Gamma-linolenic acid (GLA)
Specifically for Rheumatoid Arthritis
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Why it works for Rheumatoid Arthritis:
Anti-inflammatory lipid signaling. Orally ingested GLA is elongated to dihomo-γ-linolenic acid (DGLA), which competes with arachidonic acid for COX/LOX enzymes. DGLA yields series-1 prostaglandins (e.g., PGE₁) and 15-HETrE, mediators that can temper inflammatory pathways (including inhibition of leukotriene B4 production). MDPI
Clinical signal in RA symptoms. Multiple randomized, placebo-controlled trials using GLA-rich oils (borage, evening primrose, blackcurrant seed) reported improvements in pain, morning stiffness, and tender/swollen joint counts versus placebo. Systematic syntheses conclude GLA-containing oils probably improve pain and may improve function in RA. Cochrane
Perspective: Major RA guidelines emphasize DMARDs first; supplements like GLA are optional adjuncts and not disease-modifying. American College of Rheumatology
How to use for Rheumatoid Arthritis:
Forms & typical studied doses
- Borage seed oil (highest %GLA): Trials used 1.4–2.8 g/day of GLA (often ~2.8 g/day) for ≥6 months. This typically required high-strength borage oil capsules. ACR Journals
- Evening primrose oil (EPO): Common RA trial dose was 6 g EPO/day (~540 mg GLA/day) for up to 12 months (sometimes combined with fish oil). Versus Arthritis
- Blackcurrant seed oil: RCTs used ~10.5 g oil/day (providing GLA+ALA) for 24 weeks. OUP Academic
How to take
- With meals, split into 2–3 doses to minimize GI upset (practice used in trials; product labels typically advise this).
- Trial period: Allow 8–12 weeks to gauge effect; many RCTs assessed outcomes at 3–6 months. ACR Journals
- Product choice: Prefer PA-free, third-party–tested borage oil; avoid non-seed borage preparations (leaves/flowers) due to pyrrolizidine alkaloids (PAs). EPO products should likewise be quality-certified. nimh.org.uk
Scientific Evidence for Rheumatoid Arthritis:
Randomized controlled trials (examples)
- Borage (GLA 2.8 g/day): 56 adults with active RA; significant reduction in tender/swollen joints and morning stiffness vs placebo at 6 months; continued benefit in open-label phase. (Arthritis & Rheumatism, 1996). ACR Journals
- GLA free fatty acid: 37 patients, 24-week double-blind RCT; improved clinical measures vs placebo. (Annals of Internal Medicine, 1993). Europe PMC
- Blackcurrant seed oil: 24-week double-blind RCT; improvements in signs/symptoms vs placebo. (Rheumatology, 1994). OUP Academic
Systematic reviews / overviews
- Cochrane-style summary: Evening primrose, borage, or blackcurrant seed oils (all GLA sources) probably reduce pain and may improve function, without clear increase in adverse events vs placebo. Cochrane
- Mechanistic and narrative reviews reinforce the DGLA/15-HETrE pathway as biologic plausibility for anti-inflammatory effects. MDPI
Specific Warnings for Rheumatoid Arthritis:
Not a substitute for RA drugs. Do not delay or replace DMARDs/biologics with GLA; discuss adjunct use with your clinician. American College of Rheumatology
Liver safety (borage products): Non-seed or non–PA-free borage can contain pyrrolizidine alkaloids (PAs) that are hepatotoxic; choose PA-free borage seed oil only. nimh.org.uk
Bleeding risk: EPO/GLA may increase bleeding tendency—use caution with warfarin, DOACs, aspirin, or NSAIDs, and stop before surgery (conservative advice). Versus Arthritis
Seizure threshold: Historic case reports tied EPO/GLA with seizures, especially with phenothiazine antipsychotics or peri-anesthesia; more recent pharmacology reviews deem the link weak, but caution is advised in seizure disorders or with phenothiazines. ScienceDirect
Common side effects: GI upset (nausea, diarrhea, abdominal pain), headache; generally well tolerated in trials. NCCIH
Pregnancy/lactation: Evidence is insufficient; avoid unless your obstetric provider agrees. NCCIH
Quality variability: Supplements aren’t regulated like medicines—choose reputable, third-party–tested brands. NCCIH
General Information (All Ailments)
What It Is
Gamma-linolenic acid (GLA) is a type of omega-6 fatty acid found in certain plant-based oils, such as evening primrose oil, borage oil, and black currant seed oil. Unlike most omega-6 fatty acids, which can promote inflammation when consumed in excess, GLA has unique anti-inflammatory properties.
