My main desktops Launcher has a mix of Omega and Alpha accounts and still is not showing the Omega status for any of the accounts.

On my laptop that only has 4 Omega accounts it is showing the status and how long is left.

Background:  Trials of supplementation with omega-3 fatty acids (3-FAs) in patients with mild cognitive impairment or Alzheimer's disease (AD) have produced inconsistent effects on cognitive decline. There is evidence of an interaction between B vitamin status and 3-FAs in relation to brain atrophy and cognitive decline.


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Objective:  We investigated whether baseline levels of plasma total homocysteine (tHcy), a marker of B vitamin status, modify the effects of 3-FAs supplementation on cognitive performance in moderate AD.

Conclusion:  The effect of 3-FA supplementation on MMSE and CDR appears to be influenced by baseline tHcy, suggesting that adequate B vitamin status is required to obtain beneficial effects of 3-FA on cognition.

The Vitamin B12 test measures a substance called methylmalonic acid (MMA) in the urine, which is a specific indicator of low B12 status. The more MMA you have, the more likely you are to be low in this critical nutrient.

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The Omega-3 Index test from OmegaQuant is the only omega-3 blood test supported by hundreds of studies in the medical and scientific literature. What this means is that you can have confidence that the test you are taking has meaning when it comes to your health.

Objective:  To identify a polyunsaturated fatty acid (PUFA) biomarker able to detect which women with singleton pregnancies are most likely to benefit from omega-3 supplementation to reduce their risk of early preterm birth.

Methods:  Using maternal capillary whole blood collected ~14 weeks' gestation, the fatty acids in total blood lipids were quantified using gas chromatography. Interaction tests examined whether baseline PUFA status modified the effect of omega-3 supplementation on birth outcomes.

Conclusions:  Women with singleton pregnancies and low total omega-3 PUFA status early in pregnancy have an increased risk of early preterm birth and are most likely to benefit from omega-3 supplementation to reduce this risk. Women with higher total omega-3 status are at lower risk and additional omega-3 supplementation may increase their risk.

1Defined as the average score in treated minus the average score in placebo for HVLT-DR, TICS-M and CDRsob. For CDR it is the OR ratio for a worse outcome comparing treated to placebo. The crude estimate uses the raw data without any statistical modeling. The adjusted treatment effect was obtained by using statistical modeling and adjusting for baseline cognitive score, age, gender, APOE4 status, education, and baseline tHcy. 2This is the p-value for testing the null hypothesis of no treatment effect within a fixed tertile. This applies to adjusted analysis only. 3Overall interaction tests the null hypothesis that treatment effects in 1st, 2nd and 3rd tertiles are all the same. 4This is the p-value for testing the null hypothesis of no overall interaction. 5p1st vs 2nd is the p-value for testing the null hypothesis that treatment effects in 1st and 2rd tertiles are the same. The same applies for p1st vs 3rd and p2nd vs 3rd.

As mentioned in the Introduction, trials of both omega-3 fatty acids and, separately, of B vitamins have given conflicting results regarding cognitive outcomes. Nevertheless, some previous studies have shown benefits of omega-3 fatty acid treatment alone on various types of memory [14, 19], attention and processing speed [21], as well as global cognition [17], while trials with B vitamins have shown benefits on episodic memory, verbal fluency, and global cognition in people with high baseline tHcy [9, 12]. We find here that this beneficial effect of B vitamin treatment on cognition only clearly occurs in those with a good omega-3 fatty acid status. A similar interaction between omega-3 fatty acid status and B vitamin treatment was found in VITACOG for the slowing of brain atrophy rate [27]. Our previous findings revealed that cognitive scores including the HVLT-DR and TICS-M decline more rapidly in those with the most brain atrophy [36]. We discuss below the likely causal links between cognitive scores and regional brainatrophy.

