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The Total EFA

Health From The Sun
4.8
★ ★ ★ ★ ★
(101 ratings)
Vitamin E 30 IU
Fish Oil 1250 mg
Protein (unspecified) 1 Gram(s)
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Score69
A larger-count version of a broad fish, borage, and flax oil blend with slightly better ongoing value. Lack of EPA and DHA disclosure remains the central weakness.
How scoring works
Quantity:180 Softgel(s) • (60 servings)
Goals:
Cardiovascular Support
Anti-Inflammatory Support

Score 69

A larger-count version of a broad fish, borage, and flax oil blend with slightly better ongoing value. Lack of EPA and DHA disclosure remains the central weakness.
How scoring works
$45.49($0.75 per serving)
iHerb
$ 45.49
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Analysis

The serving provides 2.5 g of fish-oil concentrate alongside borage and flaxseed oils. These sources cover several fatty-acid families, and mixed tocopherols offer useful protection against oxidation.

EPA and DHA are not quantified, which is a major drawback for anyone targeting cardiovascular or inflammatory support. The label also leaves the fish oil's molecular form, purification process, and independent quality testing unclear.

The larger bottle is a practical choice for regular users who already like this broad oil blend. It remains less suitable for buyers who want a known daily EPA or DHA amount or who prefer fewer softgels per serving.

Who is it for
  • Regular users seeking a larger supply of blended oils
  • Adults who want marine and plant fatty acids together
  • People who do not require a precisely measured EPA or DHA dose
Best for
  • Longer-term supply of a mixed EFA formula
  • Broad essential-fatty-acid coverage
  • General cardiovascular and inflammatory-balance support

Pros

  • Uses named anchovy and sardine fish sources
  • Combines marine, borage, and organic flaxseed oils
  • Mixed tocopherols help protect the oil blend
  • Larger bottle improves convenience for repeat use
  • Provides substantial total oil weight per serving

Cons

  • EPA and DHA amounts are not disclosed
  • Fish-oil molecular form is unknown
  • No purification or independent testing details are provided
  • Requires three softgels per serving
  • Potency cannot be compared reliably with concentrated omega-3 products

Warnings

  • Anchovy- and sardine-derived fish oil is unsuitable for people with fish allergy.
  • The substantial fish-oil serving may increase bleeding tendency with anticoagulant or antiplatelet medicines.
  • The multi-oil serving may cause reflux, fishy aftertaste, or loose stools in sensitive users; taking it with food may improve tolerance.

Nutrient quality

80 Highest impact

The large oil blend provides meaningful fatty-acid quantity and useful mixed tocopherols. Missing EPA, DHA, GLA, and ALA yields keep the dose quality uncertain.

Ingredient transparency

66 High impact

Every oil has a specific weight and source, but the biologically important fatty-acid amounts are absent. Daily directions and a complete inactive-ingredient list are not supplied.

Customer satisfaction

65 High impact

The aggregate rating is very strong, but the evidence base is fairly small. No review excerpts are supplied, so repeated complaints and purpose-specific experiences cannot be assessed.

Value for money

63 Moderate impact

The larger package provides somewhat better serving value than the smaller version. Missing fatty-acid yields and a still-premium serving cost prevent a stronger category position.

Report analysis

Goals

Cardiovascular Support
Impact
Moderate effect
C+ Goal FitD Strength of SupportC- CoverageB Formula Quality
Fish Oil · 1250 mgVitamin E · 30 IU

Fish oil, borage oil, flaxseed oil, and mixed tocopherols provide broad fatty-acid and antioxidant coverage. Cardiovascular value remains uncertain because EPA and DHA amounts are not disclosed.

Anchovy and sardine sources plus mixed tocopherols are useful quality signals. People using anticoagulant or antiplatelet therapy should review combined omega-3 use clinically, especially alongside other fish-oil products.

Study evidence
Fish Oil Supportive 185 studies
Vitamin E Mixed 79 studies
Anti-Inflammatory Support
Impact
Moderate effect
B- Goal FitF Strength of SupportC- CoverageB- Formula Quality
Fish Oil · 1250 mgVitamin E · 30 IU

Fish oil and a mixed essential-fatty-acid profile may support inflammatory lipid balance. Anchovy and sardine sourcing is disclosed, but the active EPA and DHA amounts are not.

The total fish-oil amount appears substantial, yet molecular form, purification, and active concentration remain unknown. The fatty-acid concept is coherent, but missing potency data prevents a strong conclusion.

