26 December 2025 | Amelia Thornycroft (BMedSci)
Rethinking Immune Health: Why Balance Matters More Than Boosting

When people talk about “boosting” their immune system, they usually mean one thing: making it stronger, faster and more aggressive. Vitamin C, zinc lozenges, turmeric shots and immunity supplements promise exactly that. But modern immunology tells us this framing is not only misleading, it can be counterproductive.

The immune system isn’t a muscle you can bulk up. It’s a finely balanced, adaptive network that must respond precisely, not powerfully. The goal is not maximal immune activation, but immune resilience: the ability to respond effectively to infection while limiting unnecessary inflammation and tissue damage.

Why “Boosting” Immunity Is the Wrong Goal

The immune system is made up of multiple interacting components: innate immune cells, adaptive immune cells, signalling molecules, barriers such as the gut lining, and close communication with the nervous and endocrine (hormone) systems. If this system becomes overactive, the result can be chronic inflammation, allergies or autoimmune disease. If it becomes underactive or dysregulated, infections take hold more easily and recovery is prolonged.

This helps explain why many popular immune myths persist despite weak evidence. Vitamin C is a classic example. While essential for immune function, high-dose supplementation does not prevent colds. At best, it may slightly reduce symptom duration. The appeal lies in the idea of a quick fix, not in biological reality.

Immune Resilience: A More Meaningful Concept

Rather than asking how “strong” the immune system is, researchers increasingly focus on immune resilience, the capacity to mount an appropriate immune response and then return to baseline without excessive inflammation.

Low immune resilience is associated with:

  • Chronic low-grade inflammation
  • Accumulation of senescent (aged, dysfunctional) immune cells
  • Poor vaccine responses
  • Higher risk of infection, hospitalisation and age-related disease

Crucially, immune resilience appears to be shaped primarily by long-term lifestyle and metabolic factors, not short-term supplementation.

Measuring Immune Health: The Role of Lymphocyte Subset Testing

One of the more informative clinical tools for assessing immune status is lymphocyte subset testing, sometimes referred to as a T-cell subset or immune profiling test. This blood test measures key adaptive immune cells, particularly:

  • CD4⁺ T cells (helper T cells) – which coordinate immune responses
  • CD8⁺ T cells (cytotoxic or “killer” T cells) – which destroy infected or abnormal cells

Individually, these values offer limited insight. The CD4:CD8 ratio, however, provides a useful marker of immune regulation and resilience.

  • A CD4:CD8 ratio above 1 generally reflects a well-regulated immune response
  • A ratio below 1 suggests immune dysregulation, chronic activation or immune ageing
  • Persistently elevated CD8 levels are associated with inflammation, smoking, physical inactivity, heavy alcohol use and ageing

Lower CD4 counts and an unfavourable CD4:CD8 ratio have been linked to poorer infection outcomes and reduced vaccine responsiveness. While not a routine screening test for everyone, lymphocyte subset analysis can provide valuable context in individuals with frequent infections, chronic inflammation, immune-mediated conditions or significant physiological stress.

The Gut–Immune Axis: Where Immunity Is Shaped Daily

A large proportion of immune activity occurs in and around the gut. The gut microbiome, the trillions of microorganisms living in the digestive tract, plays a central role in immune regulation.

Healthy gut microbes:

  • Train immune cells to distinguish threats from harmless stimuli
  • Maintain the integrity of the gut barrier, reducing immune activation
  • Produce short-chain fatty acids that influence T-cell function and inflammation

Loss of microbial diversity is associated with increased inflammation and impaired immune regulation. Diet is the most powerful lever here. Diets rich in diverse plant foods and adequate fibre support microbial diversity, while fermented foods introduce live microbes that may directly influence immune signalling.

Emerging evidence suggests fermented foods may reduce inflammatory markers and alter immune cell behaviour more rapidly than fibre alone, though both play important roles.

Supplements, Spices and Reality Checks

Traditional immune remedies sit on a spectrum from helpful to hopeful. Zinc is one of the few nutrients with evidence for reducing cold duration when taken early and at appropriate doses. Ginger shows modest anti-inflammatory effects when consumed fresh and regularly. Turmeric’s active compound, curcumin, has promising immune-modulating properties, but its poor absorption limits its clinical impact unless specially formulated.

These tools can support immune health, but they cannot override poor sleep, chronic stress, inactivity or metabolic dysfunction.

