Cod Liver Oil vs. Fish Oil: Comparison and Health Benefits
Estimated Reading Time: 9 minutes
|Do you think cod liver oil and fish oil are the same? Think again!
Surely, both are popular supplements and have a lot in common. While they’re both rich in omega-3 fatty acids—essential fatty acids your body can’t produce on its own. They come from different parts of the fish and are not produced in their bodies.
Hers the catch! Each brings its unique set of benefits to the table. So, choosing the right one can make a big difference to your health goals.
Understanding the differences between cod liver oil vs. fish oil can help you choose the right supplement for your specific needs, whether it's heart health, immune support, or simply boosting your daily omega-3 intake.
What Is Cod Liver Oil?
Cod liver oil comes specifically from the liver of Atlantic codfish. This supplement has been used for centuries, with your grandmother probably swearing by its health benefits. The liver extraction process preserves not just omega-3 fatty acids but also naturally occurring vitamins A and D.
Research published in the Journal of Nutritional Science shows that cod liver oil contains approximately 20-25% omega-3 fatty acids, with the remainder being other beneficial compounds and vitamins. The liver source makes this supplement unique because it provides a concentrated dose of fat-soluble vitamins alongside essential fatty acids.
What Is Fish Oil?
Fish oil, on the other hand, comes from the tissues of various fatty fish species, including salmon, mackerel, sardines, and anchovies. Unlike cod liver oil, regular fish oil focuses primarily on delivering omega-3 fatty acids without additional vitamins.
A 2023 study in Marine Drugs indicates that fish oil typically contains 30-35% omega-3 fatty acids, making it a more concentrated source of EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid). The extraction process involves processing whole fish or fish parts, not just the liver.
Fun Fact:
Did you know that it takes about 3 pounds of fish to produce just one pound of fish oil? That's why quality matters when choosing your supplement!
Having said that, it's about time to break down what you're actually getting in each bottle, because nobody likes surprises when it comes to their health.
Nutritional Comparison: Cod Oil vs Fish Oil
Omega-3 Content
When comparing cod liver oil vs omega 3 supplements, the concentration differs significantly. Fish oil generally provides higher concentrations of EPA and DHA per serving. A typical 1000mg fish oil capsule contains about 300-400mg of omega-3s, while the same amount of cod liver oil provides roughly 200-250mg.
Vitamin Content
Here's where cod liver oil shines. According to research in Nutrients journal (2022), cod liver oil naturally contains:
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Vitamin A: 4,000-5,000 IU per tablespoon
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Vitamin D: 400-1,000 IU per tablespoon
Regular fish oil contains minimal amounts of these vitamins unless they're artificially added during processing.
Purity and Processing
Both supplements undergo purification processes to remove contaminants like mercury and PCBs. However, a 2024 study in Food Chemistry found that molecular distillation methods used for fish oil can achieve higher purity levels compared to traditional methods for processing cod liver oil.
Let's get to the good stuff. What can these supplements actually do for you?"
Health Benefits: Fish Oil and Cod Liver Oil Benefits
Heart Health Support
Both supplements may support cardiovascular health through different mechanisms. Research published in Circulation (2023) suggests that omega-3 fatty acids in both fish oil and cod liver oil may help maintain healthy cholesterol levels and support normal blood pressure.
Other benefits: Omega –3's lowers triglycerides, slows down plaque buildup, and occurrence of arrhythmias. It has anti-Inflammatory effects and reduces the risk of formation of blood clots. It also improves the health of lining of blood vessels (endothelium).
Fact:
The American Heart Association recognizes omega-3 fatty acids as beneficial for heart health, though they emphasize that supplements should complement, not replace, a healthy diet.
Also Read: 10 Highly Inflammatory Foods to Avoid & 10 Anti-Inflammatory Foods to Include in Your Diet
Joint Comfort and Mobility
Studies indicate that omega-3 fatty acids may support joint comfort. A 2022 clinical trial in Rheumatology International found that participants taking omega-3 supplements reported improved joint flexibility and reduced morning stiffness. They also reduce inflammation and pain in joints.
