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Neuroinflammation, Pain, and Fatigue Lab at UAB
United States
เข้าร่วมเมื่อ 14 ม.ค. 2016
I'm Jarred Younger, PhD and my full time job is to figure out fibromyalgia, ME/CFS, Gulf War Illness, Long-COVID, and other chronic pain and fatigue conditions. I use neuroimaging, clinical trial, and immune modulatory techniques to create new treatments and diagnostics.
I am posting a video every week to keep everyone up to date on my lab's work and important news from other research groups. I hope you are able to follow along the research journey.
Thanks!
Jarred
I am posting a video every week to keep everyone up to date on my lab's work and important news from other research groups. I hope you are able to follow along the research journey.
Thanks!
Jarred
039 - We need to talk about C-Reactive Protein (CRP)
C-Reactive Protein (CRP) is a sensitive marker of inflammation. I am presenting some new data on CRP elevations I see in chronic pain and fatigue conditions. - Jarred Younger
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038 - Update on clinical trials for pain, fatigue, and cognitive issues
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Here is a quick update on our current clinical trials. Below are screening links for our psilocybin (for fibromyalgia) study and curcumin, stinging nettle, and resveratrol (for Gulf War Illness) study: Screening link for psilocybin and fibromyalgia study: uab.co1.qualtrics.com/jfe/form/SV_20jbBUG5kx7bLBI?S=Y Screening link for botanicals and Gulf War Illness study: uab.co1.qualtrics.com/jfe/for...
037 - NIH needs your Long-COVID treatment suggestions
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The National Institutes of Health's RECOVER-TLC (Researching COVID to Enhance Recovery - Treating Long COVID) initiative is collecting treatment ideas to prioritize for clinical trials. If you have experience with an intervention that helped Long-COVID, please submit the information at the site below: fnih.org/our-programs/accelerating-covid-19-therapeutic-interventions-vaccines-activ/recover-t...
036 - Elevated adrenaline in ME/CFS
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This recent meta-analysis found that individuals with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) may have elevated adrenaline while people with fibromyalgia (FM) do not. - Jarred Younger
035 - A new clinical trial for ME/CFS (LIFT)
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The Open Medicine Foundation (OMF) has started a clinical trial of low dose naltrexone (LDN) and pyridostigmine bromide (PB) for myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). In this video, I discuss the details and my impressions of the study design. More info can be found at the links below. The ClinicalTrials.gov site: clinicaltrials.gov/study/NCT06366724 The OMF signup page: ...
034 - My list of potential treatments to test
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If you were curious about the compounds I plan to test for ME/CFS, FM, GWI, and Long-COVID, here is my full list! These are chemicals that may return microglia to their normal state and reverse chronic brain inflammation. - Jarred Younger
033 - Updates from the 2024 Stanford ME/CFS Working Group
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The annual Stanford ME/CFS Working Group meeting concluded last week. In this meeting, researchers were able to share their preliminary results before public release. In this video, I give my observations on the state of the science. - Jarred Younger
032 - A new clinical trial for fibromyalgia using EMDR
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A new publication this week (not from my lab) shows eye movement desensitization and reprocessing (EMDR) therapy may help fibromyalgia pain. I wanted to share my opinions on how confident we can be that the results are meaningful. This is an open access paper: pubmed.ncbi.nlm.nih.gov/38835548/ - Jarred Younger
031 - Air Quality Can Affect Chronic Fatigue and Pain
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Here are some new results from our lab showing poor air quality may increase ME/CFS (Myalgic Encephalomyelitis/Chronic Fatigue Syndrome) fatigue and pain. This report is being prepared by graduate student Chloe Jones and is being submitted for peer-review now. - Jarred Younger
030 - Does ME/CFS involve low brain oxygen?
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Some brand new data from my lab using a cerebral perfusion scan to detect low brain oxygen. This scan is being used to determine (or rule out) poor brain oxygen in myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). - Jarred Younger
029 - We need research on severe ME/CFS now
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25% of myalgic encephalomyelitis (ME/CFS) sufferers reported being homebound, and 4% report being bedridden. Research is urgently needed to better understand these severe cases of ME/CFS. Below are links to the two open-access articles I mention in the video: www.ncbi.nlm.nih.gov/pmc/articles/PMC8535418/ www.mdpi.com/2227-9032/9/2/106 - Jarred Younger
028 - New findings: more evidence of poor oxygen perfusion in the brain.
