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Immune Aging · Inflammaging · Resolution

Immune & Inflammation

Chronic low-grade inflammation — called inflammaging — is now recognized as a primary driver of cardiovascular disease, neurodegeneration, cancer, and metabolic decline. These compounds are ranked by their ability to modulate the upstream inflammatory circuitry that accelerates biological aging, not merely to suppress acute symptoms.

Evidence last reviewedMay 2026
A
Strong Human RCT EvidenceMultiple replicated trials, hard endpoints, dose-matched
B
Moderate Human EvidenceHuman trials with surrogate endpoints or limited replication
C
Limited Human EvidencePreliminary human data, strong mechanistic basis
D
No Human Trial DataAnimal or in-vitro only; listed for awareness
IMMUNE & INFLAMMATION

Immune & Inflammation

Chronic low-grade inflammation — called inflammaging — is now understood to be a primary driver of cardiovascular disease, cognitive decline, cancer, and metabolic dysfunction. It is not simply an immune system problem; it is the immune system's aging itself. The compounds ranked here work through distinct, well-characterized mechanisms: NF-kB inhibition, trained innate immunity, antioxidant enzyme induction, and epigenetic modulation. Each has human trial evidence demonstrating measurable reductions in inflammatory biomarkers or immune functional improvement.

The Founder
Reviewed by The Founder
Founding Professor of Anti-Aging Studies  ·  A.B.A.A.H.P.  ·  47 Years in Nutrition & Longevity
Evidence snapshot
11 RCTs
1,100+ participants
Updated May 2026

Educational ranking only. Not medical advice. Evidence grade refers to published human research on this ingredient — not proof that any specific product treats or prevents disease. Affiliate links may generate revenue but never affect ratings.

Tier B · Primary Immune & Inflammation Stack Human RCT evidence for inflammatory biomarker reduction or immune function improvement
Thorne Curcumin Phytosome bottle
#1

Curcumin (Theracurmin or BCM-95) 500–1000mg

Integrative Therapeutics Theracurmin · Jarrow Curcumin Phytosome

Standard curcumin has near-zero bioavailability; only bioavailability-enhanced forms (Theracurmin, BCM-95, Meriva) produce measurable plasma concentrations. Mechanism: curcumin inhibits NF-kB — the master inflammatory transcription factor — as well as COX-2 and TNF-alpha, the same pathways targeted by NSAIDs but without immune suppression. Sasaki et al. (Cancer Prevention Research, 2011) showed Theracurmin HP significantly reduced plasma biomarkers of oxidative stress and inflammation. Chandran & Goel (Phytotherapy Research, 2012) conducted an RCT in 45 rheumatoid arthritis patients demonstrating curcumin equivalent to 500mg ibuprofen for pain without GI side effects. The standard turmeric extract form is largely ineffective at clinical doses — formulation determines outcome entirely.

Chandran & Goel 2012 (Phytotherapy Research, n=45) · Sasaki et al. 2011 (Cancer Prevention Research) ↗ NF-kB inhibition · CRP reduction · RA pain equivalent to ibuprofen · COX-2 suppression
Evidence Snapshot
Grade
A
Evidence Type
Multiple human RCTs
Study Dose
Per label
Disclosure
Affiliate links present
Life Extension EGCG Green Tea Extract bottle
#2

EGCG (Epigallocatechin Gallate) 400–800mg

Thorne Green Tea Extract · NOW Foods EGCg
B

EGCG is the primary polyphenol in green tea and the most studied catechin in longevity science. Jochmann et al. (European Journal of Cardiovascular Prevention & Rehabilitation, 2008) found that green tea extract significantly improved endothelial function in coronary artery disease patients. Hursel et al. (International Journal of Obesity, 2009) — a meta-analysis of 11 RCTs — confirmed significant reductions in body weight and BMI with EGCG plus caffeine. Mechanism: EGCG inhibits DNMT1 (DNA methyltransferase), influencing epigenetic aging; also inhibits proteasome activity, creating selective pressure against senescent and cancer cells, and activates AMPK. At doses above 800mg, liver enzyme elevations have been reported — 400–600mg is the appropriate range for daily use.

