Gamma-linolenic acid (GLA) is an omega-6 fatty acid that is found mostly in plant based oils such as borrage seed oil, evening primrose oil, and black currant seed oil. Omega-6 fatty acids are considered essential fatty acids: They are necessary for human health, but the body can’t make them -- you have to get them through food. Along with omega-3 fatty acids, omega-6 fatty acids play a crucial role in brain function, as well as normal growth and development. Also known as polyunsaturated fatty acids (PUFAs), they help stimulate skin and hair growth, maintain bone health, regulate metabolism, and maintain the reproductive system.
There are several different types of omega-6 fatty acids. Most omega-6 fatty acids in the diet come from vegetable oils in the form of linoleic acid (LA). The body converts linoleic acid to GLA and then to arachidonic acid (AA). GLA can be gotten from several plant based oils including evening primrose oil, borage oil, and black currant seed oil. Most of these oils also contain some linoleic acid.
A healthy diet contains a balance of omega-3 and omega-6 fatty acids. Omega-3 fatty acids help reduce inflammation, and some omega-6 fatty acids tend to promote inflammation. The typical American diet tends to contain 14 - 25 times more omega-6 fatty acids than omega-3 fatty acids. Many nationally oriented physicians blame this high rate of omega-6 to omega-3 fatty acids for the preponderance of inflammatory diseases in society.
Not all omega-6 fatty acids behave the same. Linoleic acid and arachidonic acid (AA) tend to be unhealthy because they promote inflammation. GLA, on the other hand, may actually reduce inflammation.
Much of the GLA taken as a supplement is converted to a substance called DGLA that fights inflammation. Having enough of certain nutrients in the body (including magnesium, zinc, and vitamins C, B3, and B6) helps promote the conversion of GLA to DGLA.
Many experts find the science supporting the use of omega-3 fatty acids to reduce inflammation and prevent diseases to be much stronger than that supporting GLA.
Some preliminary clinical research suggests that GLA may be useful for the following conditions:
Some studies show that taking gamma linolenic acid (GLA) for 6 months or more may reduce symptoms of nerve pain in people with diabetic neuropathy. People who have good blood sugar control may find GLA more effective than those with poor blood sugar control.
Studies are mixed as to whether evening primrose oil helps reduce symptoms of rheumatoid arthritis. Some preliminary evidence suggests evening primrose oil may reduce pain, swelling, and morning stiffness, but other studies have found no effect. When using GLA for arthritis symptoms, it may take 1 - 3 months to see any benefit. It is unlikely that evening primrose oil would help stop progression of the disease, so joint damage could still occur.
GLA from evening primrose oil or other sources has a longstanding history of folk use for allergies. And women and children who are prone to allergies appear to have lower levels of GLA in breast milk and blood. However, there is no good scientific evidence that taking GLA helps reduce allergy symptoms. Well conducted research studies are needed.
Before you decide to try GLA for allergies, speak with your health care provider to determine if it is safe for you. Then track your allergy symptoms closely for any signs of improvement or lack of improvement.
Attention deficit/hyperactivity disorder (ADHD)
Clinical studies suggest that children with ADHD have lower levels of essential fatty acids (EFAs), both omega-6s and omega-3s. EFAs are important to normal brain and behavioral function. Some studies suggest that taking fish oil (containing omega-3 fatty acids) may help reduce ADHD symptoms, though the studies have not been well designed. Studies that used evening primrose oil have found it was no better than placebo at reducing symptoms.
One study found that women with breast cancer who took GLA had a better response to tamoxifen (a drug used to treat estrogen sensitive breast cancer) than those who took only tamoxifen.
Evidence is mixed as to whether evening primrose oil can help reduce symptoms of eczema. Some early studies found it did, but they were not well designed. Later studies that examined people who took evening primrose oil for 16 - 24 weeks found no improvement in symptoms. If you want to try evening primrose oil, talk to your health care provider about whether it is safe for you to try.
High blood pressure (Hypertension)
There is some preliminary evidence that GLA may help reduce high blood pressure, either alone or in combination with the omega-3 fatty acids eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), found in fish oil. In one study, men with borderline high blood pressure who took 6g of blackcurrant oil had a reduction in diastolic blood pressure compared to those who took placebo.
Another study examined people with intermittent claudication, pain in the legs while walking that is caused by blockages in the blood vessels. Those who took GLA combined with EPA had a reduction in systolic blood pressure compared to those who took placebo.
More research is needed to see whether GLA is truly effective for hypertension.
Evening primrose oil has gained popularity as a way to treat hot flashes associated with menopause, but so far studies have not shown that it works. If you want to try evening primrose oil for hot flashes and night sweats, ask your health care provider whether it is safe and right for you.
