How the Vagus Nerve Works
How the brain talks to the immune system (and why this changes everything)
If you’ve ever noticed that stress makes your gut worse, your sleep worse, your mood shorter, and your inflammation louder… you’re not imagining it.
One of the main “communication highways” tying all of that together is the vagus nerve—the longest cranial nerve in the body, connecting the brainstem to the heart, lungs, digestive tract, and immune signaling hubs.
What the vagus nerve does (in plain English)
Think of the vagus nerve as a two-way radio between your brain and your body:
  • It carries information UP to the brain about what’s happening in your gut, organs, and immune system.
  • It carries signals DOWN from the brain that influence heart rate, digestion, inflammation, and recovery.
This is why vagal tone (how well this system “communicates”) is so closely tied to stress resilience, digestion, mood stability, immune balance, and inflammation.
The inflammatory reflex
The brain’s built-in “inflammation brake”
Researchers describe a specific neuro-immune circuit called the inflammatory reflex—a pathway where the nervous system can turn down inflammatory cytokine output in the body.
Here’s the simplified sequence (matching the concept shown in that diagram):
1) The signal starts in the brainstem
When the vagus nerve is activated (think: slow breathing, relaxation response), the brain sends output down vagal pathways that can influence immune signaling.
2) The spleen acts like a relay station
The vagus nerve interfaces with splenic immune circuitry through the splenic nerve. In this pathway, signaling ultimately leads to norepinephrine release in the spleen, which then activates a specific subset of T-cells.
3) Immune T-cells release acetylcholine
This is one of the coolest parts: certain T-cells can produce acetylcholine, which functions like the “final messenger” in this anti-inflammatory circuit.
4) Acetylcholine tells macrophages to “stand down”
Acetylcholine binds to receptors (including α7 nicotinic acetylcholine receptors) on macrophages and can reduce inflammatory cytokine release, including TNF-α in experimental models.
Translation: inflammation isn’t only chemical—it’s also regulated by nerve signaling.
Why this matters for mental health and physical health
When vagal tone is low, people often get stuck in a “fight-or-flight” physiology:
  • faster heart rate, shallow breathing
  • tense muscles, poor digestion
  • disrupted sleep
  • more inflammatory signaling over time
This has real-world overlap with:
  • anxiety, overwhelm, irritability
  • IBS and gut sensitivity
  • chronic pain and tension patterns
  • autoimmune flare patterns and inflammatory symptoms
  • metabolic dysfunction (blood sugar swings and stress hormones feed each other)
On the measurement side, lower heart-rate variability (HRV)—one proxy for vagal tone—is associated in multiple studies with higher inflammatory markers like CRP and IL-6.
And interestingly, slow-paced breathing interventions have been studied for inflammatory effects (including reductions in IL-6 in some clinical contexts).
What affects vagus nerve function (positively and negatively)
What supports vagal tone
These are “high return” tools because they’re simple and they change physiology quickly:
Fast (1–5 minutes)
  • Slow breathing (longer exhales)
  • Humming / singing / chanting / prayer
  • Cold face splash or brief cool rinse
  • Gargling
  • Morning sunlight + calm breathing
  • Laughter + safe connection
Daily (10–20 minutes)
  • Walking (especially after meals)
  • Yoga, Tai Chi, mobility, gentle strength work
  • Meditation / breath prayer / gratitude practice
  • Massage / self-massage
  • Consistent sleep timing and evening low light
What tends to suppress vagal tone
Some are universal, some are individualized:
  • Sugar + refined carbs (blood sugar swings → stress response)
  • Alcohol (sleep disruption + inflammation)
  • Poor sleep + late night screens
  • Chronic stress without recovery rhythms
(For certain people, specific spices/foods can also aggravate symptoms—your body gets the final vote.)
Supplements that can support vagal tone (indirectly)
Supplements don’t “stimulate” the vagus nerve like breathing or cold exposure do—but they can make it easier for the nervous system to shift into parasympathetic mode by reducing excitability and inflammation.
Common options:
  • Magnesium (glycinate or threonate)
  • L-theanine
  • Glycine
  • Taurine
  • Omega-3 (EPA/DHA)
  • Targeted probiotics (strain matters for gut-brain signaling)
Always coordinate supplements with your Bedrock team member/ coach or clinician if pregnant, on SSRIs/SNRIs, thyroid meds, BP meds, anticoagulants, or if you have complex medical conditions.
What about vagus nerve stimulation devices?
There’s growing interest in both implanted and non-invasive vagus nerve stimulation approaches. In autoimmune conditions like rheumatoid arthritis, clinical trials have investigated vagus-targeted neuromodulation to reduce inflammatory activity and symptoms.
This is not a DIY medical recommendation—but it reinforces the same core message: your nervous system and immune system are in constant conversation.
A simple Bedrock “Vagal Tone” starter routine
If you want a practical starting point, do this for 7–14 days:
Morning
  1. 10 minutes outside light
  2. 5 minutes slow breathing (inhale 4, exhale 6–8)
  3. Protein-forward breakfast (stabilize blood sugar)
Midday
  • 10 minute walk after your biggest meal
Evening
  1. Screens down 60 minutes before bed (as able)
  2. Warm shower + 30 seconds cool rinse OR cold face splash
  3. Prayer / gratitude + one “safe connection” (text/call)
Track: sleep quality, mood reactivity, digestion, pain/inflammation flares, and HRV if you measure it.
Below, Please find a downloadable summary of this post and a resource guide to stimulating the vagus nerve!
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Leanna Cappucci
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How the Vagus Nerve Works
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