On the whole, trials on the efficacy of B vitamin supplementation for cognitive impairment have produced variable and sometimes negative results (see Introduction). Our results lead us to suggest that the variable outcomes might in part be related to different omega-3 fatty acid status in the trial participants, either due to diet or supplement intake. If intake is not monitored at baseline and controlled for in the randomization of participants to treatment, omega-3 status may confound the results. Future trials of B vitamin treatment should accordingly control for omega-3 fatty acid status. The different cognitive outcomes used may also account for variable outcomes in clinical trials. Manders et al. [24] found that general cognitive tests such as the MMSE often did not show effects for nutrients. But positive results were obtained when domain-specific tests were used, especially for fluid rather than crystallized ability, such as information processing. We found significant results for the episodic memory domain (HVLT-DR) and for general cognition with the TICS-M. However, the TICS-M contains more memory items than the MMSE and is a more sensitive test for cognitive decline [30].

There has been one randomized trial with a combination of B vitamins and omega-3 fatty acids in which cognition was assessed [37]. This was a secondary prevention trial in patients with cardiovascular disease, but only one cognitive assessment was done, at the end of the trial, and so it was not possible to study the effect of the treatment upon cognitive decline. Overall, no significant treatment effects were found on the final cognitive test scores, apart from a higher score in temporal orientation in those with a history of ischemic stroke and a lower score in semantic memory in those with a history of heart disease. This trial was not designed to study cognitive decline, and used doses of nutrients at dietary levels rather than pharmacological levels; it is thus not suitable for answering the question of whether omega-3 fatty acids enhance the slowing effect of B vitamins on cognitive decline. A randomized trial should now be performed with high dose combinations of these supplements in people who will experience cognitive decline during the trial period, such as those with MCI.

Metabolic interactions in the homocysteine methylation cycle with omega-3 fatty acids. Hcy, homocysteine; PEMT, phosphatidylethanolamine N-methyl transferase; SAH, S-adenosylhomocysteine; SAM, S-adenosylmethionine; THF, tetrahydrofolate.

The striking agreement between the results on the rate of brain atrophy and on cognitive decline in VITACOG raises the question of whether the two outcomes are causally linked. We have previously addressed this question by mediation analysis [11]. We found associations between cognitive decline and loss of gray matter in specific brain regions. Worsening of CDRsob and MMSE scores was associated with gray matter loss, most pronounced bilaterally in the amygdalo-hippocampal complex and entorhinal cortex. Decreases in HVLT-delayed recall and category fluency scores were associated with increased gray matter loss in the left hippocampus and entorhinal cortex. These gray matter regions involved in cognitive decline also showed a marked reduction of atrophy with B-vitamin treatment in subjects with high tHcy levels. We found that the optimal Bayesian network model explaining our data indicated the following causal chain of events: B vitamin treatment (mainly vitamin B12) caused a fall in tHcy levels, which reduced the rate of gray matter atrophy, which, in turn, delayed cognitive decline (HVLT-DR, category fluency, CDRsob) [11]. It would be of interest to see what the effect would be of the inclusion of omega-3 fatty acid status in these analyses.

A limitation of our study is that omega-3 fatty acids were not supplemented during the trial, so the findings only relate to baseline levels. Another limitation, which may account for the variability between subgroups, was the small number of participants in some of the subgroups. The small numbers also prevented us from looking for modifying factors, such as the possible interaction between the effects of omega-3 fatty acids and APOE4 status [44].

In-game this system is referred to as Clone States. Characters on Alpha accounts are referred to as "Alpha clones", and characters on Omega accounts are referred to as "Omega clones". If you pay for a subscription (paid for with time cards, monthly payments, PLEX...), your account (and all the characters on that account) receive "Omega" status until your subscription runs out (or you cancel it), at which point they revert back to "Alpha" status. There is no way to tell an Alpha from an Omega clone in-game. The conversion from Alpha to Omega is immediate, while the conversion from Omega to Alpha will always happen when you next log into the game.

Alpha or Omega status is tied to your game account. If you have multiple accounts, then you can choose to pay for a subscription for some, all or none of them, and each account (and the characters on that account) will have the corresponding Alpha or Omega state. 2351a5e196

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