Ask the Pharmacist

High cholesterol and hepatic steatosis, which omega-3s at age 50?

Good morning. I am 50 years old and have suffered from dyslipidemia for many years (cholesterol between 260 and 300; triglycerides ditto). At the suggestion of the attending physician, as an alternative to 5mg crestor, he suggested that I try alternative products. I also represent that I also suffer from nonalcoholic hepatic steatosis, indicated by the abnormal level of transaminases. The latter problem appears to be resolved (transaminases in the normal range) thanks to a supplement containing milk thistle and the artichoke. I will soon begin treatment with Vitality 1000 (2 cpr per dì) combined with CardiolForte. I would like, q.q.m., to know how to take it and its timing, as well as to ask if and how I might also use EULIPID in the future. Some confusion reigns supreme. Thank you. Renato




Good morning Renato, 


to help you keep your cholesterol under controlCardiol Forte is an excellent ally, while supplementation with omega-3 fatty acids may be helpful to you in acting on blood triglyceride levels and the hepatic steatosis you write about in your question. Two articles in our blog show the results of several studies conducted on this very topic: you can find them by clicking here and here. But in your specific case, what doses of omega-3 are recommended? 


For hepatic steatosis, 2-3 grams of omega-3 per day is recommended; in contrast, a daily intake of 2 grams of omega-3 EPA and DHA is appropriate to help maintain normal blood triglyceride concentrations. These dosages correspond to 2-3 capsules of the product Meaquor, among our products the one with the highest dosage of omega-3 EPA+DHA per capsule (900 mg/cps). Supplementation with Meaquor can be combined with supplementationwithCardiol Forte by following these steps:


  • 1 capsule of Cardiol Forte in the evening just before dinner;
  • At least 2 capsules per day of Meaquor near a main meal;
  • as an alternative to Meaquor, can take 2-3 capsules of Omegor Vitality 1000 daily (30- or 45-capsule soft packs).


Will you be able to choose Eulipid in the future? Of course. Eulipid is an excellent product made from only plant extracts, without fish oil. The main active ingredient in it is berberine-which naturally promotes the restoration of blood cholesterol balance. In Eulipid, berberine is present at a dosage that is effective in helping to control borderline cholesterol (CT up to 239 mg/dl). But that's not all:


  • due to the presence of berberine, Eulipid can help control early signs of insulin resistance: in fact, it can reduce postprandial blood glucose while also improving insulin sensitivity.
  • More generally, it is indicated as an integrative support in controlling the manifestations that fall under the Metabolic Syndrome (co-presence of multiple cardiovascular and diabetes risk factors).
  • In some studies-but beware, these are observations that have not yet been verified-berberine has also been shown to be able to reduce ALT and AST values as well as showing an ability to reduce liver necrosis in both non-alcoholic steatosis and steatosis due to hepatitis C viral infection. Keep in mind, however, that these observations are still subject to scientific verification: more specific studies will be needed to have confirmation of these effects.


I remain available for further information. I recommend that you inform your treating physician of any supplementation you wish to undertake, especially if in conjunction with drug therapies. 


Sincerely, 


Rosaria Ramondino pharmacist and pharmaceutical chemist