Is your body stuck in a state of constant low-grade inflammation?
Inflammation is one of the most misunderstood forces in modern health. We evolved to become inflamed — and for good reason. A finely tuned inflammatory response is a vital defense mechanism against infection, injury, and harmful stimuli. But when inflammation fails to resolve as nature intended, chronic inflammation becomes a silent driver of some of today's most serious chronic diseases.
The encouraging news: understanding how inflammation is supposed to work — and why it sometimes doesn't — opens the door to restoring balance naturally.
The Two Phases of a Healthy Inflammatory Response
Think of inflammation as a two-act story. In a healthy body, both acts need to play out fully for real healing to happen.
Phase 1 — The Defense: Something triggers your immune system — a cut, an infection, stress, or a toxin. Your body rushes to the scene, ramps up, and fights back. This is the familiar redness, swelling, or soreness you notice. It's your body doing exactly what it should.
Phase 2 — The Resolution: Once the threat is handled, your body is supposed to send a different set of signals — essentially a "all clear, stand down" message. This phase cleans up the damage, repairs the tissue, and returns everything to normal. Most people don't realize this second phase even exists, but it's just as important as the first.
The problem? In many people, Phase 2 never fully kicks in. The "all clear" signal never arrives, and the body stays in a low-level state of alert — week after week, month after month. Researchers have a name for this pattern when it's tied to aging: "inflammaging."

Metagenics Institute - Infographic
What Is Chronic Inflammation — and Why Does It Matter?
Unlike acute inflammation, which is short-term and purposeful, chronic inflammation is a prolonged state — lasting months or even years — characterized by the continuous presence of inflammatory cells in tissues that should have already healed.
The World Health Organization identifies chronic inflammatory diseases as one of the greatest health threats of our time. In the United States alone, the number of individuals living with chronic inflammation-related conditions is expected to rise steadily over the next three decades.
Common Signs and Symptoms of Chronic Inflammation
Symptoms vary from person to person, but may include:
- Body pain: joint pain (arthralgia), muscle pain (myalgia)
- Chronic fatigue and insomnia
- Mental health effects: depression, anxiety, mood disorders
- Digestive issues: constipation, diarrhea, acid reflux
- Weight fluctuations: unexplained weight gain or loss
- Frequent infections
Possible Causes and Triggers of Chronic Inflammation
- Failure to complete the resolution phase — the most direct cause: the inflammatory "off switch" never gets pulled.
- Diet: diets high in saturated fats, trans fats, and refined sugars exacerbate inflammation.
- Environmental toxins: heavy metals like lead, mercury, and arsenic, along with cigarette smoke and other airborne pollutants, trigger oxidative stress and activate inflammatory pathways.
- Hormonal imbalances: low levels of sex hormones like testosterone and estrogen contribute to a pro-inflammatory state.
- Lifestyle factors: excessive alcohol, insufficient or extreme exercise, chronic stress, and sleep disorders all promote and perpetuate inflammation.

SPMs: The Body's Natural "Stop Signals" for Inflammation
Research has revealed a remarkable family of molecules that actively orchestrate the resolution of inflammation — not by suppressing the immune system (as anti-inflammatory drugs do), but by directing it toward healing. These are called Specialized Pro-Resolving Mediators (SPMs).
SPMs are derived from omega-3 fatty acids (EPA and DHA) and some omega-6 fatty acids (arachidonic acid). They act as the conductors of what researchers call the "resolution orchestra," directing the five cardinal events of resolution: removal, restoration, regeneration, remission, and relief.
What SPMs Do
- Terminate inflammation: SPMs turn off the inflammatory response, preventing it from becoming chronic.
- Clear cellular debris (efferocytosis): They stimulate macrophages to engulf and remove cellular debris and pathogens from injury sites.
- Reprogram immune cells: SPMs promote the switch of macrophages from a pro-inflammatory state to a pro-resolving, tissue-repairing state.
- Support tissue repair and regeneration: They promote healing and restore the tissue environment to its original state.
- Reduce pathological pain: SPMs exhibit potent analgesic effects, specifically targeting and reducing pathological pain without interfering with normal pain perception.
Dietary and Lifestyle Strategies to Support Healthy Inflammation Resolution
1. Adopt an Anti-Inflammatory Diet
What you eat directly influences your body's ability to produce SPMs and resolve inflammation, making adopting an anti-inflammatory diet especially important. Key dietary priorities include:
- Omega-3 rich foods: fatty fish (salmon, sardines, mackerel), flaxseeds, walnuts — support a healthy inflammatory response.
- Colorful fruits and vegetables: blueberries, broccoli, leafy greens — rich in antioxidants and polyphenols are known for their supportive properties.
- Anti-inflammatory spices: turmeric and ginger offer well-documented supportive benefits.
- Limit: processed foods, trans fats, refined sugars, and excessive alcohol.
An elimination diet—where certain food groups are removed for a period of time and then gradually reintroduced—can help identify individual triggers for inflammation. Consider working with a functional medicine practitioner for food sensitivity and gut barrier testing to help identify your personal triggers.
2. Prioritize Lifestyle Factors
- Exercise: engage in regular moderate activity — 20 to 30 minutes, five times per week — to reduce inflammatory markers and support overall immune balance.
- Sleep: aim for seven to nine hours nightly — sleep disorders both trigger and amplify inflammatory cytokine release.
- Stress management: chronic emotional stress maintains elevated cortisol and pro-inflammatory signaling. Practices such as meditation, yoga, deep breathing, and mindfulness have shown measurable reductions in inflammatory markers.
