Metabolic Switch is the fundamental physiological phenomenon characterized by the body’s change in primary fuel source from utilizing exogenous glucose, derived from recent meals, to mobilizing and oxidizing endogenous fatty acids and their derivative ketone bodies. This switch occurs typically after an extended period of fasting or significant carbohydrate restriction. It is a key adaptive mechanism for energy conservation.
Origin
This concept is a core principle of metabolic physiology and bioenergetics, representing a highly conserved evolutionary adaptation. The term is utilized clinically to describe the transition into a fat-burning state, which is often a therapeutic goal in weight management and metabolic disease reversal.
Mechanism
The switch is hormonally regulated by a decrease in the concentration of circulating insulin and a corresponding increase in glucagon and catecholamines. This hormonal shift signals the adipose tissue to initiate lipolysis, releasing fatty acids, and signals the liver to begin ketogenesis. The production of ketone bodies, such as beta-hydroxybutyrate, provides an alternative, highly efficient fuel source for extra-hepatic tissues, including the brain, thereby preserving glucose for obligate tissues.
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