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Inflammatory Markers: Your Body's Hidden Warning Signs

headshot of Dr. Linda Khoshaba on a white background

Dr. Khoshaba

November 19, 2024

Inflammation is a silent contributor to many chronic health conditions, often developing without noticeable symptoms. It's your body's signaling trouble, whether from an injury, infection, or ongoing stress. Here at Natural Endocrinology Specialists™, we use advanced blood tests to identify and address inflammation early, helping patients avoid long-term complications.

Let's explore inflammatory markers, how they affect health, and the steps you can take to reduce inflammation naturally.

What Are Inflammatory Markers?

Inflammatory markers are proteins or chemicals your body produces in response to inflammation. They act like your car's "check engine" light, helping us identify underlying problems before they become serious. While short-term (acute) inflammation is helpful for healing, chronic inflammation can cause ongoing tissue damage and increase the risk of conditions like heart disease, diabetes, and autoimmune disorders.

Key Inflammatory Markers and What They Tell Us

1. C-Reactive Protein (CRP): The First Responder

The liver produces CRP in response to inflammation. It's important to differentiate between general CRP and high-sensitivity CRP (hs-CRP):

  • General CRP: Often used to evaluate systemic inflammation related to infections or autoimmune conditions.
  • hs-CRP: More specific to cardiovascular risks, helping assess the likelihood of heart disease.

Normal Ranges:

  • General CRP: Less than 3.0 mg/L.
  • hs-CRP:
    • Low risk: <1.0 mg/L
    • Moderate risk: 1.0-3.0 mg/L
    • High risk: >3.0 mg/L

Real-Life Example: One of our patients came to our clinic feeling tired and sluggish. The patient's general CRP level was elevated at 5.2 mg/L, exceeding the normal range and signaling systemic inflammation. Further investigation revealed an autoimmune condition we could address with a personalized treatment plan.

2. Erythrocyte Sedimentation Rate (ESR): The Long-Term Tracker

ESR measures how quickly red blood cells settle in a test tube, reflecting the presence of ongoing inflammation. While it's useful for tracking chronic inflammation, ESR is non-specific and can be elevated in various conditions.

Normal Ranges:

  • Men: 0-15 mm/hr
  • Women: 0-20 mm/hr

3. Homocysteine: The Heart and Brain Health Indicator

Homocysteine is an amino acid that can damage blood vessels and increase inflammation if elevated. Elevated levels are associated with cardiovascular risk, neuroinflammation, and metabolic imbalances. Lifestyle factors such as smoking, excessive alcohol intake, and genetic mutations like MTHFR polymorphisms can also contribute to higher levels.

Optimal Range: 7-10 μmol/L.

Tip: If homocysteine levels are high, it's essential to evaluate your nutrient status, as deficiencies in vitamin B12, B6, or folate are common causes.

4. Interleukin-6 (IL-6): The Communication Network

IL-6 is a pro-inflammatory cytokine that plays a role in the immune system's response to inflammation. While it's not part of standard blood panels due to its cost and complexity, IL-6 testing can be insightful in autoimmune diseases, severe infections, or chronic inflammatory conditions.

Emerging Insights: Elevated IL-6 is also being studied as a potential marker for conditions like long COVID and metabolic syndrome, highlighting its growing importance in understanding chronic inflammation.

How Inflammation Affects Long-Term Health

Chronic inflammation can affect almost every system in your body. Here's how:

Heart and Blood Vessels

  • Inflammation damages blood vessel walls, contributing to oxidative stress and the formation of plaque, which increases the risk of heart disease and stroke.

Brain Health

  • Neuroinflammation has been linked to conditions like depression, anxiety, and cognitive decline, underscoring the role of inflammation in mental health.

Immune Function

  • Persistent inflammation weakens your immune system, making you more prone to infections or autoimmune diseases.

Hormonal Balance

  • Chronic inflammation disrupts hormones like cortisol, thyroid hormones, and insulin, affecting mood, weight, and energy levels.

Signs and Symptoms of Inflammation

Inflammation can cause various symptoms, some obvious and others more subtle.

Physical Signs

  • Fatigue
  • Joint stiffness or swelling
  • Digestive problems (bloating, irregular bowel movements)
  • Skin conditions (rashes, acne, eczema)

Silent Signs

  • Brain fog or memory issues
  • Weight changes (gain or loss)
  • Sleep disturbances
  • Mood swings or depression

These non-specific symptoms can overlap with other conditions, so testing is essential for an accurate diagnosis.

