foods to prevent cytokine storm

What Is Too Little Sleep Really Costing You? Green tea can curtail cytokine IL-6 release by 21 percent (which pales compared to vitamin C, but would be a bonus). Try following an 80-20 rule, where you eat healthy 80% of the time, then limit treats to 20% of your diet. What Is a Cytokine Storm? (4), Stress causes inflammation in the body and weakens the immune system, so its important to keep stress in check in order to balance the immune system. 1. Ospedale Policlinico San Martino di Genova IRCCS per l'Oncologia e la Neurologia, Genova, Italy. Accessed October 19, 2020. Supplementing with vitamin D appears to be most important for those with low levels. A cytokine storm is an excessive immune response to an infection. The coronavirus SARS-CoV-2 has infected more than 200 million people and killed over 4 million, with a mortality rate of approximately 2% worldwide. N. Engl. But at times, the immune system may over-respond to a real or perceived threat with a cytokine storm, potentially causing long-term damage. There are some key differences between these trials, one being that anakinra blocks signaling of both IL-1 and IL-1, whereas canakinumab binds only IL-1. Enjoy! COVID-19 Treatments: What You Need to Know. Cytokines are a large group of molecules comprising proteins, peptides and glycoproteins that are secreted by specific cells of the immune system. Perforin is a key weapon of the immune system's cytotoxic T-cells and natural killer cells. This past year, CAS faculty wrote books on everything from technology in James Bond fiction to globalism in higher education. Published July 29, 2020. The good news is that we now have a variety of therapeutic options to treat cytokine storm syndrome, Cron said. Your email address will not be published. The syndrome was first identified (as hemophagocytic lymphohistiocytosis, or HLH) as a rare genetic disease in pediatric patients in the 1950s. Thirteen faculty from eight departments wrote books on rhetoric and the Dead Sea Scrolls, pandemic bioethics, medical epigenetics, world politics and more. Thank you for visiting nature.com. Its difficult to manage a stressor if we dont know what it is, so this first step is key. It can also happen after certain types of immunotherapy, . It also can control fibrosis of the liver and kidneys, keeping those organs from being damaged long-term. One hypothesis is that these signals could spark the intense inflammatory response seen in cytokine storm syndrome. They use them for intercellular communication. The it in question goes by several names in the medical literature. More Health Adults should get at least 150 minutes of moderate exercise per week, which means for example, 25 minutes for six days a week or 30 minutes for five days a week. . Assoc. Cytokine release syndrome (CRS) sometimes called cytokine storm or cytokine-associated toxicity is a condition that develops when your immune system responds too aggressively to infection. (See below what herbs TO USE that can CALM a storm) * ***For My Master email and the FULL PROTOCOL (including NAC) to protect from transmission from the "V" and to help those who took the "V", go here. You should always contact your doctor or other qualified healthcare professional before starting, changing, or stopping any kind of health treatment. Guimaraes, P. O. et al. While its not possible to eliminate every stressor in your life, they often can be managed. Ciavarella C, Motta I, Valente S, Pasquinelli G. Pharmacological (or Synthetic) and Nutritional Agonists of PPAR- as Candidates for Cytokine Storm Modulation in COVID-19 Disease. And at first glance, it does seem to make sense that a person would want to strengthen their immune system to avoid getting sick. Progression of COVID-19: Current Knowledge and Open Issues, glutathione deficiency has been linked to COVID-19 severity, How Molecular Hydrogen Can Help Your Immune System, A paper, published in BMJ Open Gastroenterology in April 2022 by Dr. Sabine Hazan, Gutirrez-Castrelln et al., Gut Microbes, tested in several registered clinical trials right now, In a 2017 lab study published in the World Journal of Gastroenterology, you can watch the video where he does so here, Other individuals in the scientific community, Resveratrol inhibits replication of cytomegalovirus in infected lung cells, carried by 70-90% of the adult population and is reactivated by inflammation, Covid-19 co-infection with cytomegalovirus is associated with higher rates of mortality in older people, Cytomegalovirus also dulls the vitamin D receptors, Resveratrol binds to and activates the vitamin D receptors. CAS Accessed October 19, 2020. Include your email address to get a message when this question is answered. A specific formulation of modified citrus pectin has been shown to be easily absorbed