Ulta Lab Tests

Chronic Inflammation

Chronic inflammation is a long-lasting immune response that can affect the heart, joints, metabolism, gut, skin, and more. Because fatigue, aches, low mood, and flares can mimic many conditions, inflammation blood tests help sort out what’s going on and where to look next.

A proactive approach starts with core inflammatory markers—high-sensitivity C-reactive protein (hs-CRP), CRP, erythrocyte sedimentation rate (ESR), and a CBC—and then layers context tests such as ferritin, fibrinogen, albumin, and autoimmune screens (e.g., ANA, rheumatoid factor, anti-CCP, complement C3/C4) when symptoms suggest. These labs support screening, diagnostic triage, and monitoring, but they do not replace a clinician’s evaluation, imaging, or emergency care for severe symptoms.

Signs, Symptoms & Related Situations

  • Whole-body: persistent fatigue, low energy, poor sleep, low-grade fevers, night sweats

  • Muscles & joints: morning stiffness, swollen/tender joints, tendon pain, recurring back pain

  • Heart & metabolism: central weight gain, high triglycerides, insulin resistance, elevated blood pressure

  • Skin & mucosa: rashes, photosensitivity, mouth ulcers, psoriasis, eczema

  • Gut & liver: abdominal pain, chronic diarrhea, bloating, abnormal liver enzymes

  • Labs already abnormal: high platelets, anemia of chronic disease, elevated ferritin without iron overload

  • When to seek urgent care: chest pain, severe shortness of breath, one-sided weakness, confusion, black or bloody stools, or rapidly worsening symptoms

Symptoms require evaluation by a qualified clinician.

Why These Tests Matter

What testing can do

  • Detect and quantify systemic or low-grade inflammation (hs-CRP/CRP, ESR, fibrinogen)

  • Differentiate likely causes by pairing inflammatory markers with autoimmune panels, iron studies, CBC, and complements

  • Track trends to support follow-up decisions once you and your clinician set a plan

What testing cannot do

  • Provide a specific diagnosis from one abnormal value

  • Replace imaging, procedures, or specialist evaluation when indicated

  • Stand in for medical advice or treatment decisions

What These Tests Measure (at a glance)

  • hs-CRP / CRP: proteins that rise with inflammation; hs-CRP also refines cardiometabolic risk when measured in a steady state. Exercise, infections, and injury can raise values temporarily.

  • ESR: indirect measure of inflammation; slower to change than CRP and affected by age, anemia, and pregnancy.

  • Ferritin: iron-storage protein and acute-phase reactant; high may reflect inflammation or iron overload, lowsupports iron deficiency.

  • Fibrinogen: clotting factor that increases with inflammation and can track activity in some disorders.

  • Albumin / Prealbumin: negative acute-phase reactants that often fall with chronic inflammation, illness, or malnutrition.

  • CBC with Differential & Platelets: neutrophils/lymphocytes for infection/inflammation clues; thrombocytosiscan be inflammatory.

  • Autoimmune markers (as indicated): ANA with reflex panel (e.g., dsDNA, ENA), rheumatoid factor (RF), anti-CCP, complement C3/C4—supportive for lupus, Sjögren’s, mixed connective-tissue disease, and rheumatoid arthritis.

  • Metabolic context: A1c/glucose, lipids (± ApoB), LFTs, creatinine/eGFR—inflammation often travels with metabolic risk.

  • Uric Acid: elevated in gout and metabolic conditions; interpret with symptoms.

  • Targeted adds (when suggested by symptoms): fecal calprotectin (GI inflammation/IBD), vitamin D, TSH(fatigue/mood overlap).

