Dr Sumit Sharma Profile picture
MD | Precision reversal of metabolic dysfunction for high-performers who've tried the basics. Uncovering what others miss. Longevity optimization. London-based.
May 30 27 tweets 4 min read
Your liver is not just a detox organ.

It is your metabolic command centre.

If your liver is inflamed, overloaded, or fatty.....Your energy, weight, sleep, hormones, and blood sugar all suffer.

Here’s how to start repairing it in 4 weeks: Image In the clinic, I see this every week:

Successful professionals who:

• drink socially
• snack at night
• eat “fairly well”
• sleep 5–6 hours
• feel tired by 3pm
May 23 26 tweets 3 min read
Most people trying to reverse insulin resistance focus on food.

But the REAL battle starts with identity.

Your metabolism changes fastest when your self-image changes first.

Here’s how I help coaching clients create effortless, sustainable transformation: Image In the program, I see this constantly:

People know WHAT to do.

But they keep returning to old habits because their identity never changed.
May 20 32 tweets 4 min read
Anti-inflammatory diets are sold as “eat more salads.”

Inflammation is not just about food.
It’s about what your meals are doing to your gut, immune system, blood sugar, and cells.

Here’s the beginner’s guide I wish every patient had: Image Most people with chronic inflammation don’t feel “inflamed.”

They feel:

• tired
• foggy
• bloated
• achy, stiff
• heavier than before
May 3 16 tweets 2 min read
Most people think they’re “STRESSED”

They’re NOT. They’re DYSREGULATED.

And it’s silently driving: • fatigue • weight gain • poor sleep• insulin resistance

Stress isn’t the problem. Your inability to reset is.
Here are 5 resets I use with patients: Image 1) The Micro Reset (interrupt the stress loop)

Stress builds in minutes.

But most people let it run all day.
May 1 18 tweets 3 min read
Most patients with insulin resistance are unknowingly struggling with the most critical variable: SLEEP

Not just duration, quality.
Until this is fixed, metabolic recovery stalls.

Here are 14 rules I use to reverse it at the root: Image 1) 7–9 hours isn’t optional

Sleep regulates:

• fat burning
• insulin sensitivity
• hormonal balance

Cut sleep → fat loss stalls
Apr 28 18 tweets 3 min read
"How do I test for insulin resistance?" I get asked this every day.

Millions have it. Most never test for it. And many waste money on the wrong markers.

Here's the exact protocol I use in clinic - what to test, why it matters, and the numbers that actually count. Bookmark this. Image First - understand this: Insulin resistance starts 10–15 years before diabetes.

Your HbA1c can be "normal"
Your glucose can be "normal"

While your insulin is already high.

That's the real problem.
Apr 27 18 tweets 3 min read
People always ask what I eat for breakfast as a metabolic health doctor.

It’s not oats. It’s not smoothies.

It’s 6 eggs. Every day. For 13 years.
HbA1c: 5.1% Triglyceride:HDL ratio: 0.7

This isn’t a trend. It’s a metabolic protocol.
Here’s why: Image Most “healthy” breakfasts look like this:

→ Fruit
→ Toast
→ Cereal
→ Coffee

Protein: 5–10g
Carbs: 60–80g
Apr 26 24 tweets 3 min read
Your adult eating patterns were decided before age 10.

Not by your metabolism. Not by your genetics.
By how your parents used food to manage your emotions.

Here's how childhood food anchoring drives metabolic dysfunction: Image Most weight loss advice assumes you’re rational.

“Eat less. Move more.”

But you’re not just fighting hunger.
Apr 22 22 tweets 3 min read
After years of working with top professionals, I’ve realised this:

You don’t need a perfect diet.
You need the right food categories.

These 7 improve gut health, metabolism, mitochondria & brain performance.
They’ve transformed their health & can do the same for you. Image Most nutrition advice is tribal.

“Keto vs vegan vs carnivore”

But your body doesn’t care about labels.
Apr 19 21 tweets 3 min read
If you have insulin resistance...your “normal” B12 levels might be lying to you.

And it could be one reason you feel:

→ tired
→ foggy
→ low motivation

Here’s what most doctors miss: Image In clinic, I repeatedly see this pattern: Patients with insulin resistance, prediabetes, or fatty liver
present with:

→ fatigue
→ brain fog
→ poor recovery
Apr 16 21 tweets 3 min read
After working with hundreds of patients who look a decade younger than their age, one pattern became impossible to ignore.

