virtues of flaxseed oil and fish oil. Fish oil contains two omega-3 fatty acids- EPA and DHA-, which are absolutely critical to human health. Many people believe that those are the true "superstars" of the omega-3 community.

And herein lies the heart of the controversy.

Flaxseeds and flaxseed oil are one of the best sources on the planet for the important omega-3 fatty acid called alpha-linoleic acid. Alpha-linoleic acid (ALA) is considered an essential fatty acid because the body can't make it- it has to be obtained from the diet. The body can then take that ALA and theoretically convert it to EPA and DHA. The problem is that it doesn't do a very efficient job of conversion. Best estimates are that the body will convert about 8-20% of ALA to EPA, and only .5-9% into DHA.

But this ceases to be a problem at all if you simply take a tablespoon of flaxseed oil every day. And it's a non-issue if you're taking both flaxseed and fish oil!

Here's why: one tablespoon of Barlean's flax oil is 14 grams (14,000 mg) of which 55% (7,700 mg) is omega-3's. IF you convert 7% of that to EPA you get 539 mg EPA and if you convert even 5% to DHA you'd get 385 mg of DHA. So even if you were a vegetarian and using flaxseed oil as your only source of omega-3's you'd be OK, though I'd recommend a couple of tablespoons a day instead of one.

And conversion to EPA and DHA isn't the only reason to take flaxseeds or flaxseed oils. A recent article in Nutrition Reviews (June 2008) pointed out that ALA may have "independent, therapeutic properties similar to those of other omega-3 fatty acids" and "may also be of particular importance for neural development".

But the benefits of flax are not limited to the omega-3 content. Both the oil and the seeds (especially the seeds!) are a great source of something called lignans which have a whole host of health benefits of their own, for both men and women. Lignans have a protective effect against cancer, especially those that are hormone-sensitive like breast, uterine and prostate cancer.

Yes, if you put a gun to my head and told me I could only take fish oil or flaxseed oil, I'd probably choose fish oil. But truth be told I take them both. Every single day. And if you won't or can't eat fish or take fish oil, then simply up your intake of flaxseed oil! A recent study of male firefighters found that only 2.4 to 3.6 grams of flaxseed oil alone raised the firefighters EPA levels (though not their DHA levels). That's about 1/4 to 1/3 of a tablespoon! If you upped that dose a bit to just the one or two tablespoons a day I recommend, I'm willing to bet both EPA and DHA levels would rise.

This month (September 2008) we're offering a free bottle of Barlean's new cinnamon flavored flaxseed oil with every vitamin store order of $99. or more. This stuff is really great- I use it daily on my yogurt, nuts and fruit breakfast. The cinnamon flavor makes it really easy to get down even if you just take it right off the spoon, and if you add it to something like yogurt, it's even better!
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Blogger japlha said...

I thought the main problem with flax seed oil was it goes rancid quickly.
Most flax seed oil in the stores is already rancid.
Even if it's kept cold and in a dark container.

September 16, 2008 11:37 AM  
Blogger Dr. Jonny Bowden said...

Hi

Like any good oil with omega 3's, it should be refrigerated once opened.

My experience with oils like Barlean's which is the one I personally use, is that there is absolutely no problem once it's opened and refrigerated. This is one of the advantages of small boutique companies that make stuff in relatively small batches.

warmly
jb

September 16, 2008 12:16 PM  
Blogger Shelley said...

For the past couple of years, I've taken a tablespoon of flaxseed oil with breakfast. I have no problem swallowing it plain, but other excellent ways to disguise it is to mix it with hot cereal such as slow cooked whole oatmeal. You won't believe the staying power too...I can go all through the morning without getting hungry.

I make homemade granola and mix extra fiber in with the oats (oat bran, wheat bran, wheat germ, and oat groats) and I also through in a small handful of toasted flaxseeds, coursely chopped nuts, and you've got myself a wholesome and nutritious (and filling) breakfast. I'm a big believer in flaxseed oil. Thanks Jonny for promoting such a great health food!

September 16, 2008 12:51 PM  
Blogger help said...

does flax seed (the whole seed soaked and eaten) interfere with vitamin absorption?
Thanks
R

September 16, 2008 1:07 PM  
Blogger Dr. Jonny Bowden said...

I'm with you. I've also noticed that amazing staying power especially when i use it on morning food (oatmeal, fruit, yogurt, etc). The one thing I can say about flaxseed that isn't true of fish oil is that you can use it on things like that! (LOVE fish oil but it's not for putting on yogurt!).

warmly
jb

September 16, 2008 1:50 PM  
Blogger Charlene said...