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We seeing high levels of lactate and low levels of choline in the brains of Gulf War Illness sufferers. This quick update covers our new analyses and why the may be important to those with chronic pain, fatigue, and cognitive issues. - Jarred Younger
027 - New lab results - low brain oxygen in chronic disease
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Here are brand new results from a recent brain study we conducted. We found reduced oxygen circulation in the brains of people with Gulf War Illness. We are also analyzing individuals with ME/CFS and fibromyalgia. You can find the 7 Tesla brain images at: histopath.nmr.mgh.harvard.edu Jarred Younger
026 - What clinical trials are happening now?
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Clinicaltrials.gov is the official registry of human treatment studies. This video is a quick introduction to using the online tool to find out what trials are happening around you now. - Jarred Younger www.clinicaltrials.gov
025 - How a virus damages our sense of smell.
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Many people are concerned about the loss of their sense of smell that persists long after a SARS-CoV-2 infection. I want to explain how this anosmia occurs, and how it likely resolves over time. - Jarred Younger
024 - Can French maritime pine bark help pain and fatigue?
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024 - Can French maritime pine bark help pain and fatigue?
022 - Resveratrol for inflammatory body pain
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022 - Resveratrol for inflammatory body pain
021 - The brain's inflammation thermostat
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021 - The brain's inflammation thermostat
020 - Research priorities for the second half of 2024
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020 - Research priorities for the second half of 2024
019 - Stinging nettle for chronic pain
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019 - Stinging nettle for chronic pain
018 - Green light therapy for chronic pain
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018 - Green light therapy for chronic pain
016 - Could a fecal transfer abolish your chronic pain and fatigue?
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016 - Could a fecal transfer abolish your chronic pain and fatigue?
015 - Why the microglia have turned against you
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015 - Why the microglia have turned against you
013 - Dextronaltrexone for Chronic Pain and Fatigue
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013 - Dextronaltrexone for Chronic Pain and Fatigue
012 - Good News from the FDA - Time to Start Scanning!
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012 - Good News from the FDA - Time to Start Scanning!
011 - Why fractalkine is important in chronic pain and fatigue
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011 - Why fractalkine is important in chronic pain and fatigue
010 - The Strangest Experiment I Ever Conducted
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010 - The Strangest Experiment I Ever Conducted
Will these test detect past inflammation that your not feeling now?
Don't forget that many of us GWI sufferers also suffer from a huge amount of allergies. French Pine Bark? Would just be another allergan causing inflammation...
I have never had the test. I am taking supplements ( Thiamega & also a seperate Benfotiamin). Since starting the later, I seriously cut back on carbs. Physically, I feel much better. Worth trying.
I've tried 4.5 LDN and last week was started on .05 LDN and I could NOT tolerate either: Had increased anxiety, increased insomnia, headache, severe agitation and random tearing up or crying for no reason what so ever! I've been diagnosed with CFS/ME/Fibromyalgia/Tickborn disease including lyme, (Insert many more chronic health symptoms) Primary Immunodeficiency -CVID and treat with weekly infusions of SQ IgG Hizentra since 2012! I was really really hoping I could tolerate this as pain has had me bedridden on and off over the last 2 decades.
I would pray that someday soon there is a very concise video or article I can give my doctors. Your updates are interesting but no doctor will watch these rambling reports. Where is the summary? ME has a stigma in part because to this day there is nothing my doctor can find on how to confirm it. Beyond frustrating..
The only thing that has helped in my case is taking high doses of Benfotiamine (Vitamin B1). I needed to get above 500mcg with 2x B100 Complex, 6000mcg of B12, 800mg of Magnesium bisglycinate, 6000-10000iu Vitamin D, 720-1200mcg Vitamin K2, 3600mg Omega 3. There may be a need for some Zinc as my skin sometimes gets rashes on my feet. My gut feeling is there is a chronic deficiency in thiamine in so many people, and it definitely makes sense for soldiers as they have chronic stress.
