Drug & supplement interaction

Fish Oil + Galantamine

Galantamine brand names: Reminyl, Razadyne.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Fish Oil and Galantamine in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first. Additionally, although there is no interaction, the label for Galantamine states a food rule worth keeping to, and the two are separately associated with some of the same side effects, which would make a new symptom harder to attribute to one or the other.

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Interaction report

Fish Oil and Galantamine

We checked these two against our interaction database. Here is what we found.

No Known Interaction Found

We did not find a documented interaction between Galantamine and Fish Oil in our sources. This does not guarantee that the combination is completely free of risk — there is often limited research on supplements and herbal products, especially around drug interactions.

If you decide to take both, the practical routine is simple: add one new thing at a time and note the date you started it. If the combination is going to disagree with you, it usually shows in the first days to a couple of weeks — and a start date turns “I’ve been feeling off” into something a pharmacist can actually work with. Do not stop a prescribed medicine on your own.

Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.

Fish Oil safety at a glance

Fish Oil overall Generally safe Fish oil is generally well tolerated for most adults at typical supplement doses.
Pregnancy Likely Safe When used orally and appropriately. Intake of fish oil during pregnancy does not appear to adversely affect the fetus or nursing infant. One large clinical tria... Read the full pregnancy detail
Breastfeeding Likely Safe When used orally and appropriately. Intake of fish oil during pregnancy does not appear to adversely affect the fetus or nursing infant. One large clinical tria... Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center) — the full detail is in the Special populations card below. Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Galantamine and Fish Oil? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Galantamine

Interactions in our licensed database are recorded against drug classes, not just single drug names. Galantamine is filed under 5 classifications — including acetylcholinesterase (ache) inhibitors, cholinergic drugs, cytochrome p450 2d6 (cyp2d6) substrates. Fish Oil has documented interactions with 9 drug classes — the most serious being antihypertensive drugs (moderate), contraceptive drugs (moderate) and cyclosporine (neoral, sandimmune) (moderate) — and none of Galantamine’s classifications are among them.

Classification data comes from our licensed Natural Medicines dataset. A medication can belong to classes beyond those recorded there, so this describes how the check was run — it is not a safety guarantee.

Keep it in perspective

Fish Oil Does Interact With Other Medications

Fish Oil has 207 moderate, 120 minor known drug interactions in our database — Galantamine isn’t one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Fish Oil

Covers the 2,830 medications we’ve checked against Fish Oil. Pick one to open its full report.

What to actually watch for

No Interaction Found — But Data Suggests Fish Oil and Galantamine May Share Several of the Same Side Effects

This is not an interaction. Neither one changes how your body handles the other, and nothing here says they react together. What our sources do show is that each has separately been linked to the effects below — so taking both can make those effects more likely to turn up, and harder to pin on one or the other if they do.

  • Reduced appetite / Stomach upset / Vomiting Additional detail

    Fish Oil

    “Orally, most adverse effects of omega-3 fatty acids are gastrointestinal in nature. Gastrointestinal upset is common with the use of fish oil supplements, occurring in up to 5% of patients in clinical trials, with nausea in up to 1.5% of patients. Diarrhea and loose stools may also occur, with potentially severe diarrhea at very high doses.”

    Fish Oil · Natural Medicines adverse-effect record, reported in anorexia.

    6 sources cited
    1. 12915. Wang C, Chung M, Lichtenstein A, et al. Effects of omega-3 fatty acids on cardiovascular disease. Evid Rep Technol Assess (Summ) 2004 Mar;(94):1-8.
    2. 65599. Maclean, C. H., Mojica, W. A., Morton, S. C., Pencharz, J., Hasenfeld, Garland R., Tu, W., Newberry, S. J., Jungvig, L. K., Grossman, J., Khanna, P., Rhodes, S., and Shekelle, P. Effects of omega-3 fatty acids on lipids and glycemic control in type II di
    3. 65728. Reisman, J., Schachter, H. M., Dales, R. E., Tran, K., Kourad, K., Barnes, D., Sampson, M., Morrison, A., Gaboury, I., and Blackman, J. Treating asthma with omega-3 fatty acids: where is the evidence? A systematic review. BMC.Complement Altern Med 2006;6 PubMed
    4. 65770. Lim, A. K., Manley, K. J., Roberts, M. A., and Fraenkel, M. B. Fish oil for kidney transplant recipients. Cochrane Database Syst Rev 2007;(2):CD005282. DOI
    5. 65780. Freund-Levi, Y., Basun, H., Cederholm, T., Faxen-Irving, G., Garlind, A., Grut, M., Vedin, I., Palmblad, J., Wahlund, L. O., and Eriksdotter-Jonhagen, M. Omega-3 supplementation in mild to moderate Alzheimer's disease: effects on neuropsychiatric symptom
    6. 65904. Turnbull, T., Cullen-Drill, M., and Smaldone, A. Efficacy of omega-3 fatty acid supplementation on improvement of bipolar symptoms: a systematic review. Arch Psychiatr.Nurs 2008;22(5):305-311. PubMed