Quick Build Guide

Clinical goal Start with Add if needed
General inflammation screen hs-CRP • ESR • CBC • CMP (albumin) Ferritin • Fibrinogen
Cardiometabolic risk refinement hs-CRP (steady state, ×2) • Lipid panel • A1c ApoB • Lp(a)
Autoimmune-type symptoms (rash/joint pain) CRP/ESR • CBC ANA w/ reflex • RF • anti-CCP • C3/C4 • LFTs
Arthritis/inflamed joints CRP/ESR • CBC RF • anti-CCP • Uric acid • ANA reflex
Anemia with suspected inflammation CRP/ESR • CBC Ferritin • Iron/TIBC • Transferrin sat • Reticulocyte count
Chronic GI complaints CRP • CBC Fecal calprotectin (GI category) • Celiac serology
Unexplained elevated ferritin Ferritin • CRP/ESR • CBC Iron/TIBC • Transferrin sat • LFTs

How the Testing Process Works

  1. Pick your starting panel: choose a core set (hs-CRP/CRP, ESR, CBC, albumin) based on your goals.

  2. Prepare for accuracy: avoid strenuous exercise and acute illness when testing hs-CRP for risk assessment; list all medications and supplements (e.g., NSAIDs, statins).

  3. Provide samples: a standard blood draw (stool only if GI inflammation testing like calprotectin is added). No routine fasting unless lipid/glucose tests are included.

  4. Get results securely: most values post within a few days.

  5. Review with your clinician: align labs with symptoms, exam, and—if needed—imaging or specialist testing; set a trend plan.

Interpreting Results (General Guidance)

  • CRP/hs-CRP elevated: supports active inflammation; repeat once you’re well if drawn during illness.

  • ESR elevated: supportive but nonspecific; slow to normalize after recovery.

  • Ferritin high: can reflect inflammation or iron overload—check iron panel for context.

  • Albumin low / fibrinogen high: pattern consistent with chronic inflammatory activity or illness burden.

  • Autoimmune markers positive: strengthen suspicion for specific rheumatologic diseases when symptoms match.

  • Normal markers: do not rule out disease—some conditions flare intermittently or affect organs without large CRP/ESR changes.
    Always interpret results with a qualified healthcare professional; patterns and trends matter more than single values.

Choosing Panels vs. Individual Tests

  • Foundational set (most adults): hs-CRP • ESR • CBC • CMP (albumin)

  • Autoimmune work-up: add ANA w/ reflex panel, RF, anti-CCP, C3/C4 based on symptoms.

  • Cardiometabolic focus: pair hs-CRP with lipids/A1c (± ApoB) in a steady state.

  • Iron/fatigue focus: Ferritin + iron/TIBC + transferrin saturation with CRP/ESR to separate iron deficiency from inflammatory elevation.

  • GI focus: CRP plus fecal calprotectin (GI category) for suspected IBD.

FAQs

Do I need to fast for inflammation tests?
Not for CRP, ESR, ferritin, fibrinogen, or autoimmune markers. Fast only if your order includes lipids or glucose/A1c per instructions.

What’s the difference between CRP and hs-CRP?
They measure the same protein. hs-CRP detects lower levels useful for cardiometabolic risk; CRP is used for general inflammation and flares.

Can exercise or a cold raise my CRP?
Yes. Acute infection, injury, and hard workouts can spike CRP. For baseline risk testing, draw when you’re well and avoid intense exercise for 24–48 hours.

My ferritin is high—do I have iron overload?
Not always. Ferritin rises with inflammation. Use iron/TIBC/transferrin saturation to distinguish inflammation from iron overload.

If my ANA is positive, do I have lupus?
ANA can be positive in healthy people. It must be interpreted with symptoms and reflex antibodies.

How often should I retest?
Commonly 3–6 months for trend monitoring, or sooner during flares—follow your clinician’s plan.

Can these tests tell if I need medication?
No. They inform decisions but do not set treatment. Discuss results with your clinician.

