The physiological process of reducing dysfunctional or excess adipose tissue, particularly visceral fat, and improving the metabolic health profile of remaining fat stores. This concept moves beyond simple weight loss to focus on qualitative changes in fat tissue function, shifting from a pro-inflammatory state to a metabolically benign one. Clinically, this involves decreasing adipocyte size and improving insulin sensitivity within the fat tissue itself, which is a key objective in metabolic and longevity medicine.
Origin
This term is a clinical and scientific construct combining “adipose tissue,” referring to fat storage, and “reversal,” meaning a return to a prior, healthier state. It originates from research into metabolic syndrome, obesity, and the inherent plasticity of fat tissue. The concept highlights the potential to restore youthful metabolic function to fat stores, which is a significant focus in modern endocrinology and wellness protocols.
Mechanism
Reversal is mediated by improved mitochondrial function within adipocytes and a profound reduction in chronic, low-grade systemic inflammation. Hormonal signaling pathways, including insulin and adiponectin, become more finely tuned, promoting lipolysis over lipogenesis in problematic areas. This process can involve recruiting brown or beige fat characteristics, thereby enhancing thermogenesis and overall energy expenditure rather than simple storage.
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