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However, the energy needed to sustain cardiomyocyte physiological activity is supplied by both glucose and FA metabolism, although FA oxidation rather than glucose metabolism is the predominant energy source (Lopaschuk et al., 2010)

doi: 10.1016/0009-2797(88)90031-2

This impairs the bloods capacity to ferry oxygen to tissues and organs, inducing symptoms such as fatigue, debility, breathlessness, confusion, and a pallid complexion

So the second way to get EPA and DHA and, in fact, the most reliable way, or perhaps the only reliable way, is to consume them either in the diet from cod liver, fatty fish, and shellfish or as a supplement like fish oil