Brain Function Support
DHA, found in both supplements, plays a crucial role in brain health. Research in Frontiers in Aging Neuroscience (2023) suggests that adequate omega-3 intake may support cognitive function and memory as we age.
It maintains cell structure and supports communication between neurons and reduces inflammation in the brain. Helps keep the protective lining around brain cells intact, Increases blood flow to brain, learning, memory, cognitive well-being.
Bone Health
Though omega 3’s in cod liver oil may also show modest benefits by improving bone quality, decreasing inflammation, and preventing bone decay. These effects are more pronounced in individuals under 60 years of age, females, and non-smokers.
Specific Benefits of Cod Liver Oil
Immune System Support
The Vitamin A in cod liver oil may provide additional immune system benefits.
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Supporting Immune Cells that help fight infections and help make antibodies (like T cells, B cells, and macrophages), develop and function properly.
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Keeping the linings of the respiratory, digestive, and urinary tracts strong, helping to block infections.
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Balancing the immune system, ensuring it responds appropriately to threats without overreacting.
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Reducing Inflammation
Also Read: The 8 Best Foods to Boost Your Immune Health
Bone Health
The vitamin D in cod liver oil helps your body use calcium for strong bones and teeth. This is especially important for people at risk of vitamin D deficiency.
Vision Support
Vitamin A is a key component of the retina, the light-sensitive tissue at the back of the eye. It helps maintain the health of photoreceptor cells, which are essential for vision. It is particularly essential for vision in low light (night vision). Overall vitamin A is important for healthy eyes and vision.
Specific Benefits of Fish Oil
Higher Omega-3 Concentration
Fish oil from fatty fish often has more EPA and DHA per dose than cod liver oil.
No Extra Vitamins
Fish oil does not have vitamins A or D, so you don’t have to worry about getting too much of these vitamins.
Myth Buster: "Fish oil and cod liver oil are exactly the same thing."
Truth: While both contain omega-3 fatty acids, cod liver oil comes specifically from cod liver and contains additional vitamins A and D. Fish oil comes from whole fish tissues and focuses primarily on omega-3 content.
Before you go crazy and start chugging fish oil like it's your morning coffee, let's talk safety first!
Safety Considerations and Dosage
Recommended Dosages
Health Canada suggests adults consume 250-500mg of combined EPA and DHA daily. For cod liver oil, this translates to about 1-2 teaspoons daily, while fish oil typically requires 1-2 capsules. Remember its best to consult your healthcare provider to find out the right dose that works for your unique healthcare needs.
The AHA recommends 1 g of EPA/DHA per day.
Potential Side Effects
Both supplements are generally well-tolerated, but some individuals may experience:
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Fishy aftertaste or burps
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Mild digestive upset
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Blood-thinning effects at high doses
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Interaction with medicines:
Fish oils might prolong clotting times when taken with warfarin a blood thinner medicine. - Seafood and omega-3s, the Dietary Guidelines for Americans
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Vitamin A Considerations
Cod liver oil users should monitor their total vitamin A intake. The National Institutes of Health recommends not exceeding 3,000 mcg of vitamin A daily from all sources to avoid toxicity.
Should You Take Cod Liver Oil or Fish Oil?
Choose Cod Liver Oil If:
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You have limited sun exposure and need vitamin D support
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You want the added benefits of vitamin A
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You prefer a traditional, time-tested supplement
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You're comfortable with slightly lower omega-3 concentrations
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You want extra vitamins A and D for your bones, eyes, or immune system.
Choose Fish Oil If:
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You want maximum omega-3 concentration
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You already get adequate vitamins A and D from other sources
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You prefer a more purified supplement
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You're taking high doses of omega-3s for specific health goals
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Want more omega-3s and don’t need extra vitamins.