Chemically, GLA is a polyunsaturated fatty acid derived from linoleic acid, an essential fatty acid that the human body cannot produce and must obtain from diet. Once ingested, GLA is converted into dihomo-γ-linolenic acid (DGLA), a precursor to beneficial compounds that can help regulate inflammation and cell function.
How It Works
GLA works primarily by influencing the body’s inflammatory response and cell signaling pathways. After it is metabolized into DGLA, it competes with arachidonic acid (another omega-6 fatty acid that promotes inflammation) for enzymes that produce prostaglandins and leukotrienes — substances that control inflammation, blood flow, and immune function.
When DGLA is metabolized, it forms anti-inflammatory eicosanoids, such as prostaglandin E1 (PGE1), which helps:
- Reduce inflammation in tissues
- Support immune balance
- Promote healthy circulation
- Improve skin barrier function
In addition, GLA plays a role in maintaining cell membrane structure and fluidity, ensuring that cells can communicate effectively and respond properly to hormonal and environmental signals.
Why It’s Important
GLA is important because it can counterbalance inflammation and support several key aspects of health, including:
- Skin Health: GLA helps improve skin hydration and elasticity. It is often used in managing conditions like eczema, psoriasis, and dry skin, where inflammation and barrier dysfunction are involved.
- Hormonal and Reproductive Health: GLA may help alleviate symptoms of premenstrual syndrome (PMS) and menopausal discomforts by modulating prostaglandin activity.
- Joint and Nerve Health: GLA has shown potential benefits in rheumatoid arthritis and diabetic neuropathy, where inflammation and nerve damage are common.
- Cardiovascular Support: By improving the balance of inflammatory mediators, GLA may contribute to healthy blood vessel function and help manage mild hypertension.
- Immune Regulation: Through its conversion to anti-inflammatory compounds, GLA can help modulate immune overactivity in autoimmune or allergic conditions.
Considerations
While GLA can be beneficial, several considerations are important before supplementing:
- Dosage and Source: Effective doses typically range from 240–600 mg of GLA per day, depending on the condition. It is best sourced from cold-pressed, high-quality oils to preserve potency.
- Balance with Other Fats: Since GLA is an omega-6 fatty acid, it should be consumed in balance with omega-3 fatty acids (found in fish oils or flaxseed) to maintain a healthy inflammatory response.
- Metabolic Variability: Some people have reduced ability to convert linoleic acid into GLA due to factors like aging, diabetes, or nutritional deficiencies (especially zinc, magnesium, or vitamin B6). In such cases, direct GLA supplementation can help.
- Potential Interactions: GLA may interact with anticoagulants, anti-inflammatory drugs, or seizure medications, so medical supervision is advised for people taking prescription medications.
- Side Effects: Generally mild, but high doses can occasionally cause digestive upset, headache, or soft stools.
- Special Populations: Pregnant or breastfeeding women and individuals with epilepsy or bleeding disorders should consult healthcare providers before use.
Helps with these conditions
Gamma-linolenic acid (GLA) is most effective for general wellness support with emerging research . The effectiveness varies by condition based on clinical evidence and user experiences.
Detailed Information by Condition
Rheumatoid Arthritis
Anti-inflammatory lipid signaling. Orally ingested GLA is elongated to dihomo-γ-linolenic acid (DGLA), which competes with arachidonic acid for COX/LO...
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