hs-CRP (High-Sensitivity C-Reactive Protein)
High-sensitivity C-reactive protein (hs-CRP) is an acute-phase protein produced by the liver in response to interleukin-6 and other inflammatory signals. The high-sensitivity assay resolves the low concentrations relevant to chronic, low-grade (subclinical) inflammation, making hs-CRP the most widely used blood marker of systemic inflammatory tone and of 'residual inflammatory risk.'
What It Measures
Liver-produced acute-phase protein; best general marker of systemic inflammation and cardiovascular risk
Optimal vs. Lab Range
Target range for optimal health and longevity based on research.
Population-based reference range from standard labs.
Why It Matters
Chronic low-grade inflammation ('inflammaging') is a recognized hallmark of biological aging and a driver of atherosclerotic, metabolic and neurodegenerative disease. The 2025 American College of Cardiology Scientific Statement on Inflammation and Cardiovascular Disease concludes that hs-CRP is at least as strong a predictor of future cardiovascular events as traditional lipoproteins, and that residual inflammatory risk (commonly hs-CRP ≥2 mg/L in statin-treated patients) independently predicts cardiovascular death. Persistently optimal hs-CRP (<1.0 mg/L) is a favorable signal of low systemic inflammatory burden. Because hs-CRP is non-specific, a single elevated value should be rechecked away from acute illness or injury before interpretation.
When Low
Generally favorable; extremely low may indicate liver dysfunction
When Optimal
Low systemic inflammation, associated with lower cardiovascular and all-cause risk. Retest to confirm stability and exclude transient elevation.
When High
Cardiovascular risk, infection, autoimmune disease, metabolic syndrome, obesity, cancer risk, accelerated aging
How to Optimize
Address root causes of inflammation: achieve and maintain healthy body composition (visceral fat is a major CRP source), exercise regularly, prioritize sleep, adopt a predominantly whole-food, fiber-rich, omega-3-sufficient dietary pattern, avoid smoking, and manage chronic stress. Treating hidden contributors — periodontal disease, poor glycemic control, untreated sleep apnea — often lowers hs-CRP. In secondary prevention, selected patients with residual inflammatory risk are considered for anti-inflammatory therapy (e.g., low-dose colchicine) under specialist guidance. Such decisions are individualized with your physician; this content is educational and not a substitute for medical advice.
Key Interventions & Linked Compounds
Strong evidenceKey Interventions
Linked Compounds & Supplements
Curated from clinical literature. Individual results vary; consult a qualified clinician before changing a protocol.
Ordering Notes
Specimen
Serum or plasma (venous draw)
Patient prep
No fasting required. Maintain usual diet and medications unless advised.
Recommended cadence
Quarterly
Reporting unit
mg/L
Pre-analytic notes
Standardize draw time of day, hydration, and recent exercise. Note any acute illness, supplements, or hormonal therapies on the requisition.
Recommended Follow-Up Actions
- 1
Confirm the result is reliable
Repeat abnormal values before acting — preferably from the same lab, same time of day, and under consistent prep. Rule out acute illness, recent intense exercise, or medication effects that can shift hs-CRP (High-Sensitivity C-Reactive Protein).
- 2
Compare against optimal, not just lab range
Use the optimal window above as the target. Lab "normal" is built from the general population and often misses early dysfunction.
- 3
Pair with related markers
Order a complementary panel covering metabolic, inflammatory, and hormonal context to interpret this marker properly.
- 4
Discuss interventions with a clinician
Use the interpretation guidance above to frame the conversation. Bring trends, not just one datapoint, to your visit.
- 5
Re-test on a defined cadence
If a change is implemented, re-measure in 8–12 weeks for fast-moving markers, or 3–6 months for slower ones, to confirm response before escalating.
Testing Information
Recommended Frequency
Quarterly
Fasting Requirement
No fasting required
Quick Actions
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