DOI: Goldberg RJ, et al. People interested in trying supplements should talk to a doctor first. Get some real fish oil, or even better, eat some oily fish every week. Potential symptoms people report with either of the oils tend to be discomfort related to the digestive system. Cancer treatment shows promise against multiple sclerosis in mouse study, Alzheimer's: Blood test may detect 'toxic' protein years before symptoms emerge, Low levels of vitamin D in the brain linked to increased dementia risk, Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT. Calculate your fish oil and cod liver oil dosage based on the amount of EPA, DHA, and vitamins in fish oil or cod liver oil. For example, as mentioned before, cod liver oil usually comes from a single portion of a fish, whereas fish oil comes from various parts of different fish. However, cod liver oil is especially unique as it is the best available source of omega-3 from the sea and has the higher content of fatty acids per unit. Another important difference from fish oil is that cod liver oil is naturally rich in vitamins A and D, unlike fish oil to which these vitamins are often added. Atlantic Cod is an over-fished and threatened species. Fish oil is higher in Monounsaturated Fat, however Cod liver oil is richer in Vitamin A RAE, and Polyunsaturated fat. DOI: Ernahrungswiss Z. The health benefits of both fish oil and cod liver oil come from their high levels of omega-3 fatty acids. There are many differences between fish oil and cod liver oil. Cod liver oil's daily need coverage for Vitamin A RAE is 3330% more. (2016). Hypertension: Can 15 minutes of yoga a day help control blood pressure? It is a minefield. What are the differences between cod liver oil and fish oil? Both have anti-inflammatory EPA-DHA, but there's more to know before buying. A 2014 cohort study that followed a group of people who supplemented with cod liver oil and a group who did not found a lower risk of heart health conditions in the group that took cod liver oil. There are many beauty benefits . The average cod liver oil price is $22.97 per 200 softgels and fish oil is $9.99 per 180 softgels. Fish oil and cod liver oil supplements come in capsule and liquid forms. Most such research has focused on populations that have a lot of fish oil in their diet, not people who supplement with fish oil. The liver is responsible for hundreds of functions. Fish oil supplements: Can they treat depression? Both Cod Liver Oil and Fish Oil supplements provide the benefits of Omega-3 fatty acids without having to increase your weekly intake of fatty fishes. (1993). Most research shows that food is the healthier source of fish oil, and that the apparent benefits of omega-3s may be less apparent when a person takes supplements. Krill oil comes from a small crustacean while fish oil comes from oily fish. What is the difference between fish oil and cod liver oil? Early diagnosis and treatment can help improve your child's cholesterol levels and reduce the risk of long-term damage or complications. Additionally, they found that cod liver oil users had healthier lifestyles, suggesting that other differences may explain the different health outcomes between the groups. Du S, et al. Tags for this Thread. Cod liver oil consumption at different periods of life and bone mineral density in old age. Cod liver oil (n-3 fatty acids) as a non-steroidal anti-inflammatory drug sparing agent in rheumatoid arthritis. Scroll down to continue reading article , Omega 3-6-9: What You Need to Know About These Supplements, 5 Best Fish Oil Supplements to Buy For A Healthier Brain. Omega-3 fatty acids in health and disease and in growth and development. The studys authors suggest that people with health issues may be more likely to take cod liver oil. The science behind cod liver oil is being investigated, and you should take more notice of this old-fashioned supplement. The inverse relation between fish consumption and 20-year mortality from coronary heart disease. Cod liver oil may have varyinglevels of vitamins A, D, and F. Both of these oils contain EPA and DHA, two forms of omega-3 fatty acids found in animal products. Instead, the organization looked at average intakes in healthy groups, and recommended the following daily intakes: Eating two to three servings of fish per week can also help a person get the recommended amount of omega-3s. Cod liver oil has more vitamin A than fish oil and would be great for people who need an added boost in that area. Is one better than the other? Here at Care/of we make fish oil through a cold pressed extraction method similar to olive oil which allows for the most nutrients to be present in each fish oil softgel. This juice also helps in soothing acidity. Linday LA. Cod fish liver oil is an