Pre-industrial humans likely ate omega-6 and omega-3 in roughly a 4:1 ratio. Most people eating a typical Western diet today are closer to 15:1 or 20:1. That shift has happened almost entirely in the last 80 years, driven by the widespread adoption of seed oils and grain-fed rather than grass-fed animal products.
Omega-6 fatty acids, particularly arachidonic acid, are precursors to pro-inflammatory signalling molecules called eicosanoids. That's not inherently bad - inflammation is a necessary immune response. The problem is chronic, low-grade inflammation that never fully resolves, which is associated with cardiovascular disease, metabolic disorders, and autoimmune conditions.
Omega-3 fatty acids - particularly EPA and DHA from marine sources, and ALA from plant sources - produce anti-inflammatory eicosanoids and compete with omega-6 for the same enzymatic pathways. More omega-3 in the diet means less net inflammatory signalling, even if omega-6 intake stays the same.
ALA (found in flaxseed, chia, and walnuts) converts to EPA and DHA in the body, but the conversion rate is poor - typically 5-15% for EPA and less than 5% for DHA. Eating walnuts is better than not eating them, but it's not a substitute for eating fish.
If you eat fatty fish twice or more per week, you're likely getting adequate EPA and DHA. If you don't eat fish at all, a fish oil or algae-based omega-3 supplement (algae is where fish get their DHA in the first place) is reasonable. Standard supplementation doses are 1-2g EPA+DHA per day.
Omega-6 supplementation is almost never necessary - the challenge is reducing it, not adding more.
You don't need to count milligrams daily. A few habit changes move the needle significantly:
Batch-cooking salmon is one of the fastest ways to hit omega-3 targets for the week. Bake two fillets on Sunday, refrigerate, and eat cold on salads or with vegetables over 2-3 days. For a broader view of how omega-3 fits into the fat debate, the Fat Debate: A Balanced, Practical Guide covers where polyunsaturated fats sit relative to saturated and monounsaturated options.