Chronic low-grade inflammation
Chronic low-grade inflammation is a ‘silent fire’ that smolders for years without symptoms and sits behind heart disease, type-2 diabetes, autoimmune disease, brain aging and cancer. Unlike normal inflammation, which fights off an injury or infection, this kind does not protect the body – it slowly damages it.
- hs-CRP (an inflammation marker in the blood) above 2 mg/L means double the heart-attack risk
- Fat around your internal organs (visceral fat) actively releases inflammation-causing substances
- A leaky gut lining feeds inflammation throughout the whole body
Normal vs. chronic inflammation
Normal inflammation – redness, pain, swelling after a cut or infection – is protective: it starts, peaks and fades. Chronic low-grade inflammation is a mild but ongoing, body-wide inflammation, where hs-CRP (a blood marker of inflammation) sits at 2–10 mg/L with no obvious cause.
It’s fueled by fat around internal organs, a leaky gut lining (where bacterial particles leak into the blood), chronic stress, sleep loss, heavily processed food, too much seed oil, an unbalanced gut microbiome, and hidden chronic infections (like H. pylori bacteria or gum disease).
Indirect signs of chronic inflammation
- Constant fatigue, morning grogginess, brain fog
- Joint stiffness and mild pain with no clear injury or arthritis diagnosis
- Skin issues – acne, eczema, psoriasis, rosacea
- Metabolic syndrome (belly fat, high blood pressure, poor blood fat levels)
- Frequent colds and infections, slow-healing wounds
- Mood swings, anxiety, low mood (the brain and immune system are closely linked)
- An autoimmune diagnosis or thyroid antibodies
- Ongoing gut issues – alternating diarrhea and constipation, bloating, gas
Fat around organs as a source of inflammation
Fat around your internal organs (unlike fat under the skin) isn’t just stored energy – it’s an active organ that releases hormones and inflammation-causing substances (like TNF-α and IL-6). These circulate through the whole body and disrupt how liver, muscle and brain cells respond to insulin.
This is why even lean, normal-weight people with a lot of fat around their organs can have hidden metabolic problems. A body-composition scan (bio-impedance or DEXA) can reveal this even when body mass index looks normal.
Gut permeability
- The gut lining is only one cell thick – it’s the border between the body and the outside world
- Certain factors (gluten protein, an unbalanced gut microbiome, stress) weaken this border
- Bacterial particles from the gut (lipopolysaccharides, or LPS) leak into the bloodstream
- The immune system reacts with body-wide inflammation and makes insulin work less well
- Fiber, fermented foods, the amino acid glutamine and colostrum help repair the gut barrier
Four steps to lower inflammation
Lowering inflammation isn’t about one magic supplement – it means making changes across four areas of life at once.
Nutrition
Eat less heavily processed food, seed oil and sugar. Eat more fatty fish (2–3 times a week) or good-quality fish oil, berries, green tea, olive oil, dark chocolate, 30+ grams of fiber a day, and fermented foods.
Reduce fat around your organs
Losing 5–10% of body weight along with strength training is especially effective at reducing fat around internal organs. A useful target: waist circumference under half your height. A body-composition scan gives a more precise picture.
Supplements to lower inflammation
Supplements can help, but they don’t replace good nutrition and lifestyle habits.
- Omega-3 (2–4 g a day) – one of the most well-studied anti-inflammatory supplements
- Curcumin (in a well-absorbed form) – studied in the context of inflammation markers
- Vitamin D3 with K2 – supports the immune system
- Magnesium – lowers hs-CRP, helps with sleep and stress
- Zinc – studied in the context of immunity and the gut lining
- Quercetin and resveratrol – plant compounds with antioxidant effects
- Multi-strain probiotics and prebiotics – support gut bacteria diversity
- Colostrum and the amino acid L-glutamine – support the gut lining
Fasting as a way to lower inflammation
Eating within a set time window (for example, a 14–16 hour break from food) and occasional longer fasts trigger a cell-cleanup process called autophagy and lower inflammation markers. The effect is stronger when the weight lost is specifically fat around internal organs.
Fasting isn’t suitable during pregnancy, breastfeeding, eating disorders, being underweight, or while taking certain medications – these cases need a doctor’s supervision.
Labs to assess inflammation
- hs-CRP (target under 1 mg/L) – the main marker of body-wide inflammation
- Ferritin – an indirect sign of inflammation (when iron deficiency is ruled out)
- Fibrinogen (target under 3.5 g/L)
- Homocysteine (target under 8 µmol/L) – shows damage to blood vessels
- Vitamin D (target 100–150 nmol/L)
- Omega-3 index (target above 8%)
- Fasting glucose and insulin, HbA1c – insulin resistance often underlies inflammation
- Thyroid antibodies – show whether an autoimmune process is present
- In harder cases, gut-health markers (calprotectin, zonulin)
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.
Booking information and contactThis 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.