6 anti-inflammatories you need to know about
Inflammation is meant to be a short, helpful response — but when it becomes chronic, it quietly drives some of our most stubborn diseases. Nature has given us real tools to help, and six of the most useful are worth knowing well.
When inflammation turns chronic
Inflammation is a normal part of our bodies’ defenses against infections and other insults. It can promote the killing of pathogens as well as tissue repair, restoring homeostasis to damaged sites. When it’s well regulated, it’s a helpful, necessary process that resolves fairly quickly.1
However, when inflammation becomes pathological and chronic, it’s no longer well regulated — which can result in irreversible damage to host tissues, along with chronic diseases and conditions.
There are many possible causes. One is an episode of acute inflammation from injury or infection that goes untreated and lingers.2 Others include:
When the body never gets a break from an inflamed state, damage begins in once-healthy cells, tissues, and organs. The inflammatory pathways that coordinate immune cells and blood vessels (for example NF-kB, MAPK, and JAK-STAT) can become dysregulated — a state associated with autoimmune diseases, metabolic diseases, and cancer.8 Conditions linked to dysregulated inflammatory pathways include:
Fortunately, nature has given us some wonderful tools to help with chronic inflammation and restore health to a body afflicted by one of these conditions. Six of them are described below.
The six anti-inflammatories
Where it comes from. Cod liver oil, tuna, salmon, and swordfish, with small amounts in egg yolks and beef liver. It’s also made in the body from sunlight — though aging, extra body fat, and intestinal malabsorption can all lower your levels.
What it does. Promotes calcium absorption for bone growth and remodeling, modulates cell growth, aids neuromuscular and immune function, and reduces inflammation. Vitamin D receptors sit on all our immune cells, so it modulates both innate and adaptive immunity. Deficiency is associated with increased autoimmunity and infection risk; adequate levels may be protective against some cancers,9 and low vitamin D status is associated with markers of inflammation.10
Where it comes from. The turmeric plant, Curcuma longa, part of the ginger family — the main spice in curry. Its medicinal compounds are called curcuminoids; the most important is curcumin.
What it does. Curcumin is a strong anti-inflammatory — strong enough to match the effectiveness of anti-inflammatory drugs, but without the side effects.11 It works at the molecular level by blocking NF-kB, a protein complex that enters the cell nucleus and switches on inflammation-related genes.12 It also has powerful antioxidant effects, neutralizing free radicals and boosting the body’s own antioxidants, and has been studied for brain function, heart-disease risk, cancer, Alzheimer’s, and depression.13 Note: turmeric can soften stools and will initially stain stool orange for the first few months.
Where it comes from. The skins and seeds of red grapes (which is why it’s in red wine), plus peanuts and the skins and seeds of berries. Its richest source is Japanese knotweed, an herbaceous perennial plant.
What it does. Resveratrol has impressive anti-inflammatory and antioxidant activity, which may play a role in protecting the brain,14 lowering blood pressure,15 easing joint pain,16,17 and preventing or treating cancer.
Where it comes from. Made in your cells from three amino acids — cysteine, glutamate, and glycine — and found in large quantities in most tissues, especially the liver. Production can drop with stress, environmental toxins, poor nutrition, and age. It can also be given intravenously, topically, as an inhalant, or as an oral supplement.
What it does. A powerful antioxidant that reduces oxidative stress. Decreased glutathione is associated with increased oxidative stress, which may lead to cancer,18 and low glutathione levels are associated with chronic diseases.19 By lowering oxidative stress, it may also help with the chronic inflammation caused by autoimmune disease.
Where it comes from. A resin herbal extract from the Boswellia serrata tree, found in India, North Africa, and the Middle East. It’s collected by tapping the tree for its resin.
What it does. Boswellia inhibits the synthesis of the pro-inflammatory enzyme 5-lipoxygenase (5-LO).20 That enzyme produces inflammatory leukotrienes, which drive inflammation through free-radical damage, calcium dislocation, cell adhesion, and the movement of inflammation-producing cells. By inhibiting these processes, boswellia’s anti-inflammatory effects may help with conditions such as rheumatoid arthritis, asthma, and inflammatory bowel disease.
Where they come from.
What they do. DHA especially is essential for the retinas and brain, so sufficient intake matters greatly for pregnant and breastfeeding women. Research shows omega-3s may protect against breast cancer,21 depression,22 ADHD,23 and inflammatory diseases.24 In inflammatory conditions they can lower C-reactive protein, interleukin-6, and tumor necrosis factor — all promoters of inflammation.
