TM
Inflammation
DNA Health Report
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 I MMUNE FUNC T I O N
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Report date: 23 January 2023
Table of
contents
       How this works
       Introduction
       Your Genetics
       Your Recommendations
DISCLAIMER
This report does not diagnose this or any other health conditions.
Please talk to a healthcare professional if this condition runs in
your family, you think you might have this condition, or you have
any concerns about your results.
How this works
Our Health Reports analyze how your DNA influences your health.
We then use this analysis to give you personalized risk estimates and recommendations.
Similarly, our Trait Reports look at how your DNA
influences your traits.
Your DNA is like an instruction manual — it contains a lot of information.
You can think of it as a blueprint for your body.
Genetic variants are parts of DNA that differ from person to person. Some can make you more vulnerable to certain
health issues, while others may influence traits such as eye color.
                                            C   T                                            T   G
                                                                             C   C
                                                         G   T
                                 C   G                                               A   A
          G   A      A   A
                                                                                                        G   G           A   T
 C   G                                                              T   A
                                            C   A
                                                                                             C   T
                                                                                                                A   T
                    C    A
We use artificial intelligence and machine learning to analyze all this information. We then                     In total, we analyze up to
summarize your results as a risk score or display it on a gauge.                                                 83 million genetic
When we give a risk score, the risk icon tells you if you are at a higher or lower risk                          variants.
compared to other people:
                                                                                                                  15th
                                                                                                               PERCEN TILE
                                                                                               Your risk is greater than 15% of the population
            LOWER                              TY PICAL                HIGHER                     and lower than 85% of the population.
Your risk is also displayed as a percentile. This will tell you how your risks compare to our sample population. The lower
your percentile number, the lower your risk. The "50th percentile" would be an average risk.
Similarly, the gauge tells you your relative risk score compared to our sample population, or it indicates a specific trait or
haplotype you are more likely to have based on your genetic variants.
When applicable, we also list top evidence-based recommendations that may help lower your risk.
The focus is on recommendations that may be of benefit to you, based on your genetics.
Our recommendations come in three categories: lifestyle, diet, and supplements.
The following icons tell you which category a recommendation falls into:
                D I E TA R Y                              LIFESTY LE            SU PPLEMEN T                                         DRUG
Our team of scientists also ranks each recommendation.
We rank based on impact and the strength of evidence in the medical literature.
Impact shows how strongly a recommendation will affect your health in a certain area.
Evidence is how much scientific support there is for the recommendation. Rankings are from 1 to 5 (low to high):
I MPA C T                      E V I DE NC E
              3/5                              4/5
Impact
Impact scores range from 1-5. These scores reflect how much of an effect each recommendation can have. An impact
score of 5 predicts the biggest effect.
When a recommendation affects something we can measure, we use those measurements to assign the impact score. For
example, a recommendation that decreases cholesterol by 20% will have a higher impact score than one that decreases
it by 5%.
Some recommendations affect things that we cannot directly measure, like stress or mood. For these, the impact score is
based on how well they work relative to other recommendations and standard treatments. The best ones get the highest
scores.
If there is a lot of research that shows a recommendation works especially well for your genotype, the impact score gets
increased.
Recommendation Evidence                                            Genotype-specific evidence
           5/5                                                                High-quality
Recommendations that are considered effective and                  Direct evidence that a recommendation helps more in
generally recommended by experts and medical                       people with your gene variant (many clinical trials, a
bodies.                                                            few large clinical trials, or a meta-analysis).
           4/5                                                                Medium-quality
Recommendations that are considered likely effective               Direct evidence that a recommendation helps more in
and that have multiple independent meta-analyses                   people with your gene variant (a few clinical trials or
and a great many studies supporting them.                          one large clinical trial).
           3/5                                                                Low-quality
Recommendations that are considered possibly                       Direct evidence that a recommendation helps more in
effective and have many studies supporting them.                   people with your gene variant (a single clinical trial or
                                                                   more trials with inconsistent results).