Exercise: A Foundational Immune Intervention

Regular, moderate exercise is one of the most consistently supported strategies for improving immune resilience. Physical activity:

  • Enhances immune surveillance
  • Increases circulation of immune cells
  • Reduces chronic inflammation
  • Improves vaccine responses

Importantly, more is not always better. Excessive high-intensity training without adequate recovery can temporarily suppress immune function. For most people, consistent moderate exercise, such as brisk walking, swimming or cycling, provides the greatest immune benefit. Immune improvements gained through exercise are also reversible. When activity stops, immune markers can regress within weeks, highlighting the importance of sustainability over intensity.

Stress, the Brain and Immune Regulation

Chronic psychological stress may be one of the most damaging — and underestimated — influences on immune health. Prolonged elevation of stress hormones such as cortisol disrupts immune signalling, impairs T-cell function, increases inflammation and weakens responses to infection and vaccination.

The immune system is tightly connected to the brain. Studies show that anticipation of illness alone can alter immune cell activity. Long-term stress keeps the immune system in a state of dysregulated readiness, draining resilience over time.

Addressing stress, sleep quality and mental health is therefore not an optional extra — it is central to immune function.

The Real Upgrade: Supporting Balance, Not Force

There is no pill that upgrades the immune system overnight. But there is strong evidence that immune resilience can be improved through consistent, biologically aligned behaviours:

  • Nourishing the microbiome
  • Maintaining regular physical activity
  • Supporting sleep and circadian rhythm
  • Managing long-term stress
  • Avoiding behaviours that chronically inflame the immune system

From an i-screen perspective, immune health is best understood as a systems issue, not a single nutrient deficiency. Functional markers such as lymphocyte subsets, inflammation indices and gut health provide deeper insight than symptoms alone.

Supporting immunity isn’t about doing more, it’s about doing what the immune system actually needs, consistently, and allowing it to respond with precision rather than force.

Image of Amelia Thornycroft (BMedSci)
Amelia Thornycroft (BMedSci)
Amelia is passionate about Australia's preventive health agenda having worked with some of the world's largest pharmaceutical companies. Amelia moved to Perth 10 years ago where she founded i-screen to democratise pathology and open access to the health data that really matters.
References:
  • Chen JY, Shih LJ, Liao MT, et al. Understanding the immune system’s intricate balance: activation, tolerance, and self-protection. International Journal of Molecular Sciences. 2025;26(12):5503. doi:10.3390/ijms26125503
  • Graham AL, Schrom EC, Metcalf CJE. The evolution of powerful yet perilous immune systems. Trends in Immunology. 2022;43(2):117–131. doi:10.1016/j.it.2021.12.002
  • Hemilä H, Chalker E. Vitamin C for preventing and treating the common cold. Cochrane Database of Systematic Reviews. 2013;(1):CD000980. doi:10.1002/14651858.CD000980.pub4
  • Ahuja SK, Manoharan MS, Lee GC, et al. Immune resilience despite inflammatory stress promotes longevity and favorable health outcomes including resistance to infection. Nature Communications. 2023;14(1):3286. doi:10.1038/s41467-023-38238-6
  • Yi JS, Rosa-Bray M, Staats J, et al. Establishment of normative ranges of the healthy human immune system with comprehensive polychromatic flow cytometry profiling. PLOS ONE. 2019;14(12):e0225512. doi:10.1371/journal.pone.0225512
  • Xia Y, Liu A, Li W, et al. Reference range of naïve T and T-memory lymphocyte subsets in peripheral blood of healthy adults. Clinical and Experimental Immunology. 2022;207(2):208–217. doi:10.1093/cei/uxab038
  • Chastin SFM, Abaraogu U, Bourgois JG, et al. Effects of regular physical activity on the immune system, vaccination and risk of community-acquired infectious disease: systematic review and meta-analysis. Sports Medicine. 2021;51(8):1673–1686. doi:10.1007/s40279-021-01466-1
  • Padilha CS, Von Ah Morano AE, Krüger K, Rosa-Neto JC, Lira FS. Immunometabolism and exercise: key findings of the last five years. Journal of Cellular Physiology. 2022;237(11):4001–4020. doi:10.1002/jcp.30866
You may also be interested in
walking_leaves_960x760
Inflammaging: The Slow-burning Inflammation That Accelerates Ageing
2 December 2025 | Amelia Thornycroft (BMedSci)