Related Categories & Key Tests

  • Inflammation Tests Hub

  • Autoimmune & Rheumatologic Tests • Cardiovascular Risk & Cholesterol • Diabetes & Metabolic Health • Digestive Health (IBD) • Infectious Disease Panels

  • Key Tests: hs-CRP • CRP • ESR • Ferritin • Fibrinogen • Albumin/Prealbumin • CBC with Differential • ANA (with reflex panel) • Rheumatoid Factor • Anti-CCP • Complement C3/C4 • Iron/TIBC/Transferrin Saturation • Lipid Panel (± ApoB) • A1c/Glucose • Uric Acid • Fecal Calprotectin (GI)

References

  • American Heart Association/Centers for Disease Control and Prevention — Scientific statement on hs-CRP and cardiovascular risk assessment.
  • American College of Rheumatology — Guidance on use of ESR/CRP and autoantibodies in rheumatic disease evaluation.
  • European League Against Rheumatism — Recommendations for monitoring inflammatory rheumatic diseases.
  • World Health Organization — Ferritin and iron assessment in the presence of inflammation.
  • National Institutes of Health — Inflammation biology and acute-phase reactants overview.
  • Clinical and Laboratory Standards Institute — Best practices for CRP/ESR measurement and interpretation.

Available Tests & Panels

Your Chronic Inflammation Tests menu is pre-populated in the Ulta Lab Tests system. Use filters to build a foundational panel (hs-CRP/CRP, ESR, CBC, albumin), add ferritin/fibrinogen for context, and include autoimmune markers or iron studies based on symptoms. If GI inflammation is suspected, pair with fecal calprotectin from the Digestive Health category. Review results with your clinician to plan follow-up and trend monitoring.

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Blood Draw, Phlebotomist
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 The Inflammation Lab Panel is a comprehensive diagnostic tool designed to assess various biomarkers related to inflammation within the body. This panel helps to identify underlying causes of inflammation, monitor the status of inflammatory diseases, and guide the treatment of various autoimmune, infectious, and metabolic conditions. By evaluating a combination of specific tests, this panel provides valuable insights into the overall inflammatory state, helping healthcare providers develop effective management strategies for their patients.
Blood
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Blood, Urine
Blood Draw, Phlebotomist, Urine Collection
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Blood Draw, Phlebotomist
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Blood, Urine
Blood Draw, Phlebotomist, Urine Collection
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Blood, Urine
Blood Draw, Phlebotomist, Urine Collection
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Blood, Urine
Blood Draw, Phlebotomist, Urine Collection
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The C-Reactive Protein (CRP) Test measures CRP levels in blood to detect inflammation in the body. Elevated CRP may indicate infections, autoimmune disorders, or chronic diseases such as arthritis, cardiovascular disease, or inflammatory bowel disease. Doctors use this test to assess acute illness, monitor treatment response, and evaluate risk for heart disease. The CRP test provides key insight into inflammation, immune health, and overall wellness.

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Blood Draw
Also Known As: CRP Test, Inflammation Test
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The High-Sensitivity C-Reactive Protein (hs-CRP) Test measures very low levels of CRP in blood to evaluate inflammation and cardiovascular risk. Elevated hs-CRP may indicate increased risk for heart disease, heart attack, or stroke even before symptoms appear. Doctors use this test along with cholesterol and other markers to assess overall heart health, guide prevention strategies, and monitor treatment. It also helps evaluate chronic inflammation and metabolic conditions.

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Blood Draw
Also Known As: Cardiac CRP Test, High Sensitivity C-Reactive Protein Test
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The Sed Rate Test, also called the ESR Test, measures how quickly red blood cells settle in a sample of blood. A faster rate may signal inflammation caused by infections, autoimmune diseases, arthritis, or other chronic conditions. Doctors use this test to investigate unexplained fever, joint pain, or muscle aches, and to monitor inflammatory disorders such as lupus or rheumatoid arthritis. The Sed Rate Test provides important insight into overall inflammatory activity.