           2/5
                                                                              Indirect
Recommendations that have insufficient evidence,
with two or several clinical trials supporting them, or            A recommendation may help more in people with
many studies but with ambiguous results.                           your gene variant because it targets a specific gene
                                                                   or protein affected by your variant (e.g., MTHFR,
                                                                   dopamine).
           1/5
Recommendations that have insufficient evidence,                              In theory
with a single clinical trial, or with many studies most of
which didn’t find support for the recommendation.                  A recommendation may help more in people with
                                                                   your gene variant because it targets a specific
                                                                   mechanism affected by your variant (e.g.,
           0/5                                                     inflammation, oxidative stress).
No evidence in humans.
Some things to keep in mind:
 The scores/gauges use the latest scientific studies. But they are not perfect and will change as the models improve.
 Not everyone with risk variants will develop a health condition.
 Genetics is not the whole story. Your health is most often a combination of genetics, lifestyle, and environmental
 factors. Great news, as this means that you can often change your lifestyle to lower your risk.
 Results might be more accurate for some ethnic groups than others. This depends on the studies used in each report.
 People without risk variants can also develop health conditions.
 It's important to work with your doctor to better understand your risks. Our reports do not diagnose or treat any health
 condition. They are not a substitute for medical advice. If you're diagnosed with a certain health condition, follow your
 doctor's advice.
Introduction
Inflammation is used by your body as a defense against invaders like bacteria and viruses. This process is
generally beneficial, but you can have too much of a good thing [R].
When inflammation goes on too long (becomes chronic), it begins to damage your body. Chronic inflammation
is linked to many diseases. Around the world, chronic inflammatory diseases, like diabetes and heart disease,
are responsible for 3 in 5 deaths [R].
The fact that chronic inflammation is invisible to the naked eye, coupled with the complexity of inflammatory
diseases, make it tricky to spot. To identify chronic inflammation, doctors typically test for markers like CRP [R].
It can seem pretty daunting that invisible inflammation could be putting your health at risk. After all, if you can’t
see or feel it, how can you prevent it?
Ultimately, there isn’t one guaranteed solution to chronic inflammation. But we can target it using hidden
weapons we all carry in our biological tool kit: our genes!
Genetics may influence your risk of excess inflammation or how well you respond to certain anti-inflammatory
techniques.
For example, if you happen to carry a particular variant of the TNF gene, you may see a greater benefit from
exercising [R, R].
You could also carry a particular variant of the IL6 gene, which may increase your susceptibility to inflammation
from being stressed [R].
By identifying whether you carry these variants and others, you can potentially lower your risk by taking
action like exercising or practicing relaxation.
This report focuses on the genetics of inflammation. Read more to find out:
    How your genetics play a role in inflammation
    Your genetic risk score based on over 9,000 genetic variants
    Personalized recommendations based on your genetics
                                                                                         T Y PICAL LIKE LIH OOD
About Inflammation
 Key Takeaways:
   ● Genetic variants may impact cell function and       L E S S L I K E LY                                                        M O R E L I K E LY
 messaging, as
      well as histamine levels.
   ● Risk factors include diet, exercise, life                                  Reduced likelihood of
 satisfaction, and your                                                        inflammation based on
      genetics.                                                                 9,023 genetic variants
   ● Chronic inflammation may be linked to obesity,                                 we looked at
 diabetes,
      heart disease, cancer, and mental health.
   ● Chronic inflammatory diseases like
 diabetes and heart                                                                                  6th
      disease, are responsible for 3 in 5 deaths
 worldwide.                                                                                     PERCEN TILE
Inflammation is an important biological process. It
protects the body from disease and damage. When                                 Your risk is greater than 6% of the population
                                                                                   and lower than 94% of the population.
