Krill oil
Summary
Krill oil supplies EPA and DHA largely as phospholipids. In adults it raised blood omega-3 levels like fish oil at a lower EPA+DHA dose. Knee osteoarthritis trials disagree: a 2022 trial found modest pain relief, while a 2024 trial of 262 people found none (grade C). A krill-derived drug lowered very high triglycerides.
Key facts
How it works
EstablishedEPA and DHA are built into cell membranes and are precursors of signalling molecules involved in inflammation. In krill oil much of the EPA and DHA is bound to phospholipids rather than triglycerides.[1][5]
What the human research says
Human trials only, one row per outcome. The form column shows what each trial actually tested. Grades follow our evidence-grading policy.
At a glance: strongest evidence per outcome
| Outcome | Grade | Effect | Strongest evidence | Rows |
|---|---|---|---|---|
| Blood lipids | Grade B | Improved | RCT · n = 520 · 2022 | 1 row |
| Joints | Grade C | Improved | RCT · n = 235 · 2022 | 2 rows |
| Absorption | Grade D | Mixed | RCT · n = 113 · 2011 | 1 row |
Every graded row
| Outcome | Effect | Grade | Best evidence | PMID |
|---|---|---|---|---|
| Triglycerides in severe hypertriglyceridemia | Improved | Grade B | RCT · n = 520 · 2022 Adults with very high triglycerides (mean 701 mg/dL) in two pooled trials (TRILOGY 1 and 2) Form: Krill-derived omega-3 phospholipid/free fatty acid drug (CaPre) · Dose: 4 g/day · Duration: 26 weeks (primary outcome at 12 weeks) Triglycerides fell more than with placebo, with a safety profile similar to placebo. | 34989797 (opens PubMed)Source [4] |
| Knee pain, stiffness and function | Improved | Grade C | RCT · n = 235 · 2022 Adults with mild to moderate knee osteoarthritis Form: Krill oil · Dose: 4 g/day · Duration: 6 months Pain, stiffness and function improved modestly more than placebo; the Omega-3 Index rose from 6.0% to 8.9%. | 35880828 (opens PubMed)Source [3] |
| Blood omega-3 levels and lipids versus fish oil | Mixed | Grade D | RCT · n = 113 · 2011 Adults with normal or slightly raised cholesterol or triglycerides Form: Krill oil vs fish oil vs no supplement · Dose: 3 g krill oil (543 mg EPA+DHA) vs 1.8 g fish oil (864 mg EPA+DHA) per day · Duration: 7 weeks Plasma EPA, DHA and DPA rose similarly with both oils; serum lipids and oxidative or inflammatory markers did not differ between groups. | 21042875 (opens PubMed)Source [5] |
| Knee pain in knee osteoarthritis with synovitis | No effect | No effect | RCT · n = 262 · 2024 Adults with knee osteoarthritis, significant pain and effusion-synovitis on MRI Form: Krill oil · Dose: 2 g/day · Duration: 24 weeks Knee pain did not improve versus placebo. | 38776073 (opens PubMed)Source [2] |
Forms
| Form | Elemental % | Absorption (human data) | GI tolerance | Studied for |
|---|---|---|---|---|
| Krill oil softgels | Varies | Raised plasma EPA and DHA similarly to fish oil at about 63% of the EPA+DHA dose in one 7-week trial.[5] | Safety markers did not differ from placebo over 6 months.[3] | Knee osteoarthritis, blood omega-3 and lipid trials |
Studied doses
Doses studied in human trials ranged from 2 g/day of krill oil for 24 weeks and 3 g/day (543 mg EPA+DHA) for 7 weeks to 4 g/day for 6 months.[2][3][5]
Intake reference: No RDA exists for EPA or DHA. The adult Adequate Intake applies to ALA only (1.1 g/day women, 1.6 g/day men).[1] NIH ODS fact sheet (updated August 22, 2025).
Interactions
Published interactions only: each row cites a source. No row means none was found in our sources, not that a combination is safe.
Medicines
- Anticoagulants and antiplatelet drugsNIH fact sheetODS notes omega-3 supplements may have antiplatelet effects and could add to these medicines.[1]
Who should be careful
- Seafood or shellfish allergy
- Krill are crustaceans, and krill oil labels declare shellfish. NCCIH advises talking to a health care provider before taking omega-3 supplements if you are allergic to seafood.[6]
- Blood thinners
- Omega-3 supplements may add to the effect of anticoagulants.[1]
Talk to your pharmacist or clinician before starting a supplement, especially if you take prescription medicines.
Where to buy Krill oil
Products from brands we partner with that contain Krill oil. Listing a product is not a claim that it works; check the amount per serving against the doses studied above, and the label for other ingredients.
- SupersmartPaid linkKrill Oil2 softgels: 1,180 mg Superba Boost krill oil with 250 mg EPA+DHA, 660 mg phospholipids and 100 mcg astaxanthin; 30 servingsShop at Supersmart (opens in new tab)Price and label checked 2026-10-11 on the brand’s site.
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Frequently asked questions
Is krill oil better than fish oil?
In one trial krill oil raised blood omega-3 levels like fish oil at a lower EPA+DHA dose, but outcomes did not differ. Per gram of EPA+DHA, krill oil usually costs more.[5]
Does krill oil help knee pain?
Trials disagree: one found modest relief, a larger MRI-selected trial found none.[3][2]
Does krill oil lower triglycerides?
A krill-derived omega-3 drug lowered very high triglycerides at 4 g/day; retail krill oil supplies much less EPA+DHA.[4]
Is krill oil a shellfish product?
Krill are small crustaceans, so people with a shellfish allergy should read the label allergen statement.
Sources
- [1]Omega-3 Fatty Acids: Fact Sheet for Health Professionals. NIH Office of Dietary Supplements, 2025. fact-sheet
- [2]Krill Oil for Knee Osteoarthritis: A Randomized Clinical Trial.. JAMA, 2024. RCT
- [3]Krill oil improved osteoarthritic knee pain in adults with mild to moderate knee osteoarthritis: a 6-month multicenter, randomized, double-blind, placebo-controlled trial.. Am J Clin Nutr, 2022. RCT
- [4]Effectiveness of a Novel ω-3 Krill Oil Agent in Patients With Severe Hypertriglyceridemia: A Randomized Clinical Trial.. JAMA Netw Open, 2022. RCT
- [5]Metabolic effects of krill oil are essentially similar to those of fish oil but at lower dose of EPA and DHA, in healthy volunteers.. Lipids, 2011. RCT
- [6]7 Things To Know About Omega-3 Fatty Acids. National Center for Complementary and Integrative Health (NCCIH), 2023. fact-sheet
What changed
- Added seafood/shellfish allergy.
- Corrected the effect arrow (↑ improved, ↓ worsened for participants) on: Knee pain, stiffness and function; Triglycerides in severe hypertriglyceridemia.
- First draft. Every PMID checked against NCBI E-utilities (title, journal and year taken from the PubMed record) and each evidence row written from its PubMed abstract.