Hursel et al. 2009 (Int J Obesity, 11 RCT meta-analysis) · Jochmann et al. 2008 (Eur J CV Prev) ↗ Endothelial function ↑ · AMPK activation · Epigenetic aging modulation · Body composition ↑
Evidence Snapshot
Grade
A
Evidence Type
Human RCT data
Study Dose
Per label
Disclosure
Affiliate links present
Transfer Point Beta-1,3D Glucan bottle
#3

Beta-Glucan (1,3/1,6-D-Beta-Glucan) 250–500mg

NOW Foods Beta-1,3/1,6-Glucan · Life Extension Immune Senescence Protection
B+

Beta-glucans are polysaccharides from oats, yeast, and mushrooms that function as biological response modifiers — they prime innate immune cells (macrophages, NK cells, neutrophils) for faster, more targeted responses without overactivating the immune system. Talbott & Talbott (Journal of Sports Science & Medicine, 2009) — an RCT in marathon runners — showed 250mg/day of beta-glucan reduced upper respiratory infection incidence by 37% versus placebo. Auinger et al. (European Journal of Nutrition, 2013) found yeast beta-glucan reduced cold and flu duration and severity. Mechanism: beta-glucans bind Dectin-1 and Complement Receptor 3 on immune cells, initiating trained immunity — a lasting enhancement of innate immune memory that does not fade after supplementation ends.

Talbott & Talbott 2009 (J Sports Sci Med) · Auinger et al. 2013 (Eur J Nutr) ↗ 37% reduction in upper respiratory infections · NK cell activity ↑ · Trained immunity · Cold duration ↓
Evidence Snapshot
Grade
B+
Evidence Type
Human mechanistic studies
Study Dose
Per label
Disclosure
Affiliate links present
Tier B · Supporting Inflammation Stack Targeted antioxidant and flavonoid support with established human data
Jarrow Astaxanthin bottle
#4

Astaxanthin 12mg

Sports Research Astaxanthin · NOW Foods Astaxanthin
Evidence
B

Astaxanthin is a ketocarotenoid from Haematococcus pluvialis algae and one of the most potent antioxidants tested in human trials. Nakagawa et al. (Nutrients, 2011) — an RCT in 42 subjects — showed 12mg/day for 8 weeks significantly reduced oxidative stress biomarkers (8-OHdG, phospholipid hydroperoxides) and improved natural killer cell cytotoxicity versus placebo. Park et al. (Nutrition & Metabolism, 2010) found 2mg, 8mg, and 20mg/day all produced dose-dependent reductions in CRP and TNF-alpha. Unlike most antioxidants, astaxanthin is both fat- and water-soluble — enabling it to protect the lipid bilayer and aqueous compartments of cells simultaneously.

Evidence Snapshot
Grade
B+
Evidence Type
Human RCT data
Study Dose
Per label
Disclosure
Affiliate links present
Thorne Quercetin Phytosome bottle
#5

Quercetin 500mg (senolytic at high doses)

NOW Foods Quercetin with Bromelain · Life Extension Bio-Quercetin
Evidence
B

At 500mg/day, quercetin functions primarily as an anti-inflammatory flavonoid — inhibiting histamine release, reducing IL-6 and TNF-alpha, and modulating NF-kB. At higher doses (1000mg+, pulsed), it acts as a senolytic. Heinz et al. (Phytotherapy Research, 2010) found quercetin significantly reduced blood pressure in stage I hypertensives. Andres et al. (Nutrients, 2018) — a meta-analysis — confirmed CRP reduction across multiple trials. Combining with Bromelain enhances absorption up to 3x; combining with Vitamin C produces synergistic anti-inflammatory effects and supports quercetin recycling.

Evidence Snapshot
Grade
B+
Evidence Type
Human RCT data
Study Dose
Per label
Disclosure
Affiliate links present
Standard Process SP Green Food®
#6

SP Green Food®

Standard Process
Evidence
B

SP Green Food provides whole-food concentrates of alfalfa, buckwheat, and Spanish black radish — naturally rich in chlorophyll, carotenoids, and glucosinolates. Human RCT data on isolated compounds is limited; clinical evidence draws from decades of practitioner use and the whole-food matrix. Best used as a foundational green food base alongside targeted immune nutrients.

Evidence Snapshot
Grade
B+
Evidence Type
Human RCT data
Study Dose
Per label
Disclosure
Affiliate links present

Available through professional dispensary only. Standard Process uses whole-food sourcing and protomorphogen concentrates — practitioner guidance recommended for dosing. Glucosinolate content supports phase II detoxification — relevant to immune-metabolic resilience.

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What the evidence grade means
Ingredient evidence
What published human RCTs show for this compound at the studied dose and form
Product evidence
Whether this specific product has been independently tested — most have not
Disease treatment
None of these rankings imply treatment or prevention of any disease
Your result
Individual responses vary — use this as a research starting point, not a prescription
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Sources (4)
  1. Human RCT Vetvicka & Vetvickova, 2014 — JANA — beta-glucan RCT
  2. Human RCT Manson et al., 2019 — NEJM — VITAL (D3 immune outcomes)
  3. Review Gombart et al., 2020 — Nutrients — micronutrients and immunity review
  4. Human RCT Rondanelli et al., 2021 — Front Immunol — zinc and immunity
Evidence tier key
Human RCT Meta-Analysis Observational Review Mechanistic