germs or other foreign substances enter the body,
white blood cells rush to the site. The area then gets
red, swollen, and warm. These changes help kill
pathogens and prepare the tissue to heal [R, R].                              VA RI A NT S T H AT H AV E T H E B I GGE S T
                                                                                    I MPA C T O N YO UR GE NE T I C
                                                                                          PRE DI S PO S I T I O N
A common marker that helps measure inflammation is
C-reactive protein (CRP). High sensitivity CRP (hs-            GENE                                  SNP                             G EN OTY PE
CRP) in particular helps measure low-grade                      LEPR                            rs4394621                                  AA
inflammation.                                                 OR10J5                            rs4131568                                  TT
                                                               OASL                             rs7305618                                  TT
CRP is produced in the liver. It helps recognize                                                                                           TC
                                                               FCRL6                           rs113188187
disease-causing microbes and damaged cells that
                                                               APOE                           rs141622900                                  GA
need to be removed from the body. However, it may
                                                             NECTIN2                           rs11668327                                  GC
also play a role in autoimmune disease [R, R].
                                                                CRP                            rs10494326                                  CC
                                                                CRP                                                                        AA
Short-term inflammation is helpful. However, too                                               rs11265260
much inflammation can be a bad thing [R, R, R, R].            OR10J5                          rs115381557                                  CC
                                                               APCS                            rs11545897                                  CC
Chronic inflammation is linked to many diseases,                LEPR                            rs6672331                                  GG
including:                                                     APCS                            rs12745083                                  CC
                                                              FCER1A                          rs115585839                                  GG
   Autoimmune conditions [R, R]                               OR10J5                          rs114530473                                  CC
   Heart disease [R, R, R]                                      CRP                            rs3093070                                   TT
   Obesity [R, R]                                             OR10J5                                                                       AA
                                                                                               rs41264481
   Type 2 diabetes [R, R]
                                                               APOE                               rs7412                                   CC
   Fibromyalgia [R, R]
                                                              FCER1A                          rs114272969                                  GG
   Mental health conditions [R, R, R]
                                                              CLPTM1                          rs117264457                                  GG
   Cancer [R, R, R, R, R]
                                                               APOE                           rs147707133                                  CC
In 2014, an estimated 60% of Americans were living        The number of "risk" variants in this table doesn't necessarily reflect your overall result.
with at least one chronic inflammatory condition [R].
Factors that may influence chronic inflammation
include [R, R, R]:
   Diet
   Exercise
   Life satisfaction
   Genetics
Common strategies for reducing low-grade
inflammation include [R, R, R, R, R]:
   Lifestyle changes
   Diet changes
   Weight management
   Drugs targeting the underlying condition
Genetics may play an important role in inflammatory
conditions. Genes involved in inflammation may
influence [R, R, R, R, R, R]:
   Immune messengers (STAT3, IL6, IL10)
   Immune cell function (HLA-DRB1, PTPN22)
   Histamine levels (AOC1, HNMT)
Your recommendations
Total of 21 recommendations
Your recommendations are prioritized according to the likelihood of it having an impact for you based on your
genetics, along with the amount of scientific evidence supporting the recommendation.
You’ll likely find common healthy recommendations at the top of the list because they are often the most
impactful and most researched.
      Exercise
      I MPA C T               E V I DE NC E
                  4/5                         5/5
Exercise can do wonders for your health. It can help you lose weight, improve your
heart health, boost your mood, and more [R].
There are many ways you can be active. You can walk, run, swim, dance, or play team
sports. Everything counts, and it's never too late to start!
Try getting a mix of cardio (at least 150 min/week) and strength training (2 times/week)
[R].
How Exercise Helps Reduce Inflammation
Regular, moderate exercise may reduce inflammation in people of all ages. Both
strength training and cardio may help. You can also combine both training types [R, R,
R, R, R, R].
Exercise may also reduce inflammation linked to chronic health conditions. These
include [R, R, R, R]:
    High blood pressure
    Obesity
    Type 2 diabetes
    Heart disease
Note that inflammation may briefly increase after intense exercise, such as running
or cycling [R, R, R].
          PE RS O NA LI Z E D T O YO UR GE NE S
Regular exercise is a great way to reduce inflammation by targeting many of
your gene variants at once [R].
Exercise may reduce inflammation more in people with your TNF gene
variant [R, R].
