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While this could be due to the fat content of fish oil, the ingested oil floating on top of the stomach contents likely contributes to this side effect ( Splitting your fish oil into two smaller doses and taking it in the morning and at night is an effective strategy that can help prevent acid reflux and indigestion ( Summary Because most of the benefits of fish oil are associated with long-term use, you can take it at any time of day

Ask your rheumatologist which medications you should stop taking for surgery and how soon to restart them

Steliga MA, Rice DC

Patients interested in fat loss, insulin resistance, or metabolic health should start with a medical review