The process of resolving the chronic, sub-clinical inflammatory state in the body that is driven by the persistent low-level leakage of bacterial lipopolysaccharide (LPS) from the gut into the systemic circulation. This reversal is a critical step toward metabolic wellness.
Origin
This clinical term stems from the understanding that low-grade inflammation, or “metabolic endotoxemia,” is a key factor linking gut health to metabolic diseases like insulin resistance. “Reversal” implies a targeted intervention to eliminate the underlying cause.
Mechanism
Reversal is achieved by restoring the integrity of the intestinal epithelial barrier to prevent the translocation of LPS across the gut barrier. Simultaneously, strategies focus on shifting the gut microbiota composition to reduce the overall endotoxin burden. Successful reversal significantly dampens systemic inflammation, thereby improving insulin signaling and restoring the sensitivity of key hormonal receptors.
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