Fred Liers PhD omega-3 essential fats plus e EFA formulaOmega-3 essential fatty acids (EFA) are critically important for health. That is the reason we at HPDI include them in our foundational supplements system in the form of our Essential Fats Plus E formula. Essential Fats Plus E provides a balanced ratio of 4:1 omega-3 EPA to omega-6 GLA fatty acids proven to optimally support health.

As important as Omega-3 fats are in good health, various studies conclude they are of little value. In order to help clarity the fallacies found in such studies, this month we re-print the recent article “Omega 3 Fatty Acids and Cardiovascular Disease” from the Orthomolecular News Service (OMNS).


Essential fats including Omega-3 and Omega-6 are so important to health that we consider them as foundational or “core” to basic nutrition as multivitamins, antioxidants/vitamin C formulas, and high-RNA superfoods, like Rejuvenate! Plus.

Many of today’s health problems relate to deficiencies in Omega-3 essential fatty acids rather than overabundance of it. It makes sense for everyone to supplement their diets with at least a minimum amount of essential fats. This is addition to consuming foods high in Omega-3 (and Omega-6) essential fats, including leafy greens, nuts, seeds, and seed oils. Also, small amounts of wild-caught fish from clean waters. Preferably these fish would come from low on the food chain, such as sardines, herring, or young mackerel, for example.

In December 2107, my father Hank Liers, PhD, wrote “The Truth about Essential Fatty Acids.” In his article, he delves into detail about why essential fatty acids are critical for health.

The diagram below from Dr. Hank’s article shows in detail the pathways for the production and use of fatty acids in the body. In the figure the metabolic pathways (running left to right) for four fatty acids types are shown (top – Omega-3, second – Omega-6, third – Omega-9, bottom – Omega-7). Notice that only the omega-3 and omega-6 oils are considered to be essential fatty acids because they cannot be made in the body. This means they must come from food.

omega-3 fats omega-6 fats

Furthermore, an additional diagram from Dr. Hank’s article shown below provides details of the omega-6 and omega-3 pathways. Pathway specifics indicate key eicosanoids (series 1 prostaglandins [anti-inflammatory], series 2 prostaglandins [pro-inflammatory], and series 3 prostaglandins [anti-inflammatory]), oil sources, and important nutrient cofactors that are needed for the reactions to take place.

omega-3 fats omega-6 fats

In particular, Dr. Hank discusses how superior benefits to health result from a balanced 4:1 ratio between Omega-3 eicosapentanoic acid (EPA) fatty acids and Omega-6 gamma linoleic acid (GLA).

Below we list some of the functions and benefits obtained when by diet or supplementation the correct ratios and amounts of essential fatty acids are consumed.

• Regulate steroid production and hormone synthesis
• Regulate pressure in the eyes, joints, and blood vessels
• Regulate response to pain, inflammation, and swelling
• Mediate Immune Response
• Regulate bodily secretions and their viscosity
• Dilate or constrict blood vessels
• Regulate smooth muscle and autonomic reflexes
• Are primary constituents of cellular membranes
• Regulate the rate at which cells divide
• Necessary for the transport of oxygen from the red blood cells to tissues
• Necessary for proper kidney function and fluid balance
• Prevent red blood cells from clumping together
• Regulate nerve transmission

Dr. Hank also discusses the fallacy of thinking that supplemental Omega-3 fats alone are sufficient to produce health. That is, despite the relative lack of Omega-3 essential fats and the prevalence of Omega-6 fats in modern diets, it is nevertheless the forms (EPA and GLA)—and the critical 4:1 ratio between them—that makes the difference in how they act synergistically for health. The result of Hank’s scientific understanding of essential fatty acids has resulted in his formulation of a balanced EFA product, Essential Fats Plus E.

Orthomolecular Medicine News Service Article “Omega 3 Fatty Acids and Cardiovascular Disease”

Regarding the Orthomolecular Medicine News Service article “Omega 3 Fatty Acids and Cardiovascular Disease” (republished below) rebutting the “Cochrane Database of Systematic Reviews” which relies on so-called “Evidence Based Medicine” (EBM) to distort truth on Omega-3 essential fatty acids, the fact that Omega-3 fats are under such false attack represents a huge disservice to the public.

