Optimal Result: 1 - 57 Ratio.

This test measures the ratio of arachidonic acid (AA) to eicosapentaenoic acid (EPA) in plasma. This ratio of the principle omega-3 and omega-6 fatty acids is a measure of the body’s eicosanoid balance. Balancing these eicosanoids in the body is an excellent way
for managing heart disease and other chronic and inflammatory processes.

1.5 to 3 Low Excellent
3 to 6 Moderate Good
7 to 15 Elevated Moderate
> than 15 High Poor

Even though cellular or chronic inflammation is silent (absent of pain signals), it can be measured with a number of medical tests.

The AA/EPA Ratio is one of the most common tests for cellular inflammation.

The two other common tests are:

  • hs-C-reactive protein (hs-CRP)
  • Nuclear factor kappa-B (NF-kB)


– https://www.ncbi.nlm.nih.gov/pubmed/17398308

– http://www.clevelandheartlab.com/providers/the-science/

– http://www.clevelandheartlab.com/wp-content/uploads/2018/11/CHL-D003-JUL2018-Artery-Wall-OnePager.pdf

– https://www.medicalnewstoday.com/articles/323144.php

– https://www.nutraingredients-usa.com/Article/2010/11/08/Omega-3-ALA-intakes-enough-for-EPA-DPA-levels-for-non-fish-eaters

– https://epi.grants.cancer.gov/diet/foodsources/fatty_acids/table4.html

What does it mean if your AA/EPA result is too high?

The higher the AA/EPA ratio, the higher are the levels of cellular inflammation.

An AA/EPA ratio of 1.5 is considered to be ideal, since this is the ratio found in the Japanese population having the greatest longevity and the lowest incidence of cardiovascular disease.

A lower AA/EPA ratio indicates a better balance of “good” and “bad” eicosanoids in your body. The average AA/EPA of Americans is approximately 11, and for patients with inflammatory conditions and neurological disorders, the AA/EPA ratio will be in excess of 20.

How to reduce and improve the AA/EPA ratio through dietary methods:
The fastest way to reduce the AA/EPA ratio is to increase the intake of high-purity omega-3 fatty acid concentrates and to reduce the consumption of arachidonic acid (AA) and omega-6 fatty acids (LA).

Increase omega-3 rich food sources:
– Seaweed, nori, spirulina, and chlorella
– Chia seeds
– Hemp seeds
– Flax seeds
– Walnuts
– Edamame
– Kidney beans

EPA is anti-inflammatory and should balance the levels of pro-inflammatory arachidonic acid. Although EPA can be produced from the essential fatty acid, ALA, dietary intakes of this fatty acid are generally poor. The conversion also requires the action of the delta-6 desaturase enzyme that may be low due to inadequate Zn, Mg, or vitamins B3, B6, and C. Such an enzyme impairment would be indicated if EPA is low and ALA is normal or high.

High levels of saturated, monounsaturated, trans fatty acids, and cholesterol also slow the conversion of ALA to EPA.

Decrease AA omega-6 rich food sources:

– Chicken
– Eggs
– Beef
– Sausage, franks, bacon, and ribs
– Fish
– Burgers
– Cold cuts
– Pork

10 000+ happy customers
100% satisfaction
★ ★ ★ ★ ★ customer support

Trust us to examine your lab results, guiding you towards improved health.

Use promo code to save 10% off any plan.

We implement proven measures to keep your data safe.

At HealthMatters, we're committed to maintaining the security and confidentiality of your personal information. We've put industry-leading security standards in place to help protect against the loss, misuse, or alteration of the information under our control. We use procedural, physical, and electronic security methods designed to prevent unauthorized people from getting access to this information. Our internal code of conduct adds additional privacy protection. All data is backed up multiple times a day and encrypted using SSL certificates. See our Privacy Policy for more details.