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.
Frequently asked questions
Go deeper: related material
Guides
Webinars
Courses
Related topics
Metabolic health is interconnected — explore the other deep-dives:
Insulin resistance
The root of metabolic disease — 5–10 years before diabetes appears.
ReadOverweight
Why calorie counting fails — hormones, insulin, leptin and adipose tissue.
ReadVagus nerve
The rest-and-repair system — digestion, heart, inflammation, stress.
ReadCholesterol & ApoB
Expanded lipid panel — ApoB, Lp(a), homocysteine, A vs B phenotype.
ReadSleep
The foundation of metabolic health — hormones, cortisol, insulin, brain recovery.
ReadLow-carb and keto
Carbohydrate restriction — IR, T2D, fatty liver, metabolic syndrome.
ReadChronic 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.
Book a consultationThis 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.