extract of oil from the liver in codfish. This, of course, will affect your decision about which supplement will work best for you. The study also found that cod liver oil users had more health problems, and were more likely to report bone diseases and benign growths. Omega-3 fatty acids and pregnancy. These dietary fats are available in fresh fish, as well, but too many may lead to unwanted. Because cod liver oil and fish oil are both fish oils that contain omega-3 fatty acids, the risks are similar. Cod liver oil and fish oil contain omega-3 fatty acids, which can help to lower blood pressure. Algal oil contains DHA, but not EPA. In a 2005 clinical study, omega-3 supplementation was associated with an improvement in attention and mood for the omega-3 group versus the placebo group. 5. monounsaturated fatty acids per 100g 46.71g 7.53g A form of unsaturated fat with one double bond in its structure. So what's best for your family? The best thing to do is try both out and see what works best for your needs. Magnesium vs. Magnesium Citrate: The Difference and Why it Matters. Your cholesterol levels are often an indicator of your overall heart health. Vaishali V, et al. (2006). Cod liver oil is a type of fish oil supplement that can improve your health in many ways. Now, the difference between fish oil and cod liver oil is that cod liver oil is rich in both vitamin's A and D. Both vitamin A and D are important in bone health (by working in conjunction with calcium),help boost the immune system, regulate hormones and maintain the health of your heart. In this study, mice that were deficient in vitamin A were given cod liver oil which restored bone thickness better than retinoic acid (a form of vitamin A). Does fish oil have an anti-obesity effect in overweight/obese adults? We avoid using tertiary references. . Fish oil has shown initial promising results as an ingredient for promoting joint health. Reason #3: Over-fishing. Fish oil can also support healthy bones by maintaining optimal bone mineral density depending on the EPA and DHA content. Best for Omega-3s: Nordic Naturals' Cod Liver Oil. Cod Liver Oil, on the other hand, is what you derive from the liver of the codfish itself. This article reviews how much omega-3 you need for optimal health. Promotes heart and brain health, and supports the immune and nervous systems*. Both have similar omega-3 content, but cod liver oil contains bioavailable vitamin D and A, which regular fish oils only have minimal amounts of. ncbi.nlm.nih.gov/pmc/articles/PMC3046737/, mayoclinic.org/diseases-conditions/depression/expert-answers/fish-oil-supplements/faq-20058143, mayoclinic.org/drugs-supplements-fish-oil/art-20364810, ods.od.nih.gov/factsheets/Omega3FattyAcids-HealthProfessional/, 17 Science-Based Benefits of Omega-3 Fatty Acids, 9 Science-Backed Benefits of Cod Liver Oil. This article lists 9 science-backed benefits of cod liver. This makes a difference for those who are not taking a multivitamin or any other supplemental source of A or D3. Organic Facts may receive a portion of revenues if you click on the sponsored ads and links by Google, Ezoic, or the Amazon Affiliate program. We used Fish oil, cod liver and Fish, sardine, Atlantic, canned in oil, drained solids with bone types in . This is because cod liver oil contains very high amounts of vitamin A and vitamin D, thus taking too much could be toxic. Last medically reviewed on March 12, 2018. Fish oil, cod liver contains 41 calories per 4.5 g serving. Cod liver oil's benefits for health are due to its rich nutrient and omega-3 fatty acid content. Atlantic cod and Pacific cod are most commonly used to make cod liver oil. DOI: Calton EK, et al. The good news is that both cod liver oil and fish oil are good sources of omega 3s. Its unknown if fish oil or cod liver oil are safe for people with fish and shellfish allergies. Responses From Mothers in the Third Pregnancy, Infection, and Nutrition Study. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Fish oil from the flesh of oily fish such as salmon . It is the best source of omega-3 fatty acids, such as alpha linolenic acid (ALA), and has high levels of vitamins A and D. The breed of cod, or Gadus, from which the oil is extracted determines the exact level of nutrients found in cod liver oil. Cod liver oil contains high levels of EPA and DHA as well as vitamins A and D. Many of the benefits of cod liver oil are believed to be from its powerful anti-inflammatory properties. Why choose cod liver oil vs fish oil? Both have omega-3 fatty acids, but cod liver oil has the added vitamins A and D. It's safer to take only fish oil or cod liver oil, but not both. It is rich in omega-3 fats that are very important for your body and brain. DOI: Rajakumar K. (2003). Researchers say statins