How We Test for Inflammation at NES™

At Natural Endocrinology Specialists™, we take a comprehensive approach to uncovering the root causes of inflammation. Our testing includes:

1. Advanced Inflammatory Panels

We measure markers like CRP, ESR, homocysteine, and hormone-inflammation interactions.

2. Gut Health Assessment

Since many inflammatory conditions originate in the gut, we evaluate microbiome health, check for food sensitivities, and test for infections.

3. Environmental Triggers

Persistent organic pollutants (POPs), heavy metals (like mercury or lead), and mold toxins can overstimulate the immune system, provoking chronic inflammation. Identifying and addressing these triggers is key.

4. Nutritional Status

We assess for deficiencies in key nutrients, such as omega-3s, vitamins, and minerals, critical for reducing inflammation.

How to Manage Inflammation Naturally

The good news? Chronic inflammation can often be managed with the right interventions.

  • Diet as Medicine
    • Anti-Inflammatory Foods: Incorporate fatty fish, leafy greens, berries, nuts, and turmeric.
    • Avoid Triggers: Gluten and dairy can provoke immune responses in sensitive individuals, such as non-celiac gluten sensitivity or lactose intolerance.
    • Gut-Healing Diets: Short-term elimination diets can help identify food sensitivities but should be re-evaluated regularly to ensure nutritional adequacy and avoid unnecessary restrictions.
  • Targeted Supplements
    • Omega-3 Fatty Acids:
      • Dosage: 2-4 g/day (with EPA and DHA).
      • Benefits: Reduces systemic inflammation and supports heart health.
    • Curcumin:
      • Dosage: 500-1000 mg/day.
      • Tip: Choose bioavailable forms with piperine or lipid-based delivery systems for maximum effect.
    • Proteolytic Enzymes:
      • Examples: Bromelain or serrapeptase.
      • Benefits: Supports tissue repair and reduces inflammatory swelling.
  • Lifestyle Medicine
    • Exercise:
      • Low-impact activities like yoga or swimming, 20-30 minutes, 3-5 times weekly.
      • Caveat: Overtraining or excessive intensity without proper recovery can temporarily increase inflammation.
    • Stress Management:
      • Chronic stress leads to elevated cortisol levels, which dysregulate the immune system and perpetuate inflammation. Techniques like meditation, journaling for gratitude, or progressive muscle relaxation can help.
    • Sleep Optimization:
      • Aim for 7-9 hours of restorative sleep by creating a consistent bedtime routine.

When to Seek Professional Help

Persistent inflammation shown in the body without a clear cause warrants further investigation. Potential triggers include infections, autoimmune diseases, or hidden allergens. Seek help if you experience:

  • Unexplained fatigue or weakness
  • Joint pain or swelling
  • Frequent infections
  • Symptoms of autoimmune conditions

Take Action Today

Chronic inflammation doesn't have to control your life. At Natural Endocrinology Specialists™, we offer advanced testing and personalized treatment plans to uncover and address the root causes of inflammation.

Schedule a consultation today to begin your journey to better health. You can reduce inflammation, restore balance, and feel your best with the right care.

Take the first step towards getting your thyroid back on track. 
Book now to start your journey to better health!

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Dr. Linda Khoshaba is the Leading Integrative Health and Hormone Doctor in Scottsdale, Arizona. She has extensive experience working in the field as a Hormone Specialist and Natural Endocrinologist.

Phone: 480-687-0054
Fax: 833-605-1101
Email: contact@nesaz.com
Address: 
Suite A 109
7500 E. Pinnacle Peak Rd. 
Scottsdale, AZ 85255

Hours of Operation:
Mon: 8:30 AM - 4:30 PM
Tue: 8:30 AM - 4:30 PM
Wed: 7:30 AM - 4:30 PM
Thu: 8:30 AM - 4:30 PM
Fri: 8:30 AM - 3:30 PM
Sat-Sun: Closed
This Site may include a variety of features, such as health tips and videos, services provided at Natural Endocrinology Specialists™, our online Supplement store, NESAZ Programs, email, and patient portal services. DISCLAIMER: These statements have not been evaluated by the Food & Drug Administration. These programs and products are not intended to diagnose, treat, cure, or prevent any disease. The information contained herein is for informational purposes. Please be sure to consult your doctor before taking this or any other product/program. Consult your doctor for any health problems or before starting a new program.
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