People take fish oil..Whose fault is that? Are you or are you not their PCP...You should be calling the shots..Fish oil has no proven benefit V has big time proven benefit,
I would start with an EPA/AA ratio test, as you know if this is way off. The 500mg worth of fish oil they are taking is in effective.
AA/EPA RATIO PLASMA Test Code
17864 CPT Code(s)
82491 Preferred Specimen(s)
3 ML PLASMA COLLECTED IN EDTA (LAVENDER-TOP) TUBE.
INSTRUCTIONS: PATIENT MUST BE FASTING FOR 8 TO 12 HOURS FOR THIS TEST. PATIENT MAY HAVE WATER. IT IS NOT NECESSAY TO DISCONTINUE NUTRITIONAL SUPPLEMENTS OR ORAL HORMONES PRIOR TO THIS TEST. ABNORMALITIES THAT MAY BE FOUND WILL REVEAL SPECIAL NEEDS THAT HAVE NOT BEEN MET BY RECENT DIETARY AND SUPPLEMENTAL INTAKE. Transport Container
PLASTIC SCREW-CAP VIAL Transport Temperature
FROZEN Specimen Stability
ROOM TEMPERATURE: NOT STABLE REFRIGERATED: NOT STABLE FROZEN: 6 MONTHS Reject Criteria
THAWED SPECIMENS Methodology
GAS CHROMATOGRAPHY/MASS SPECTROMETRY (GC/MS) Performing Laboratory
GENOVA DIAGNOSTICS (METAMETRIX) 3425 CORPORATE WAY DULUTH GA 30096-2579 Setup Days
MONDAY-THRUSDAY ONLY Clinical Significance
THIS UNIQUE TEST MEASURES THE RATIO OF ARACHIDONIC ACID (AA) TO EICOSAPENTAENOIC ACID (EPA) IN PLASMA OR SERUM. THIS RATIO OF THE PRINCIPLE OMEGA-3 AND OMEGA-6 FATTY ACIDS IS A MEASURE OF THE BODY'S EICOSANOID BALANCE. BALANCING THE EICOSANOIDS IN THE BODY IS AN EXCELLENT WAY FOR MANAGING HEART DISEASE AND OTHER CHRONIC AND INFLAMMATORY PROCESSES.