can help reduce the risk of a common subtype of stroke known as an intracerebral hemorrhage. Sardine has less Saturated Fat. (1986). DOI: Coletta JM, et al. Fish oil, Coconut Oil, Krill Oil, Hemp Seed Oil, Grape Seed Oil and Omega Fatty Acids. Cod liver oil is made from Atlantic cod livers. Both Cod liver oil and fish oil are available in softgels and liquid form. Sustainably sourced in Norway, our award-winning Arctic Cod Liver Oil is the gold standard. DOI: Stene LC, et al. Both cod liver oil and fish oil are high in EPA and DHA, two forms of omega-3 fatty acids. They improve digestion & heart health, boost immunity, slow aging, and aid in weight loss. Beef Liver is richer in Vitamin B12, Copper, Vitamin B2, Vitamin B5, Vitamin B6, and Vitamin B3, yet Cod liver oil is richer in Vitamin A RAE, and Vitamin D. Daily need coverage for Vitamin A RAE from Cod liver oil is 2781% higher. (2009). Both types are very rich in fatty acids. Users should also look for other ingredients, since taking too many supplements may increase the risk of overdosing on a vitamin. Vitamin D, cod-liver oil, sunlight, and rickets: A historical perspective. Eysteinsdottir T, et al. Our articles are evidence-based and contain scientific references, fact-checked by experts. Cod liver oil and fish oil are both good for inflammatory conditions, as well as relieving arthritis and stimulating, Cod liver oil additionally is good for bone strength and vision health, due to the presence of. A person must get these acids from the diet; the body does not make them. Average rating 3.9 out of 5.0 based on 30 user(s). But its nutritional make-up makes it slightly less beneficial as an omega-3 source: Cod liver oil has less omega-3 than other fish oils. The benefits of these two oils are the same, but the details of these two beneficial oils can vary. DOI: Fortin PR, et al. We source information from studies, clinical trial findings, and meta-analyses published in peer-reviewed journals. Morris MC, et al. DOI: Chowdhury R, et al. Stene LC, et al. that may also have some health benefits. This is why omega 3 supplements that contain . Quality is very important to us. It has a higher concentration of vitamin A and vitamin D, but a lower level of omega-3 fatty acids than standard fish oil. Cod Liver Oil vs Fish Oil: Which Is Better? Lets take a look at some of the differences between cod liver oil and fish oil. There are some differences between cod liver oil and fish oil. In this video, I compare the properties of fish oil and cod liver oil, which are the two most important supplements when it comes to getting the omega 3 fatt. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. MNT is the registered trade mark of Healthline Media. One tablespoon of cod liver oil contains around 1,360 IU of vitamin D, about the same amount of as 1.5 pounds of sardines or fatty herring. Finding the right supplements for your health requires knowing your options. Fermented Cod Liver Oil is considered a traditional food that has been recommended by the Weston A. While cod liver oil is a type of fish oil, what is commonly called fish oil comes from different sources. Softgels have virtually no taste, which is a huge bonus for many. Even if the cod liver oil is 25% Epa and DHA that would equal for 1 gram of those two like at least 9 grams of regular seed oil linoleic acid. DOI: Where do fish oil and cod liver oil come from? Learn how fish oil and statins differ. Cod liver oil has come under attack as a "dangerous" source of vitamin A. Effects of omega-3 fatty acids on serum markers of cardiovascular disease risk: A systematic review. Cod liver oil contains vitamin A, a vital nutrient for immune system function, cellular growth, eye health, and reproduction. All rice noodles and rice paper wraps are gluten-free as they are made wholly from rice. They both contain omega-3s and they both are derived from fish. Ginger also helps boost bone health, strengthen the immune system, and increase appetite. So the best way to prevent symptoms is to have the oil with food or right before bed. Too much omega-3 fatty acids in any form can have risky side effects. Fish Oil: Is there a Difference?In this video, Dr. Berg talks about the difference between cod liver oil and fish oil. You can eat oily fish to get fish oil supplements. A 2012 study of people with diabetes found that omega-3 supplements reduced triglyceride levels, but did not reduce the risk of having a heart attack. Furthermore, the health benefits and nutrient profile of fish oil vary slightly from those of cod liver oil. Cod liver oil can be obtained from eating fresh cod liver or by taking supplements. Do not take cod liver oil like you would fish oil. We get most of our Cod liver oils from the North Atlantic. Between cod liver