While essential fatty acids may not generate profits for corporations—and in fact may lead to improved health outcomes that threaten the use of chemicals and drugs—essential fats nevertheless remain foundational for health.

Above we have shown the important reasons Omega-3 fats and other essential fatty acids are scientifically termed “essential.” And why people continue taking essential fats, and giving them to their families and children, for supporting health and well-being. Primary among these reasons is that you cannot be healthy without them. Hence, they are essential. Why believe anyone who says otherwise?

The bottom line: Omega-3 essential fatty acids are critical for health. Supplementing the diet with them is a good idea for nearly everyone. This is especially true because typical diets are proven to be most deficient in Omega-3 among essential fats.

Below we re-print in full the recent article “Omega 3 Fatty Acids and Cardiovascular Disease” from the Orthomolecular News Service (OMNS) for the benefit of our HPDI blog readers. ~


Orthomolecular Medicine News Service, Aug 6, 2018

Omega-3 Fatty Acids and Cardiovascular Disease

Commentary by Damien Downing, MBBS, MSB and Robert G. Smith, PhD

The Cochrane Database of Systematic Reviews has just updated its own review: Omega-3 fatty acids for the primary and secondary prevention of cardiovascular disease [1]. Here’s our take on it.

Michael Pollan, the brilliant food writer, reckoned you could sum up what to do about nutrition and diets in 7 words; “Eat food, not too much, mostly plants.” That sums up both what’s best for humans and what’s best for the planet.

We reckon you can sum up what’s wrong with evidence-based medicine (EBM) in 10 words; “Evidence is a waste of data; systematic reviews are palimpsests.” You can use that as a knife to quickly dissect this study.

There are many things wrong with this review. Somebody’s PR department has spun the review’s “no clear evidence of benefit” into “evidence of no benefit” – absence of evidence becoming evidence of absence. And clearly the media were entirely happy to take that one and run with it.

Systematic reviews are palimpsests

What’s a palimpsest? Back when things got written on vellum, an animal skin, not on paper, you didn’t throw it away; you recycled it and wrote over the original. It was called a palimpsest.

A systematic review gives an opportunity to write over the conclusions of a whole list of papers with your new version of the truth. You do that by the way that you select and exclude them.

For instance there was a meta-analysis (that’s a systematic review with more numbers) in 2005 that concluded that vitamin E supplements significantly increased the risk of death [2]. The way they did that was to rule out any study with less than 10 deaths – when fewer deaths was exactly the outcome they were supposed to be looking for.

The reason they gave for doing that was “because we anticipated that many small trials did not collect mortality data.” We’re not buying it; they used it as a trick to enable them to get the negative result they wanted – to over-write the findings of a long list of original studies.

And here we have authors doing the very same thing in this omega-3 study – and upping the ante slightly. Now the threshold is 50 deaths. Fewer than that and your study is ruled out of the final, supposedly least biased, analysis . . on the grounds that it’s more biased.

We don’t know how they could keep a straight face while saying (our interpretation); “The studies with fewer deaths showed more benefit from omega-3s, so we excluded them.” At least that’s what happened back in 2004 when the first version of this came out.[3]

But this is the 8th update (we think) and they no longer bother to tell you about what they included or excluded in detail, so we can only assume that if they had changed that exclusion they would have told us.

The weird thing is that they are allowed to do it. Nutrition researcher Dr. Steve Hickey has shown that in systematic reviews there is generally control for bias in the included studies, but none for bias in the actual review and its authors.[4,5]

They found not one example of adequate blinding among 100 Cochrane reviews (like this one); they could all be palimpsests. Do we know that they are fake? No, but it doesn’t matter: what we do know is that we can’t trust them. Nor can we trust this Cochrane review. Things haven’t changed since 2004.

Evidence is a waste of data

Evidence is what lawyers and courts use to find someone Guilty or Not Guilty, and we all know how that can go wrong. It’s a binary system: you’re either one or the other. But at least if you’re on trial all the evidence should be about you and whether you did the crime.