I have a ton of pain in my shoulders and hip, but my CRP comes back with no indication of chronic inflammation. For years I was a garbage man and was first diagnosed with arthritis in my knee at 27. About 7 years ago I was diagnosed with 50% cartilage loss in my hip (osteoarthritis), and my shoulders have been difficult to sleep on and raise with any kind of weight for years. If my CRP is low, I'm curious what else might be going on. Maybe calcium deposited in my joints from Vitamin D3 from years ago, before I realized K2 was needed when supplementing? Pain sucks.
Try the Benfotiamine, magnesium, B complex and Vit D. If you can reduce carbs it should help. I see others here are also having positive results. Good luck
@nino2121 Thank you. I did start the Benfotiamine a couple months back but ran out, ended up having to wait for a higher dose from the US as it is much cheaper than here in Canada. It definitely helps with my energy and removes the bloating. We'll see if it helps the shoulder over some longer term use. I realize my entire family is likely very deficient in B vitamins and zinc, definitely thiamine.
@@Nuggetsoffudge Yes, I have bought B1 etc for members of my family too! Isn't it crazy, when you research these conditions, they always say " rare".
@nino2121 I'm working on a tool that looks at "root cause" to hopefully one day be used in research to look at potential nutrients that might be the source of multiple organ system failures. When I look at how my father passed away, I realize that he suffered a lot of the same issues me and my sister's are now beginning to suffer. It might make sense that we might not be passing on hereditary conditions so much as nutrient deficiencies. If science seems to think we have epigenetic mechanisms at play, and our microbiome is created by the mother, could we be seeing an evolutionary adaptation to nutrient deficiencies? It's just a thought, but what if the reason we seem to "get" certain conditions and disease within families isn't because of a genetic predisposition but rather because there is an evolutionary pathway that requires certain conditions to be present for these adaptations to ensure life. It seems curious that certain people can eat a certain way that might cause catastrophic failure in another person. Some North American families have eaten horribly for generations and can still reach their 90's, yet in families who have eaten balanced diets for generations there might be much less leeway in how low the threshold is in certain nutrients before they have some really serious issues.
Fasting works brilliantly, better than any meds available. Once you reduce the amount of fat the pain and fatigue, brain fog etc just melt away. I lost 5.5 stones, believe me it works.
It really depends on the source and type of pain that you have. I'm underweight and I'm in constant pain.
This is true if you have type 2 diabetes or are pre diabetic, but this won't work for every illness I'm afraid. If you're overweight then it's always good to lose a few pounds but this isn't everyone who has this so what are they supposed to do?
Isn’t CRP also a proxy marker for fasting insulin?
I'm not sure but I can say that I have severe fibro which is directly associated with the amount of fat cells, fasting is the only source of relief I've found.
No, updates so far?
CFS/ME My CRP 735 U/L. (Australia BT) Have any of your patients tested positive for myositis antibodies SAE1. I did but didn’t have any of the standard symptoms regarding SAE1. Just thought I’d mention as your team seems like you actually are trying to find a solution 💪🙏
I’m looking back now in my records. Quest (for CRP) says an acceptable value is <8mg/L. Quest (for high CRP) says acceptable is less than 1mg/L. Labcorp (for CRP quant) says acceptable is below 10mg/L. My drs office lab (for HS CSP) specifies acceptable numbers are less than 1.0mg/L. If I convert my numbers to deciliters, then I’m doing even better! I have no inflammation but MECFS anyway. Perhaps this is an important test for grouping MECFS into subsets- those who have high CRP and those who do not.
Wonder how many of these patients have undiagnosed autoinflammatory diseases especially if they have co-morbid rashes, urticaria, joint pain fevers, mouth ulcers, GI problems, eye issues, etc 🤔
What is your opinion on GLP-1 drugs for pain and inflammation? www.thelancet.com/cms/10.1016/j.eclinm.2022.101737/asset/ef6ea3a1-e55c-4fa0-b2fc-ca3c8e6bdbc1/main.assets/gr1_lrg.jpg
Everyone I know with severe and very severe ME/CFS has low CRP! I hope this will be reflected in the data. Pro inflammatory cytokines are alolso mostly low and decreased whereas antiinflammatory and immune suppressive cytokines are usually very high. Modulation of these cytokines with things like BCG vaccine (which leads to Th1 and pro inflammatory switch) helps many severe pwME/CFS
interesting
my crp is 25. It's been that for months!
