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c reactive protein

C-reactive protein (CRP) is produced by the liver. Its level rises when there is inflammation in your body. LDL cholesterol not only coats the walls of your arteries, but it also damages them. This damage causes inflammation that the body tries to heal by sending a "response team" of proteins called "acute phase reactants." CRP is one of these proteins.

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high sensitivity c-reactive protein

A high level of hs-CRP, i.e., greater than 3 mg/L, indicates acute inflammation and might be a sign of a serious infection, an injury, or chronic disease. Levels in this “red zone'' mean you're at greater risk for heart disease.

If you have high cholesterol, you've probably been told to lower the LDL number from your blood test. LDL is the "bad cholesterol," the type that contributes to plaque that can clog your arteries. This can lead to a heart attack or stroke.But that's only part of the story. Research shows that only 50% of people who suffered heart attacks had high LDL levels. So, many doctors use another test called the C-reactive protein test to help figure out who’s at risk.

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c reactive protein levels

Less than 0.3 mg/dL: Normal (level seen in most healthy adults). 0.3 to 1.0 mg/dL: Normal or minor elevation (can be seen in obesity, pregnancy, depression, diabetes, common cold, gingivitis, periodontitis, sedentary lifestyle, cigarette smoking, and genetic polymorphisms).

One study found that testing for CRP levels is a better indicator of cardiovascular disease (CVD) than the LDL test. But, it's important to know that a CRP test is not a test for heart disease. It's a test for inflammation in the body.

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What level of C reactive protein is concerning?

1.hs-CRP level of lower than 1.0 mg/L -- low risk of CVD (heart disease)

2.hs-CRP level of 1.0 mg/L and 3.0 mg/L -- moderate risk of CVD

3.hs-CRP level of more than 3.0 mg/L -- high risk of CVD

A high level could also be a sign of cancer, infection, inflammatory bowel disease, lupus, rheumatoid arthritis, tuberculosis, or another disease.

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Apart from acute infection or injury, CRP points to chronic or systemic inflammation. Its levels rise in response to chronic stress
High CRP levels are a marker of chronic inflammation, found in conditions such as diabetes, obesity, and heart disease.

chronic conditions

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CRP is not only a marker of inflammation, but it also worsens any underlying inflammation. In the lining of blood vessels, CRP lowers nitric oxide and prostacyclin release, which worsens blood flow, while increasing the inflammatory compounds

Increases Blood Vessel Damage

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Increased levels of LDL cholesterol in at-risk patients cause blood vessels to make more CRP, which, in turn, helps more LDL-C enter blood vessel cells.
CRP can partially predict the risk of dying from a heart attack, blood vessel disease, heart failure, and arrhythmias

High LDL and High CRP: A Deadly Combination

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Research suggests that CRP may turn on a pro-inflammatory switch in blood vessels, making them narrower and stiffer – resulting in high blood pressure
Those with the highest CRP levels had a twofold greater risk of high blood pressure compared to those with the lowest CRP levels

High blood pressurer

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Metabolic syndrome is a cluster of metabolic abnormalities that together increase the risk of diabetes and heart disease. These include:

1.High blood pressure
2. High blood sugar
3.Excess belly fat
4. High bad cholesterol/low good cholesterol

Metabolic Syndrome

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Elevated CRP has been associated with obesity and abnormal fat metabolism in both adults and children. It is closely linked with high BMI and total calorie intake. Studies found that schoolchildren who were overweight/obese had higher levels of CRP

Obesity

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Several studies have found that high CRP levels were associated with a great risk of strokes, stroke complications, and death. Levels over 3 mg/ml were linked with a 40% increased risk

Stroke

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CRP is also increased in obstructive sleep apnea (OSA), which is when people stop breathing during sleep. Patients with more severe sleep apnea have higher CRP levels

Obstructive Sleep Apnea

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Inflammation in Rheumatoid Arthritis is closely related to the production of CRP and pro-inflammatory cytokines. In patients with rheumatoid arthritis, high CRP is directly linked with worse symptoms

Rheumatoid Arthritis

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CRP is also increased because of
1.Gum Disease
2.Inflammatory Bowel Disease (IBD)
3. Fatigue
4.Vision Loss
5.Depression

Others

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