OptiMega-3 with Vitamin D3 – 200 ml

200 mL ( SKU: 9370, NPN: 80073481). Serving Size: 5 ml Servings per Container: 40 Each Teaspoon (5 ml) Contains: Fish Oil (Anchovy, Sardine and/or Mackerel) 4500 mg Omega-3 Fatty Acids 2630 mg Eicosapentaenoic Acid (EPA) 1500 mg Docosahexaenoic Acid (DHA) 750 mg Vitamin D3 (Cholecalciferol) 1000 IU (25 mcg) Non-Medicinal Ingredients Lemon flavour, lemon peel essential oil, tocopherols, monk fruit extract. Dosage: Recommended Adult Dose: 1 teaspoon (5 mL) per day or as directed by a health care practitioner. Warnings: Keep out of reach of children. Allergens: Contains no artificial colours, preservatives, or sweeteners; no dairy, starch, sugar, wheat, gluten, yeast, soy, corn, egg, shellfish, salt, tree nuts, or GMOs. Sealed for your protection. Do not use if seal is broken. Refrigerate after opening. Store in airtight container, protected from light. Contraindications Individuals with an allergy to fish or seafood should use caution, though fish oil is rarely allergenic. Both benefit and risk has been documented for those at risk of or being treated for cardiac arrhythmias, with close supervision indicated.32 Pregnant and nursing women are often advised to consume a minimum of 300 mg DHA per day, and although DHA is recognized as essential to neurological development, no dosage recommendations have been made for children or infants. Supplemental vitamin D should be used with caution in those with sarcoidosis, lymphoma, tuberculosis, hypercalcemia or renal impairment.33 Drug Interactions The antihypertensive effect of fish oil and/or vitamin D may potentially reduce the need or dosage for blood pressure medications, and patients should be closely monitored. Because fish oil has an antithrombotic effect, caution is advised for those on anticlotting, antiplatelet or anticoagulant medications, or those at high risk of bleeding. However, a multinational randomized and controlled trial found that fish oil did not increase perioperative bleeding, and it reduced the number of transfusions needed, and appeared to be associated with a lower risk of bleeding when given pre- and postoperatively.34,35 At doses greater than 3 g per day, hyperglycemia has been observed in diabetics and those with hypertriglyceridemia and close monitoring of patients on antidiabetic medication is recommended. Vitamin D may increase the risk for hypercalcemia when taken with a thiazide medication (diuretic).36 Benefit has been shown when fish oil is taken with statins, SSRIs, anticonvulsants, and cytotoxic medications.37,38