The FDA and EPA organize fish into three practical tiers for people who are pregnant or breastfeeding, people who may become pregnant, and children. Local advisories take priority for fish caught by family or friends.
| Choice | Common fish and seafood | Pregnancy, breastfeeding, and children |
|---|
| Avoid | Shark, swordfish, king mackerel, bigeye tuna, Gulf of Mexico tilefish, orange roughy, and marlin | Choose a lower-mercury species instead. Cooking does not remove methylmercury. |
| Limit to 1 serving per week | Albacore or white tuna, yellowfin tuna, grouper, halibut, Chilean sea bass, bluefish, and Spanish mackerel | Eat no other fish that week. Check the FDA/EPA chart because species and serving sizes matter. |
| Choose 2 to 3 servings per week | Salmon, sardines, anchovies, Atlantic mackerel, shrimp, pollock, tilapia, trout, herring, oysters, clams, and canned light tuna | These are common lower-mercury choices. Use age-appropriate portions for children. |
Easy tuna rule: canned light tuna is generally a lower-mercury choice, albacore or white tuna belongs in the once-per-week tier, and bigeye tuna belongs in the avoid tier. A menu that says only "tuna" may not identify the species, so ask before ordering during pregnancy or for a young child.
Fish is one of the most nutritious foods on the planet, rich in omega-3 fatty acids, high-quality protein, and essential micronutrients. Most health authorities recommend eating it at least twice a week. And yet fish also carries a hidden risk that a significant portion of consumers are either unaware of or choosing to ignore: methylmercury, a potent neurotoxin that accumulates in the flesh of certain species and cannot be cooked, cleaned, or processed away.
New data from the European Food Safety Authority (EFSA) published in February 2026 found that the proportion of EU consumers eating high-mercury fish three or more times per week jumped from 26% in 2023 to 50% in 2024, a near-doubling in a single year. Around one in three Europeans, including one in three pregnant women, are now consuming potentially unsafe quantities of high-mercury seafood.
This is not a theoretical concern. Methylmercury exposure during pregnancy and early childhood is linked to measurable cognitive impairment, developmental delays, and neurological damage. Knowing which fish to eat freely and which to limit or avoid is practical, actionable knowledge that matters.