Paul Saladino· MD
if you've already got symptoms of being sick maybe I wouldn't be as concerned about it if you don't have symptoms of being sick I want to look for the asymptomatic sickness that may be involved that's that's why we like inflammatory inflammatory markers are great for just detecting that there's a problem not because they're the problem but as Siobhan was mentioning because they're the response to the problem so if somebody is not acutely o with a fever a cold a viral illness hasn't run a marathon or half-marathon the day before hasn't had an intense workout in the last 24 hours and inflammatory markers and/or insulin glucagon C peptide or abnormal then we might be looking at one of these sort of occult issues that raise the flags and let us think why is your metabolism deranged