Dr. Will Bolsiewicz distinguishes between life-saving acute inflammation (fighting infection, healing injury) and detrimental chronic low-grade inflammation. The latter is a constant, damaging immune response likened to a “forever war” inside the body, which is at the root of many modern diseases.
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Chronic low-grade inflammation often presents not as obvious swelling but as subtle, persistent symptoms. Issues like increased fatigue, difficulty concentrating, poor sleep, and skin problems can be driven by an under-the-radar inflammatory state that even doctors may miss.
The gut barrier is a single cell layer protecting your immune system. When it weakens (leaky gut), food particles and toxins cross over into the bloodstream, triggering a 24/7 immune response. This constant, low-level battle is the primary driver of chronic low-grade inflammation throughout the body.
Instead of adhering to a strict diet label like vegan or pescatarian, Dr. Bolsiewicz advises focusing on nutrient quality. A gut-healthy, anti-inflammatory diet is achieved by consistently consuming these four "workhorses," which support the microbiome and calm the immune system, regardless of the diet's name.
Dr. Bolsiewicz reframes major depression not as a purely psychological issue, but as a physiological condition rooted in inflammation. He states with "total clarity" that depression, along with neurodegenerative diseases like Alzheimer's and Parkinson's, is a manifestation of chronic inflammation affecting the brain.
Cytokines, the molecules of inflammation, are essentially distress signals from cells that are struggling energetically. For example, the cytokine IL-6 released after intense exercise is the muscle's way of signaling it needs energy mobilized from other parts of the body.
Senescent cells are not inactive; they are metabolically active and secrete inflammatory molecules known as SASP (Senescence-Associated Secretory Phenotype). This initially helps clear damage, but as these cells accumulate with age, the chronic inflammation they cause can worsen diseases like Alzheimer's, heart disease, and liver fibrosis.
Modern critical care for sepsis only treats the consequences of the disease—organ failure, low blood pressure—with supportive measures like ventilators and IV fluids. There are zero approved therapies that actually treat the underlying root cause: the out-of-control immune response that is actively damaging the patient's body.
The modern definition of sepsis is not "blood poisoning" but a dysregulated host response. The immune system's inflammatory reaction spirals out of control, causing organ damage long after the initial infection is gone. In fact, fewer than half of sepsis patients have a detectable infection in their bloodstream.
The immune system deploys powerful "weapons" to fight invaders. However, an over-activated response, triggered by proteins like C5a, can cause these weapons to harm the body's own organs and tissues, similar to the collateral damage from a dirty bomb.
A negative inner critic activates the body's "fight or flight" response. This isn't just psychological; it leads to the production of inflammatory proteins, suppresses the immune system, and increases stress hormones like cortisol. This chronic physiological state is directly linked to developing long-term diseases and impairs cognitive function.