I purchased some organic golden flax seed and would like to know the best way to use it, how much to use to get the equivalent of that tablespoon of flaxseed oil, and whether it is necessary to grind it before consuming it or what is the best way to consume the seeds. Thanks much!

September 16, 2008 10:32 PM  
Blogger ScottH said...

Any comment on the association of high levels of ALA and incidence of prostate cancer?

September 17, 2008 8:17 AM  
OpenID blakslax1 said...

You mention flaxseed oil and whole flaxseed, but what about flaxseed meal? Does it pack the same punch? I add 2 tablespoons to my bran cereal each morning, add some skim milk, and that's my typical breakfast.

September 17, 2008 9:15 AM  
Blogger Dr. Jonny Bowden said...

To HELP: no it doesn't interfere with vitamin absorption.

To BLAKSLAX: actually you can't really eat whole flaxseeds, they have to be ground which is what the meal is. That's what Barlean's Forti-Flax is also- when I said "whole" i meant as opposed to the oil. The whole seed is pretty much indigestible. Carry on!

warmly
jb

September 17, 2008 11:01 AM  
Blogger Dr. Jonny Bowden said...

ScottH: I was at one time very concerned about that due to the same studies you are probably referring to. I've since revised my opinion. There have been some very well-reasoned critiques of those studies which focus on a number of points: One, the source of the ALA (it's not like they gave people high quality flaxseed oil); Two, the possible damage to the ALA; Three, the lack of antioxidants; Four, the poor ratio of omega 3 to omega 6. So while I wouldn't recommend unlimited flaxseed oil as the only source of essential fats in the diet of men, I no longer think that we have much to worry about from a tablespoon or two a day especially in conjunction with other fatty acids and a healthy high antioxidant diet. There's just too much evidence that it does so much good...

warmly
jb

September 17, 2008 11:07 AM  
Blogger Dr. Jonny Bowden said...

Hi CHARLENE: Grind it up and put it on everything! Like coffee, if you grind it right before you use it it will be fresher and less likely to go rancid. Also taste better! Put it on everything you like and don't worry too much about getting the "exact" amount- it's all good!

warmly
jb

September 17, 2008 11:11 AM  
Blogger Ashley said...

Which is healthier flaxseed oil or ground up flaxseeds (assuming they are both from a high quality company like Barlean's).

Thanks!

September 18, 2008 6:33 AM  
Blogger gregM said...

hi im a uk vegatarian and have been taking cracked golden linseed.
what i want to know is wheather cracking allows the omega 3 to be absorbed or not.also if it can be absorbed how much would i have to take to equal 1 tablespoon of flaxseed oil.

September 18, 2008 8:28 AM  
Blogger Dr. Jonny Bowden said...

both are great, but with the flaxseeds (like Forti-Flax) you get the lignans and the fiber (but since you don't use as much as you can with the oil, somewhat less of the omega-3's which are more concentrated in the oil. Plus the flaxseeds can be sprinkled on all kinds of things.

warmly
jb

September 18, 2008 10:28 AM  
Blogger ut96grad said...

I give our 17 mo daughter 1 teas flax oil every day (immune system boost for her food allergies) in her nighttime bottle, but will need to temporatily hold off until she has a food that we can mix the flax with because we are ditching that last bottle in the next week.

She eats fish every day - either flounder, tilapia, halibut, perch, cod, or trout. We rotate. Sometimes she eats 2 fillets!

My question is: Can we ditch the flax oil for a month or 2 or even a lttle bit longer, because she eats fish every day? Or do they make a chewable flax pill for a toddler so I can still give it to her?

Again she has food allergies so her diet is healthy, but limited as time constraints prevent us from trialing a new food but once a week to build up the variety of her menu.

Thanks!
Sheri in TX

September 30, 2008 8:26 AM  
Blogger Neal said...

Flax and Testosterone?

Ive read that the lignans in flax can have an influence on testosterone levels in men due to their influence on the levels of sex hormone binding globulin. What are your thoughts?

October 02, 2008 12:58 PM  
Blogger Dr. Jonny Bowden said...

I have never heard that before and never seen any research or studies that would support it, but I'd be glad to look at them if you want to refer.

My guess is that would not be so.

jb

October 02, 2008 4:20 PM  
Blogger ElleSun93 said...

I bought Forti-Flax and am now a little worried about whether it will keep. How long can I expect it to stay fresh in the fridge? Would I be better off grinding my own seeds? Seems less convenient but I don't want to use it if unfresh.

October 06, 2008 8:15 PM  
Blogger Dr. Jonny Bowden said...

