Juniper berry oil is rich in 5,11,14-eicosatrienoic acid, a polyunsaturated fatty acid similar to one found in fish oil, yet less prone to peroxidation. Dietary fish oil treatment has been shown to effectively reduce reperfusion injury; therefore, the effects of a diet containing juniper berry oil on hepatic reperfusion injury in a low-flow, reflow reperfusion model were investigated in the rat. Rats were fed semisynthetic diets containing either juniper berry oil, fish oil, or corn oil for 14 to 16 days. Daily food consumption averaged around 20 g/d in both the control and treatment groups; average daily weight gain was around 4 g per 100 g rat weight in all three groups studied, and there were no significant differences in these parameters. Livers were initially perfused at low-flow rates to induce pericentral hypoxia followed by a 40-minute reperfusion period. Peak lactate dehydrogenase ( Kupffer cells, the resident macrophages in the liver, are a major source of cytokines 1 and produce 70% to 80% of the eicosanoids from arachidonic acid in the liver. 2 Kupffer cells are activated by reperfusion after hypoxia, 3,4 and release toxic mediators such as proteases, tumor necrosis factors, and toxic free radicals 5-7 that participate in primary graft failure after liver transplantation. Excess production and release of arachidonic acid metabolites also occurs in pathophysiological states such as the reperfusion injury associated with cardiac arrhythmias, fatty liver in sepsis, inflammation, asthma, and arthritis. 8