Vitamin B1 deficiency has multiple symptoms. Mine were severe muscle pain in my hips, buttocks and thighs, anxiety, and swelling in my legs. After 2 weeks of taking benfotiamine (synthetic, fat-soluble B1) 300 mg twice a day (with magnesium with one dose), my anxiety was completely gone, leg swelling was 90% better, and pain was greatly improved. I was still taking Tylenol, ibuprofen and a natural anti-inflammatory supplement with tumeric, stinging nettle, etc. but the pain meds worked so much better and took less of them. There were times when I was pain free, which hadn't happened in the previous year and a half.
I had moderate to severe muscle pain in my hip, buttock, and thigh muscles following a bulging disc. The lumbar back pain went away after 5 months but the muscle pain remained. I went to the doctor, recommended physical therapy with little results. I tried curcumin, stinging nettle, and various natural combinations of anti-inflammatories with no help. None of these worked until I got my vitamin B1 levels up. I started benfotiamine (a synthetic, fat-soluble form of B1) which enter the cells easier than thiamine. 300mg in the morning and 300 mg at night. I also take magnesium with one dose because Mg is a cofactor for B1. I'm 58 years old and a nurse working on a neuro/trauma floor, so I was limping around for a year and a half, pain peaking up to 8 out of 10, every 6 hours 2 Tylenol and 2 ibuprofen with some relief. 2 weeks after I started the benfotiamine, I again tried taking pain supplement with tumeric that my husband takes for arthritis and it worked. My muscle pain has been reduced by 75%. I can see why people get depressed with chronic pain. I'm only on my third week with some hope. The B1 also reduced the swelling in my legs and improved my mood.
Wow, excellent.
Thank you and as usual, no apologies needed. Your work is much appreciated. Also, I watched one of your older presentations recently and was left wondering How _did_ that tree get into the building 😅
See dr Sabine HAZAM cal, lots research on gut/stool stuides, mocrobiome, used her own cllleagued + self as subjzcts, did ore covud damples then post covid, covid pt had NO good microbiota in stool /none, am dealing w this now from covid..she was ignored 4 years, now published..book : lets talk shit very elemental, tu for info❤️
At the time of diagnosis I had two doctors that worked my diagnosis. As I hit mid 50s I was overall physically very active and healthy with occasional bouts of short term typical intense symptoms which the worst was cycling gastroenteritis without any diagnostic links. At the time I was driving a lot doing agricultural equipment inventory sometimes 500+ miles a day. Eventually, it became so bad I would have acute diarrhea sudden onset. At times I was forced to stop beside the road. My GI doctor eventually sent me to a GI "yoda" world renowned in Houston. He ran some exotic diagnostics, all normal parameters in all tests. I think he thought I had a psychological problem. I completely understand how he'd think that. And, without a diagnosis and not having a treatment I was frustrated and depressed to the point my psychiatrist was concerned enough to prescribe an antidepressant Mirtazapine. Within a few days I felt much better and my GI problems practically stopped completely. When I advised my GP this, that was the clue that brought my fibromyaliga diagnosis. That was 20 years ago at least. I'm still on Mirtazapine and my disease has steadily increased forcing my retirement about 5 years ago. Now I take 5meds that give me a few functional hours a day with poor sleep. I know there are lots of people like me. I'm going to ask my GP about Creactive test. Thank you for highlighting the subject!
I’ve never had a cRp under 1 and it’s so frustrating. I’ve been fully organic plant based for three years now. I went fully plant based after finding out I’m part of the 20% of the population that has high Lp(a), but mine is like, really high. 380 nmol/L. Before I was consuming raw milk, butter, grass fed beef, and lots of organic plants. That diet led to me having REALLY high LDL, LDL particle count, and particle sizes. I’ve gotten my LDL down to 108 now with a plant based diet but I still can’t get my cRp to go down. Could my really high Lp(a) be a factor? I’ve always been small, BMI is 19.6, A1C is 4.9- like, what else could be the reason my cRp is high?! Ps- I did an Ana Screen and it came back negative. I don’t have any autoimmune diseases and I’m never sick.