    Galantamine

    Listed in the ADVERSE REACTIONS section of the FDA label for Galantamine. Read the label on DailyMed ›

  • Stomach pain Additional detail

    Fish Oil

    “Orally and parenterally, fish oil is generally well-tolerated. Topically, no adverse effects have been reported. However, a thorough evaluation of safety outcomes has not been conducted.

    Most Common Adverse Effects:

    Orally: Abdominal pain, bad breath, fishy aftertaste, heartburn, increased low-density lipoprotein (LDL) cholesterol levels, loose stools, nausea, and rash.

    Serious Adverse Effects (Rare):

    Orally: Atrial…”

    Fish Oil · Natural Medicines adverse-effect record, reported in atrial fibrillation.

    Galantamine

    Listed in the ADVERSE REACTIONS section of the FDA label for Galantamine. Read the label on DailyMed ›

  • Dizziness / Headache Additional detail

    Fish Oil

    “Orally, fish oil may cause headache, dizziness, and inability to sleep. Also, restlessness and formication have been reported in less than 1% of studied cases of patients taking fish oil.”

    Fish Oil · Natural Medicines adverse-effect record, reported in cluster headache.

    6 sources cited
    1. 65599. Maclean, C. H., Mojica, W. A., Morton, S. C., Pencharz, J., Hasenfeld, Garland R., Tu, W., Newberry, S. J., Jungvig, L. K., Grossman, J., Khanna, P., Rhodes, S., and Shekelle, P. Effects of omega-3 fatty acids on lipids and glycemic control in type II di
    2. 65648. Schachter, H. M., Kourad, K., Merali, Z., Lumb, A., Tran, K., and Miguelez, M. Effects of omega-3 fatty acids on mental health. Evid.Rep.Technol.Assess.(Summ.) 2005;(116):1-11.
    3. 89359. Oliveira JM, Rondó PH, Yudkin JS, Souza JM, Pereira TN, Catalani AW, Picone CM, Segurado AA. Effects of fish oil on lipid profile and other metabolic outcomes in HIV-infected patients on antiretroviral therapy: a randomized placebo-controlled trial. Int J PubMed
    4. 103491. Nicholls SJ, Lincoff AM, Garcia M, et al. Effect of high-dose omega-3 fatty acids vs corn oil on major adverse cardiovascular events in patients at high cardiovascular risk: The STRENGTH randomized clinical trial. JAMA. 2020e2022258.
    5. 104551. Suradom C, Suttajit S, Oon-Arom A, Maneeton B, Srisurapanont M. Omega-3 polyunsaturated fatty acid (n-3 PUFA) supplementation for prevention and treatment of perinatal depression: a systematic review and meta-analysis of randomized-controlled trials. Nord PubMed
    6. 66498. Kuenzel U and Bertsch S. Clinical experiences with a standardized commercial fish oil product containing 33.5% omega-3 fatty acids - field trial with 3958 hyperlipemic patients in general practitioner practice. In: Chandra RK. Health Effects of Fish and F

    Galantamine

    Listed in the ADVERSE REACTIONS section of the FDA label for Galantamine. Read the label on DailyMed ›

  • Diarrhea / Nausea Additional detail

    Fish Oil

    Recorded for Fish Oil in the same Natural Medicines adverse-effect record shown under Stomach pain above.

    Galantamine

    Listed in the ADVERSE REACTIONS section of the FDA label for Galantamine. Read the label on DailyMed ›

Reported for Fish Oil but not commonly for Galantamine: a heart attack, an irregular heartbeat, a change in taste and constipation.

Effects for Galantamine come from the ADVERSE REACTIONS section of its FDA label; effects for Fish Oil come from the Natural Medicines adverse-effect record, quoted above. Where a percentage is shown, it is the share of 3,188 voluntary FDA FAERS reports for Galantamine that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Wording is matched across sources by our own clinical vocabulary, so treat this as a prompt to pay attention, not a diagnosis.