Study evidence
Fish Oil Supportive 68 studies

Ingredients

IngredientAmount per serving
Calories
40 {Calories}
Total Fat
3.5 Gram(s)
Cholesterol
10 mg
Protein
1 Gram(s)
Vitamin E (Mixed Tocopherols)
30 IU
Fish Oil Concentrate (Anchovy, Sardine)
1250 mg
Borage seed Oil
1200 mg
Organic Flax Seed Oil
1200 mg
Adults 18–50
Report overview
D Active Ingredient Quality & BioavailabilityC+ Dose, Safety & Label TransparencyB- Value

Mixed tocopherols offer broader coverage than alpha alone, though individual isomers and natural d-alpha status are not stated. The amount is appropriate for maintenance, but no tocotrienols are present. Its serving cost sits at the top of the middle value band.

F Active Ingredient Quality & BioavailabilityF Dose, Safety & Label TransparencyF Value

Anchovy and sardine sourcing is a meaningful quality strength, and mixed tocopherols help protect the oil. The molecular form, purification method, and independent testing remain undisclosed. Missing EPA and DHA amounts prevent assessment of dose, concentration, and active-value efficiency.

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Sources

Published studies used for the product analysis and the top-ranked studies for each ingredient and goal.

  1. Regular use of fish oil supplements and course of cardiovascular diseases: prospective cohort study.
    Chen G; Qian ZM; Zhang J; Zhang S; Zhang Z; Vaughn MG; Aaron HE; Wang C; Lip GY; Lin H · BMJ medicine · 2024
    Cohort study415,737 participantsCardiovascular Support forFish Oil
  2. Marine n-3 fatty acid treatment for carotid plaques in patients with type 2 diabetes.
    Zhuang P; Liu X; Jia W; Zheng W; Wan X; Chen W; Gu J; Li Y; Lan X; Li H; Tong W; Wu Y; Wu X; Ao Y; Ye H; Wu F; Zhu L; Zhang L; Li Y; Meng D; Tian Y; Wang A; Wu S; Zhu F; Zhang Y; Shi H; Yu X; Zhang F; Zhang Y; Jiao J · Cardiovascular diabetology · 2026
    Randomized trial415 participantsCardiovascular Support forFish Oil
  3. A systematic review of fish-oil supplements for the prevention and treatment of hypertension.
    Campbell F; Dickinson HO; Critchley JA; Ford GA; Bradburn M · European journal of preventive cardiology · 2013
    Meta-analysis1,524 participants17 studies pooledCardiovascular Support forFish Oil
  4. Marine Omega-3 Supplementation and Cardiovascular Disease: An Updated Meta-Analysis of 13 Randomized Controlled Trials Involving 127 477 Participants.
    Hu Y; Hu FB; Manson JE · Journal of the American Heart Association · 2020
    Meta-analysis127,477 participants13 studies pooledCardiovascular Support forFish Oil
  5. Vitamin D, Marine n-3 Fatty Acids, and Primary Prevention of Cardiovascular Disease Current Evidence.
    Manson JE; Bassuk SS; Cook NR; Lee IM; Mora S; Albert CM; Buring JE; VITAL Research Group · Circulation research · 2020
    Randomized trial25,871 participantsCardiovascular Support forFish Oil
  6. Efficacy of fish oil and its components in the management of psoriasis: a systematic review of 18 randomized controlled trials.
    Chen X; Hong S; Sun X; Xu W; Li H; Ma T; Zheng Q; Zhao H; Zhou Y; Qiang Y; Li B; Li X · Nutrition reviews · 2021
    Meta-analysis927 participants18 studies pooledAnti-Inflammatory Support forFish Oil
  7. Effects of Omega-3 Fatty Acid Intake in Patients Undergoing Dialysis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.
    Liu R; Jiang J; Fu Z; Liu C; Yao L; Quan H · Journal of the American Nutrition Association · 2022
    Meta-analysis49 studies pooledAnti-Inflammatory Support forFish Oil
  8. Effect of fish oil supplement in maintenance hemodialysis patients: a systematic review and meta-analysis of published randomized controlled trials.
    He L; Li MS; Lin M; Zhao TY; Gao P · European journal of clinical pharmacology · 2016
    Meta-analysis916 participants13 studies pooledAnti-Inflammatory Support forFish Oil
  9. Lowering effects of fish oil supplementation on proinflammatory markers in hypertension: results from a randomized controlled trial.
    Yang B; Ren XL; Li ZH; Shi MQ; Ding F; Su KP; Guo XJ; Li D · Food & function · 2020