Thank you for providing proof for what some others deny exist.
The pet tracer used with leukocytes, how dangerous is it? Where does it fall on the elemental chart?
A 90 day trial of LDN did nothing for my CFS.
I always check crp with esr with ferritin to get a more generalised figure….plus e/lfts and occasionally d-dimer.
That should cover the bases well. I mentioned ESR and ferritin in the video I linked to at the end. IL-6 can be useful as well, though it is also nonspecific. - Jarred Younger
for two years of lc now i been havin consistantly plus minus 20. am obese but before lc it was zero-ish. i am improving, working on integrating ctraumas and i am sure it will at the given moment be fine again.
I haven't read papers on this topic specifically, but I know the average CRP levels of participants in my lab have risen substantially since the SARS-CoV-2 pandemic. Even completely healthy individuals with little fatigue and pain were showing strangely elevated CRP. It might be due to repeated infections, or vaccinations. - Jarred Younger
How significant/prevalent are anti-CRP antibodies?
Abnormal results on that test can be significant, though I believe some people can have high values with no symptoms. Running a test to detect abnormal anti-CRP antibodies is usually done by a rheumatologist. There is also anti-CCP antibodies, also typically done by rheumatologists. They can be helpful in distinguishing different rheumatologic disorders like lupus and rheumatoid arthritis. Other tests like anti-nuclear antibody (ANA) will also be conducted. If someone has chronic joint pain, I believe it is useful to get a suite of tests done by the specialist. - Jarred Younger
Do you think that CRP would show differences with our low-dose nicotine patch research? Is hs-CRP standard in some places or does it have to be special request?
I am pretty sure every place can do hs-CRP now. It is just slightly more expensive. I don't know what to expect with CRP and nicotine, since all the literature I am familiar with looked at cigarette smoking. In that case, smoking causes CRP increases. - Jarred Younger
Whenever i have flares of my chronic inflammation, my CRP is high, but my Antinuclear Antibody test is always negative. This is the reason it took so long to be diagnosed with autoimmunity. Is it possible that it has something to do with the difference between auto-immune and auto inflammatory?
Yes, ANA is just one route to chronic inflammation. Autoimmune disorders involving ANA can raise CRP, but they don't have to. Many people with rheumatoid arthritis, for example, can have significant pain but no abnormal CRP values. Chronic diseases of the innate versus adaptive immune systems will involve different pathological inflammatory signals. - Jarred Younger
I've been thinking about this more lately, and I appreciate you helping me to understand something as fundamental as this. Godspeed!
Hi Dr Younger, Would TRPM3 dysfunction effect CRP levels? I'm also just curious what your thoughts on this research is? They've found TRPM3 receptors in the brain so that could maybe explain the activated microglia not recieving the turn off messages. Just trying to bring 2 ME/CFS theories together to see which is more likely caused by the other. Here's one of the most recent articles on TRPM3 if it's if interest: www.ncbi.nlm.nih.gov/pmc/articles/PMC11227206/
I'll talk a look at the paper. The TRP field is red hot right now, especially with pathologic pain. I'll have to do another deep dive in the literature from the past couple of years to see where things stand right now. - Jarred Younger
@@youngerlab That would be awesome if you could! Thanks for all you do!
Thanks for the video. My CRP has always been normal, even though I have a couple of different types of arthritis, degenerative discs and scoliosis, fibro, a few other pain issues, and me/cfs. Is this because of the type,of CRP tests I’ve gotten from my GPs? Could supplements or meds interfere with CRP test results. My me/cfs doc and pain clinic never tested me for CRP, afaik. 🤔
Mine has always been low too even though I have RA. ESR also low. I do have a really healthy diet though.
Is this high sensitivity CRP (hsCRP)? This could explain the discrepancy. Also, what is your ESR?
@@Fomites probably not a high sensitivity test. My sed rate also is normal.
