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.

Key takeaways
Acute inflammation heals and resolves; chronic, dysregulated inflammation damages tissue and feeds disease.
Six well-studied anti-inflammatories: vitamin D, curcumin, resveratrol, glutathione, boswellia, and omega-3 fatty acids.
Each works differently — blocking NF-kB, inhibiting 5-lipoxygenase, lowering CRP — and several are stronger in combination.
Supplements support the body; they don’t replace medical care, and dosing should be personalized.
In this article
I. When inflammation turns chronic
II. The six anti-inflammatories
III. Combining anti-inflammatories
IV. Common questions

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:

Long-term exposure to toxins such as mold3
Pesticides and other chemicals4
A poor diet5
Obesity6
Smoking
Chronic stress7

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:

Asthma
Rheumatoid arthritis
Type 2 diabetes
Ulcerative colitis & Crohn’s disease
Cancer
Heart disease
Neurodegenerative disease (e.g. Alzheimer’s)

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

01 · Vitamin D — fat-soluble vitamin & hormone

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

02 · Turmeric / curcumin — culinary spice & curcuminoid

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.

03 · Resveratrol — polyphenol antioxidant

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.

04 · Glutathione — master antioxidant

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.

05 · Boswellia — Indian frankincense resin

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.

06 · Omega-3 fatty acids — essential polyunsaturated fats

Where they come from.

ALA (alpha-linolenic acid) — freshly ground flax seeds, flaxseed oil, chia seeds, walnuts, hemp seeds
DHA (docosahexaenoic acid) — fatty fish and fish oil, plus meat, eggs, and dairy from grass-fed animals
EPA (eicosapentaenoic acid) — fatty fish, fish oil, and some microalgae

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:

CombinationWhat the research shows
Resveratrol + curcuminSimilar 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 + boswelliaFound to be more powerful together in people suffering from osteoarthritis.28
Vitamin D + resveratrolVitamin D supports the biological activity of resveratrol, increasing its effectiveness.29
Vitamin D + omega-3sIn pregnant women, this combination had beneficial effects on some inflammatory markers, oxidative stress, and pregnancy outcomes.30
These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease.
A note from the practice
Supplements are tools, not a cure — and they work best when they’re matched to your pattern. The most useful first step is usually to measure how inflamed you actually are and find what’s driving it, then choose (and dose) support from there. Which anti-inflammatory helps most depends on the person.

Common questions

What is chronic inflammation and why is it a problem?
Inflammation is a normal, helpful defense that clears pathogens and repairs tissue, and it usually resolves quickly. When it becomes pathological and chronic, it’s no longer well regulated and can cause irreversible tissue damage, contributing to autoimmune, metabolic, and other chronic diseases.
What are the best natural anti-inflammatories?
Six well-studied options are vitamin D, turmeric/curcumin, resveratrol, glutathione, boswellia, and omega-3 fatty acids. Each works differently — for example, curcumin blocks the inflammatory regulator NF-kB, boswellia inhibits the 5-lipoxygenase enzyme, and omega-3s lower inflammatory markers like C-reactive protein.
Can you take anti-inflammatory supplements together?
Some are stronger in combination. Resveratrol and curcumin, curcumin and boswellia, vitamin D with resveratrol, and vitamin D with omega-3s have all shown enhanced effects in research. Dosing and combinations should be personalized with a practitioner.
Do anti-inflammatory supplements replace medication?
No. These statements have not been evaluated by the FDA, and supplements are not intended to diagnose, treat, cure, or prevent any disease. They may support the body alongside — not in place of — appropriate medical care, and should be personalized with a qualified practitioner.
References (30) ▾
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  3. Mold/biotoxin exposure and the inflammatory response. PMC. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4444319/
  4. Pesticide exposure and inflammation. PMC. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5029960/
  5. Diet and inflammation. J Am Coll Cardiol. https://www.sciencedirect.com/science/article/pii/S0735109706013350
  6. Obesity and chronic inflammation. PMC. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5507106/
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  9. National Institutes of Health, Office of Dietary Supplements. Vitamin D: fact sheet for health professionals. https://ods.od.nih.gov/factsheets/VitaminD-HealthProfessional/
  10. 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
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  17. Resveratrol and inflammatory joint disease. PubMed. https://www.ncbi.nlm.nih.gov/pubmed/17115116
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  19. Low glutathione levels and chronic disease. PubMed. https://www.ncbi.nlm.nih.gov/pubmed/10811055
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  21. Omega-3 fatty acids and breast cancer. PubMed. https://www.ncbi.nlm.nih.gov/pubmed/23814120
  22. Omega-3 fatty acids and depression. PubMed. https://www.ncbi.nlm.nih.gov/pubmed/20439549
  23. Omega-3 fatty acids and ADHD. PubMed. https://www.ncbi.nlm.nih.gov/pubmed/21961774
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This article is educational and is not medical advice, diagnosis, or treatment. Supplements should be personalized with a qualified practitioner — some interact with medications or aren’t appropriate in certain conditions or during pregnancy.
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