into the bloodstream so it can block both galectin-3 and cytokine storms. This could be lifesaving for many COVID patients. Then they did time-lapse photography at the cellular level as these cells engaged with infected cells, Cron explained. Ideally, earlier use of more-targeted anti-cytokine therapy to prevent CSS, without increasing viral replication, is needed. PubMedGoogle Scholar. We strive to meet WCAG 2.1 AA Web Accessibility standards by routinely evaluating our website using automated evaluation tools and manual testing when required. [1] UAB pediatric rheumatologist Randy Cron gets calls from doctors around the globe asking if their patients have cytokine storm syndrome. Cytokine molecules summon various immune cells to swoop in and attack an infection. In this issue of Nature Medicine, Kyriazopoulou et al. Mortality is often reasoned due to extreme systemic inflammation and release of cytokine storm. Eliaz I, Raz A. Pleiotropic Effects of Modified Citrus Pectin. Tumeric should be taken with food in order to prevent irritation of the lining of the stomach, called gastritis and/or the development of ulcers in the stomach which are referred to as peptic ulcers. Cytokines are small proteins released by cells, and some types of cytokines trigger your bodys inflammatory response. (4), Once the potential stressors have been identified, find healthy ways to deal with them. Fruits and Vegetables Fruits and vegetables are good sources of nutrients, including vitamin C, vitamin E and dietary fiber. In this video, our CMO, Shamiram R. Feinglass, M.D., M.P.H. A protein called serum ferritin tends to get very high in this disorder, he said. Ketone bodies inhibit inflammasome activation in response to viral infections, and could thus prevent the hyperinflammatory reaction associated with the cytokine storm in severe and critical COVID . 6 Best EECP Centres in Malaysia 2023: Price and Review, Dr. Zelenko's Z-Stack Vitamin Cocktail: Review 2023, national university hospital (NUH) singapore medical specialists, Negri Sembilan Chinese Maternity Hospital and Medical Centre, Obstetricians and Gynecologists Singapore, Obstetricians and Gynecologists Singapore Reviews, Pediatric Respiratory Medicine Specialists, Abundance of bifidobacteria (p<0.0001 which means the effect was highly statistically significant and unlikely to have happened by chance), A group of scientists in China suggested that hydrogen-rich solution therapy may be a safe, reliable, and effective treatment for Multiple Organ Dysfunction Syndrome (MODS) induced by influenza and other viral infectious diseases, The epidemiologist who discovered the SARS Coronavirus back in 2003, Dr. Zhong Nanshan, is now recommending H2 therapy for COVID-19. Assoc. The cells with perforin deficiencies spent five times longer engaged and released a flurry of cytokines, even though their lack of perforin made them incapable of destroying their target cell. Canna SW, Behrens EM. This is in contrast to a recent randomized, double-blind, placebo-controlled trial of canakinumab, a monoclonal antibody to IL-1, in treating 454 hospitalized, hypoxemic patients with COVID-19 pneumonia before mechanical ventilation7. A cytokine storm is the body's reaction to increased immune activity as a result of the body working too hard to fight off a virus or other health threat. Follow these tips and keep the immune system in balance, the way nature intended. has served as a consultant to GlaxoSmithKline, Johnson & Johnson, Aurinia and Bristol Myers Squibb. Check out the evidence tracker on melatonin and COVID-19 from, NAC inhibits cellular entry and replication of some respiratory viruses, assists in clearing thickened mucous from the airways, suppresses inflammatory signaling, and may help mitigate viral infection-induced cytokine storm (. And blocking a key enzyme involved in the glucose pathway could be one way to prevent a deadly cytokine storm, according to the study, which was published last week in Science Advances.. Accessed October 20, 2020. This is called a cytokine storm, and it can have severe effects on the health and wellbeing of the body. If you dont already consume alcohol, most experts dont recommend that you start just to get the potential health benefits. But when theyre out of control they can make you very ill., 2023 The University of Alabama at Birmingham. The calls tend to be urgent. We need to address the immediate needs for the significant numbers of patients becoming critically ill in the current pandemic. studies have evaluated its ability to control sleep and wake cycles, promote sleep, and reduce jet lag. The sooner you recognize it, the better the outcomes, Cron said. As rheumatologists, we have much to offer on the front lines of helping to recognize and treat these critically ill individuals with complications of