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Inflammatory bowel disease (IBD) is a chronic condition causing persistent inflammation in the digestive tract, primarily including Crohn's disease and ulcerative colitis. It is caused by an abnormal immune system response that attacks the gastrointestinal tract, combined with genetic predisposition and environmental triggers. The Sedimentation Rate (ESR) test is the most important blood test for monitoring IBD because it measures inflammation levels and helps assess disease activity.
Inflammatory bowel disease is caused by an abnormal immune system response that mistakenly attacks the digestive tract lining, combined with genetic factors and environmental triggers. While the exact cause remains unclear, research shows that people with IBD have an overactive immune response to normal gut bacteria, leading to chronic inflammation. Factors like smoking, diet, stress, and certain medications can trigger or worsen IBD flares in genetically susceptible individuals.
The Sedimentation Rate (ESR) test is the most important blood test for inflammatory bowel disease because it measures inflammation levels in your body by checking how quickly red blood cells settle in a test tube. An elevated ESR indicates active inflammation in the gut, which helps doctors assess whether your Crohn's disease or ulcerative colitis is currently flaring up. While ESR cannot diagnose IBD on its own, it is essential for monitoring disease activity and determining if your treatment is working effectively. Your doctor may also order additional tests like C-reactive protein (CRP), complete blood count (CBC), and stool tests to get a complete picture of your condition.
You should get tested if you experience persistent diarrhea lasting more than two weeks, bloody stools, abdominal cramping and pain, unexplained weight loss, or constant fatigue. Testing is especially important if you have a family history of IBD or if your symptoms interfere with daily activities and quality of life. Early detection through blood work helps identify inflammation levels before complications develop, allowing you to start treatment sooner and prevent long-term intestinal damage.
What this means
Your testosterone levels are slightly below the optimal range. While this is not necessarily cause for concern, it may contribute to occasional fatigue, reduced motivation, or lower muscle mass over time.
Recommended actions
Increase resistance or strength training
Prioritize 7–8 hours of quality sleep per night, try to reduce stress
Include more zinc- and magnesium-rich foods (like shellfish, beef, pumpkin seeds, spinach)
Consider retesting in 3–6 months
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