Long-term exercise may reduce inflammation more in people with your IL6
gene variant [R].
YO UR GE NE T I C VA RI A NT S
GENE                             SNP              G EN OTY PE   EVID EN CE
MICB                             rs1800629        GG
GENE                             SNP              G EN OTY PE   EVID EN CE
STEAP1B                          rs1800797        AG,GG
         2
     Maintain a Healthy Weight
     I MPA C T            E V I DE NC E
                  4/5                     5/5
People have a healthy weight when they don't have too much or too little body fat
[R].
Body mass index (BMI) can help determine body fat levels. Your BMI is your mass (in
kg) divided by the square of your height (in meters) [R].
In general [R]:
    People with a BMI between 18.5 and 25 tend to have a healthy weight
    People with a BMI between 25 and 30 tend to be overweight
    People with a BMI over 30 tend to be obese
People who are overweight or obese are more likely to have [R, R]:
    High blood pressure
    Type 2 diabetes
    Heart disease
    Joint problems
    Sleep problems
How Maintaining a Healthy Weight Helps Reduce Inflammation
Fat cells may release inflammatory molecules. As obese people have more fat cells,
they produce more of these molecules [R, R].
In line with this, obesity is linked to chronic inflammation in both adults and
children [R, R, R].
Lifestyle and diet changes that support weight loss may reduce inflammation.
Burning as few as 55 more calories per day may help. Adding a 15-minute brisk walk
to your day can help you do this [R, R, R].
          PE RS O NA LI Z E D T O YO UR GE NE S
Maintaining a healthy weight can reduce inflammation by targeting many of
your gene variants at once [R].
Your CRP gene variant is linked to higher inflammation in obese people [R].
Take special care to maintain a healthy weight.
YO UR GE NE T I C VA RI A NT S
GENE                             SNP              G EN OTY PE   EVID EN CE
CRP                              rs1205           CC
         3
     Probiotics
     I MPA C T                                   E V I DE NC E
                          4/5                                    4/5
Probiotic bacteria are “good” bacteria found mainly in the large intestine. They
support your body and mind by [R, R, R, R, R, R, R]:
   Maintaining gut health
   Supporting a healthy immune system
   Improving your mood
   Helping to maintain healthy blood sugar
How Probiotics Help Reduce Inflammation
Probiotics may reduce inflammation by supporting “good” gut bacteria. The types of
probiotics studied include [R, R, R, R]:
   Lactobacillus casei
   L. acidophilus
   L. rhamnosus
   L. salivarius
   Bifidobacterium animalis
   B. longum
They may also help when used with prebiotics (food for probiotic bacteria) [R, R, R, R].
Probiotics may also reduce inflammation linked to chronic health conditions [R, R, R, R,
R, R, R].
                 PE RS O NA LI Z E D T O YO UR GE NE S
    Your CRP gene variant is linked to higher levels of CRP, a major
    inflammatory protein. Probiotics may help by reducing CRP levels [R, R].
    YO UR GE NE T I C VA RI A NT S
    GENE                                SNP                            G EN OTY PE   EVID EN CE
    DUSP23                              rs7553007                      GG
         4
     Zinc
     I MPA C T                                   E V I DE NC E
                          3/5                                    3/5
Zinc is an essential mineral. Your body needs it to [R, R]:
    Defend against disease
    Protect DNA from damage
    Heal wounds
    Control blood sugar
Some of the best sources of zinc include shellfish, pork, beef, and beans. It’s also
available as a supplement [R].
How Zinc Helps Reduce Inflammation
Zinc has anti-inflammatory and anti-oxidative effects. Supplementing with zinc (30-40
mg/day) may help reduce inflammation [R, R, R, R].
                 PE RS O NA LI Z E D T O YO UR GE NE S
    Your HNF1A gene variant is linked to higher levels of CRP, a major
    inflammatory protein. Zinc may help by reducing CRP levels [R, R].