Not to worry at all. It should be fine for months! I use it that way. You might get an extra couple weeks doing it yourself, but for the lack of convenience I'd opt for the way you're doing it (which is what i do!)

best
jb

October 07, 2008 9:04 AM  
Blogger Andrew said...

Hi Jonny. Most informative as usual. I have recently been adding flaxseeds (not the oil) and sunflower seeds to my porage / oatmeal right before eating it. A thought occurred to me just yesterday: would the temperature of the porage be enough to damage any of the fats in these seeds? Possibly turning them into something like trans-fats? Or is this temperature range just fine. They taste so nice in porage.

October 07, 2008 3:42 PM  
Blogger Dr. Jonny Bowden said...

nope. It's perfectly ok to put flaxseed oil or flax on heated foods like vegetables, oatmeal, etc.. just can't use them for cooking or at cooking temperatures.

best
jb

October 07, 2008 9:10 PM  
Blogger Lisa said...

I am a wellness coach and have been using and recommending flax oil/seed to my weight loss (and other) clients for years.
According to my research (a lot of it from Udo Erasmus), 1Tbsp. of flax seed, before grinding, is about 3 g fiber and 3 g fat. Ideal intake is 9-12g/meal (you need fats in every meal for nutrient balance and operation of those nutrients, like absorption of fat-soluble vitamins A,D,E & K), so measure 3-4 Tbsp. then grind it and you'll get about 9g of good fat (plus 9g of soluble and insoluble fiber--another bonus that the oil doesn't have).
The ground seed MUST be refrigerated (or put in freezer) or it will go rancid (very sensitive to oxygen and heat), and generally should be consumed within a week.
People with diverticular disease should not do the seed, as it can irritate the pockets in the intestines.
My question to Jonny is this: I've read a couple of places that you shouldn't have more than 2 (some sources said 3-4) Tbsp. of flax seed/day because of the effects of its cyanogenic glycosides on the thyroid uptake of iodine as well as a connection to goiter.
Have you read any research on this or have thoughts?

October 08, 2008 9:38 AM  
Blogger Dr. Jonny Bowden said...

I haven't seen any research or writing on this subject, ever, but it sounds interesting and if you have access to it i'd be very interested in reading it. However it's almost a moot point- I'm a big believer in getting a lot of omegas from fish oil, and if you were taking both fish oil and flaxseeds, you'd rarely need to take as many as four tablespoons a day of flaxseeds. But please send me the link to the research on the thyroid connection- I honestly have never come across anything like that.

warmly
jb

October 08, 2008 10:54 AM  
Blogger Neal said...

Flax and Testosterone Pt2

It appears that the lignans in flax bind testosterone in much the same way SBHG does. This Duke study looked at flax as a treament for prostate cancer because flax could dampent the effect of testosterone on prostate cancer:
http://www.dukehealth.org/HealthLibrary/News/2145
Ray Sahelian also make a similar statement on flax's abilty to bind testosterone as does the American Cancer Society: http://www.cancer.org/docroot/ETO/content/ETO_5_3X_Flaxseed.asp

Might warrant further study.

October 09, 2008 12:36 PM  
Blogger Symmetric said...

"Best estimates are that the body will convert about 8-20% of ALA to EPA, and only .5-9% into DHA."

Is the 0.5% minimum conversion rate to DHA correct, or is that a typo? I suspect it's not correct, as you go on to say "if you convert even 5% to DHA..."

Otherwise a great article - thanks!

Paul

October 27, 2008 11:36 AM  
Blogger Dr. Jonny Bowden said...

Hi Paul

Nope, unfortunately it's not a misprint. Conversion to DHA is now known to be affected by gender (women convert more), metabolism, perhaps a genetic ability to convert more or less, and other factors and the range is pretty wide. Some studies do show as low as .5 (that's point 5) but others show as high as 9 percent. It's all over the map. I picked 5% as a decent and easy to calculate midpoint to make the argument.

thanks for writing!

warmly
jb

October 27, 2008 11:53 AM  
OpenID gingersnap17022 said...

I started taking 1 TBLSPOON of flax oil every day, hoping it would help with arthritis in my knee. Not only has it helped with my knee, I lost 5lbs in one week. I really did not do anything else different. I am not terribly overweight, but could stand to loose 15-20 lbs. How does Flax oil assist in weight loss?

November 17, 2008 9:01 AM  
Blogger Dr. Jonny Bowden said...

good question. My guess is that it was synergistic. Flaxseed is very anti-inflammatory which may have helped you lose some water weight, or it may have helped with inflammation overall which can help with weight loss

warmly
jb

November 17, 2008 12:01 PM  

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