Benefits
Brain and cognition: no measured cognitive benefit
DHA is a major structural fat in the brain and retina and is genuinely required during infant development. That is biology, not a benefit of taking this product. In the one randomized human trial of Eupoly-3, 800 mg DHA plus 25 mg EPA daily for 6 months raised blood DHA in children with autism but left clinical and behavioral scores unchanged. In adults, the AREDS2 trial gave 1 g a day of long-chain omega-3 to 3,501 people averaging 73 years old and at risk of advanced age-related macular degeneration for 5 years and found no difference in cognitive test scores (yearly change in the composite score -0.19 versus -0.18, P=0.63), and a Cochrane review of 3,221 cognitively healthy older people found no difference in MMSE score (mean difference -0.07, 95 percent CI -0.25 to 0.10).
Lowers triglycerides at high doses, but has not reduced heart events
EPA and DHA lower blood triglycerides, but that effect needs roughly 2 to 4 g a day, well above what a food-fortification oil like this normally delivers. Whether lowering triglycerides translates into fewer cardiovascular events depends on the dose and the chemical form. At about 1 g a day, VITAL (25,871 adults, median 5.3 years) found no reduction in major cardiovascular events (hazard ratio 0.92, 95 percent CI 0.80 to 1.06), though a secondary analysis did show fewer heart attacks (hazard ratio 0.72, 95 percent CI 0.59 to 0.90), and ASCEND (15,480 adults with diabetes, 7.4 years) found no reduction either (8.9 percent versus 9.2 percent, rate ratio 0.97). At 4 g a day of an EPA plus DHA carboxylic acid, STRENGTH (13,078 adults) was stopped early for futility against a corn oil comparator (12.0 percent versus 12.2 percent). The one trial that did cut events, REDUCE-IT (17.2 percent versus 22.0 percent), used 4 g a day of prescription-only purified icosapent ethyl, which is a different product from this one. Across these trials omega-3 supplementation was also linked to more atrial fibrillation.
Raises blood omega-3 levels (a biomarker, not a health outcome)
This is the one thing shown for the branded material. In preschool children with autism, 6 months of 800 mg DHA plus 25 mg EPA a day significantly raised the percentage of DHA in plasma and in red blood cell membranes. Raising blood omega-3 shows the oil is absorbed, not that anything improved: in that same trial the change came with no difference in plasma cytokines and no difference in clinical scores, and the authors noted the children already had adequate omega-3 status at baseline.
Mechanism of action
Membrane incorporation
DHA and EPA are built into cell membranes, supporting their function and serving as precursors to less-inflammatory mediators.
Resolution of inflammation
Omega-3s are converted into specialized pro-resolving mediators such as resolvins and protectins, which act to end an inflammatory response. That is laboratory biochemistry: in the one trial of this ingredient, 6 months of supplementation produced no change in plasma cytokine levels.
Clinical trials
Double-blind, randomized, placebo-controlled trial over 6 months, 800 mg/day DHA plus 25 mg/day EPA given as EUPOLY-3 DHA Infant against a sunflower oil placebo. The supplement and the placebo were provided free of charge by Biosearch SA of Granada, the maker of Eupoly-3, and one author was a Biosearch employee. (de la Torre-Aguilar MJ et al. 2022, Frontiers in Nutrition 9:790250, NCT03620097)
Spanish children aged 2 to 6 years diagnosed with autism spectrum disorder. Of 57 selected, 19 in the supplement arm and 25 in the placebo arm completed 6 months and were analyzed. A separate reference group of 59 healthy children of the same age was measured at baseline only.
The supplemented group significantly increased the percentage of DHA in plasma and in red blood cell membranes. There was no difference between the supplement and placebo groups in clinical test scores or in plasma cytokines, and on parts of the Battelle developmental test it was the placebo group that improved. The authors concluded that these children already had appropriate omega-3 status and that omega-3 supplementation should follow a confirmed deficiency rather than precede it.