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True metabolic recovery is not defined by a flat glucose curve, but by restored substrate flexibility, mitochondrial redox balance, and field coherence. Key markers include: Stable fasting insulin and low HOMA-IR Improved lactate:pyruvate ratios Normalized respiratory exchange ratio (RER) Appropriate ketone production in a fed or fasted state HRV elevation and vagal tone restoration Cellular ATP recovery and ROS attenuation Clinical goals: Restore mitochondrial charge separation and membrane pot
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