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Inflammation

Blood Testing for Chronic Infection

Chronic infections stress immune and inflammatory pathways. Blood testing clarifies this physiology by tracking inflammation (ESR, CRP), immune cell activity (WBC), and systemic immune-inflammation (SII). At Superpower, we offer in-clinic and at-home testing for these markers. At-home Chronic Infection testing is available in selected states. See FAQs below for more information.

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What are Chronic Infection biomarkers

Chronic infection biomarkers are signals in blood that reveal when a microbe is still present and provoking a long-running immune response. They help distinguish ongoing infection from a past encounter, indicate how active the process is, and show how the body’s defenses and tissues are being affected over time. Some markers reflect the immune memory and persistence of a pathogen, such as pathogen-specific antibodies (immunoglobulins like IgG) and circulating pathogen pieces (antigens, nucleic acids). Others capture the body’s sustained alarm system, including inflammatory mediators (cytokines, chemokines) and acute-phase proteins. Additional markers track collateral damage or immune strain, such as cell-activation signals, complement activity, and tissue injury proteins from affected organs. Together, these measures create a biological storyline—presence, pressure, and impact—so clinicians can confirm chronic infection, gauge its momentum, identify the systems under stress, and follow recovery with therapy. In short, they turn a hidden, smoldering process into something visible, measurable, and manageable.

Why is blood testing for Chronic Infection important?

  • Spot ongoing inflammation that may signal chronic infection.
  • Flag persistent elevations in ESR, CRP, WBC, or SII suggesting long-standing immune activation.
  • Clarify unexplained fatigue, low fevers, or weight loss by revealing inflammatory burden.
  • Best interpreted with your symptoms and cultures to guide next diagnostic steps.
  • Track treatment response; falling CRP and WBC suggest improvement, while ESR often lags.
  • Explain patterns that hint bacterial versus viral causes using white cell shifts.
  • Protect fertility by flagging inflammation linked to pelvic or systemic infectious conditions.
  • Support pregnancy by monitoring inflammation associated with miscarriage or preterm birth risks.

What insights will I get?

Chronic infection blood testing provides insight into how your immune system is functioning over time and how your body manages persistent or low-grade inflammation. This matters because chronic inflammation can subtly disrupt energy production, metabolism, cardiovascular health, cognitive clarity, reproductive function, and overall immunity. At Superpower, we assess four key biomarkers for chronic infection: erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), white blood cell count (WBC), and the systemic immune-inflammation index (SII).

ESR measures how quickly red blood cells settle in a test tube, which reflects the presence of inflammation in the body. CRP is a protein produced by the liver in response to inflammation and rises when there is ongoing immune activity. WBC counts the number of white blood cells, which are essential for fighting infection and responding to immune challenges. SII combines information from WBC, neutrophils, lymphocytes, and platelets to provide a broader picture of immune system activation and inflammation.

When these markers are within healthy ranges, it suggests that your immune system is stable and not under chronic stress from hidden infections or ongoing inflammation. Persistent elevations may indicate that your body is responding to a long-term immune challenge, which can affect the stability and function of multiple organ systems.

Interpretation of these biomarkers can be influenced by factors such as age, pregnancy, acute illness, certain medications, and laboratory methods. These variables should be considered to ensure accurate understanding of your results.

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Frequently Asked Questions About

What is chronic infection blood testing?

It checks if your immune system is persistently “switched on.” Superpower tests your blood for ESR (erythrocyte sedimentation rate), CRP (C‑reactive protein), WBC (white blood cell count), and SII (Systemic Immune‑Inflammation Index, calculated from neutrophils, lymphocytes, and platelets). These markers don’t name a specific germ; they quantify systemic inflammation and immune activity that can accompany chronic infection and other inflammatory states.

Why should I get chronic infection blood testing?

It helps confirm whether symptoms may be driven by ongoing inflammation. Elevated CRP/ESR show inflammatory load, WBC reflects immune cell response, and SII integrates cell patterns tied to sustained immune activation. Together, they signal if an inflammatory process is active, how strong it is, and whether it’s changing over time—useful for triage, monitoring, and guiding next diagnostic steps.

Can I get a blood test at home?

Yes. With Superpower, our team member can organize a blood draw in your home.

How often should I test?

There’s no routine schedule. Use these tests when symptoms persist, to establish a baseline, and to track change after evaluation or treatment. During active issues, repeating to assess trend is useful; once stable, testing is only as needed. Frequency is typically driven by clinical context and how quickly results are expected to change.

What can affect biomarker levels?

Recent infections, chronic inflammatory diseases, surgery, trauma, and vaccines raise CRP/ESR. Stress, exercise, smoking, and obesity can elevate CRP and shift WBC. Steroids and immunosuppressants lower CRP/WBC; adrenaline and corticosteroids can raise neutrophils and lower lymphocytes, altering SII. Pregnancy, menstruation, anemia, age, and hydration can change ESR and counts. Lab-to-lab methods also vary slightly.

Are there any preparations needed before the blood test for ESR, CRP, WBC, SII?

No fasting is required. Hydration is fine. If possible, avoid strenuous exercise the day of testing, as it can transiently shift WBC and CRP. Let us know about corticosteroids, immunosuppressants, or recent vaccines, which can alter results. If you’re establishing a baseline, test when you’re otherwise stable; if you’re acutely unwell, timing should reflect the illness course.

Can lifestyle changes affect my biomarker levels?

Yes, to a degree. Weight, smoking, sleep, stress, and vigorous exercise can modulate systemic inflammation (CRP/ESR) and white cell patterns (WBC/SII). These influences are usually smaller than changes from infection or active inflammatory disease. Results should be interpreted in clinical context rather than as a direct score of daily habits.

How do I interpret my results?

Higher CRP/ESR, elevated WBC with neutrophil predominance, and a high SII suggest active systemic inflammation that can be seen in infection, autoimmune flare, or tissue injury. Normal values make significant systemic inflammation less likely. Mild, isolated shifts are nonspecific; persistent or rising trends carry more weight than a single value. These tests indicate presence and intensity of inflammation, not its source; correlation with symptoms and other diagnostics is essential.

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