Academy
Chronic inflammation

Chronic low-grade inflammation

Chronic low-grade inflammation is the 'silent fire' that runs symptom-free for years and underlies cardiovascular disease, type-2 diabetes, autoimmune disease, neurodegeneration and cancer. Unlike acute inflammation (infection, trauma) it does not protect — it damages.

  • hs-CRP > 2 mg/L → 2× higher heart-attack risk
  • Visceral fat is an active inflammatory organ
  • Gut permeability ('leaky gut') feeds systemic inflammation

Acute vs. chronic inflammation

Acute inflammation (redness, pain, heat, swelling after a cut or infection) is protective — it starts, peaks and resolves. Chronic low-grade inflammation is persistent, systemic and slow — hs-CRP is chronically 2–10 mg/L without an obvious cause.

Its 'fuel' includes visceral fat (adipokines TNF-α, IL-6), gut permeability (LPS translocation), chronic stress, sleep loss, ultra-processed food, refined omega-6 fats, dysbiosis and chronic infections (H. pylori, periodontitis).

Indirect signs of chronic inflammation

  • Chronic fatigue, morning 'fog', brain fog
  • Joint stiffness and mild pain without a clear trauma or arthritis diagnosis
  • Skin issues — acne, eczema, psoriasis, rosacea
  • Metabolic syndrome (belly fat, high blood pressure, lipid disturbance)
  • Frequent infections, slow healing
  • Mood swings, anxiety, low mood (neuro-immune axis)
  • Autoimmune diagnosis or thyroid antibodies
  • Chronic gut issues — alternating diarrhea/constipation, bloating, gas

Visceral fat as an inflammation source

Visceral fat (around organs, not under the skin) is not passive storage — it's an active endocrine and immune organ. Adipocytes and their surrounding macrophages release inflammatory cytokines (TNF-α, IL-6, MCP-1) that circulate and disrupt insulin signalling in liver, muscle and brain.

This is why 'normal-weight but metabolically ill' people (TOFI — thin outside, fat inside) matter clinically — bio-impedance or DEXA detects high visceral fat even at BMI 22.

Gut permeability and LPS translocation

  • The gut lining is a single cell layer — the border between organism and environment
  • Zonulin (gliadin, dysbiosis, stress) opens tight junctions
  • Bacterial lipopolysaccharides (LPS) enter the bloodstream → LPS-emia
  • LPS activates TLR4 → systemic inflammation and insulin resistance
  • Fiber, fermented food, glutamine, colostrum — repair the barrier

Four pillars to lower inflammation

Lowering inflammation is not one supplement — it's a system-wide change across four domains at once.

Nutrition

Less ultra-processed food, refined omega-6, refined sugar. More omega-3 (fatty fish 2–3× a week or good-quality fish oil), polyphenols (berries, green tea, olive oil, dark chocolate), 30+ g fiber a day, fermented foods.

Cut visceral fat

A 5–10% weight loss + strength training removes visceral fat disproportionately. Waist/height < 0.5. Bio-impedance or DEXA make it visible.

Supplements to lower inflammation

Supplements are supportive, not a replacement for nutrition and lifestyle.

  • Omega-3 (EPA/DHA, 2–4 g/day) — one of the strongest evidence-based anti-inflammatories
  • Curcumin (with piperine or a liposomal system, 500–1000 mg) — inhibits NF-κB
  • Vitamin D3 (target 100–150 nmol/L; with K2) — immune modulator
  • Magnesium — lowers hs-CRP, supports sleep and stress
  • Zinc (15–30 mg) — immune function, epithelial integrity
  • Quercetin, resveratrol — polyphenol support
  • Multi-strain probiotics and prebiotics — microbiome diversity
  • Colostrum, L-glutamine — gut-barrier support

Fasting as an anti-inflammatory intervention

Time-restricted eating (14–16 h fast) and periodic fasting trigger autophagy and lower IL-6, TNF-α and hs-CRP. The effect is stronger when weight loss comes from visceral fat.

Not suitable during pregnancy, breastfeeding, eating disorders, underweight or on certain medications without supervision.

Labs to assess inflammation

  • hs-CRP (target < 1 mg/L) — systemic inflammation
  • Ferritin — an indirect inflammation marker (when iron deficiency is excluded)
  • Fibrinogen (target < 3.5 g/L)
  • Homocysteine (target < 8 µmol/L) — endothelial damage
  • Vitamin D 25(OH) (target 100–150 nmol/L)
  • Omega-3 index (target > 8%)
  • Fasting glucose and insulin, HbA1c — IR is the root of inflammation
  • Thyroid antibodies (anti-TPO, anti-TG) — autoimmune context
  • Gut markers (calprotectin, zonulin) — in advanced cases

Go deeper: inflammation and immunity webinars

Recorded material on chronic inflammation, the microbiome and an anti-inflammatory lifestyle.

See webinars Pay later or in installments — via Montonio at checkout

Frequently asked questions

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Chronic inflammation — a systemic approach

In a consultation we review an extended inflammation panel, assess visceral fat and build a plan you can discuss with your GP and/or specialist.

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This page is educational and general in nature. It is not personal medical advice, a diagnosis or a treatment plan. Discuss changes to your health, medication or supplements with your own doctor.

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