In EBM the evidence is all about populations, not about individuals. When a doctor tells you “There’s a 1 in 3 chance this treatment will work” he is required to base that on big studies, or even systematic reviews. You don’t, and you can’t, know what that means for you because very likely you don’t fit the population profile.

As Steve Hickey (again) said, the statistical fallacy underlying all this states that you have one testicle and one ovary – because that’s the population average! The authors of this study update started off with about 2100 papers that looked relevant. They then excluded 90 per cent of them for various reasons – some of them good reasons, some not.

A smarter way to work would be to data-mine them and look for useful information about sub-groups and sub-effects in all the papers. Is there a particular reason omega-3s might work for you and not for others? Perhaps you can’t stand fish, or are allergic to them, and so are deficient in omega-3s.

But the review system doesn’t allow it, it insists on overall conclusions (about populations), and that’s a colossal waste of data. It also confounds the overall finding of the review – it biases it in fact.

Here’s an example: while most subgroups that made it to the final analysis showed a small reduction in risk from taking omega-3s in one form or another (pills, food, whatever), those who got it from supplemented foods, which we understand means stuff like margarine with added omega-3, showed a 4.3-fold death risk increase!

The problem here is that the effects of omega-3 fatty acids cannot be studied alone as if they were a drug. What counts are all the other components of the diet that affect a person’s health.

Processed foods and drinks that contain many unhealthy ingredients can’t be made healthy by adding small doses of vitamins, minerals, and omega-3 fatty acids. In fact, many processed foods that contain small doses of vitamins and other essential nutrients are unhealthy because they contain large doses of sugar, salt, and harmful ingredients such as preservatives, dyes, and other non-food items.

Why lipids are so important

Part of the problem is that lipids are truly complicated, and not many people, patients, doctors or even scientists, understand them well. You need a good understanding of lipid metabolism to appreciate the difference in metabolism and impact between alpha-linolenic acid (ALA, in food such as oily fish) and extracted oils such as EPA and DHA that are only found at high levels in omega-3 supplements.

At these levels they are effectively new to nature; nobody, indeed no mammal, was exposed to really high doses of DHA until we invented fish oil supplements [6]. Miss that fact and you miss the difference between having people eat fresh oily fish or just using omega-3 margarine!

We know from a variety of studies that a diet containing generous portions of green leafy and colorful vegetables and fruits, moderate portions of eggs, fish, and meat, and supplements of adequate doses of essential nutrients (vitamins and minerals) is effective at lowering the risk for cardiovascular disease.

Adequate doses of both omega-3 (in flax oil, walnuts, fish) and omega-6 (in seed oils such as canola, soybean, peanut) fatty acids are essential for health. Although essential, omega-6 fatty acids are thought to contribute to inflammation throughout the body whereas omega-3 fatty acids are anti-inflammatory.

Omega-3 fatty acids are essential for most body organs including the brain but are found in lower levels than omega-6 fatty acids in most vegetables. Risk for cardiovascular disease can be lowered by adequate doses of vitamins C (3,000-10,000mg/d), D (2,000-10,000 IU/d), E (400-1,200 IU/d), and magnesium (300-600 mg/d) in addition to an excellent diet that includes an adequate dose of omega-3 fatty acids.[7]

(Dr. Damien Downing is a specialist physician practicing in London, and President of the British Society for Ecological Medicine. Robert G. Smith is a physiologist and Research Associate Professor at the University of Pennsylvania Perelman School Of Medicine.)



1. Abdelhamid, A, Brown TJ, Brainard JS, et al., (2018) Omega 3 fatty acids for the primary and secondary prevention of cardiovascular disease. Cochrane Database of Syst Rev. 7:CD003177. https://www.ncbi.nlm.nih.gov/pubmed/30019766

2. Miller ER, Pastor-Barriuso R, Dalal D, et al., (2005) Review Meta-Analysis?: High-Dosage Vitamin E Supplementation May Increase. Annals of Internal Medicine, 142(1), pp.37-46. Available at: http://annals.org/article.aspx?articleid=718049.

