Inflammation: The Hidden Fire Behind Pain, Aging, and Disease

Mark Hyman

20 oct 2025

Episode description

A hidden fire called chronic inflammation drives many problems—from joint pain and arthritis to autoimmune conditions, and even faster aging. Typical fixes (like pain meds and steroid shots) calm symptoms but often miss the “why,” and can leave people still hurting or even create more issues. Big triggers of inflammation that impact our joints, and so much more, include sugar and refined carbs, extra weight, leaky gut, toxins, infections, stress, and poor sleep—plus joints naturally get less blood and oxygen as we age. This is why it’s important to create an anti-inflammatory lifestyle plan starting with real whole foods, and incorporating regular exercise, stress management, gut repair, and targeted anti-inflammatory supplements.

In this episode, I discuss, along with Dr. George Papanicolaou and Dr. Cindy Geyer, how chronic inflammation, arthritis, and joint pain can be reduced using a Functional Medicine approach, including how to do the anti-inflammatory 10-Day Detox diet.

Dr. George Papanicolaou is a graduate of the Philadelphia College of Osteopathic Medicine and is Board Certified in Family Medicine from Abington Memorial Hospital. Over time as the healthcare system made it harder for patients to receive personal care, Dr. Papanicolaou decided a change was needed. He began training in Functional Medicine through the Institute of Functional Medicine. In 2015, he established Cornerstone Personal Health—a practice dedicated entirely to Functional Medicine. In August 2017, Dr. Papanicolaou joined The UltraWellness Center.

Dr. Cindy Geyer received her bachelor of science and her doctor of medicine degrees, with honors, from the Ohio State University. She completed residency in internal medicine at Strong Memorial Hospital in Rochester, N.Y. and is triple board certified in internal medicine, integrative medicine and lifestyle medicine.

This episode is brought to you by BIOptimizers.

Head to bioptimizers.com/hyman and use code HYMAN to save 15%.

Full-length episodes can be found here:

Prolozone and Nutritional Therapy for Osteoarthritis

What Causes Inflammation And How Can You Treat It?

Is An Autoimmune Condition Driving Your Raynaud's Syndrome?

How To Do The 10-Day Detox

Episode description

This episode is brought to you by BIOptimizers.

Head to bioptimizers.com/hyman and use code HYMAN to save 15%.

Full-length episodes can be found here:

Prolozone and Nutritional Therapy for Osteoarthritis

What Causes Inflammation And How Can You Treat It?

Is An Autoimmune Condition Driving Your Raynaud's Syndrome?

How To Do The 10-Day Detox

Mindsip insights from this episode:

Utilize prolozone therapy to regenerate joint cartilage

Prolozone therapy, which involves injecting ozone into joints, can stimulate chondroblasts—the cells that rebuild cartilage—and may help reverse joint degeneration.

#ozone

#regeneration

Combat metabolic endotoxemia to prevent pre-diabetes

A phenomenon called 'metabolic endotoxemia' describes how toxins from bad gut bacteria can enter the bloodstream, trigger inflammation, and cause insulin resistance.

#diabetes

#gut

Identify and remove health 'tacks' for true healing

Functional medicine's 'tack rule' states that if you are standing on a tack, it takes a lot of aspirin to feel better; the real solution is to find and remove the tack.

#functional-medicine

#healing

Utilize SPMs to enhance omega-3s for inflammation resolution

Specialized Pro-resolving Mediators (SPMs) are described as a supercharged, concentrated form of omega-3s that are very potent in resolving inflammation and enhancing recovery.

#omega-3

#recovery

Avoid steroid injections to prevent worsening arthritis

Unlike therapies that promote healing, steroid injections can degrade cartilage over time, with one study showing they worsen arthritis in 10% of patients.

#arthritis

Link gut health to joint inflammation through knee microbes

Recent analysis of arthritic joints has found microbes from the gut present in the knee, suggesting a direct link between gut health and joint inflammation.

#arthritis

#gut

Test immune age to assess inflammation and disease risk

A new test from Stanford called iAge (immune age) analyzes 50 different cytokines to correlate your inflammation levels with your risk of major diseases.

#immune-system

#testing

Reframe osteoarthritis as an inflammatory disease, not wear-and-tear

Osteoarthritis is increasingly understood not as a simple wear-and-tear problem, but as an inflammatory disease driven by systemic inflammation.

#arthritis

#inflammation

Mark Hyman

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