Thought I would mention a study I participated it, led by Derya Unutmaz at Jackson Labs. I didn’t get individual results, but the study found that, “Compared with healthy controls, the microbial [gut] dysbiosis observed in ME/CFS patients was characterized by decreased bacterial diversity, overrepresentation of putative pro-inflammatory species, and reductions in putative anti-inflammatory species.” So that supports the involvement of inflammation. They did also draw blood, but few of the biomarkers they identified as useful involved a blood test. The first report on the study was the open-access article “Multi-‘omics of gut microbiome-host interactions in short- and long-term myalgic encephalomyelitis/chronic fatigue syndrome patients” in the journal Cell Host and Microbe.
It just means that, if you do have elevated CRP, it is only minimally elevated. People can have a wide range of severe inflammatory conditions (including major autoimmune and neuroinflammatory conditions like multiple sclerosis) but not have elevated CRP. Lupus is another example where inflammation is significant but CRP looks normal. Broadly speaking, it can mean your conditions lean more to autoimmune than to autoinflammatory. But if you have bursts of disease exacerbation, it could also be that the tests miss the elevations because CRP can rise and fall very quickly (within a couple hours). - Jarred Younger
Mine CRP doesn't show up and too many pwME same.... Instead hsCRP, immune complement factors, histamine, IL-8, IL-6 and MMPs go high. I don't get this video, I am sorry. It's chronic inflammation and CRP is acute infection.
Thanks for this comment, I was going to say the same thing, and I see several comments here already alluding to this. I have always had normal CRP, and so do so many ME patients! It's all over the forums. I would add TGF-b, total IgM, and other markers to the list of things that can be high. Doctors use normal CRP against sick ME patients as evidence of lack of inflammation. I don't get this video either.
@@derguf9226 Yes exactly, thanks for adding more relevant blood markers. I can also add high fibrinogen and high Lpa-PL2 in my case. The high fibrinogen would be relevant to more patients and the TGF-b that you mentioned.
The hsCRP is a more sensitive version of CRP. But both CRP and hsCRP are very fast responders that can go up and down quickly. The CRP tests definitely react strongly to acute infection, but the chronic inflammation we see in many individuals is a problem. - Jarred Younger
@@youngerlabYes. I was very ill in a crash, my CRP was normal, so the doctor suggests there is no ongojng inflammation, while I had severe mast cells activation and lymph swelling, MC release so much mediators. It's a very inflammatory response yet CRP on the highest end but just in the normal range :-(
You just described me. My CRP is always normal but not all those values you just listed, but doctors rarely accept those and I must be good since CRP is good. I'm not though. I'll need to do hsCRP to see if anything comes of it.
I have a question - my CRP levels have always consistently been < 0.3 every time I've been tested, including when I've been doing particularly badly. These were not high-sensitivity tests - so I'm wondering, considering the above fact, if they *were* high-sensitivity, would the variation that could have been observed within that 0-0.3 range be a useful marker/even if CRP is just below 0.3, would there still be much benefit in reducing it further? Or is >= 0.3 just 'healthy' and if we're in that range, we needn't worry about CRP (much) further?
Just based off of the data from my lab, I don't think controlling CRP below 0.3ng/dL is going to help much. I will be talking about other markers and pathways that may be more relevant in your case. - Jarred Younger
@@youngerlab 0.3ng/dL? I believe you mean 0.3mg/dL.
When I had pelvic inflammatory disease 18 years ago. It was at 50 for a year until the bacterial infection in the fallopian tubes cleared up. It was a very difficult time of my life. The doctors never told me what a CRP of 50 meant. It was a scary period. I hope noone can relate nor needs this information. Just putting it out there.
Wow, I guess you felt quite badly over that time. It probably was high enough to activate the sickness response, which is depressed mood, profound fatigue, and cognitive issues. - Jarred Younger
@@youngerlab Yes! Thanks for the information. It's taken years to demystify all that I went through. And you gave me some valuable answers.
THANK YOU! ❤ I’m so glad that you’re looking into this. I’ve noticed that I have a LOT of pain when my inflammation (CRP) is high but I haven’t noticed a change in fatigue. I have seen my CRP go down within a couple days after an infection starts to resolve. I think it would be great to have an at home CRP device. I have glucose and Uric Acid test kits.