3. Hooper L, Thompson RL, Harrison RA, et al.. (2004) Omega 3 fatty acids for prevention and treatment of cardiovascular disease. Cochrane Database Syst Rev. (4):CD003177. http://cochranelibrary-wiley.com/doi/10.1002/14651858.CD003177.pub2/abstract

4. Hickey S, Noriega LA. Implications and insights for human adaptive mechatronics from developments in algebraic probability theory, IEEE, UK Workshop on Human Adaptive Mechatronics (HAM), Staffs, 15-16 Jan 2009.

5. Hickey S, Hickey A, Noriega LA, (2013) The failure of evidence-based medicine? Eur J Pers Centered Healthcare 1: 69-79. http://ubplj.org/index.php/ejpch/article/view/636

6. Cortie CH, Else, PL, (2012) Dietary docosahexaenoic acid (22:6) incorporates into cardiolipin at the expense of linoleic acid (18:2): Analysis and potential implications. International Journal of Molecular Sciences, 13(11): 15447-15463. http://www.mdpi.com/1422-0067/13/11/15447

7. Case HS (2017) Orthomolecular Nutrition for Everyone. Turner Publication Co., Nashville, TN. ISBN-13: 978-1681626574

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Fred Liers PhD riboseAvoiding excess dietary sugars is one of the healthiest things. But there is one sugar that really is good for you. That sugar is D-ribose.

In fact, D-ribose is so healthy for you, it may be the one sugar you won’t want to live without. A little background to this amazing sugar.

D-ribose is a 5-carbon monosaccharide occurring naturally in living cells. D-ribose importantly forms the carbohydrate parts of deoxyribonucleic acid (DNA) and ribonucleic acid (RNA). That means d-ribose is the sugar essential for the biological function of all living creatures, including humans.

Supplemental D-ribose is associated with many benefits. These benefits include greater energy, less fatigue, and faster muscle recovery. These benefits relate to the capacities of D-ribose as a total body energizer because it boosts energy production (as ATP) in the body.

For individuals suffering low energy levels associated with chronic fatigue syndrome (CFS), low energy levels, and other problems related to low energy (ATP) production, D-ribose can mean a significantly higher level of energy. In cases of extremely low energy, it can mean the capacity to function more normally.

ribose energy woman power health

D-ribose energizes every cell in our bodies.

Athletes and bodybuilders were among the earliest to recognize D-ribose for purposes of improving performance and recovery times. D-Ribose also exerts anti-anxiety, stress reduction, and potential anti-depressant properties. There is additional evidence suggesting that supraphysiological amounts of ribose may have cardioprotective effects, especially for the ischemic heart.

Supplemental D-ribose usually comes in the form of a sweet, crystalline, water-soluble powder. It is also available in capsules or tablets, including chewable tablets.

Humans synthesize d-ribose from foods, including glucose and various dietary sugars. But there are benefits to supplemental D-ribose. One of the major reasons is the important role of D-ribose in the production of energy (ATP) in human cells.













ribose sugar natural heart energy ATP RNA

D-ribose is heart healthy unlike most dietary sugars (e.g., sucrose).


The body uses D-ribose to generate adenosine triphosphate (ATP).  ATP provides energy for all bodily movements and every chemical reaction in cells. ATP is the source of all energy in the body and it’s constantly broken down and recreated due to the processes of life.

The adenine portion of ATP consists of one molecule of adenine and ribose (i.e., five-carbon sugar). The triphosphate portion of ATP consists of three phosphate molecules. When a phosphate breaks off from ATP, then energy is released. The compound then becomes adenosine diphosphate (ADP), which consists of adenosine and two phosphate molecules. When another phosphate molecule breaks off, it becomes adenosine monophosphate (AMP).

It is well established that ratios of ATP, ADP, and AMP are essential for regulating energy in cells. Under extreme physiological stress (e.g., high-intensity exercise), our cells cannot recreate ATP rapidly enough to supply cells with required energy. Concentrations of ADP and AMP rise causing a reduction in cellular energy. When the body’s rate of ATP use continues exceeding the rate at which it can be generated, cells “lose” nucleotides in order to restore the ratio between ATP, ADP, and AMP.