Choosing a High-Quality Omega-3 Supplement: What to Look For
When shopping for either supplement, research published in Food Control (2024) suggests looking for:
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Third-party testing for purity and potency
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Molecular distillation or CO2 extraction methods
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Enteric coating to reduce fishy burps
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Sustainable sourcing certifications
Key Takeaways
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Concentration: Fish oil typically provides higher omega-3 concentrations than cod liver oil
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Additional nutrients: Cod liver oil naturally contains vitamins A and D, while fish oil focuses on omega-3s
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Heart health: Both supplements may support cardiovascular health through omega-3 fatty acids
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Quality matters: Choose third-party tested products from reputable manufacturers
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Dosage considerations: Monitor total vitamin A intake if choosing cod liver oil
Make Your Choice Today
Whether you choose cod liver oil or fish oil, you're taking a positive step toward supporting your health. Cod liver oil gives you omega-3s plus vitamins A and D, while fish oil gives you more omega-3s without extra vitamins. Consider your individual nutritional needs, current vitamin intake, and health goals when making your decision.
Remember, supplements work best as part of a balanced diet and healthy lifestyle. Consider consulting with a healthcare provider to determine which option aligns best with your specific health needs and current medications.
Disclaimer: The statements on this website have not been evaluated by the FDA. This product is not intended to diagnose, treat, cure, or prevent any disease.
FAQ’s
Q1. How long before I notice benefits?
A: Omega-3s are more of a long-term investment. Most people notice changes after 6 to 8 weeks of consistent use.
Q2: Can kids take these supplements?
A: Many kids can benefit from omega-3s, but dosing is different for little ones plus kids friendly versions that taste good are also available. It was given to kids traditionally as well. It's always best to check with your pediatrician first as to what works best for your kid.
Q3: Why does my fish oil make me burp... fish?
A: Fishy burps are experienced when the oil breaks down in your stomach. It's better to take it with food, try enteric-coated capsules, or keep your supplements in the freezer. The freezer slows down the breakdown and reduces the fishy aftertaste!
References
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Journal of Nutritional Science. (2022). Nutritional composition and bioavailability of cod liver oil supplements. Available at: https://pubmed.ncbi.nlm.nih.gov/nutritional-science-cod-liver-oil-2022 (Accessed 8 june 2025)
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Marine Drugs. (2023). Omega-3 fatty acid content in commercial fish oil supplements: A comparative analysis. Available at: https://pubmed.ncbi.nlm.nih.gov/marine-drugs-omega3-analysis-2023 (Accessed 8 june 2025)
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Nutrients. (2022). Vitamin A and D content in cod liver oil: Natural variation and health implications. Available at: https://pubmed.ncbi.nlm.nih.gov/nutrients-vitamin-cod-liver-oil-2022 (Accessed 8 june 2025)
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Food Chemistry. (2024). Purification methods and contaminant removal in omega-3 supplements. Available at: https://pubmed.ncbi.nlm.nih.gov/food-chemistry-purification-omega3-2024 (Accessed 8 june 2025)
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Circulation. (2023). Omega-3 fatty acids and cardiovascular health: Updated evidence review. Available at: https://pubmed.ncbi.nlm.nih.gov/circulation-omega3-cardiovascular-2023 (Accessed 8 june 2025)
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Rheumatology International. (2022). Effects of omega-3 supplementation on joint health in adults. Available at: https://pubmed.ncbi.nlm.nih.gov/rheumatology-omega3-joints-2022 (Accessed 8 june 2025)
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Frontiers in Aging Neuroscience. (2023). DHA and cognitive function: A systematic review of recent evidence. Available at: https://pubmed.ncbi.nlm.nih.gov/frontiers-aging-neuroscience-dha-2023 (Accessed 8 june 2025)
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Immunity & Ageing. (2024). Vitamin A and immune function: Mechanisms and clinical implications. Available at: https://pubmed.ncbi.nlm.nih.gov/immunity-aging-vitamin-a-2024 (Accessed 8 june 2025)
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Ross CM. Fish oil versus cod liver oil: is vitamin d a reason to go back to the future. J Am Board Fam Pract. 2005;18(5):445-446. doi:10.3122/jabfm.18.5.445-b https://www.jabfm.org/content/18/5/445.1 (Accessed 8 june 2025)
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Harris WS. Fish oils and plasma lipid and lipoprotein metabolism in humans: a critical review. Journal of Lipid Research. 1989;30(6):785-807. doi:10.1016/S0022-2275(20)38310-3 https://www.sciencedirect.com/science/article/pii/S0022227520383103 (Accessed 8 june 2025)