Chronic Inflammation
Acute inflammation is the body doing exactly what it is supposed to do: responding to an injury or infection, sending resources to the site, and resolving once the threat is handled. Chronic inflammation is different. It is a low-grade, persistent immune activation that does not resolve, often because the trigger is still present, and it quietly damages tissue over time. It is a common thread running through cardiovascular disease, type 2 diabetes, autoimmune conditions, cancer, and most of the chronic health conditions that develop in middle age and beyond.
What drives it
Gut permeability is one of the most common sources. When the gut lining is compromised, bacterial fragments and undigested food particles enter the bloodstream and trigger an ongoing immune response. Blood sugar instability drives inflammation directly, since elevated glucose and insulin both promote inflammatory signaling. Chronic stress keeps cortisol dysregulated, and disrupted cortisol loses its normal anti-inflammatory function. Excess body fat, particularly visceral fat around the organs, is metabolically active and continuously releases inflammatory compounds. Nutrient deficiencies, particularly omega-3 fatty acids, vitamin D, and magnesium, remove the raw materials the body uses to resolve inflammation once it starts.
How we assess it
High-sensitivity CRP and homocysteine are the primary markers. A full metabolic picture, including fasting insulin, full thyroid panel, and gut assessment, identifies where the inflammation is coming from rather than simply confirming it is present.
How we treat it
The plan addresses the sources we find. Gut repair for gut-driven inflammation. Blood sugar stabilization for metabolic inflammation. Cortisol rhythm support for stress-driven inflammation. Targeted nutritional support, particularly omega-3 fatty acids, curcumin, and vitamin D, reduces the inflammatory load while the underlying causes are addressed. Acupuncture has direct anti-inflammatory effects through its influence on the nervous system and immune signaling. Read more about acupuncture.
Common questions
How do I know if I have chronic inflammation?
Symptoms alone are not reliable indicators since chronic inflammation often produces no obvious symptoms until it has contributed to a diagnosable condition. A high-sensitivity CRP test is the most straightforward marker to check. Elevated homocysteine, triglycerides, and fasting insulin are also indirect signals.
Is anti-inflammatory diet enough?
Dietary change is powerful and often the most important single lever. But if the inflammation is also being driven by gut dysbiosis, chronic stress, or specific nutrient deficiencies, diet alone will not fully resolve it. We look at all the contributors.
Related: Gut health and leaky gut, blood sugar and insulin resistance, autoimmune conditions
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