During anaerobic metabolism, AMP levels can rise within cells, thereby disturbing the ratios of ATP to ADP and AMP. The body can reduce AMP concentrations by degrading AMP to simpler end products resulting in a significant decrease in the adenine nucleotide pool. Under extreme conditions (e.g., prolonged high-intensity exercise or the diminished blood flow to tissues witnessed in ischemia), the adenine nucleotide pool may decrease by 30–50%. These effects can significantly compromise physical performance.

Here is where D-ribose supplementation works to support energy production. Supplemental D-ribose allows the body to bypass relatively slow conversion steps required for recreating the adenosine nucleotide providing critical material for ATP production. That is, D-ribose can increase the speed of nucleotide replacement. This has implications not only for sports performance, but also for general health. D-ribose is especially useful in situations where greater energy may be required, as in low energy, chronic fatigue, fibromyalgia, or combating the effects of aging.


One of the most important aspects of D-ribose for health relates to the fact that it is the rate-limiting compound that regulates the activity of the purine nucleotide pathway of adenine nucleotide metabolism. As such, ribose plays a central role not only in the synthesis of ATP, but also of coenzyme-A, flavin adenine dinucleotide (FAD), nicotinamide adenine dinucleotide (NAD), DNA, RNA, and other important cellular constituents.

In fact, D-ribose is the only known compound the body can use for performing this critical metabolic function. Specifically, ribose administration bypasses the slow and rate-limited pentose phosphate pathway to stimulate adenine nucleotide synthesis and salvage in vivo. In addition, it has been shown that de novo adenine nucleotide synthesis in skeletal muscle is rate limited by the availability of ribose.

Specifically, human muscle cells (e.g., heart and skeletal muscle cells) do not rapidly replace lost nucleotides because of the lack of two rate-limiting enzymes in the pentose phosphate pathway metabolizing glucose to ribose-5-phosphate. Ribose itself forms 5-phosphoribosyl-1-pyrophosphate, a rate-limiting compound in nucleotide synthesis. As noted, supplemental D-ribose allow the body to bypass the rate-limited steps of the pentose phosphate pathway, thereby accelerating nucleotide synthesis (and salvage).


It should not take a genius to figure out that when energy production is optimized, overall health will improve. Yet, the same principle also applies in reverse. That is, there are many instances in which low energy levels can fuel lower energy levels. For example, when illness, stressors, or other factors deplete large amounts of the body’s supply of energy, they can gradually (or not so gradually) lessen the body’s capacity to produce more by overtaxing the energy production system.

This cascade of reduced energy production can become a vicious cycle in which there are few reserves left to support the body’s need for greater energy. D-Ribose is one of the only nutrients that can reverse the downward spiral in ATP production when demands exceed supply. By feeding the body’s own system for producing energy, and thereby supplying the raw material required to produce it, supplemental D-ribose can helps break the cycle of low energy levels.

fatigue ribose natural sugar energy atp cells

Chronic low energy? D-ribose is required for creating energy for all biological functions.


To recap the importance of supplemental D-ribose: D-ribose increases the rate at which ATP is generated. This improves exercise performance and allows for faster muscle growth. All this is possible because supplemental ribose helps the body bypass the conversion steps needed to create or re-create adenosine nucleotides.

Because replacing adenine nucleotides normally requires a certain amount of time, providing the body with D-ribose supplementally via diet can reduce rates of healing and repair in muscle cells. That is, supplemental D-ribose can increase the speed at which adenosine nucleotides are replaced by providing raw material for the creation of more ATP. That is how D-ribose improves athletic performance and supports optimal energy production, as well as optimal muscle health.

The significance of the science behind ATP production is that almost everyone can benefit from supplemental D-ribose. Whether you are an athlete requiring rapid repletion of energy, a person suffering from low energy levels or chronic fatigue, or anyone who wishes to improve energy production supporting optimal health.

ribose energizes beautiful athletic girl with colorful balloons jumping on the beach

Fatigued to fantastic: a plentiful supply of D-ribose helps ensure an abundance of energy.


We at HPDI have focused our efforts on formulating the most effective nutritional supplements and superfoods. When Dr. Hank Liers formulated our original high-RNA Rejuvenate! superfood, he put D-ribose into it. In fact, all of our Rejuvenate! superfoods provide significant amounts of D-ribose.