Blood
Blood Draw
Also Known As: Erythrocyte Sedimentation Rate Test, ESR Test, Sedimentation Rate Test, Westergren Sedimentation Rate Test
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The Sedimentation Rate Blood Test, also called the Erythrocyte Sedimentation Rate (ESR) Test, measures how quickly red blood cells settle in a sample. A faster rate can signal inflammation linked to arthritis, autoimmune disease, or infection. Doctors order this test when patients have symptoms like joint pain, fever, or fatigue. While not diagnostic alone, results provide valuable insight into inflammatory activity and help guide further evaluation and treatment.

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Also Known As: Sed Rate Test
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The Homocysteine Test measures homocysteine levels in blood to assess risk for heart disease, stroke, and vascular problems. Elevated homocysteine may result from vitamin B6, B12, or folate deficiency and is linked to blood clots, cognitive decline, and osteoporosis. Doctors use this test to evaluate cardiovascular risk, monitor nutritional deficiencies, and guide treatment for metabolic or genetic conditions affecting homocysteine metabolism.

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Also Known As: Homocysteine Cardiac Risk Test
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The Uric Acid Test measures uric acid levels in blood to assess kidney function and detect gout, a form of arthritis caused by uric acid buildup. High levels may also signal kidney disease, kidney stones, or metabolic disorders, while low levels can occur with liver disease. Doctors use this test to investigate joint pain, swelling, or frequent urination, and to monitor treatment for gout, kidney stones, or chemotherapy-related complications.

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Also Known As: Serum Urate Test
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The Lipid Panel with Ratios Test measures seven key markers: total cholesterol, HDL, LDL, non-HDL cholesterol, triglycerides, Chol/HDL ratio, and LDL/HDL ratio. This advanced panel evaluates cardiovascular risk by assessing cholesterol balance and fat metabolism. Doctors use it to detect high cholesterol, atherosclerosis risk, and heart disease, and to monitor treatment. Often part of routine exams, it provides insight into long-term heart and metabolic health.

Also Known As: Lipid Profile Test, Cholesterol Panel Test, Lipid Blood Test
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The Iron Total and Total Iron Binding Capacity (TIBC) Test measures iron levels in blood along with the blood’s ability to transport iron. It helps diagnose iron deficiency anemia, iron overload (hemochromatosis), and monitor nutritional or chronic health conditions. Low iron or high TIBC may indicate anemia, while high iron or low TIBC can suggest overload. Doctors use this test to evaluate fatigue, weakness, or other symptoms linked to iron and metabolic health.

Blood
Blood Draw
Also Known As: Serum Iron Test, Total Iron Binding Capacity Test, TIBC Test, UIBC Test
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The Iron Micronutrient Test measures blood iron levels to evaluate nutritional status and detect deficiencies or excess. Iron is essential for hemoglobin production, oxygen transport, energy metabolism, and immune function. This test helps identify anemia, iron overload, absorption issues, or dietary imbalances, supporting diagnosis and management of overall health and vital body functions.

Patient must be 18 years of age or older.
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Also Known As: Serum Iron Test, Serum Fe Test
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The Iron Total Test measures iron levels in blood to evaluate nutritional status, red blood cell production, and overall metabolic health. Abnormal levels may indicate iron deficiency anemia, chronic blood loss, or poor absorption, while high levels may suggest hemochromatosis, liver disease, or iron overload. Doctors use this test to investigate fatigue, weakness, or pallor and to monitor treatment. Results provide key insight into anemia and iron balance.

Blood
Blood Draw
Also Known As: Serum Iron Test, Serum Fe Test
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The Mineral Micronutrients Test Panel measures minerals: Calcium, Chromium, Copper, Iron, Magnesium RBC, Manganese, Molybdenum, Selenium, and Zinc to assess nutritional balance and overall health. These minerals are essential for bone strength, metabolism, energy production, antioxidant defense, and immune function. The panel helps detect deficiencies, excesses, or absorption issues, guiding health management.

