A profound, systemic shift in the body’s preferred energy substrate utilization and the underlying regulatory pathways, moving away from a reliance on glucose towards a more efficient and flexible utilization of fatty acids and ketones. This process represents a fundamental change in cellular fuel partitioning and hormonal sensitivity, particularly insulin and glucagon dynamics. The objective is to establish a more resilient metabolic state that supports sustained energy levels and reduces the risk of chronic metabolic disease.
Origin
This term describes the extensive physiological changes induced by therapeutic strategies like prolonged fasting, ketogenic diets, or specific pharmacological agents that alter the core metabolic programming. “Reorganization” highlights the large-scale, adaptive nature of the cellular and systemic changes, contrasting with simple short-term adjustments.
Mechanism
Reorganization is driven by sustained shifts in hormonal signaling, notably a significant reduction in insulin levels and a corresponding elevation in glucagon and catecholamines. This hormonal environment promotes lipolysis and hepatic ketogenesis, leading to the systemic deployment of ketones as a primary fuel source, particularly for the brain and muscle tissue. The mechanism also involves the upregulation of mitochondrial function and the expression of genes involved in fatty acid transport and oxidation, effectively rewriting the metabolic software of the cell.
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