Chronic inflammation

[Amkoffee]

I have had chronic inflammation since I was first diagnosed with PMR. My PMR is in remission and I know that because despite the fact that I have a lot of other painful conditions I know the difference of PMR pain. And yet my inflammatory markers are checked every 3 months and they are always very high. I am also morbidly obese. I know that this can also increase inflammation. I talked to my rheumatologist about this the other day and she said there is no known Medical standard for how high inflammation markers can go due to obesity. I wondered if anyone else here is also morbidly obese and suffers from chronic inflammation. Does anyone hear know of any data as it relates to this. I am in the US and so I am certain that while I have a wonderful rheumatologist her education is predominantly based on the US information. I thought maybe there was information from other countries on this subject.

[PMRpro Ambassador]

Have you seen this - it might have links to relevant previous papers:

cureus.com/articles/86626-o...

Do any overlap with those here? They quote raised hs-CRP in obesity/

ncbi.nlm.nih.gov/pmc/articl...

And this is fairly specific to rheumatic disease

pubmed.ncbi.nlm.nih.gov/323...

and this

dovepress.com/markers-of-ch...

[Amkoffee in reply to PMRpro]

Thank you, I did recognize some of the terms because I've recently started using Ozempic to try to lose some weight. My A1C is barely high enough to consider me diabetic but I wanted to give this a try. So far I've lost 10 pounds in 5 weeks. Not as fast as I'd like but every pound counts. When I looked into how ozympic helps you to lose weight a lot of the terms in the studies such as adipokines were used. I wish I could do more physical exercise however my bank/neck pain is so bad that the best I can do is stretches. Nothing that would get my heart pumping fast enough to be considered cardio. It is very frustrating because I used to love to go to the gym everyday back when I was in my forties. I was in great shape than. Now I can barely walk across the room.

[PMRpro Ambassador in reply to Amkoffee]

That's pretty good - well done!

[Gimme in reply to Amkoffee]

Can you swim or do you have access to a pool? There are quite a few people who use the same pool that I use and do physio exercises in the pool because they have musculoskeletal issues and need the support of the water. One lady runs on the spot in the water and another just walks up and down the pool. I wondered if something like that might give you other viable options for exercise?

[Amkoffee in reply to Gimme]

Actually I can swim quite well. I hate swimming in the winter but really should go to the pool during these summer months. I do have access to an indoor pool.

[Gimme]

I am not morbidly obese, but I am pretty chubby. My BMI is now around 36/37, having lost some weight. My inflammatory markers have never been raised when tested. I am not saying that I am typical, just giving an example.