hyper-inflammation. Were committed to providing the world with free how-to resources, and even $1 helps us in our mission. They are signaling molecules that mediate and regulate both immunity and inflammation. Normally they . Cardiovascular and Circulatory Health Research, Live-Fermented Botanical Pre + Probiotic Elixir, specific formulation of modified citrus pectin. Best sources: Colorful foods such as blueberries, blackberries, cherries, strawberries, spinach, kale and broccoli Nuts and Seeds Walnuts, almonds, pistachios, and many other nuts and seeds reduce inflammation and supply healthy fats to the body. An exercise is considered moderate if you can still talk, but it is difficult to carry on a full conversation due to your heavier breathing. Stress reduction including regular exercise can also help to encourage optimal cytokine status. N. Engl. With over 25 years of experience, Anne specializes in herbal medicine, functional medicine, women's health, hormonal balance, and digestion. Researchers of one study showed that taking 1,200-2,400 mg/d of omega-3 essential fatty acids (eicosapentaenoic acid and docosahexaenoic acid), which are found in fish-oil . So are eggs, beans, flax, and canola oil, among other foods. Read on to learn 10 ways to avoid a cytokine storm. Published April 2012. This includes foods like wild blueberries, turmeric, green tea, celery, beets, and green leafy vegetables. J. Med. A balanced immune system works in harmony with the rest of the body so that it doesnt over- or underreact to invading pathogens. This cytokine storm destroys all cells near the focus of infection and kills the respiratory system. Combinations of Histamine-1 and Histamine-2 receptor antagonists have been effective in urticaria, and might reduce the histamine-mediated pulmonary cytokine storm in COVID-19. Anne has also been a guest on over 150 radio and television programs. Research indicates that this may help to prevent cytokine storms. News and information by and for the UAB community. So it's more about having a healthy immune system overall and reducing inflammation in the body, because if the body is already overridden with inflammation, leaky gut, Diabetes . The discipline of obeying health protocols will minimize the transmission of the Covid-19 virus. Boost your immune health by avoiding too much sugar, getting plenty of sleep, and following a healthy lifestyle. One way to help fight the cytokine storm is by eating an anti-inflammatory diet. all cytokines have the potential to express signals for health or disease, Six People Who Should Not Be Vaccinated Because of Vaccine Contraindications, How To Treat A Yeast Infection At Home With Whats In Your Kitchen, What Is The Vagus Nerve? Nature Medicine Block out excess light with heavy curtains, and use a relaxation technique like a body scan to help you unwind before bed. Support wikiHow by The Skin Microbiome is more Predictive of Age than the Gut Microbiome, 9 Ways To Support Immune System Balancing. Omega-6 fats also: 14. And if you dont treat the cytokine storm syndrome directly, patients can die. R.Q.C. Foods to Prevent a Cytokine Storm Eating healthy foods is one way to help prevent a cytokine storm and reduce excess inflammation in the body. Accessed October 19, 2020. Ernestines Milky Way, setin the early 1940s, tells the story of a determined 5-year-old girl who sets off on a journey to deliver two Mason jars of milk to her neighbors in the holler. Whenever a healthy body is fighting an infection, there's a natural immune system response that occurs. She has taught clinical nutrition, kinesiology, and soft tissue manipulation at the College of Naturopathic Medicine in London, UK. It typically comes back in less than 24 hours and almost every hospital can do it, and if its high you can work them up for cytokine storm syndrome.. This seems to be superior to focusing on consuming one specific type of polyphenol when it comes to reducing chronic inflammation. "The cytokine storm is a dysregulated or overactive host response to infection," said Hugh Rosen, M.D., Ph.D., of the Scripps Institute, in an interview with Healthline. https://doi.org/10.1038/s41591-021-01499-z (2021). Anti Inflammatory Foods to Prevent Cytokine Storm in COVID-19 Get link Facebook Twitter Pinterest Email Other Apps April 15, 2021 We know that while a large percentage of the population only experiences mild to moderate symptoms of COVID-19 and won't require hospitalization, others experience seve. Raw nuts without added oil or salt are best. Thus, identification of low-cost anti-inflammatory agents should be fast-tracked to dampen the cytokine storm. Dr. Eliaz.org is a free online health education resource based on Dr. Isaac Eliazs principles of patient-driven integrative medicine. Shankar-Hari, M. et al. Med. Accessed October 20, 2020. Correspondence