oil and fish oil, fish oil is highly recommended to take while you are pregnant. Supplements usually contain less mercury than fresh fish. (1985). Going rancid? This, Fish oil supplements contain healthful omega-3 fatty acids. Consult a medical practitioner for health problems. That's why comparing fish oil and cod liver oil is essential before committing to either. Another study suggests the use of calcium with fish oil to enhance the potential benefit on skeletal health. Try to get one with a higher DHA ratio. [4] Cod liver oil additionally is good for bone strength and vision health, due to the presence of vitamin A and D. Cod liver oil is also associated with reducing the symptoms of acne and asthma. You can learn more about how we ensure our content is accurate and current by reading our. Cod liver oil can be obtained from eating fresh cod liver or by taking supplements. Microalgae is the original source of rich omega-3 fatty acids. Fish oil is created by steaming the flesh of various fish, including salmon and herring, and then pressing it to extract the oil. Top cod liver oil. A number of foods, including most fish, are good sources of omega-3 fatty acids and may offer superior benefits to supplements. Especially talk with your childs pediatrician before administering either oil to your child. As the name suggests, cod liver oil is obtained . He co-founded the literary journal, Sheriff Nottingham, and now serves as the Content Director for Staind Arts, a non-profit based in Denver, Colorado. A meta-analysis of controlled trials. What are the differences between fish oil and cod liver oil? It is the cheapest and most common source of omega-3 fats. For example, as mentioned before, cod liver oil usually comes from a single portion of a fish, whereas fish oil comes from various parts of different fish. Fish Oil: Other Differences. It will list the benefits and risks of each, and give ways a person can include them in their diet, through food or supplements. Cod liver oil contains certain "fatty acids". Keep in mind that cod liver oil has vitamin A and D in addition to the omega 3s. There have been rare instances when certain rice noodle brands may contain gluten. We avoid using tertiary references. Both of these oils are heavily processed, but the fish oil production method removes more of the nutrients. Therefore, it goes without saying that the nutritional benefits and vitamins of cod liver oil and fish oil differ. What Does It Mean to Have High Cholesterol in Childhood?, Cholesterol-Lowering Statins May Reduce Risk of Common Type of Stroke, What Does It Mean to Have Borderline Cholesterol?, Raw Honey: Study Finds This Sweetener May Help Lower Blood Sugar and Cholesterol Levels, Vitamin D and Statins: Supplements May Not Help Ease Muscle Pain, Side Effects. DOI: Peet M, et al. Deficiency in vitamin A can contribute to eye issues. Ask your doctor for a trusted brand and research third-party testing to ensure you buy pure supplements of high quality. Cod liver oil is specifically derived. Daily need coverage for Vitamin A RAE from Cod liver oil is 3333% higher. These oils usually contain higher concentrations of fish oil, but may taste bad. For example, they contain different levels of omega-3 fatty acids and different vitamins. The. Krill oil and fish oil are popular dietary supplements containing omega-3. Children over 12 years and adults: A maintenance dose of cod liver oil that provides about 10,000 IU vitamin A daily, obtained from 2 . For one, capsules have made it easier for scientists to standardize the omega-3 doses used in research, as well as conduct double-blind studies. DOI: Kromhout D, et al. Cod Liver Oil Less.. DOI: Simopoulos AP. So, what's the catch besides fish? Cod liver oil is also one of the few natural source of vitamin Dit is an exceptional source of vitamin D, with over 1300 IUs of vitamin D per tablespoon. All Rights Reserved. You can learn more about how we ensure our content is accurate and current by reading our. What you'll . A 12 month, double-blind, placebo-controlled study found that patients taking 2,600mg of omega-3 per day experienced more joint comfort than those taking a placebo. These fatty acids are essential for healthy functioning of most body systems including the heart, brain, and developing fetuses during pregnancy. Like other fish oils, cod liver oil may reduce the risk of some medical conditions. Omega-3 needs vary by individual. Scientists have performed numerous studies on the benefits of cod liver oil. The main theory suggested was that the results were due to the whole food source of vitamin D, vitamin A, and omega 3 content naturally found in cod liver oil. *These statements have not been evaluated by the Food and Drug Administration. There are people still pushing