
Metabolic Health and Diabetes
Why can tests stay normal while the disease develops?
Insulin resistance, hepatic fat, glycaemic variability, and the long compensation that precedes a diagnosis.
A topic holds everything SOMA teaches on a subject: the reading, the open questions, the courses, the newsletter and conference material. New topics are added as the teaching grows.

Why can tests stay normal while the disease develops?
Insulin resistance, hepatic fat, glycaemic variability, and the long compensation that precedes a diagnosis.

Why do identical panels produce different symptoms?
Hormones as a connected system: relationships, rhythms and correction, rather than a list of values.

What sets the ceiling on recovery?
Mitochondrial function, cellular energetics, and why some people respond while others stall.

Where does the evidence actually support use?
Mechanism, dosing logic, safety, and where the evidence stands today.

How much of immune behaviour is decided in the gut?
The gut as an immune organ: barrier function, the microbiome, and inflammation as a signal to read.

What is worth measuring, and how often?
Biological age, rates of ageing, and prevention as a clinical decision rather than general advice.

What happens when exposure outpaces clearance?
Environmental exposures, xenobiotic load, and how the body clears what it cannot use.
Five short ideas, read in order, and the field you disagree with is the one to start in.