to Cytokine is a si. Were both research scientists, so he developed a mouse model [of cytokine storm syndrome] and Ive been studying the genetic and human aspects. Part of the benefits of omega-3 fats is that they block the proinflammatory effects of omega-6 eicosanoids, but if your omega-6 intake is too great, you may still have high rates of inflammation. Interleukin 1 and interleukin 6 levels in mice. Evidence indicates that a 20-minute session of moderate exercise is sufficient to start reducing bad cytokine levels. Cron hopes that Cytokine Storm Syndrome will help spread this life-saving knowledge more widely in the medical profession. In a new clinical trial funded through UABs urgent COVID-19 research program, investigators are comparing the widely available steroid methylprednisolone with dexamethasone, which lowered risk of dying by one-third in a U.K. trial this summer. Even minor acute stressful events can cause cytokine release, such as eating several donuts in one sitting or missing a night's sleep. Caricchio, R. et al. Keeping your immune system well-balanced. Cron and Behrens both got interested in this through a patient we saw in Pennsylvania, Cron said. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3294426/. Omega-6s are present primarily in red meat and dairy products. The greatest survival benefit has been demonstrated with broadly immunosuppressive glucocorticoids when given to those with an oxygen requirement4. Cruciferous veggies include broccoli, cauliflower, cabbage, and Brussels sprouts, among others. Although there was a trend toward improved survival in the canakinumab arm, and a substantially greater number of patients in the placebo arm received IL-6 blockers or anakinra after randomization, the study did not demonstrate a significantly greater likelihood of survival for those who received canakiumab. Arthritis Rheumatol. Perforin is a key weapon of the immune systems cytotoxic T-cells and natural killer cells. Summary. With the recent pandemic of COVID-19 or "Coronavirus," there's been some debate about using immune stimulating herbs like Elderberry and Echinacea due to concerns that they may trigger a "cytokine storm.". Specifically: Quercitin: found in apples and onions. (4), Exercise can look like a wide variety of activities. New textbook by neurobiology professor, the first of its kind, details emerging role in Alzheimers, Parkinsons, autism spectrum disorder and more. Scientists have identified the causes and stages of the cytokine storm and are working on treatments to weaken an overactive immune response. We have this thing in medicine called Occams Razor, which encourages us to gather the data and come up with one unifying diagnosis for whats going on, Cron said. Cytokine storms (a term that's gone rather, dare I say, viral), are essentially hyperinflammation that occurs when the immune . For example, they looked at models that lacked molecules they found to be needed for inflammatory cell death and discovered that these could survive being given TNF-alpha and IFN-gamma, while normal models . Read, Information is for educational purposes only. Bluefish, mackerel, anchovies, sardines, tuna, and swordfish contain loads of omega-3 polyunsaturated fatty acids (PUFA), which have anti-inflammatory properties. 13. Cron: "From reading the literature primarily out of China, many of the severely ill coronavirus-infected patients appear to have clinical and laboratory features of a cytokine storm syndrome, or CSS, which is frequently fatal. Gardening activities like weeding can also be considered moderate exercise. Nevertheless, the disorder can still occur due to iatrogenic causes, pathogens, cancers . And cause of death can come from a cytokine storm or massive burst of inflammation (see below). Why does the immune system overreact in cytokine storm syndrome? Even sepsis patients will get cytokine storm syndrome on top of the sespis, and if you dont treat the cytokine storm syndrome, even if you treat the infection causing the sepsis, they may still die.. might be preventative against Covid, pointing to the bioavailability issue. In 2016, Cron and Winn Chatham, M.D., professor in the Division of Clinical Immunology and Rheumatology, began a clinical trial at UAB and Childrens Hospital to study the safety of anakinra in patients with signs of severe, potentially life-threatening inflammation. Faculty and staff in the College of Arts and Sciences published 13 books in 2019 on subjects ranging from lifestyles and aging to advancements in satellite archaeology. Scientific journals tackle the tough questions with rigor. R.C. Published May 21, 2020. One clue came in a really lovely paper by Australian researchers in 2015, Cron said. Cytokines are small proteins that are the "switches," which activate and deactivate this activity. They