cod liver oil not to mention even regular fish oil. DOI: Calder PC. A critical difference between cod liver oil and fish oil lies in their health benefits. How are Fish oil and Cod liver oil different? For those who do not wish to eat fish products, there are other great sources of omega-3s, such as algal oil. Krill Oil vs Fish Oil: Which Should You Take? The benefits of each acid may vary slightly, so getting all three may improve health. Vitamin D plays an important role in health. You can use baking soda, chalk, or dishwashing liquid to loosen the stain before a wash. 2022 Organic Information Services Pvt Ltd. All the information on this website is for education purpose only. It is a source of vitamins A and D and a fat called omega-3. By Orangeaid in forum Supplements Replies: 9 Last Post: 02-09-2015, 10:03 PM. A 2011 study emphasizes that, because it is a source of both omega-3s and vitamin A, cod liver oil may help protect against glaucoma. While fish oil is high in omega-3s, it contains little vitamin . Cod liver oil, young children, and upper respiratory tract infections. (1991). (2011). Cod liver oil is a great source of omega-3 long-chain polyunsaturated fatty acids, and it also contains plenty of vitamins A and D. For people who need a boost of these nutrients but aren't a fan of the fish, you can take cod liver oil pills as a dietary supplement. This article will describe the differences between cod liver oil and fish oil. It is essential to know the differences between cod liver oil and fish oil supplements, whether you want to use them as health supplements or are merely curious about the two types of oils. N-3 polyunsaturated fatty acids, inflammation, and inflammatory diseases. Effects of omega-3 supplement in the treatment of patients with bipolar I disorder. 10000IU. Omega 3 fatty acids are essential meaning they cannot be made in the body. Both cod liver oil and fish oil are oils that come from fish. Benefits of calamansi juice include bleaching the skin, detoxifying the body, aiding in weight loss & managing diabetes. Methods: Forty-three patients (34 female, 9 male; mean age = 49 +/- 19y) were investigated in a parallel randomized . They come from different fish sources and have unique benefits. High doses of vitamin A during the first trimester of pregnancy is a known teratogen which can negatively impact the pregnancy. Cod liver oil is high in Vitamins A and D which help to maintain eye and bone Contrastingly, fish oil contains almost no vitamin A or D after it is processed. vitamin D per 100g. Vegans and vegetarians may not want to eat fish oil. The antioxidant and anti-inflammatory properties of turmeric, mainly due to its compound curcumin, is responsible for weight loss. Both oils provide omega-3 fatty acids and have been shown to reduce risk factors of heart disease, such as high blood . Fish oils are extracted from the tissues of fatty fish like tuna, herring, and mackerel. Both olive and fish oils are considered the "healthy oils" or "good fats," but evidence shows that one of them can damage the liver. (2012). Omega-3 fatty acids support many body systems and may prevent a number of ailments. Cod Liver Oil. Omega-3 content. Studies have shown fish oil helps maintain healthy triglyceride levels already within normal range along with other heart health related markers. It has been found the cod liver oil contains a higher ratio of DHA to EPA. Associations between cod liver oil use and symptoms of depression: The Hordaland health study. 2004-2022 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Quality is most important when selecting supplements, and it can be hard to tell which are best. How to get oil out of clothes? (1995). (2006). The latter is g sugar and 0 g of dietary fiber, the rest is complex carbohydrate. 2005-2022 Healthline Media a Red Ventures Company. They have found it to be a good source of vitamin A, vitamin D, and omega 3s. Images are provided by Shutterstock & our contributors. (2010). Does fish oil lower blood pressure? Capsules with fish oil may be a more palatable option for people who do not want to use oily supplements. ICES (International Council for the Exploration of the Sea) coordinates the management of North Atlantic fisheries. While cod liver oil is plentiful in omega 3, as you'd expect from a fish-derived supplement, the liver tissue that produces it is also rich in vitamins and minerals. You can visit the National Institutes of Health database of dietary supplement labels if you want to research a particular brand. (Cod Liver Oil) 27.3g Dietary fiber, also called roughage, is present in plants, in soluble or insoluble form. Eating oily fish such as wild salmon and sardines twice a week is important but supplement a small amount of Omega 3's as well. