There is high – level evidence and biological plausibility to support the benefits of fish oil for the management of rheumatoid arthritis (RA) symptoms. Fish oil has been shown to reduce joint tenderness and decrease the use of non-steroidal anti-inflammatory drugs (NSAIDs) in long standing RA. Additionally, fish oil has an NASAID sparing effect and confers benefits to the cardiovascular system which is often compromised in RA patients.

Despite fish oil ticking all the boxes for RA symptom management, it is not routinely prescribed in RA patients by their medical practitioners. The authors of this review as the question “Why?” and conclude that not enough pharmaceutical marketing exposure is placed on this promising RA therapy compared to other more commonly prescribed therapies.

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