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The ratio in the United States today has risen to 10:1 because of the combination of reduced omega-3 fatty acid intake and the widespread use of vegetable oils rich in linoleic acid.103 Because of the well-known competition between the omega-6 linoleate and the omega-3 -linolenate for metabolic conversion to longer-chain, physiologically active metabolites, reducing the former while increasing the latter (or simply increasing raw milk the latter) is a strategy for increasing tissue levels of omega-3 fatty acids.109 Another obvious strategy is to simply consume more EPA raw milk and DHA, an approach that minimizes the raw milk significance of the ratio. Since the first omega-3 fatty acid advisory,1 the FDA has ruled that intakes of up to 3 g/d of marine omega-3 fatty acids are GRAS (Generally Recognized As Safe) for inclusion in the diet.110 This ruling included specific consideration of the reported effects of omega-3 fatty acids on glycemic control in patients with diabetes, on bleeding tendencies, and on LDL cholesterol.
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