    YO UR GE NE T I C VA RI A NT S
    GENE                                SNP                            G EN OTY PE   EVID EN CE
    C12ORF43                            rs1183910                      GG
        5
    Relaxation Techniques
    I MPA C T            E V I DE NC E
                3/5                      3/5
We all get stressed from time to time.
Stress can help you deal with a challenge or avoid danger. However, it’s not healthy
to be stressed for a long time [R, R].
Relaxation techniques such as yoga and meditation can relieve stress in different
ways. Most of them focus on breathing and help you get rid of negative thoughts and
emotions [R].
People use relaxation techniques to improve conditions like [R, R, R]:
   Anxiety
   Depression
   Chronic pain
How Relaxation Techniques Help Reduce Inflammation
Stress is linked to chronic inflammation. Causes of stress-related inflammation
include [R, R, R, R, R, R]:
   Work-related problems
   Relationship problems
   PTSD
For some people, relaxation techniques may help. They include [R, R, R]:
   Positive engagement coping
   Mindfulness
   Yoga
   Tai chi
   Qi gong
          PE RS O NA LI Z E D T O YO UR GE NE S
Stress may have a stronger impact on inflammation in people with your IL6
gene variant [R]. Try to reduce stress by practicing relaxation techniques.
Your CRP gene variant is linked to higher inflammation and stress [R]. Try to
reduce stress by practicing relaxation techniques.
YO UR GE NE T I C VA RI A NT S
GENE                             SNP              G EN OTY PE   EVID EN CE
STEAP1B                          rs1800795        GG
GENE                             SNP              G EN OTY PE   EVID EN CE
DUSP23                           rs1130864        AA,AG
         6
     Avoid Cigarette Smoke
     I MPA C T                                   E V I DE NC E
                          3/5                                    4/5
You already know that tobacco is not great for your health. Smoking affects your
entire body. It can damage your brain, heart, lungs, and more [R].
And even if you’re not a smoker, secondhand smoke can cause health issues similar
to smoking [R, R].
But, there’s good news: avoiding cigarette smoke can reverse many of its negative
effects. It’s a great way to dramatically improve your health [R].
How Avoiding Cigarette Smoke Helps Reduce Inflammation
Smoking is linked to chronic inflammation. Quitting may help reduce it [R, R, R, R, R,
R, R, R].
Beneficial effects may be seen as early as 1 year after quitting [R, R, R, R].
                 PE RS O NA LI Z E D T O YO UR GE NE S
    Your IL6 gene variant is linked to inflammation in smokers. Quitting
    smoking may cancel out the negative effects of this variant [R].
    YO UR GE NE T I C VA RI A NT S
    GENE                                SNP                            G EN OTY PE   EVID EN CE
    STEAP1B                             rs2069840                      CG,GG
         7
     Omega-3 Fatty Acids
     I MPA C T                                   E V I DE NC E
                          3/5                                    4/5
Omega-3 fatty acids are some of the healthiest fats we can eat. They help lower
inflammation and protect the heart, brain, and eyes. Our bodies produce less
omega-3s than we need for optimal health, so it's important to get enough through
food or supplements [R, R, R].
There are three major types of omega-3s: ALA, EPA, and DHA [R, R].
Fatty fish are rich in EPA and DHA. They include [R]:
    Salmon
    Tuna
    Herring
    Sardines
For optimal protection, try to get at least two servings of fatty fish per week. Fish oil
supplements are available for those who don’t eat fish regularly [R].
How Omega-3s Help Reduce Inflammation
Supplementation with omega-3s from fish (1.7-4.2 g/day for 6-24 weeks) may help
reduce low-grade inflammation [R, R, R, R].
Omega-3s may also reduce inflammation linked to chronic health conditions [R, R, R,
R, R, R].
Please note: Fish oil can interact with blood thinners (like aspirin, Plavix, and
Coumadin). Consult your doctor before taking fish oil [R].
                 PE RS O NA LI Z E D T O YO UR GE NE S
    Fish oil supplementation may reduce inflammation in people with your TNF
    gene variant [R].