Patient must be 18 years of age or older.
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The Aldolase Test measures levels of aldolase, an enzyme involved in breaking down glucose for energy. Elevated levels may indicate muscle damage, muscular dystrophy, polymyositis, dermatomyositis, or certain liver diseases. Doctors use this blood test to help diagnose and monitor muscle disorders, evaluate unexplained weakness, and track treatment response. It is often ordered alongside CK and other enzyme tests for a complete evaluation of muscle health.

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The Alpha-1-Antitrypsin Quantitative Test measures levels of alpha-1-antitrypsin (AAT), a protein that protects the lungs and liver from damage. Low levels may indicate alpha-1-antitrypsin deficiency, a genetic disorder linked to emphysema, COPD, and liver disease. Doctors use this test to investigate unexplained lung or liver problems, confirm hereditary AAT deficiency, and guide treatment or monitoring strategies for long-term health management.

Blood
Blood Draw
Also Known As: Alpha-1 Antitrypsin Test, A1AT Test, AAT Test, Alpha-1 Antitrypsin Serum Test
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The Amylase Test measures amylase enzyme levels in blood to evaluate pancreatic and digestive health. Elevated amylase may indicate pancreatitis, gallbladder disease, intestinal blockage, or salivary gland disorders, while low levels may suggest chronic pancreatitis or liver damage. Doctors order this test to investigate abdominal pain, nausea, or fever. Results provide vital insight into pancreatic function, digestive disorders, and overall metabolic health.

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Blood Draw
Also Known As: Amy Test
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The ANA Screen IFA with Reflex to Titer and Pattern Test detects antinuclear antibodies in blood to evaluate autoimmune activity. If positive, further testing identifies antibody concentration (titer) and fluorescence pattern, helping diagnose conditions like lupus, rheumatoid arthritis, or Sjögren’s syndrome. Doctors order this test to investigate symptoms such as joint pain, fatigue, rash, or swelling and to guide treatment for autoimmune and connective tissue disorders.

Also Known As: ANA Test, Antinuclear Antibody Screen Test
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The Bilirubin Direct Test measures conjugated bilirubin in the blood to assess liver function and bile duct health. Elevated levels may indicate hepatitis, cirrhosis, gallstones, or bile duct obstruction, while low levels are generally normal. Doctors order this test for patients with jaundice, fatigue, or suspected liver disease. Results help diagnose and monitor liver disorders, guide treatment decisions, and evaluate overall hepatic and biliary health.

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Also Known As: Direct Bilirubin Test
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All About Chronic Inflammation and Lab Testing

Inflammation is typically a normal part of the healing process. The process of inflammation activates your immune system and helps your body rid itself of toxins or pathogens that pose a threat. It can also prompt your body to repair damaged tissues. Acute inflammation is easily recognizable because of the short-term effects, but chronic inflammation often occurs at a low, consistent level that makes it almost undetectable without testing.

About Chronic Inflammation

Chronic inflammation occurs when your body continually reacts to some internal or external stressor by maintaining a low-grade immune response. Chronic inflammation can cause a breakdown in immune tolerance. Immune tolerance is your body’s ability to recognize certain substances as safe and non-threatening. Damaging your immune tolerance can cause your body to treat safe substances or objects like healthy cells as threats and attack them needlessly. 

Another side effect of chronic inflammation is an impaired immune system that can’t respond adequately to threats like viruses and bacteria. Since vaccines are meant to trigger an immune response, a weak immune system makes vaccinations less effective.

Risk Factors and Causes of Chronic Inflammation

Aging

To a certain extent, aging is an almost unavoidable risk factor for chronic inflammation. Cell senescence, the permanent end of a cell’s growth and ability to reproduce that occurs as people age, triggers the production of certain proteins linked to inflammation. However, there are also many lifestyle factors that put people at risk of developing chronic inflammation.

Diet

Research shows that diseases related to chronic inflammation, such as cardiovascular disease, cancer, and diabetes, are more common in Westernized countries than those that have more unprocessed and raw diets. Inflammatory diets that include large amounts of red meat, processed food, refined sugars, and high fructose corn syrup put individuals at risk of increased inflammation. 

