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Inflammation Marker

hsCRP

The smoke detector for cardiovascular risk — detects chronic low-grade inflammation that cholesterol tests miss.

2026-0112 min read

Who is this especially useful for?

  • People assessing cardiovascular risk beyond standard lipids
  • Those with metabolic syndrome or insulin resistance
  • Anyone tracking inflammation from diet and lifestyle changes
  • Athletes monitoring recovery and overtraining

hsCRP reflects inflammation — it doesn't tell you the cause. Values >10 mg/L usually indicate acute inflammation and need retesting.

Your cholesterol looks fine, but are you really at low cardiovascular risk? Traditional lipid panels miss a major predictor of heart disease: chronic low-grade inflammation.

That's exactly what our hsCRP Evaluator addresses. It interprets your high-sensitivity CRP across three health paradigms — showing you what "low risk" really means for optimal health.

Acute vs. Chronic: Know the Difference

Values >10 mg/L usually indicate acute inflammation (infection, injury, recent surgery). Wait 2-3 weeks and retest.

Chronic low-grade inflammation (1-10 mg/L) is the concerning pattern — persistent smoldering that damages blood vessels over time. This is what hsCRP is designed to detect.

What is hsCRP?

C-reactive protein (CRP) is produced by your liver in response to inflammation anywhere in your body. High-sensitivity CRP (hsCRP) is the same protein measured with a more precise test that can detect the low-grade chronic inflammation associated with cardiovascular disease.

Unlike standard CRP which measures acute inflammation (infections, injuries), hsCRP detects the subtle, persistent inflammation that smolders beneath the surface — the kind that silently damages blood vessels, promotes plaque formation, and accelerates aging.

The American Heart Association and CDC endorse hsCRP as a useful marker for cardiovascular risk stratification, particularly in people with intermediate risk based on traditional factors. It predicts heart attacks and strokes independently of cholesterol levels.

The Three Types of Inflammation

Understanding inflammation context is crucial for interpreting hsCRP:

  • Acute (10-100+ mg/L): Infections, injuries, surgery — temporary and normal
  • Chronic Low-Grade (1-10 mg/L): Poor diet, visceral fat, stress — damages vessels over time
  • Optimal (<1 mg/L, ideally <0.5): Minimal background inflammation — cardiovascular system protected

How to Test

1
Test name: hsCRP (high-sensitivity CRP) — NOT standard CRP
2
Fasting: Not required. hsCRP not significantly affected by food intake.
3
If result >10 mg/L: Likely acute inflammation (cold, injury). Wait 2-3 weeks and retest.
4
Retest interval: Every 3-6 months when actively tracking; annually once stable.

💡 Pro tip: Request hsCRP specifically. Standard CRP is for acute illness and won't detect the low-grade inflammation that predicts cardiovascular disease.

🔍Where to find your result

1
On your lab report: Look for 'hsCRP', 'High-Sensitivity CRP', or 'Cardio CRP'
2
Units: Results in mg/L (sometimes mg/dL - multiply by 10)
3
Not standard CRP: Regular CRP tests aren't sensitive enough for cardiovascular risk

hsCRP must be specifically ordered - it's not included in routine panels.

How Different Paradigms Interpret This

Different health paradigms interpret hsCRP thresholds differently:

hsCRP Interpretation by Paradigm

Standard Medical
Research Consensus
Metabolic Optimization
0
5
10
12.5
1310
0.512
0.30.71.5
Optimal
Acceptable
Borderline
Elevated

Each paradigm has different thresholds and clinical focus:

Standard Medical

Acute10 – 100
High Risk3 – 10
Average Risk1 – 3
Low Risk< 1

Research Consensus

Elevated2 – 100
Borderline1 – 2
Acceptable0.5 – 1
Optimal< 0.5

Metabolic Optimization

Elevated1.5 – 100
Borderline0.7 – 1.5
Acceptable0.3 – 0.7
Optimal< 0.3

Standard Medical

AHA/CDC cardiovascular risk stratification established in 2003. Focuses on identifying high-risk individuals for cardiovascular disease prevention. Values >10 mg/L indicate acute inflammation requiring investigation.

Screen intermediate-risk patients. If hsCRP >3 mg/L, intensify lifestyle interventions and consider statin therapy per guidelines. Retest if >10 mg/L after acute illness resolves.