Special populations

Fish Oil in Pregnancy & Breastfeeding

Pregnancy And Lactation Likely Safe

When used orally and appropriately. Intake of fish oil during pregnancy does not appear to adversely affect the fetus or nursing infant. One large clinical trial shows that intake of fish oil from the 24th week of gestation increases the odds of the child having overweight and having metabolic syndrome measurements at age 10 when compared with placebo. More research is needed to confirm these findings. The adequate intake level of omega-3 fatty acids during pregnancy is 1.4 grams daily; the adequate intake level during lactation is 1.3 grams daily. If possible, people who are trying to become pregnant, as well as those who are pregnant or lactating, should avoid swordfish, king mackerel, and tilefish (also called golden bass or golden snapper), as these may contain high levels of methylmercury. Pregnant individuals should also limit consumption of other fatty fish to 12 ounces, or about 3-4 servings, per week.

Pregnancy And Lactation Possibly Unsafe

When fish oil from dietary sources are consumed in large amounts. Fatty fish can contain significant amounts of toxins such as mercury, polychlorinated biphenyls (PCBs), dioxin, and dioxin-related compounds. If possible, people who are trying to become pregnant, as well as those who are pregnant or lactating, should avoid swordfish, king mackerel, and tilefish (also called golden bass or golden snapper), as these may contain high levels of methylmercury. Pregnant individuals should also limit consumption of other fatty fish to 12 ounces, or about 3-4 servings, per week.

DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.© 2026 Therapeutic Research Center

How to take them

Some Galantamine Products Have a Food Rule — Fish Oil Should Not Break It

At least one FDA label for a product containing Galantamine says to take it with food. If you take Fish Oil on an empty stomach out of habit, keep them separate — and take Galantamine with a meal where the label says to.

This may not be true of your version. Food instructions belong to the product, not the ingredient: two Galantamine products can carry different directions, and extended-release forms often differ from immediate-release ones. The label we read is quoted below — check the directions on your own box or bottle, or ask your pharmacist, for how to take the exact product you were given.

( 2.1 ) Take with food; ensure adequate fluid intake during treatment (2.1) Hepatic impairment: should not exceed 16 mg/day for moderate hepatic impairment; do not use in patients with severe hepatic impairment ( 2.2 ) Renal impairment: should not exceed 16 mg/day for creatinine clearance 9 to 59 mL/min; do not use in patients with creatinine clearance less than 9 mL/min.

From the Dosage and Administration section of the FDA label we read for Galantamine — where that label names a specific product, the instruction is that product's. Read the label on DailyMed ›

A food rule is not an interaction — it is about how much of the medicine you absorb. The directions that came with your own product, and your pharmacist, outrank anything on this page.

Overlapping uses

What Galantamine Is Prescribed For, and What Fish Oil Has Been Studied For

These two come up together because they touch the same health topic — not because they do the same job. Galantamine is a prescription medicine with approved uses on its FDA label. Fish Oil is a supplement: what follows is what researchers have looked at it for, and how strong that evidence is.

Galantamine is prescribed for: Galantamine — available as extended-release capsules, tablets, and an oral solution — is used to treat mild to moderate dementia caused by Alzheimer's disease. All supported formulations share this indication. It does not cure or slow the underlying disease, but it can help support cognitive function in people with early to moderate-stage Alzheimer's. Its benefits may lessen as the disease progresses and more brain cells are lost.

Fish Oil has been studied for:

  • Cognitive function studied, not established Fish Oil has been studied for this. Natural Medicines rates the evidence: Possibly Ineffective Read what the research shows

    Fish Oil for cognitive function

    Oral fish oil does not seem to improve cognitive function in most people.

Effectiveness ratings and the research summaries above are the verbatim record from the Natural Medicines database, which grades evidence from “Effective” down to “Insufficient Reliable Evidence To Rate”. A rating below the top of that scale means researchers have looked at it — not that it works, and never that it can stand in for a prescribed medicine. Do not stop or replace Galantamine on your own; if you are taking Fish Oil for the same health topic, tell your prescriber, especially if the medicine is being adjusted to a target.

From our Q&A

Questions About Fish Oil or Galantamine

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Fish Oil or Galantamine, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:

Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.

Everything else you take

See Every Supplement That Interacts With Galantamine

This page covers Fish Oil only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Galantamine page lists 170 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Grapefruit (major), St. John's Wort (major), 1,3-dmaa (moderate) and Acacia Rigidula (moderate).

By severity: 3 major · 126 moderate · 41 minor.

