Medical Intelligence Brief: Texas Clinician Unveils 90-Day Protocol for Insulin Resistance Reversal

A Texas-based physician, Dr. Sarwat Makkani, has introduced a structured seven-step clinical protocol designed to reverse insulin resistance within a 90-day timeframe. The methodology emphasizes foundational lifestyle modifications, with a particular focus on circadian-aligned nutritional interventions. Core components include the implementation of a nutrient-dense morning meal to stabilize glycemic response, strategic reduction of between-meal snacking to minimize insulin secretion, and the integration of consistent, low-impact physical activity throughout the day to enhance cellular glucose uptake. This protocol represents a targeted, time-bound approach to metabolic dysregulation, shifting from chronic management to a defined reversal strategy. The emphasis on 'fixing the morning' routine underscores emerging research on the critical role of diurnal metabolic priming. While individual results may vary, the framework provides a systematic, clinician-developed pathway for addressing a key driver of type 2 diabetes and related cardiometabolic disorders, aligning with broader preventive medicine initiatives.