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December 14 2002
Heart Disease Linked to Mercury-Contaminated Fish

 

Fish is rich in omega-3 fatty acids believed to lower the risk of heart disease, however a new study questions whether consuming fish contaminated with mercury may actually increase the risk of heart disease as well as reduce other potentially healthy benefits.

A previous study found a link between heart disease and increased mercury levels in men who ate contaminated fish. The new study, which involved 684 men who had previously had a heart attack and 724 men who had not, investigated this further. Levels of the omega-3 fatty acid DHA were measured from fat tissue and mercury levels were measured from toenail clippings.

It was found that men who had had a heart attack had 15 percent higher mercury levels than men who had no history of heart disease. Also, men with the highest mercury levels were more than twice as likely to have had a heart attack as compared with men with the lowest mercury levels, according to the study.

After mercury levels were adjusted for, it was found that the higher a man’s DHA levels, the lower his risk of having a heart attack. The study points out that this furthers the accepted notion of the protective benefits of consuming fish.

However, researchers point out that pregnant women, or those who may become pregnant, are currently advised by the U.S. Food and Drug Administration to not consume fish with high mercury levels such as shark, swordfish and mackerel. They study suggests that this advice may also benefit the general adult population.

The New England Journal of Medicine November 28, 2002;347:1735-1736, 1747-1754, 1755-1760



Dr. MercolaDr. Mercola's Comments:

Further compelling evidence to heed the mercury warnings I have posted for some time now.

Although omega-3 fat with DHA and EPA fatty acids, naturally found in fish, is one of the most important elements of high-quality nutrition -- and sorely lacking in the American diet -- our culture has long since passed the point where it is healthy to obtain omega-3 from most commercially available fish. I now highly recommend routinely consuming fish oil/cod liver oil, instead, as they are purified of mercury and other toxins.

Mercury is rampant in the waterways of the world, and, as the article expresses, mercury is not just in the fat of the fish -- it is in all of the tissues.

Clinically, I use hair analysis on most of my patients as a way to determine mercury levels. While many view this as a controversial test, very few would deny its utility as a sensitive screen for heavy metal exposure. A person's mercury level in their hair is almost always related to their consumption of fish.

There are exceptions, of course, as there are other environmental exposures to mercury. I recently tested a dentist who was not eating fish but was still actively removing mercury amalgams, and he had very high mercury levels in his system. This is not typical, though, as the mercury measured in the hair analysis is usually related to mercury exposure in the last three months, and most mercury from a person's amalgams is low level and will not exceed that consumed in fish.

Nonetheless, the mercury from amalgams is still a problem as it accumulates over time, but it rarely shows up in the hair unless you have had amalgams removed in the three months prior to the hair analysis and a large mercury exposure resulted from the removal.

It is a tragedy that we have virtually devastated fish, previously one of the healthiest foods on the planet, with mercury toxicity. We have polluted the environment with hundreds of millions of tons of mercury by burning coal for electricity. The mercury eventually finds its way into the waterways where it is bio-accumulated to very high levels in most fish. Generally the larger the fish, the more mercury it contains. In fact, some mercury levels in fish have been unbelievably high.

Tragedy is an understatement.

Some fish have less mercury than others, but nearly all fish are contaminated with mercury. I have done thousands of hair mineral analyses on patients and can confidently state this as truth. Patients who don't eat any fish are the only ones who have immeasurable levels of mercury in their hair. In my experience, anyone eating fish has mercury in their system, and it is nearly always in direct proportion to the frequency of their fish consumption.

So here is my recommendation:

Avoid eating all fish, unless you know the fish has been tested and shown not to contain harmful levels of mercury and other toxins.

Almost all fish has mercury that will absolutely compromise your health. The one apparent exception are very small fish like sardines or anchovies that haven't been in the ocean long enough to accumulate much mercury. Presently, I am also searching the market for safe sources of other fish, perhaps those caught from more pristine water sources that may still exist.

We all need the omega-3 fats found in fish -- in the case of most Americans, in fact, omega-3 is desperately needed -- but you should get them from a clean source. Most fish oil supplements, like the Carlson brand of fish oil/cod liver oil that I highly recommend and offer on this site, go through a molecular distillation process to clean out the mercury. The Carlson brand is also routinely tested using standard international protocols in an independent, FDA registered laboratory; this testing not only ensures freedom from detectable levels of mercury, but also cadmium, lead, PCBs and 28 other contaminants. If you are using a brand besides Carlson, you should definitely contact the manufacturer to confirm they go through this process and testing.

Another reason I specifically recommend Carlson fish oil/cod liver oil is that I have seen clear and often substantial improvements in my patients who use it. For instance, the Carlson brand has helped them get high cholesterol back to appropriate levels, and it has also shown particularly positive benefits in those with rheumatoid arthritis, Raynaud's and Scleroderma. Meanwhile, the Costco brand of fish oil I now advise against, but at one time recommended for its low cost, did not show these same results; indeed, many patients who switched from Carlson to Costco fish oil showed a relapse in their original improvements. I do not yet know what to attribute this to in the Costco brand, but I now strongly suggest you use caution when choosing your brand of fish oil/cod liver oil.

You can find the Carlson fish oil/cod liver oil in my "Recommended Products" section; your local health food store may also carry Carlson, and usually they are very helpful in recommending any other trustworthy brands.

Related Articles:

Why You Should Stop Eating Fish

Why the FDA is Not Telling You to Avoid Fish

Mercury In Your Fish

Danger -- Higher Mercury Levels in Fish Are Slowly Killing You

FDA Negligent On Mercury in Fish

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