TNF and hydrops fetalis: A small study of 14 patients with New York Heart Association class III–IV HF received 8 g of Ω-3 vs. placebo for 18 weeks, showing a significant 59% reduction in tumor necrosis factor-α (TNF-α) levels, and 39% decrease in interleukin-1 (IL-1), and body weight increase (due to decreased cachexia), whereas the placebo group demonstrated a significant 44% increase in TNF-α and no change in IL-1 [37].