Rejuvenate! (original greens) provides 1,500 mg D-ribose per serving (one small scoop). Rejuvenate! PLUS provides 1,800 mg per serving (two scoops). Rejuvenate! Berries & Herbs provides 2,000 mg per serving (two scoops).

ribose energy dietary nucleic acids rejuvenate superfoods

All Rejuvenate! superfoods provide high levels of D-Ribose.

A major reason HPDI includes D-ribose in its superfoods–and perhaps the most obvious one–is simply that we formulate unique, high-RNA superfoods to support optimal energy production in the body. D-ribose supports that goal by various means.

D-ribose is the rate-limiting sugar for the uptake and assimilation of dietary nucleic acids (RNA, DNA, nucleotides, and nucleosides). This is because D-ribose is actually the sugar backbone of these nutrients. As such, the body requires D-ribose in order to utilize and create (or recreate) dietary nucleic acids.

For example, nucleotides are the molecular building blocks of DNA and RNA. They are chemical compounds consisting of a heterocyclic base, a 5-carbon sugar (ribose or deoxyribose) and at least one phosphate group. They are the monomers of nucleic acids, and 3 or more can bond together to form a nucleic acid.

Nucleosides are glycosylamines consisting of a base (or nucleobase) to a ribose (or deoxyribose) ring. Some nucleosides are cytidine, adenosine, guanosine, and inosine. When nucleosides are phosphorylated in cells, they produce nucleotides (see above).

Thus, D-ribose plays important roles as an essential part of nucleic acids, nucleotides, and nucleosides; in the production of energy (as ATP); and the synthesis and salvage of nucleotides in the body.

Rejuvenate! superfoods are formulated to provide high levels of nucleic acids. D-ribose helps the body optimize its use of nucleic acids and their constituent components. Having D-ribose in our superfoods not only supports energy production directly, but also allows maximum use of the dietary RNA they are formulated to provide.

Rejuvenate! superfoods provide nutrients that boost energy levels significantly and consistently for optimal health, healing, and wellness. The inclusion of D-ribose importantly supports the powerful nucleic acid nutrition these superfoods offer, as well as supplements the body’s intake and synthesis of D-ribose.

ribose energy rejuvenate plus (500g) RNA nucleic acids doctor hank liers original

REJUVENATE! PLUS provides 1,800 mg of D-ribose per serving.


D-Ribose of one of the most important natural sugars for life and health. It is one of the few nutrients that can boost energy levels naturally. When taken with other important biological nutrients, including dietary RNA, DNA, nucleotides, and nucleosides, D-ribose is truly a nutritional powerhouse that can support good health and the energy levels required to live life to its fullest. We believe the best way to obtain supplemental D-ribose is to consume Rejuvenate! superfoods.












Pentose-Phosphate Pathway: Elsevier’s Review of Biochemistry

From Fatigued to Fantastic (excerpt) by Jacob Teitelbaum, MD

D-Ribose technical information (Vista Chemicals)

Enhancing Cardiac Energy with Ribose (LEF)


The Use of D-Ribose in Chronic fatigue syndrome and fibromyalgia (J Altern Complement Med.)

D-Ribose Aids Advanced Ischemic Heart Failure Patients (Int J Cardiol.)

D-Ribose, a Metabolic Substrate for Congestive Heart Failure (Prog Cardiovasc Nurs.)

D-Ribose as a Supplement for Cardiac Energy Metabolism (J Cardiovasc Pharmacol Ther.)

Ribose Accelerates the Repletion of the ATP Pool During Recovery from Reversible Ischemia of the Rat Myocardium (J Mol Cell Cardiol.)

Significance of the 5-phosphoribosyl-1-pyrophosphate pool for cardiac purine and pyrimidine nucleotide synthesis: studies with ribose, adenine, inosine, and orotic acid in rats (Cardiovasc Drugs Ther.)

Stimulation of Myocardial Adenine Nucleotide Biosynthesis by Pentoses and Pentitols (Pflugers Arch.)

The Role of Ribose on Oxidative Stress During Hypoxic Exercise (J. Med. Food)

D-Ribose Benefits Restless Legs Syndrome (J Altern Complement Med.)