Research Consensus

The 'low risk' (<1 mg/L) category contains meaningful gradation that affects outcomes. Studies show cardiovascular risk increases linearly even below 1.0 mg/L. The JUPITER trial demonstrated statin benefit in patients with 'normal' LDL but elevated hsCRP.

Target <0.5 mg/L for optimal cardiovascular protection. Address root causes: diet, sleep, stress, visceral fat. Omega-3 supplementation (EPA/DHA) has strongest evidence for CRP reduction.

Metabolic Optimization

Values <0.3 mg/L are commonly achieved on anti-inflammatory dietary approaches (carnivore, ketogenic, Mediterranean). This represents minimal oxidative stress and systemic inflammation — the metabolic baseline humans evolved with.

Eliminate seed oils and processed foods. Prioritize omega-3 rich foods. Address visceral fat as primary driver. Optimize sleep and stress. Target <0.3 mg/L as achievable goal.

What Causes Elevated hsCRP?

Diet Factors

High sugar intake

Refined carbohydrates drive inflammation

Excess omega-6 fats

Seed oils promote inflammatory pathways

Ultra-processed foods

Multiple inflammatory compounds

Low omega-3 intake

Insufficient anti-inflammatory balance

Food sensitivities

Gluten, dairy can trigger inflammation

Body Composition

Visceral fat (belly fat)

Primary driver — fat cells produce inflammatory cytokines

Metabolic syndrome

Cluster of inflammatory conditions

Insulin resistance

Creates pro-inflammatory state

Fatty liver disease

Liver inflammation spills into bloodstream

Lifestyle & Medical

Poor sleep

Sleep deprivation directly raises CRP

Chronic stress

Cortisol dysregulation promotes inflammation

Periodontal disease

Gum infections are hidden inflammation source

Smoking

Major oxidative stress and inflammation driver

Overtraining

Excessive exercise without recovery

How to Lower hsCRP

The good news: inflammation responds quickly to lifestyle changes. Significant reductions are possible within weeks.

Diet Interventions

Increase omega-3s

Fatty fish 2-3x/week or EPA/DHA supplement

Reduce seed oils

Replace with olive oil, butter, avocado oil

Eliminate processed foods

Focus on whole foods only

Anti-inflammatory foods

Berries, leafy greens, turmeric, ginger

Lifestyle Changes

Lose visceral fat

Most powerful intervention for lowering CRP

Sleep 7-9 hours

Sleep deprivation directly raises inflammation

Moderate exercise

Regular activity; avoid overtraining

Oral hygiene

Gum disease is a hidden inflammation source

Targeted Support

EPA/DHA fish oil

2-4g/day reduces CRP 20-30% (most evidence)

Curcumin

With piperine for absorption; potent anti-inflammatory

Vitamin D

Optimize to 50-80 ng/mL; low D correlates with high CRP

Magnesium

Deficiency associated with higher inflammation

1-2 weeks: Diet changes begin affecting CRP. 4-8 weeks: Significant reductions with consistent lifestyle changes. 3-6 months: Full effect of weight loss and exercise on CRP.

Key Takeaways

  • 1hsCRP measures chronic low-grade inflammation that drives cardiovascular disease
  • 2It predicts heart attacks and strokes independently of cholesterol levels
  • 3Values >10 mg/L usually indicate acute inflammation — retest in 2-3 weeks
  • 4Visceral fat is the primary driver of chronically elevated hsCRP
  • 5Target <0.5 mg/L for optimal health; <0.3 achievable on anti-inflammatory diets
  • 6EPA/DHA fish oil is the most evidence-backed supplement for lowering CRP

AHA/CDC

Endorsed Marker

Official cardiovascular risk assessment guidelines since 2003

American Heart Association

CVD Risk Increase

hsCRP >3 mg/L doubles cardiovascular risk vs <1 mg/L

JUPITER Trial

Independent

Predictor

Predicts heart attacks and strokes even with normal LDL

Clinical research

Evidence-Based

This calculator is based on peer-reviewed research validated across thousands of clinical studies.

View scientific references(8)

Medical Disclaimer

This article is for educational purposes only and is not intended as medical advice. Information presented is based on peer-reviewed research but should not be used for self-diagnosis. Always discuss your lab results and health concerns with a qualified healthcare provider.