NAVIGATING THE SILENT STORM: UNDERSTANDING INFLAMMAGING AND METAFLAMMATION
JIM LAVALLE, RPH, CCN, MT
APRIL 2025

In the quest for longevity and performance health, the battle against time and its effects on metabolic balance is a constant pursuit. With aging, we often focus on the visible signs: wrinkles, graying hair, and changes in posture. However, a less noticeable but more insidious process occurs, known as "inflammaging." This is the chronic, low-grade inflammation process that contributes significantly to the aging process and the onset of age-related diseases.
Inflammaging is not merely a symptom, but a process characterized by the chronic upregulation of the immune response, leading to a steady state of inflammation that damages tissues and organs. This process is often silent until significant damage occurs, manifesting as various diseases such as arthritis, osteoporosis, diabetes, heart disease, and neurodegenerative diseases.
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What drives inflammaging is the concept of "metaflammation" in other words, metabolic inflammation. Metaflammation is triggered by metabolic changes associated with poor lifestyle choices such as a high-calorie diet, insufficient physical or excessive activity, persistent stress, or environmental exposures. As the damage occurs from metaflammation it becomes a downward spiral of dyslipidemia, muscle loss due to reduced IGF-1 production, anemias (low ferritin), insulin resistance, bone loss, decrease in neurogenesis, and the most critical damage occurs as mitochondrial renewal and mitochondrial energy production is compromised.
The Root of Inflammaging and Metaflammation
The source metaflammation and inflammaging is multifactorial most of the time. It involves the innate immune system becoming increasingly dysregulated as we age or because hormonal disruption, lifestyle choices, environmental intoxication, and other factors accelerate the process. You can trigger this cascade prematurely and accelerate your biological age. Factors such as cellular debris, accumulation of senescent cells, and the production of reactive oxygen species contribute to this chronic inflammatory state. The immune system, designed to eliminate pathogens and resolve inflammation, begins to falter and, paradoxically, promotes inflammation, resulting in damage to cells, organs, and tissue.

Metaflammation and Inflammaging
The source involves the immune system becoming increasingly dysregulated as we age.
Detecting and Measuring Inflammation
Understanding whether you are on the path to inflammaging or metaflammation involves recognizing their markers. Chronic inflammation can often be detected through biomarkers in the blood, such as C-reactive protein (CRP), interleukin-6 (IL-6), and tumor necrosis factor-alpha (TNF-alpha). Elevated levels of these markers can indicate ongoing inflammation and suggest an increased risk of age-related conditions. Other metabolic markers like mean platelet volume, glucose insulin, galectin 3, adiponectin, Advanced lipid tests including Lpa, LP-PLAII, ApoB, and urine pH can paint a more complete picture of all the metabolic processes that may need to be addressed in order to return the body to homeostasis. One of the most important things to understand is that it is not how many therapies you are taking to bio-hack your body; it is understanding when to apply advanced protocols, whether it is peptides, senescent therapies, detoxification, or mitochondrial targets. Continually pushing biochemical pathways through stimulation or inhibition can lead to negative feedback loops that could lead to triggering more damage.
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Strategies to Combat Inflammaging and Metaflammation
Dietary Adjustments: Adopting a diet rich in anti-inflammatory foods is crucial. Testing for food allergies and sensitivities can be helpful. Focus on a Mediterranean-style diet that includes plenty of vegetables, modest fruit, nuts, whole grains as tolerated or needed based on activity level, and lean grass-fed or wild-caught protein sources. The core foundation of longevity is maintaining gut integrity. A dysregulated gut microbiome can lead to increased production of lipopolysaccharides (LPS). When the microbiome is imbalanced, with an overgrowth of these bacteria, LPS levels can increase. This can lead to enhanced intestinal permeability (often referred to as "leaky gut"), allowing more LPS to enter the bloodstream and potentially triggering systemic inflammation.
Regular Physical Activity: Exercise not only helps in managing weight but also in reducing metaflammation. Moderate, regular physical activity can lower the levels of pro-inflammatory cytokines and increase the production of anti-inflammatory cytokines. The harder you train, the more you need to focus on recovery. Overtraining can be just as damaging as not exercising.
Adequate Sleep and Stress Management: Sleep disturbances and high stress are significant contributors to inflammation. Insomnia is considered a disorder of hyperarousal, meaning your brain takes on too much stress and cannot shift to deep wave sleep, which prevents circadian release of growth hormone and disrupts insulin response. Ensuring sufficient sleep and managing stress through techniques such as meditation, yoga, or even 4 minutes of box breathing 2-3 times a day helps to reset the vagus nerve and restore parasympathetic balance.
Supplements: There are so many supplements, peptides, and bioregulators that can help correct metaflammation and inflammaging. The key to the success of these nutrients is learning what to take and how to know it is working. Synapsin for cognition, BPC 157 and curcumin for supporting inflammation or the repair of tissues, adaptogens, aged garlic extract, S-acetyl glutathione, the list goes on and on, but you can’t take everything, one of the biggest mistakes I have seen in my 40 years of precision health and biohacking is that people will take too many compounds without a goal or a desired result.
Pharmacological Interventions: In some cases, pharmacological treatments may be necessary to manage chronic inflammation. This is where compounding pharmacy and other services shine. Whether it is for peptides, methylene blue, bio-identical hormones, or rapamycin, at times these interventions can really make a huge difference.

Strategies to Combat Inflammaging and Metaflammation
Eat Healthy, Exercise, and Sleep Well
Conclusion
Inflammaging and metaflammation are not just buzzwords but real phenomena that affect our healthspan and longevity. By understanding these processes and integrating practices into our daily lives, we can minimize the effects of these inflammatory conditions. Remember, the choices you make today shape your health tomorrow. As I often say, managing inflammation is not just about extending life—it's about enhancing the quality of every year we gain, so let’s prioritize our long-term health by addressing all the root causes of metaflammation today.
Jim LaValle, RPh, CCN, MT, is the Chief Science Officer of Life Time, Co-Chairman of the American Academy of Anti-Aging Medicine, and Chairman of the International Peptide Society.