Some evidence suggests that evening primrose oil may reduce breast pain and tenderness in people with cyclic mastalgia. It may also help reduce symptoms to a lesser extent in people with non cyclic mastalgia. However, it does not seem to be effective for severe breast pain.
Some studies suggest that people who don’t get enough of some essential fatty acids (particularly EPA and GLA) are more likely to have bone loss than those with normal levels of these fatty acids. In a study of women over 65 with osteoporosis, those who took EPA and GLA supplements had less bone loss over 3 years than those who took placebo. Many of these women also experienced an increase in bone density.
Premenstrual syndrome (PMS)
Although most studies have found no effect, some women report relief of PMS symptoms when using GLA. The symptoms that seem to be helped the most are breast tenderness and feelings of depression, as well as irritability and swelling and bloating from fluid retention.
GLA is found in the plant seed oils of evening primrose, black currant, borage, and fungal oils. Spirulina (often called blue green algae) also contains GLA.
GLA supplements are made from evening primrose oil as well as black currant seed and borage seed oils. Most GLA supplements are capsules containing oil. Evening primrose oil has been the most researched source of GLA.
Generally, high quality oil will be certified as organic by a reputable third party, packaged in light resistant containers, refrigerated, and marked with a freshness date.
How to Take It
For your overall health, you should get a balance of omega-6 and omega-3 fatty acids. There is much disagreement in the nutrition field about what constitutes the proper ratio of omega-6 to omega-3 fatty acids in one's diet. The average diet provides plenty of omega-6 fatty acids, so most people don’t need supplements. People with specific conditions, such as eczema or psoriasis, arthritis, diabetes, or breast tenderness (mastalgia), may want to ask their health care providers about taking omega-6 supplements.
For nursing infants: Infants should get enough essential fatty acids in breast milk if the mother is eating a balanced diet.
Dosage and form will vary based on the condition of the patient. Black currant oil and borage oil are often delivered in gel caps. Speak to your physician to determine the most effective dose for your condition.
Because of the potential for side effects and interactions with medications, dietary supplements should be taken only under the supervision of a knowledgeable health care provider.
Do not take omega-6 fatty acids if you have a seizure disorder. Several reports describe seizures in people taking evening primrose oil. Some of these seizures developed in people with a previous seizure disorder, or in people taking evening primrose oil in combination with anesthetics. People who plan to have surgery requiring anesthesia should stop taking evening primrose oil 2 weeks ahead of time.
Pregnant women should not take borage seed oil, and possibly other sources of GLA, because they may harm the fetus and induce early labor. Talk with your physician.
Avoid doses of GLA greater than 3,000 mg per day. High levels may increase inflammation in the body.
Side effects of evening primrose oil can include occasional headache, abdominal pain, nausea, and loose stools. In animal studies, GLA is reported to decrease blood pressure. Early results in human studies do not show consistent changes in blood pressure.
Laboratory studies suggest that omega-6 fatty acids, such as the fat found in corn oil, promote the growth of prostate tumor cells. Until more research is done, health care professionals recommend not taking omega-6 fatty acids, including GLA, if you are at risk for or have prostate cancer.
If you are currently being treated with any of the following medications, you should not use omega-6 supplements without first talking to your health care provider.
Blood thinning medications -- People taking blood thinning medications should not take omega-6 fatty acid supplements without consulting a health care provider. Omega-6 and omega-3 fatty acids may increase the risk of bleeding. These medications include:
- Warfarin (Coumadin)
- Clopidogrel (Plavix)
Ceftazidime -- Gamma linolenic acid (GLA) may increase the effectiveness of ceftazidime. Ceftazidinme, an antibiotic in a class known as cephalosporins, is used to treat a variety of bacterial infections.
Chemotherapy for cancer -- GLA may increase the effects of anti cancer treatments, such as doxorubicin, cisplatin, carboplatin, idarubicin, mitoxantrone, tamoxifen, vincristine, and vinblastine.
Cyclosporine -- Cyclosporine is a medication used to suppress the immune system after organ transplant. Taking omega-6 fatty acids with cyclosporine may increase the immunosuppressive effects of this medication. It may also protect against kidney damage (a potential side effect from this medication).
Phenothiazines -- People taking a class of medications called phenothiazines to treat schizophrenia should not take evening primrose oil. Evening primrose oil may interact with these medications and increase the risk of seizures. The same may be true for other omega-6 supplements. These medications include:
- Chlorpromazine (Thorazine)
- Fluphenazine (Stelazine)
- Perphenazine (Trilafon)
- Promethazine (Compazine)
- Thioridazine (Mellaril)
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Reviewed by Steven D. Ehrlich, NMD, Solutions Acupuncture, a private practice specializing in complementary and alternative medicine, Phoenix, AZ. Review provided by VeriMed Healthcare Network.
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