use it to punch holes in the walls of infected, cancerous or otherwise undesirable cells. When theyre working normally, cytokines have important roles to play in helping the immune system function well. If you are in the U.S., you can call the national Quit Line at 1-800-QUIT-NOW (1-800-784-8669) to get help quitting and connect you with resources in your area. Balancing the immune system is all about preventing environmental assault factors so that it can focus on fighting pathogens. It would seem wise to consume foods and herbs which suppress the production of cytokines . Cereals are often fortified with zinc. To obtain 384, 693704 (2021). Read more. (4), The first step to managing stressors is being aware of what they are. ScienceDaily. Dr Peter McCullough: Nasal Spray and Mouth Gargle to stop COVID? Resveratrol: found in purple grapes and blueberries. (4), Nourishing the body with a healthy diet is one of the best ways to keep a balanced immune system. Even today, when chemotherapy and bone marrow transplantation are used, the chances of children with primary HLH living to age 5 are only about 50%, Cron said. The University of Texas Health Science Center at Houston. Drug that calms 'cytokine storm' may reduce COVID-19 mortality An observational study finds that patients on ventilators who received a drug that dampens excessive immune responses had a 45%. Other foods slow the inflammatory messengers, such as organic fruits and vegetables, grass-fed meats, and bone broth. But for other patients, new treatments can calm the storm and bring remarkable recoveries. In the meantime, to ensure continued support, we are displaying the site without styles The 5M movement for health protocols, namely washing hands, wearing masks, maintaining distance, staying away from crowds, limiting mobility and interaction. Generally, thats enough to produce all the killing you need, Cron said. Killer cells are often defective, resulting in increased production of inflammatory proteins that can lead to organ failure and death. PubMed Central Eat a diet rich in fruits, vegetables, whole grains, and nuts. What host reaction do you think may be a cause of death in COVID-19 cases? UAB faculty and staff from four separate schools and units have contributed to the international standards in health care simulation, reinforcing UABs position among the world leaders in the field. Zinc has been shown in a lab study to inhibit regular coronavirus (not the current SARS-CoV-2) since 2010, in a 2010 publication. Cells that act as the brains housekeepers and guardians could be targeted to treat depression, addiction disorders and eating disorders, according to research detailed by UAB neurobiologist Vladimir Parpura, M.D., Ph.D., and colleagues. Beigel, J. H. et al. 2 September 2020. ), Pumpkin Smoothie Recipe That Kids Love | GAPS | Paleo | AIP. * There have been many reported clinical trials exploring inhibition of IL-6 for the treatment of COVID-19; no survival benefit was demonstrated in randomized, placebo-controlled, blinded trials, whereas, on the other hand, large, non-blinded, randomized studies have supported a survival benefit with IL-6 blockade8. https://www.healthline.com/health/food-nutrition/foods-that-boost-the-immune-system. Change in cytokine level was a prespecified endpoint of the study. J. Med. 326, 230239 (2021). Diatomaceous Earth Uses: Is It Safe For Detox? have received grant support from Sobi for investigator-initiated clinical trials. The Gut-Brain Superhighway, The Animal Cracker Recipe for Paleo & GAPS Diet, Selection of Essential Oils Safe For Pregnancy. Provided by the Springer Nature SharedIt content-sharing initiative, Nature Medicine (Nat Med) Do you have more time on your hands while social-distancing? Schulert, G. S. et al. Induction of ketosis as a potential therapeutic option to limit hyperglycemia and prevent cytokine storm in COVID-19 Authors Samir Giuseppe Sukkar 1 , Matteo Bassetti 2 Affiliations 1 Dietetics and Clinical Nutrition Unit, Genoa University. Dis. Current approaches include antivirals, proning and CSS therapies, among others. Perhaps the elevated suPAR level identified not only those with excess inflammation but also those with organ damage such as renal injury or cardiovascular occlusion due to COVID-19-associated thrombosis. Anne Dunev is a certified Clinical Nutritionist, Naturopathic Practitioner, and Owner of Well Body Clinic, a wellness clinic in Los Angeles, California. 