    YO UR GE NE T I C VA RI A NT S
    GENE                                SNP                            G EN OTY PE   EVID EN CE
    MICB                                rs1800629                      GG
        8
    Cinnamon
    I MPA C T                                   E V I DE NC E
                         3/5                                    3/5
Cinnamon is a spice made from the bark of Cinnamomum trees. It’s mainly used in
cooking and fragrances [R].
As a natural remedy, cinnamon can [R]:
   Decrease inflammation
   Fight oxidative stress
   Kill microbes
There are two main types of cinnamon [R]:
   Ceylon or ‘true’ cinnamon (C. verum)
   Chinese or Cassia cinnamon (C. cassia)
How Cinnamon Helps Reduce Inflammation
Cinnamon (1.5-3 g/day) may help reduce inflammation. It may be more effective in
people with chronic health conditions [R, R].
Please note: Cassia cinnamon is high in coumarin. This substance may harm the liver
in large amounts. Consult your doctor before using large amounts of Cassia cinnamon
[R, R, R].
                PE RS O NA LI Z E D T O YO UR GE NE S
   Your CRP gene variant is linked to higher levels of CRP, a major
   inflammatory protein. Cinnamon may help by reducing CRP levels [R, R].
   YO UR GE NE T I C VA RI A NT S
   GENE                                SNP                            G EN OTY PE   EVID EN CE
   DUSP23                              rs7553007                      GG
          9
     Vitamin D
     I MPA C T                                   E V I DE NC E
                          3/5                                    3/5
Your body needs vitamin D for strong bones. Vitamin D also plays a role in [R]:
   Mood
   Immunity
   Heart health
   Blood sugar control
Sunlight is our main source of vitamin D. Experts recommend getting at least 5-15
minutes of midday sun, 2-3 times per week. People with darker skin and those living
at high latitudes may need longer periods of sun exposure [R, R].
Foods like fish, eggs, and fortified milk provide small amounts of vitamin D. People
lacking vitamin D should consider taking a supplement [R].
How Vitamin D Helps Reduce Inflammation
In people over 60, vitamin D deficiency may lead to low-grade inflammation. This may
be especially true in smokers [R].
Vitamin D supplements (1,000-4,000 IU/day for 12-24 weeks) may help reduce
inflammation, but the evidence is mixed [R, R].
They may also help reduce inflammation linked to chronic health conditions [R, R, R,
R, R, R].
Please note: Experts recommend getting 600-800 IU of vitamin D per day. Medical
bodies recommend against taking more than 4,000 IU per day [R].
                 PE RS O NA LI Z E D T O YO UR GE NE S
    Getting more vitamin D may help reduce inflammation in people with your
    VDR gene variant [R].
    YO UR GE NE T I C VA RI A NT S
    GENE                                SNP                            G EN OTY PE   EVID EN CE
    VDR                                 rs2228570                      GG
      10
    Curcumin
    I MPA C T            E V I DE NC E
                2/5                      3/5
Turmeric is a yellow spice from India. It may reduce inflammation and oxidative
stress [R].
The most important active compound in turmeric is curcumin. People use curcumin
for [R, R, R, R, R]:
   Joint pain
   Hay fever
   Mood
   High blood sugar
   Gut health
How Curcumin Helps Reduce Inflammation
Curcumin (1-2.4 g/day for 4-8 weeks) may reduce inflammation. The effects may be
stronger in people with a higher degree of inflammation. However, some studies
found no benefits [R, R, R].
Note that curcumin is hard to absorb. Look for supplements with bioavailable
curcumin, which is easier to absorb. Combining it with piperine (a compound in black
pepper) may also help [R, R].
Next Steps
Remember, your genes only tell one important part of your health story!
These next steps will teach you how to get the most complete picture of your health.
          Your Lifestyle                           Your Labs                               Your Supplements
     1    Answer questions to understand the
                                               2   Labwork is how you discover the
                                                                                       3   Discover key supplements that you
          health impacts of your lifestyle.        true impact of your lifestyle and       can introduce to your body to
                                                   genetics on your current health.        achieve optimal health.