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he made substantial contributions to a number of  acid. Experiments in rats, moreover, suggest that   Inducing an
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                  fields including nutrition, cell membrane biology  the requirement during pregnancy and lactation
                  and invertebrate zoology. At the urging of White  is double that needed during the growth of young  essential fatty
                  Castle owner Billy Ingram, he once conducted  animals. Under  ordinary  circumstances,  the   acid
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                  an experiment on a medical student, allowing the  requirement during adulthood is probably well
                  student to eat nothing but White Castle hamburgers  below the minimum one could obtain from a diet  deficiency in
                  and their associated buns and pickles for thirteen  made of whole foods. During pregnancy, periods   an adult
                  weeks. The student appeared to fair well on the diet  of growth such as bodybuilding or recovery from
                  and the study became a prominent feature of White  tissue injury, or in disease states where existing  human
                  Castle’s advertising.  If only McDonald’s had  PUFAs undergo oxidative destruction, the re-  proved much
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                  been so lucky when Morgan Spurlock performed  quirement may increase. People with low rates of
                  a similar experiment for his 2003 film Super Size  arachidonic acid synthesis or strict vegetarians  more difficult
                  Me. McClendon himself, however, had suffered  whose diets are devoid of arachidonic acid may be   than curing
                  from scaly skin and eczema between his fingers  more vulnerable to essential fatty acid deficiency
                  even in the absence of any potent hamburg-emia.  and may need higher intakes of linoleic acid. In  one.
                  At Burr’s urging, he cured the problem with a daily  these cases, borage oil or evening primrose oil can
                  dose of corn or flax oil. 1               supply dihomo-γ-linolenic acid (DGLA), which is
                      Inducing an essential fatty acid deficiency in  more easily converted into arachidonic acid than
                  an adult human proved much more difficult than  is linoleic acid, and liver or eggs yolks can supply
                  curing one. In 1938, the biochemist William Brown  arachidonic acid itself. These foods are likely to
                  volunteered to go six months eating an extremely  be more effective—and safer—than high intakes
                  low-fat diet in Burr’s laboratory. Each day, he  of linoleic acid.
                  consumed three quarts of defatted milk, a quart of
                  cottage cheese made from it, sucrose, potato starch,  THE ESSENTIALITY OF
                  orange juice and some vitamin and mineral supple-  OMEGA-3 FATTY ACIDS
                  ments. His blood lipids became more saturated and     George  Burr’s  former  graduate  student,
                  their concentrations of linoleic and arachidonic  Ralph Holman, demonstrated in 1950 with his
                  acids were cut in half. He experienced a marked  own graduate student, C. Widmer, that PUFAs are
                  absence of fatigue, his high blood pressure returned  comprised of two separate families of fatty acids:
                  to normal, and the migraines he had suffered from  linoleic acid is the precursor within the omega-6
                  since childhood completely disappeared.  Rather  family and is primarily converted in rat tissue to
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                  than inducing a deficiency, the diet seemed to cor-  arachidonic acid, while alpha-linolenic acid (ALA)
                  rect a long-standing excess, perhaps fueled by a  is the precursor within the omega-3 family and is
                  history of vegetable oil consumption.     primarily converted in rat tissue to docosahexae-
                      Dermatitis  seemingly  associated  with  es-  noic acid (DHA).  Omega-3 fatty acids improved
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                  sential fatty acid deficiency has occurred in adult  weight gain to some degree in essential fatty acid
                  humans on total parenteral nutrition (TPN), which  deficient rats, but had no power to cure dermati-
                  is an intravenous infusion of a liquid diet. These  tis,  infertility, or many other symptoms.  In fact,
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                  diets were also deficient in vitamin K, iron, zinc,  omega-3 ALA made the dermatitis worse.  The
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                  and various other trace elements, and essential  research community therefore ignored omega-3
                  fatty acids alone were never shown to resolve the  fatty acids for decades. Once Ralph Holman and his
                  dermatitis. 23-24  TPN also involves a continuous  colleagues convinced the medical establishment to
                  infusion of glucose, which prevents the breakdown  include linoleic acid in intravenous TPN infusions,
                  of adipose tissue and release of stored linoleic acid  however, suddenly a new deficiency was born.
                  that would ordinarily occur between meals.  All of     In 1982, Holman reported the first case of
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                  the subjects receiving TPN, moreover, had severe  apparent omega-3 deficiency in a six-year-old girl
                  underlying health problems, were often undergoing  who underwent repeated rounds of surgery for an
                  major gastrointestinal surgery, and were sometimes  abdominal gunshot wound and was maintained for
                  at the brink of death.                    over five months on TPN. The FDA had recently
                      These disparate experiences highlight the  approved the addition of vegetable oils to TPN
                  likely variation that exists in vulnerability to es-  to provide linoleic acid, and two formulas were
                  sential fatty acid deficiency among adult humans.  available: one containing safflower oil and one
                  Alcoholism,  diabetes,  insulin  resistance  and  containing soybean oil.  The safflower oil formula
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                  certain genetic variations decrease the activity of  contained an omega-6-to-omega-3 ratio of one
                  delta-6-desaturase, one of the enzymes involved  hundred fifteen, while the soybean formula con-
                  in the conversion of linoleic acid to arachidonic  tained a ratio of six, almost twenty times lower. 34

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