From our pharmacist’s overview on the Galantamine page

“Galantamine (Razadyne) treats Alzheimer's disease, so it is often a caregiver filling the pill organizer alongside memory supplements and morning juice. That pairing deserves genuine care, because three of the 170 supplement ingredients on file are rated major and two of them are everyday items.”

Reviewed by 2 · Jul 18, 2026

Open the Galantamine interaction page

One more smart check

Taking Fish Oil as Part of a Dietary Supplement Product? Check It for Interactions

We hold 4,777 real supplement products containing Fish Oil, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Fish Oil. Even though Fish Oil itself has no known interaction with Galantamine, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Fish Oil and Galantamine Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Fish Oil
Top 5%

#66 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Galantamine
Top 25%

#650 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Where does our data come from?
  • Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions.
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Fish Oil reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Fish Oil and Galantamine records this page draws on were last updated July 10, 2026.
  • What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.
Data structure & sourcing designed and verified by .
Supplement

About Fish Oil

What is Fish Oil?

Fish Oil
  • High triglycerides
  • Heart health
  • Joint pain and inflammation
  • Brain and eye health
  • Dry eyes

Fish oil provides omega-3 fatty acids (EPA and DHA) that are best known for lowering high triglyceride levels. The evidence for other heart and health benefits is mixed, and it is generally well tolerated. Talk with your pharmacist or doctor before starting it, especially if you take blood thinners or have a fish allergy.

Oil from fatty fish (such as mackerel, salmon, sardines, and anchovies) · Softgel capsules, liquid, gummies, and fortified foods

An interaction check asks whether these two react with each other — it does not ask whether Fish Oil is a good idea for someone in your situation. Here is what our Fish Oil record says about it on its own.

Fish Oil: dosing

There is no single standard dose of fish oil for everyone, and the right amount depends on why it is being used and the EPA/DHA content of the product. Higher, prescription-strength doses used for very high triglycerides should only be used under a doctor's supervision.

From our Fish Oil monograph — the full record covers uses, side effects and every documented interaction.

Read the full Fish Oil monograph & all interactions
Medication

About Galantamine

What Is Galantamine Used For?

Brand names: Reminyl, Razadyne

Galantamine — available as extended-release capsules, tablets, and an oral solution — is used to treat mild to moderate dementia caused by Alzheimer's disease. All supported formulations share this indication.

It does not cure or slow the underlying disease, but it can help support cognitive function in people with early to moderate-stage Alzheimer's. Its benefits may lessen as the disease progresses and more brain cells are lost.

Most-Reported Side Effects for Galantamine

From FAERS, the FDA’s public side-effect reporting system (3,188 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Fall 812 reports
Cognitive disorder 664 reports
Constipation 651 reports
Balance disorder 632 reports
Hypotension 631 reports
See full Galantamine drug information
Keep checking

Other Drugs & Fish Oil

Browse every other medication we’ve checked against Fish Oil — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
207Moderate
120Minor
2,502No known interaction
Moderate

207 interactions

Showing 60 of 207 moderate interactions — see all 207 on the Fish Oil page.

Minor

120 interactions

Showing 60 of 120 minor interactions — see all 120 on the Fish Oil page.