Combining anti-inflammatories
All of these can be powerful on their own — but some are stronger in combination. A few well-studied pairings:
| Combination | What the research shows |
|---|---|
| Resveratrol + curcumin | Similar molecular structures and biosynthesis pathways;25 together they may help with autoimmune and inflammatory disorders, inflammation from excess body fat, and cancers.26,27 |
| Curcumin + boswellia | Found to be more powerful together in people suffering from osteoarthritis.28 |
| Vitamin D + resveratrol | Vitamin D supports the biological activity of resveratrol, increasing its effectiveness.29 |
| Vitamin D + omega-3s | In pregnant women, this combination had beneficial effects on some inflammatory markers, oxidative stress, and pregnancy outcomes.30 |
Common questions
References (30) ▾
- Physiological roles and regulation of the inflammatory response. PMC. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3257651/
- Untreated acute infection and chronic inflammation. Emerg Infect Dis. 1998;4(3). https://wwwnc.cdc.gov/eid/article/4/3/98-0339_article
- Mold/biotoxin exposure and the inflammatory response. PMC. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4444319/
- Pesticide exposure and inflammation. PMC. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5029960/
- Diet and inflammation. J Am Coll Cardiol. https://www.sciencedirect.com/science/article/pii/S0735109706013350
- Obesity and chronic inflammation. PMC. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5507106/
- Chronic stress and inflammation. PMC. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5476783/
- Dysregulated inflammatory pathways in autoimmune, metabolic, and neoplastic disease. PMC. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5805548/
- National Institutes of Health, Office of Dietary Supplements. Vitamin D: fact sheet for health professionals. https://ods.od.nih.gov/factsheets/VitaminD-HealthProfessional/
- Vitamin D status and markers of systemic inflammation. J Clin Endocrinol Metab. 2014;99(5):1807. https://academic.oup.com/jcem/article/99/5/1807/2537572
- Efficacy of curcumin compared with anti-inflammatory drugs. PubMed. https://www.ncbi.nlm.nih.gov/pubmed/10404539
- Singh S, Aggarwal BB. Activation of transcription factor NF-kappa B is suppressed by curcumin (diferuloylmethane). J Biol Chem. 1995;270(42):24995-25000. https://www.jbc.org/content/270/42/24995.full
- Hewlings SJ, Kalman DS. Curcumin: a review of its effects on human health. Foods. 2017;6(10):92. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5664031/
- Resveratrol and neuroprotection. PMC. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4030174/
- Resveratrol and blood pressure. PubMed. https://www.ncbi.nlm.nih.gov/pubmed/24731650
- Resveratrol and joint pain / osteoarthritis. PMC. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3344210/
- Resveratrol and inflammatory joint disease. PubMed. https://www.ncbi.nlm.nih.gov/pubmed/17115116
- Glutathione depletion, oxidative stress, and cancer risk. PMC. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3673338/
- Low glutathione levels and chronic disease. PubMed. https://www.ncbi.nlm.nih.gov/pubmed/10811055
- Siddiqui MZ. Boswellia serrata, a potential antiinflammatory agent: an overview. Indian J Pharm Sci. 2011;73(3):255-261. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3309643/
- Omega-3 fatty acids and breast cancer. PubMed. https://www.ncbi.nlm.nih.gov/pubmed/23814120
- Omega-3 fatty acids and depression. PubMed. https://www.ncbi.nlm.nih.gov/pubmed/20439549
- Omega-3 fatty acids and ADHD. PubMed. https://www.ncbi.nlm.nih.gov/pubmed/21961774
- Omega-3 fatty acids and inflammatory disease. PubMed. https://www.ncbi.nlm.nih.gov/pubmed/24505395
- Shared structure and biosynthesis of resveratrol and curcumin. PMC. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4875984/
- Combined resveratrol and curcumin in inflammatory disease and cancer. Oncol Rep. 2013. https://www.spandidos-publications.com/10.3892/or.2013.2310
- Resveratrol–curcumin combination effects. PubMed. https://www.ncbi.nlm.nih.gov/pubmed/21633290
- Curcumin and boswellia in osteoarthritis. PMC. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5761198/
- Vitamin D and the biological activity of resveratrol. PMC. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5602920/
- Vitamin D plus omega-3 in pregnancy: inflammatory markers and outcomes. PMC. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5745759/
We measure your inflammation, trace it to what’s driving it, and build a targeted plan — so support is matched to your case instead of guessed.