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Fasting,Chronic Inflammation,infology
Fasting vs. Chronic inflammation infology
FASTINGCHRONIC INFLAMATIONGENERAL
Dr Hassan Al Earraqi
2/27/20261 min read


Fasting,Chronic Inflammation,infology
Fasting & Chronic Inflammation: An Overview
(I'm interpreting "infology" as wanting the science/information behind this connection — let me know if you meant something else.)
The Basics
Chronic inflammation is low-grade, persistent immune activation — unlike acute inflammation, it smolders for months or years. It's marked by elevated cytokines (IL-6, TNF-α, IL-1β) and C-reactive protein (CRP), and it underlies type 2 diabetes, cardiovascular disease, obesity, autoimmune conditions, and "inflammaging."
How Fasting May Reduce It
1. Metabolic switch → ketone signaling
After ~12–16 hours, the body shifts to fat-burning and produces β-hydroxybutyrate (BHB), which directly suppresses the NLRP3 inflammasome (a key inflammatory trigger) and dampens NF-κB signaling.
2. Autophagy
Fasting activates cellular "clean-up" that removes damaged mitochondria and misfolded proteins — debris that would otherwise activate immune sensors.
3. Reduced visceral fat
Inflamed fat tissue is a major cytokine factory. Fasting-driven weight loss lowers leptin and raises anti-inflammatory adiponectin.
4. Improved gut barrier
Fasting may strengthen gut integrity and microbiome diversity, reducing endotoxin (LPS) leakage into circulation — a known driver of systemic inflammation.
5. Immune cell remodeling
Fasting reduces circulating inflammatory monocytes, and refeeding may promote stem-cell-based immune renewal (seen in animal studies).
6. Hormonal shifts
Lower insulin, IGF-1, and mTOR activity; higher AMPK — all linked to reduced inflammatory tone.
What the Evidence Shows
Human trials: Mixed but promising — reductions in CRP, IL-6, and white cell counts in some fasting and fasting-mimicking diet (FMD) studies
Rheumatoid arthritis: Fasting followed by plant-based diet showed benefit in older trials
Multiple sclerosis / metabolic syndrome: Pilot studies with FMD showed modest marker improvements
Limitations: Many studies are small, short, and lack long-term outcome data
Caveats
Acute fasting can transiently raise cortisol, which may backfire if overdone
Not suitable for: pregnancy, eating disorder history, underweight individuals, type 1 diabetics without supervision, certain medications
Women may be more sensitive to prolonged fasting's hormonal effects

Get in touch
Address
Cairo Al Rehab
Contacts
+20 109 405 2056
hassanalwarraqi@h-k-e-m.com