No interaction 2,502 drugs checked — show the list
Evidence & sources

Fish Oil References

The 157 references that drive our Fish Oil monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Prisco D, Paniccia R, Bandinelli B, et al. Effect of medium-term supplementation with a moderate dose of n-3 polyunsaturated fatty acids on blood pressure in mild hypertensive patients. Thromb Res 1998;1:105-12.
  2. Allard JP, Kurian R, Aghdassi E, Muggli R, et al. Lipid peroxidation during n-3 fatty acid and vitamin E supplementation in humans. Lipids 1997;32:535-41.. PubMed
  3. Toft I, Bonaa KH, Ingebretsen OC, et al. Effects of n-3 polyunsaturated fatty acids on glucose homeostasis and blood pressure in essential hypertension. A randomized, controlled trial. Ann Intern Med 1995;123:911-8.
  4. Onwude JL, Lilford RJ, Hjartardottir H, et al. A randomised double blind placebo controlled trial of fish oil in high risk pregnancy. Br J Obstet Gynaecol 1995;102:95-100. PubMed
  5. Bulstra-Ramakers MT, Huisjes HJ, Visser GH. The effects of 3g eicosapentaenoic acid daily on recurrence of intrauterine growth retardation and pregnancy induced hypertension. Br J Obstet Gynaecol 1995;102:123-6. PubMed
  6. Sacks FM, Hebert P, Appel LJ, et al. Short report: the effect of fish oil on blood pressure and high-density lipoprotein-cholesterol levels in phase I of the trials of hypertension prevention. J Hypertens 1994;12:209-13.
  7. Vandongen R, Mori TA, Burke V, et al. Effects on blood pressure of omega 3 fats in subjects at increased risk of cardiovascular disease. Hypertension 1993;22:371-9. PubMed
  8. Hawthorne AB, Daneshmend TK, Hawkey CJ, et al. Treatment of ulcerative colitis with fish oil supplementation: a prospective 12 month randomised controlled trial. Gut 1992;33:922-8. PubMed
  9. D'Almeida A, Carter JP, Anatol A, Prost C. Effects of a combination of evening primrose oil (gamma linolenic acid) and fish oil (eicosapentaenoic + docahexaenoic acid) versus magnesium, and versus placebo in preventing pre-eclampsia. Women Health 1992;19 PubMed
  10. FDA. Center for Food Safety and Applied Nutrition. Letter regarding dietary supplement health claim for omega-3 fatty acids and coronary heart disease. Available at: http://www.fda.gov/ohrms/dockets/dockets/95s0316/95s-0316-Rpt0272-38-Appendix-D-Reference
  11. Montori VM, Farmer A, Wollan PC, Dinneen SF. Fish oil supplementation in type 2 diabetes: a quantitative systemic review (abstract). Diabetes Care 2000;23:1407-15.
  12. Anon. Dietary supplementation with n-3 polyunsaturated fatty acids and vitamin E after myocardial infarction: results of the GISSI-Prevenzione trial. Gruppo Italiano per lo Studio della Soprawivenza nell'Infarto miocardico. Lancet 1999;354:447-55. DOI
  13. Adler A, Holub BJ. Effect of garlic and fish-oil supplementation on serum lipid and lipoprotein concentrations in hypercholesterolemic men. Am J Clin Nutr 1997;65:445-50. PubMed
  14. Higdon JV, Liu J, Du S, et al. Supplementation of postmenopausal women with fish oil rich in eicosapentaenoic acid and docosahexaenoic acid is not associated with greater in vivo lipid peroxidation compared with oils rich in oleate and linoleate as asses
  15. Kastrup EK. Drug Facts and Comparisons. 1998 ed. St. Louis, MO: Facts and Comparisons, 1998.

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Taking Fish Oil and Galantamine Together: Common Questions

Is it safe to take Fish Oil with Galantamine?
We do not list a known interaction between Fish Oil and Galantamine. That does not guarantee the combination is risk-free, so confirm with your pharmacist or doctor — especially if you take other medications or have a health condition.
Do Fish Oil and Galantamine have any of the same side effects?
Yes — our sources link each of them separately to 8 of the same effects. That is not an interaction: neither changes how your body handles the other. It does mean that if one of those effects turns up, it can be harder to tell which one is behind it. They are listed on this page with the source behind each.
Should I take Fish Oil and Galantamine at the same time of day?
At least one FDA label for a product containing Galantamine says to take it with food. If you take Fish Oil on an empty stomach out of habit, keep them separate and take Galantamine with a meal where the label says to. Food instructions belong to the product rather than the ingredient — two Galantamine products can differ — so check the directions on your own box. This is about absorption, not an interaction.
Are Fish Oil and Galantamine used for the same thing?
They overlap in purpose, which usually means the real question is whether you need both rather than whether they are safe together. This page lists the shared uses and how strong the evidence is for Fish Oil in each. That is a conversation for your prescriber, especially if Galantamine is being adjusted to a target.
How was the Fish Oil and Galantamine combination checked?
Interactions in our licensed database are recorded against drug classes. Galantamine is filed under 5 classifications, and Fish Oil has documented interactions with 9 drug classes — none of Galantamine's classifications are among them. A medication can belong to classes beyond those recorded in our dataset, so this describes how the check was run rather than guaranteeing safety.
Does Fish Oil interact with any other medications?
Yes. Fish Oil has 327 documented drug interactions in our database — Galantamine is simply not one of them. If you take anything else, it is worth checking each one; they are all listed on this page.
Does Galantamine interact with any supplements?
Yes. Galantamine has documented interactions with 170 supplements in our database — Fish Oil is not one of them. The Galantamine interaction page linked on this page lists every one, ranked by severity.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Still Have a Question About Galantamine and Fish Oil?

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.