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However, caution is advised if you: Take blood-thinning medications, as fish oil may increase bleeding risk Are pregnant or breastfeeding, since certain vitamins and doses may require adjustment Have fat malabsorption issues, which can reduce the absorption of fat-soluble vitamins and omega-3s Who Should Be Careful Pregnant and nursing individuals should consult a healthcare provider before supplementation People with bleeding disorders or on anticoagulants should seek medical advice before adding fish oil Those with chronic digestive or absorption issues may need specialized guidance By paying attention to these safety considerations, you can take multivitamins and fish oil together with minimal risk