383, 18131826 (2020). Therefore, to establish the condition of eubiosis (healthy condition), good bacteria are required. Cytokine blockade can improve the survival rate of patients with COVID-19 who are at risk of respiratory failure, but timing and patient selection are key. Google Scholar. Table 1 shows that the novel complex was able to suppress cytokine storm through inhibition of IL-1 and IL-2. Avoid a cytokine storm! English Instructor Jessica Smith wrote the book of poetry as she was leaving a job, helping a student learn to trust again, and discovering a new skill. Thanks to all authors for creating a page that has been read 60,478 times. Psychologys Zina Trost and several international colleagues have compiled a valuable resource for clinicians, students and researchers studying the practice, management, processes and psychology of pain. Aspirin can have serious side effects, including internal bleeding or allergic reactions. Avoid giving aspirin to children to minimize the risk of Reye's syndrome. If you have more than 1 or possibly 2 drinks of red wine or other alcohol per day, the potential health benefits will be lost. Also try watermelon, pink grapefruit, red berries, and pomegranate. The scientists used this new-found understanding of the cause for the cytokine storm to find ways to stop it. Randy Q. Cron. 15 Foods That Boost the Immune System. As content changes we review and correct issues and are responsive to our users needs. Unlike infants, who tend to have two bad copies of one of the 10+ perforin-associated genes, these people have one mutated copy and one normal copy. Go to source. Keller, M. J. et al. When the cytokines that raise immune activity become too abundant, the immune system may not . In addition to rheumatic diseases, such as juvenile arthritis and lupus, certain types of blood cancers, like leukemias and lymphomas, can cause cytokine storm syndrome, he said. Previous research has demonstrated that melatonin can help prevent the cytokine storm . The intense inflammatory response caused by a cytokine storm can lead to organ damage, multiple organ failure, and even death. Sanchez J. Cytokine blockade can improve the survival rate of patients with COVID-19 who are at risk of respiratory failure, but timing and patient selection are key. Cell death and tissue damage. ZINC. Most adults need seven to nine hours of sleep per night in order to function well and allow the body to properly fight off disease. Journal archive from the U.S. National Institutes of Health, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/6\/60\/Reduce-Cytokines-Step-1.jpg\/v4-460px-Reduce-Cytokines-Step-1.jpg","bigUrl":"\/images\/thumb\/6\/60\/Reduce-Cytokines-Step-1.jpg\/aid10184644-v4-728px-Reduce-Cytokines-Step-1.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/c\/c5\/Reduce-Cytokines-Step-2.jpg\/v4-460px-Reduce-Cytokines-Step-2.jpg","bigUrl":"\/images\/thumb\/c\/c5\/Reduce-Cytokines-Step-2.jpg\/aid10184644-v4-728px-Reduce-Cytokines-Step-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/c\/c2\/Reduce-Cytokines-Step-3.jpg\/v4-460px-Reduce-Cytokines-Step-3.jpg","bigUrl":"\/images\/thumb\/c\/c2\/Reduce-Cytokines-Step-3.jpg\/aid10184644-v4-728px-Reduce-Cytokines-Step-3.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/f\/f1\/Reduce-Cytokines-Step-4.jpg\/v4-460px-Reduce-Cytokines-Step-4.jpg","bigUrl":"\/images\/thumb\/f\/f1\/Reduce-Cytokines-Step-4.jpg\/aid10184644-v4-728px-Reduce-Cytokines-Step-4.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/7\/76\/Reduce-Cytokines-Step-5.jpg\/v4-460px-Reduce-Cytokines-Step-5.jpg","bigUrl":"\/images\/thumb\/7\/76\/Reduce-Cytokines-Step-5.jpg\/aid10184644-v4-728px-Reduce-Cytokines-Step-5.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/2\/22\/Reduce-Cytokines-Step-6.jpg\/v4-460px-Reduce-Cytokines-Step-6.jpg","bigUrl":"\/images\/thumb\/2\/22\/Reduce-Cytokines-Step-6.jpg\/aid10184644-v4-728px-Reduce-Cytokines-Step-6.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/6\/62\/Reduce-Cytokines-Step-7.jpg\/v4-460px-Reduce-Cytokines-Step-7.jpg","bigUrl":"\/images\/thumb\/6\/62\/Reduce-Cytokines-Step-7.jpg\/aid10184644-v4-728px-Reduce-Cytokines-Step-7.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, Harvard Medical School's Educational Site for the Public, Educational website from one of the world's leading hospitals, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/6\/6b\/Reduce-Cytokines-Step-8.jpg\/v4-460px-Reduce-Cytokines-Step-8.jpg","bigUrl":"\/images\/thumb\/6\/6b\/Reduce-Cytokines-Step-8.jpg\/aid10184644-v4-728px-Reduce-Cytokines-Step-8.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, Reducing Chronic Inflammation with Lifestyle Changes, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/e\/e2\/Reduce-Cytokines-Step-9.jpg\/v4-460px-Reduce-Cytokines-Step-9.jpg","bigUrl":"\/images\/thumb\/e\/e2\/Reduce-Cytokines-Step-9.jpg\/aid10184644-v4-728px-Reduce-Cytokines-Step-9.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/5\/56\/Reduce-Cytokines-Step-10.jpg\/v4-460px-Reduce-Cytokines-Step-10.jpg","bigUrl":"\/images\/thumb\/5\/56\/Reduce-Cytokines-Step-10.jpg\/aid10184644-v4-728px-Reduce-Cytokines-Step-10.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"