Hi Deborah,   No, omega 3's do not work in the same way as cholesterol lowering meds.  Supplementing omega 3 fatty acids is beneficial because it improves the balance of omega 3 fatty acids in our diet to the omega 6 fatty acids.  High omega 6 fatty acid intake is linked to inflammatory issues/heart disease.   You'll gain a clear understanding of omega 3's and how they can help reduce heart disease risk by reading the follow three articles:   Get a Grip on Fatty Acids Top 5 Omega 3 Sources to Lower Cholesterol Omega 3's - How much to lower cholesterol?   All the best,   Lisa Nelson, RD, LN The Heart of Health - Heart Health and Weight Loss Tips