Interesting. Yeah I hope I can get a hold of a device soon to test. I am working on all the angles to get this testing approach available. - Jarred Younger
My CRP has tracked with my platelet count since 2021 - the start of my chronic inflammation and fatigue. Finally gone down now due to lifestyle changes I made last year - hopefully it will be optimal soon. Fatigue has more or less gone.
Great! Yes that makes since those variables would move together. That is awesome you have had symptom relief as well! - Jarred Younger
@@youngerlab Thank you Jarred. My hsCRP has gone down from 18 mg/L at the highest to 3.5 just recently
Your videos are so clear and easy for us non-doctors to understand. Thank you!
Boy i would donate to a kickstarter for a near real time inflammation tracker sooo fast!
That may be the way to go. I have to deal with companies who developed the devices (im not into engineering devices) so I hope they are willing to share the technology with me before they go commercial. - Jarred Younger
Yep... My old doc (RIP) used to track my progress using CRP. Always not quite where it should be lowest i recall was 3.5 , usually 5/6, sometimes 10/11 Looking forward to next week Dr Younger ,vand thank you for your continued work 💙🙏🏼💙
Sounds like the doc was forward-thinking! - Jarred Younger
Maybe they have the mthfr gene! Maybe that would explain the high CRP.
That is possible. We are running whole genomic/proteomic analyses now to look at those ideas. - Jarred Younger
Great sensitivity? The number of subjects with symptoms and low CRP seems to prevent us from trusting a negative result (<3mg/dL). What about all the gulf war illness cohort with normal-range CRP? Should the protocol include frequent periodic samples for each patient?
I think the key to GWI are identifying critical subgroups, similar to what we see in ME/CFS. I don't think there is a single test that will identify the entire group. And once we have enough information, these conditions will almost certainty be broken down into a few, more precise labels. But to your last question, it is true that testing at multiple points uncovers pathologies that one sample cannot. When I test them every day or every other day, I find that it takes very little change in CRP to cause a significant change in fatigue or pain. - Jarred Younger
A home CRP kit would be handy, has anyone invented it yet?
Three companies have prototype devices. I am communicating with them to see what I can get in my hands to test. More soon! - Jarred Younger
@youngerlab I see the plant flavonoid Luteolin turned out to be a good anti inflammatory in the inflammation stage of acute Covid. It’s a big paper so I didn't read if it helps with Long Covid or not, but probably would help Study name: ‘Inhibitory Effect of Luteolin on Spike S1 Glycoprotein-Induced Inflammation in THP-1 Cells via the ER Stress-Inducing Calcium/CHOP/MAPK Pathway’
I tested luteolin in GWI but the results weren't great. It was a small sample though. If I tested a bioflavonoid again, I would probably try quercetin. I'll look at the luteolin and COVID work. Thanks! - Jarred Younger
What’s the timescale the test covers? In other words, do I need to be in a crash to see the higher levels of CRP? Or will it show inflammation over the past couple of days or weeks?
7:47 Jarred did a "Good Day, Bad Day" study that tracked daily levels and it was different everyday. and the CRP accurately followed ME/CFS symptoms. So probably do a test daily for several days, or when you feel worse. but I imagine a doctor would be reluctant to do that as they are sticks in the mud
I have observed a 3 day cycle, from the exposition to the triggers, to the end of the immune response (inflammation). When i was permanently triggering because i hadn't learnt what the triggers were, my CRP was frequently high. This is probably because i was adding triggered immune response to triggered immune response because the 3 days didn't pass between being exposed. The good days bad days aren't because of the days you do good or bad things, they are because the immune system is in a good or bad stage of the response to the trigger. I no longer have bad flares because i know when i am having one and wait the 3 days for it to pass, before taking the risk of adding to it.
