A combination of Efamol Pure Evening Primrose Oil, Marine Fish Oil & Vitamin E makes this popular formula for maintaining supple joints & a healthy heart quite unique. It provides both omega-3 & omega-6 nutrients in an easy to swallow capsule. Take two capsules with food or drink four times a day, reducing your dose to two capsules a day after 12 weeks. Minor side effects have occasionally been reported, including gastro-intestinal disturbances like loose stools, nausea & headaches. Such side effects either disappear on their own or respond to a reduced intake of Efamarine.