A Sedentary Lifestyle

A processed, refined diet is one risk factor and cause of inflammation, but a lack of physical activity is also a cause. One small study found that people that were physically active had a lower circulation of inflammatory proteins and cholesterol than inactive people. 

Environmental Factors

In some cases, environmental factors can cause chronic inflammation. Toxic chemicals can irritate and cause inflammation in certain parts of the body, like the throat or skin. Smoking is a known risk factor for inflammation, but consistent exposure to secondhand smoke can also have a similar effect.

Oxidative Stress

Physical inactivity and a poor diet can put oxidative stress on your body. Oxidative stress is defined as an imbalance of oxidants and antioxidants in the body. Some oxidants that interact harmfully with other molecules and cause cell death and damaged proteins are called reactive oxygen species. Oxidants are normally released during acute inflammation, but chronic inflammation causes a buildup of these molecules that the body can’t adequately eliminate. A diet that’s low in antioxidants means a person can’t fight oxidative stress. 

Signs and Symptoms of Chronic Inflammation

The signs and symptoms of chronic inflammation are often almost unnoticeable because of their subtlety. If a person’s chronic inflammation has contributed to a disease like osteoporosis or cardiovascular disease, they may notice symptoms related to that disease and its progression.

Someone with chronic inflammation might have no visible symptoms. With lab testing, however, you can find invisible signs of chronic inflammation.

Lab Tests for Chronic Inflammation

Lab tests for chronic inflammation measure your blood's levels of certain inflammation markers by running your sample through a series of tests. One of these is an erythrocyte sedimentation rate or sed rate test. This test can indirectly determine your body’s current inflammatory response to stressors like a disease.

One sign of inflammation may be raised levels of C-reactive protein (CRP). The C-Reactive protein (CRP) test measures the amount of this protein, which is made by the liver. An increase in CRP levels in a person's bloodstream can indicate a condition that causes inflammation. A CRP test can detect inflammation caused by acute conditions and can help monitor the severity of disease in chronic conditions.

Chronic inflammation tests might also test for lipids like cholesterol, iron, and uric acid. These tests are the best way to determine your body’s inflammation. 

FAQs

How Can You Tell If You Have Chronic Inflammation?

The best way to tell if you have chronic inflammation is through a test. Symptoms can be undetectable and you may not feel any different. If you have inflammatory conditions related to chronic inflammation, like Crohn's Disease or ulcerative colitis, the symptoms of this disease are signs of inflammation.

How Do You Stop Chronic Inflammation?

Adopting a healthy lifestyle can reduce chronic inflammation. Increasing your physical activity and adopting a diet similar to the ones found in the Mediterranean region are two ways to support the anti-inflammatory process. Eating foods rich in antioxidants can help fend off oxidative stress, which can be a cause of inflammation.

Is There A Test for Chronic Inflammation?

Yes, Ulta Lab Tests offers tests for chronic inflammation that examine a number of substances in the blood, including gamma-glutamyl transferase (GGT), lipids, iron and C-reactive protein. Our chronic inflammation test also includes antinuclear antibody, CBC, SED rate, comprehensive metabolic panel and rheumatoid factor tests.  

Benefits of Chronic Inflammation Testing with Ulta Lab Tests

Ulta Lab Tests offers highly accurate and reliable tests so you can make informed decisions about your health.

  • Secure and confidential results
  • No insurance or doctor's referral is needed
  • Affordable pricing
  • 100% satisfaction guarantee

Our chronic inflammation tests can help you determine your risk factor for illnesses associated with inflammation and give you another tool to stop the progression of inflammation before it becomes severe. Order your chronic inflammation lab tests today, and your results will be provided to you securely and confidentially online in 24 to 48 hours for most tests.

Take control of your health today with Ulta Lab Tests.