Yeah, unfortunately it is really fast. The CRP will start to drop immediately when the source of inflammation is removed. Even when we inject participants with endotoxin, their CRP is back to normal by the end of the day. So, the at home devices will probably be necessary to truly screen for possible inflammatory triggers. - Jarred Younger
My CRP has been constantly 2.0 mg/L since 2014 following a tick bite which made me very ill and it hit 64mg/L (6.4 mg/dL) at the time, I was ill ever since but did feel well most of the time, and got back to some level of normality. Theme came Covid vaccines, I took a Moderna in Nov 2021, and was really ill afterwards got tested a week later it went to 33.4 mg/L then settled back at 2.0 ever since, I have bought of really bad fatigue and constant burning pains in legs and arms, aching joints spikes pains in random places and apparently my low CRP means there is no inflammation. This is so strange as it feels like inflammation and does seem to ease when I take a fexafenadine. Everything I have read seems to point to this, especially the joint pains I get. But because CRP is low I get sent away. Is it possible to have a low CRP but still have inflammation?
Its very much possible. There are other inflammatory markers that could be high.Does anyone in your family have a history of Rheumatoid Arthritis? Your symptoms sound like you need a blood detox something that could eliminate whatever remnant toxins you have accumulated over the years post the first incident
That Moderna Vax caused a CFS flare that's lasted 3 years now. Took me from partly housebound to bedbound.
I often have a moderately high ESR and a normal CRP. I have polymyalgia rheumatitca. The ESR is the marker we use the most in my condition to assess its progress.
Thanks for your valuable and insightful comments my doctor refuses to measure CRP since I had a very adverse reaction to AZ in April 2021 I’ve looked at my record for CRP measured in milligrams/L went to 18 in October 2019 when I was diagnosed with sepsis but then return to less than one and it went to just 1 August 2021 however I have also had three years worth of measuring cytokines and all 14 measured absolutely skyhigh but this is not accepted in the UK so I’m heartened listen apparently lower normal CRP doesn’t tell me very much in my instance. The cytokine testing suggests I had underlying chronic Lyme that I didn’t know about, I was incredibly fit before AZ and I’ve not been able to work since, I meet all the criteria for ME in the UK but can’t get diagnosed, fatigue PEM, pain lots of neuro & cognitive and dizziness
@@AyurvedaWithDrJo Thanks for the information, it is nice to communicate with helpful people. My mother had an issue with Giant Cell Arteritis a while back, but not sure if that was due to Vaccines or just something she was susceptible to in later life. I feel the tick bite was the original trigger, as did the ME/CFS consultant, but as so many years had passed since having it there isn't much that he could offer in NHS world, other than coaching on how to live with this ME/CFS condition. I was referred to Rheumatology but my was refused an appointment because my Rheumatoid Factor was only 11.2i u/mL.. even though I have symptoms as well! I'm not happy about this as I was living with it reasonably well but the vaccines and inevitable covid seems to have stepped everything up a factor of 10. The detox route sounds good, but not sure where to start, I've seen how drugs like Ivermectin could be used to mop up the viral debris (if that is the right phrase), but no way of getting that prescribed in this country. I'm trying a 1000mg of VitC daily and Vit D but not sure that is doing anything. I'm contemplating going private but everyone I have tried is busy for at least 6 months.
I'm 72 years old and I've been fibromyaliga diagnosed for at least 25 years. I've had a lot of blood tests over the years including many CRP tests and I don't believe I've ever had any values that were abnormal. One if the ways my doctor diagnosed my fibromyaliga was my CRP values were normal even when I was having acute fibromyaliga symptoms with pain and fatigue but my CRP values are usually normal.
I understand the rationale with testing the CRP in part to diagnose fibromyalgia, but the literature and my work show that individuals with fibromyalgia tend to have higher CRP, though not seriously elevated, on average. The doc was probably ruling out some autoimmune and conventional inflammatory conditions to help make the fibromyalgia dosage. When I look at the new data I have, I'll see what things look like in fibromyalgia. - Jarred Younger
@youngerlab I'm thinking maybe that in my case the doctor didn't order the "high resolution" test. I have an upcoming annual check up I will ask about it. I appreciate this information.
Thanks for this. Is consistently high CRP causative of cardio-vascular damage or is it a symptom?
The CRP should be targeted directly - it is just the marker of change. The CRP says that the body is fighting something. So the trick is finding out what that something is. That is a complex question with probably a hundred answers, but we will cover many of them. - Jarred Younger