They share almost identical daily habits.

None of them are on anti-ageing drugs.

Here's what they actually do and why it works at the cellular level: Image Most people confuse:

→ Chronological age (years alive)
→ Biological age (how fast you’re ageing)

You can be 50... and biologically 38.

Or 40… and biologically 55.
Apr 8 27 tweets 4 min read
The insulin spike scorecard: I ranked 20 everyday foods by how hard they hit your insulin.

Some will shock you.

Especially #7 - it's probably in your kitchen right now, marketed as the ultimate healthy breakfast: Image Why this matters:

Insulin controls:

→ Fat storage
→ Energy levels
→ Hunger signals

Higher spikes = more crashes, stronger cravings, harder fat loss.
Apr 4 20 tweets 3 min read
The #1 question in my clinic right now:

“Why is my fasting insulin HIGH...even after 12 hours of not eating?”

Your doctor probably ignored it.

Here’s what’s actually happening: Image Your lab says fasting insulin is “normal” up to 25 µIU/mL.

That’s not normal.
That’s average.

And average = metabolically sick population.
Apr 3 21 tweets 3 min read
Most of my patients weren’t being damaged by high blood sugar.

They were being slowly destroyed by the hormone that rises years before it.

INSULIN

Here are 10 ways chronically high insulin is silently wrecking your body: Image Your doctor checks your glucose.
Not insulin.

That’s the problem.

Because insulin rises years, even decades, before blood sugar.

By the time HbA1c flags... the damage is already done.
Apr 1 24 tweets 3 min read
I’m watching the fasting craze make people sicker than before.

Not because fasting is wrong.

Because people turned a tool into a lifestyle.

Here’s what’s actually happening: Image Fasting isn’t magic.

When you skip meals repeatedly, your body doesn’t just burn fat.

It also breaks down muscle.
Mar 30 23 tweets 3 min read
Most patients are confused: “Should I eat fruit... or avoid it for insulin resistance?”

Some are told: → “Eat more fruit”
Others hear: → “Cut it completely”

Both are wrong.

Here’s the truth about fruit no one tells you (backed by science): Image First, what is insulin resistance?

When you eat → insulin moves glucose into cells.

Insulin resistance = cells stop responding.

So your body produces more insulin.
Mar 29 20 tweets 3 min read
Patients who transform their health, both mentally and physically, share 5 traits.

Not genetics.
Not willpower.

Habits that change biology.

Here’s what they do differently: Image Most people separate:

→ mental health
→ metabolic health

Therapy for the mind. Diets for the body.

That’s the mistake.
Mar 26 21 tweets 3 min read
Everyone calls themselves a metabolism GURU. Coaches. Specialists. Influencers.

I’ve worked with hundreds of metabolic patients over 21 years. Let me save you hours of noise.

Here’s metabolism explained in a 5-minute read & how to improve yours using real science: Image Most people think metabolism = how fast you burn calories.

That’s not metabolism.

That’s one output of metabolism.
Mar 25 22 tweets 3 min read
Growing up in India, alcohol was reserved for weddings and rare celebrations.

Now it’s consumed daily. Normalised. Celebrated.
This legal poison is quietly destroying: • Gut health • Metabolic health • Mental health

Here’s the biology nobody is telling you: Image A generation ago, alcohol had boundaries:

Occasional. Contextual. Celebratory.

That boundary has collapsed.

Stress culture. Socialising. Westernisation.
Mar 22 18 tweets 3 min read
Most people snacking on nuts are grabbing the wrong ones.

The right nuts don’t just curb hunger, they directly reduce visceral fat and improve insulin sensitivity.

Here’s the science-backed list:
(Save this before your next grocery run): Image Visceral fat = fat wrapped around your organs.

Not the fat you can pinch.

The fat you can’t see.
Mar 21 24 tweets 4 min read
One of the most consistent patterns I see in clinic:

Patients with insulin resistance almost always have poor gut health.

That’s not a coincidence.

That’s biology: Image Your gut lining is one cell thick.

One layer separates your bloodstream from trillions of bacteria and undigested food.

When that barrier breaks down, intestinal permeability - bacterial fragments called LPS (lipopolysaccharides) enter your bloodstream.