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. For more information, read this article.You can purchase EVCLO here.. Rich in omega-3 fatty acids and a high percentage of vitamins A and D. While natural fish oils are obtained from the fatty tissues of fish, cod liver oil is obtained directly from fish livers. The difference between the two is cod liver oil has the added benefit of having vitamins A and D3 and fish oil does not contain vitamins A and D3. Although these two supplements share many of the same benefits, they are marked by some important differences. ALA can be converted into EPA and DHA (rather inefficiently), so although flaxseed is not a direct source of EPA and DHA, it . Both fish oil and cod liver oil might cause minor side effects, and they may not be safe for all people: Dont take cod liver oil if youre pregnant. They both may provide a reduced risk of glaucoma, improved heart health, and reduced risk of mental health disorders and certain types of cancers. Parker HM, et al. Health benefits of apple cider vinegar include its ability toregulate blood sugar levels, boost weight loss,improve skin & gut health, & lower cholesterol levels.Read more! Best Capsules: Carlson Cod Liver Oil . Fish oil vs. statins for cholesterol: How do they compare? Here is the step-by-step method to use lemongrass. Update: I now recommend Extra Virgin Cod Liver Oil from Rosita as my preferred cod liver oil product. To get optimal Omega-3 benefits, a person must take DHA and EPA. Best Overall Cod Liver Oil: Carlson Cod Liver Oil. Nordic Naturals Arctic Cod Liver Oil. For most people, taking cod liver oil for a few months is safe and may provide some health benefits. Cod liver oil is a type of fish oil. Cod liver oil and fish oil are both good for inflammatory conditions, as well as relieving arthritis and stimulating hair growth. Fish oils are derived from fish considered to be fatty or oily, such as salmon, trout, mackerel, tuna, herring, and sardines. Help us by suggesting a value. Omega-3 fatty acids are incredibly important for health. The discussion of whether to use cod liver oil vs fish oil has been going on for years, but there are a few key differences that may help you make the best choice. The fatty acids in fish oil are eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). Cod liver oil has much more vitamin D than the typical fish oils. People with low stamina and energy should include them in their diet. The only source of cod liver oil is the liver of a cod fish. [11] Relieves IBD-associated Joint Pain. From the families, EPA and DHA are important components found throughout the whole body. Personally, I'd go with cod liver oil because you can get it in liquid and vitamin D is extremely important for maintaining bone mass, especially for us northern folks in winter. The results imply that cod liver oil may have synergistic nutrients that ensure optimal absorption. Fish Oil,Krill oil or cod liver. Healthline Media does not provide medical advice, diagnosis, or treatment. How Much Omega-3 Should You Take per Day? A key difference between cod liver oil and fish oil lies in their health benefits. A 2009 study titled 'Cod liver oil, other dietary supplements, and survival among cancer patients with solid tumors', suggested that the daily use of cod liver oil throughout the year correlates with a lower risk of death in patients with lung cancer as well as solid tumors. Most studies focus on three types of omega-3s: alpha-linolenic acid (ALA), docosahexaenoic acid (DHA), and eicosapentaenoic acid (EPA). If you dont want those extra vitamins, take just the fish oil. The unique strengths of cod liver oil versus fish oil are likely due to the presence of vitamins A and D. Cod liver oil used to be a very common supplement given to children in the United States, especially to prevent rickets, until the practice raised concerns about potential vitamin toxicity. These essential fatty acids'' have two well known families called omega 3 and omega 6 fatty acids. The nutrient content of cod liver oil and fish oil supplements is a major difference between the two. It is important to check the label. Fish oil contains Omega-3 fatty acids that can reduce inflammation throughout the body. Taking fish oil or cod liver oil with food, especially fatty food, may help you better digest and absorb the omega-3 fatty acids. (2015). From grocery stores to health food stores to Target and Amazon, you can now find a variety of supplements for sale. The impact of vitamin D levels on inflammatory status: A systematic review of immune cell studies. Moreover, you can promote healthy hair growth and stop hair from excessive failing by taking cod liver oil too. 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cod liver oil vs fish oil