    Randomized trial77 participantsAnti-Inflammatory Support forFish Oil
  10. No effect of fish oil supplementation on serum inflammatory markers and their interrelationships: a randomized controlled trial in healthy, middle-aged individuals.
    Pot GK; Brouwer IA; Enneman A; Rijkers GT; Kampman E; Geelen A · European journal of clinical nutrition · 2010
    Randomized trial77 participantsAnti-Inflammatory Support forFish Oil
  11. Dose-dependent effects of fish oil on cardio-metabolic biomarkers in healthy middle-aged and elderly Chinese people: a double-blind randomized controlled trial.
    Song J; Hu M; Li C; Yang B; Ding Q; Wang C; Mao L · Food & function · 2018
    Randomized trial201 participantsAnti-Inflammatory Support forFish Oil
  12. Eicosapentaenoic acid supplementation alleviates pruritus, enhances skin moisture, and mitigates depression in maintenance hemodialysis patients.
    Lin YL; Wang CL; Chiang TI · Frontiers in nephrology · 2024
    Randomized trial60 participantsAnti-Inflammatory Support forFish Oil
  13. The effects of ω-3 fish oil emulsion-based parenteral nutrition plus combination treatment for acute paraquat poisoning.
    Meng Z; Dong Y; Gao H; Yao D; Gong Y; Meng Q; Zheng T; Cui X; Su X; Tian Y · The Journal of international medical research · 2019
    Randomized trial174 participantsAnti-Inflammatory Support forFish Oil
  14. Impact of omega-3 fatty acids on hypertriglyceridemia, lipidomics, and gut microbiome in patients with type 2 diabetes.
    Lu J; Liu R; Ren H; Wang S; Hu C; Shi Z; Li M; Liu W; Wan Q; Su Q; Li Q; Zheng H; Qu S; Yang F; Ji H; Lin H; Qi H; Wu X; Wu K; Chen Y; Xu Y; Xu M; Wang T; Zheng J; Ning G; Zheng R; Bi Y; Zhong H; Wang W · Med (New York, N.Y.) · 2025
    Randomized trial309 participantsCardiovascular Support forFish Oil
  15. Effects of fish oil-derived fatty acids on suboptimal cardiovascular health: A multicenter, randomized, double-blind, placebo-controlled trial.
    Zeng Q; Dong SY; Liu YP; Fu J; Shuai P; Zhao ZM; Li TX · Nutrition, metabolism, and cardiovascular diseases : NMCD · 2017
    Randomized trial422 participantsCardiovascular Support forFish Oil
  16. Effect of High-Dose Marine Omega-3 Fatty Acids on Atherosclerosis: A Systematic Review and Meta-Analysis of Randomized Clinical Trials.
    Sekikawa A; Cui C; Sugiyama D; Fabio A; Harris WS; Zhang X · Nutrients · 2020
    Meta-analysis6 studies pooledCardiovascular Support forFish Oil
  17. Supplementation with vitamin E alone is associated with reduced myocardial infarction: a meta-analysis.
    Loffredo L; Perri L; Di Castelnuovo A; Iacoviello L; De Gaetano G; Violi F · Nutrition, metabolism, and cardiovascular diseases : NMCD · 2016
    Meta-analysis16 studies pooledCardiovascular Support forVitamin E
  18. Vitamin E ameliorates blood cholesterol level and alters gut microbiota composition: A randomized controlled trial.
    Chen B; Li Y; Li Z; Hu X; Zhen H; Chen H; Nie C; Hou Y; Zhu S; Xiao L; Li T · Nutrition, metabolism, and cardiovascular diseases : NMCD · 2025
    Randomized trial90 participantsCardiovascular Support forVitamin E
  19. Effects of long-term vitamin E supplementation on cardiovascular events and cancer: a randomized controlled trial.
    Lonn E; Bosch J; Yusuf S; Sheridan P; Pogue J; Arnold JM; Ross C; Arnold A; Sleight P; Probstfield J; Dagenais GR; HOPE and HOPE-TOO Trial Investigators · JAMA · 2005
    Randomized trial9,541 participantsCardiovascular Support forVitamin E
  20. Independent and combined associations of dietary antioxidant exposure with all-cause and cause-specific mortality in the general population.
    Liu Z; He Z; Xing Y · Journal of nutritional science · 2026
    Cohort study34,955 participantsCardiovascular Support forVitamin E
  21. Tocotrienol rich fraction supplementation improved lipid profile and oxidative status in healthy older adults: A randomized controlled study.
    Chin SF; Ibahim J; Makpol S; Abdul Hamid NA; Abdul Latiff A; Zakaria Z; Mazlan M; Mohd Yusof YA; Abdul Karim A; Wan Ngah WZ · Nutrition & metabolism · 2011
    Randomized trial62 participantsCardiovascular Support forVitamin E