3. Natural Remedies and Targeted Supplementation
Supplements can provide an additional layer of support for resolving inflammation naturally:
- Omega-3 / fish oil (e.g., Metagenics OmegaGenics® EPA-DHA 720) — provides EPA and DHA, the raw materials for SPM production.
- Vitamins A, C, and D, plus zinc — support the body's natural repair processes and help manage inflammation.
- SPM supplements — turn off the inflammatory response, preventing it from becoming chronic.
4. Explore Complementary and Integrative Therapies
Yoga, acupuncture, meditation, and mindfulness all offer evidence-based support for a healthy inflammatory response. Yoga is often recommended for its ability to improve flexibility and reduce stress, which can, in turn, support a healthy inflammatory response. Acupuncture has been found to modify the body's inflammatory signaling by stimulating specific physiological pathways. Mind-body interventions like meditation and mindfulness have shown promise in reducing levels of stress hormones and supporting a healthy inflammatory response.
Metagenics SPM Active: Targeted Resolution Support
SPM Active is a dietary supplement containing concentrated specialized pro-resolving mediators (SPMs) derived from marine oils. It is designed to support the body's natural processes for managing inflammation, easing minor joint discomfort, and promoting tissue health.
Key Benefits
- Supports natural inflammation resolution: Unlike traditional supplements that just reduce inflammation, Metagenics SPM Active provides the specific molecules your body uses to actively resolve the inflammatory response and return to healthy balance — not just suppress it.
- Eases joint and muscle discomfort: Helps relieve everyday soreness and supports joint health, particularly after physical activity or sustained daily stress.
- Accelerates recovery: Supports the body's natural repair processes and may help speed recovery from physical challenges.
- Enhances immune function: Research suggests SPMs support healthy immune activity and cardiovascular function.
- Clinically studied: According to the manufacturer, clinical studies have shown participants experienced a decrease in joint soreness and discomfort intensity within two weeks of daily use.
Frequently Asked Questions
Q: What are the two phases of inflammation?
A healthy, balanced, self-limited inflammatory response has two phases: the acute protective phase, which mobilizes the immune system to neutralize threats, and the resolution phase, which actively restores tissue homeostasis and resilience at both the physiological and cellular level.
Q: How can I enhance the resolution phase to restore healthy tissue?
SPM Active by Metagenics is specifically designed to support the resolution phase. It provides concentrated SPMs derived from marine oils that work with your body's natural repair processes to manage inflammation, ease joint discomfort, and promote tissue health. Combining SPM supplementation with an omega-3-rich diet and lifestyle modifications offers the most comprehensive approach.
Q: What are the best natural remedies for chronic inflammation?
A multi-pronged approach works best. Prioritize omega-3 fatty acids from food and supplements (such as Metagenics OmegaGenics® EPA-DHA 720), ensure adequate intake of vitamins A, C, and D plus zinc, adopt an anti-inflammatory diet, manage stress, optimize sleep, and consider SPM supplements to directly support the resolution phase.
Q: What is "inflammaging," and is it reversible?
Inflammaging is a progressive, low-grade, nonresolving proinflammatory state closely linked to biological aging. It develops when the resolution phase of inflammation is chronically incomplete. While it cannot be entirely "reversed," it can be meaningfully addressed through diet, lifestyle, targeted supplementation, and strategies that support the resolution phase — particularly SPMs.
Q: Why are SPMs different from anti-inflammatory drugs or supplements?
Most conventional anti-inflammatory approaches — including NSAIDs and corticosteroids — work by suppressing the immune response. SPMs take a fundamentally different approach: they actively direct the immune system to complete the resolution process, clear debris, repair tissue, and restore balance — all without immunosuppression. This makes them uniquely suited to addressing the root problem of chronic inflammation: a stalled or incomplete resolution phase.
Supporting Your Body's Natural Healing Process — Starting Now
Chronic inflammation is not inevitable. Understanding that inflammation has two phases — and that the second, resolution phase is just as critical as the first — opens a powerful path forward. By combining an anti-inflammatory diet, targeted supplementation with omega-3s and SPMs, and supportive lifestyle habits, you can help your body complete what it was designed to do: mount a defense, then fully resolve, repair, and restore.
Small, consistent steps in the right direction make a meaningful difference. Start with one or two changes this week — and build from there.
Yours in Health,
Sylvia H. Regalla, MD
Metagenics is the #1 doctor-recommended professional supplement brand. Metagenics is known for their science-backed, precision-crafted formulas and dedication to quality and efficacy. Metagenics sources only premium raw materials that undergo rigorous testing to meet pharmaceutical-grade standards. Metagenics crafts formulas based on the latest scientific research, ensuring every product is safe and effective.
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You receive 20% discount on ALL Metagenics products when you use Professional ID DRSREG0900 on the Metagenics website.
Dr. Sylvia H. Regalla
Dr Sylvia H. Regalla is a recognized expert in the areas of functional medicine, the science of nutrition and lifestyle changes for optimal health, and managed care, as well as professional functions consistent with Internal Medicine (Adult Medicine).
Over the last two decades, she has helped guide the ongoing development of the educational and clinical applications of functional medicine and nutrition at University at Buffalo School of Medicine and Biomedical Sciences, Notre Dame of Maryland, Maryland University of Integrative Health, and Northeast College of Health Sciences.
Dr Regalla is retired from private practice and continues to bring expanded understanding of common, chronic disease states in her monthly functional medicine insights.














