About
Maria Gautam.
A practitioner in metabolic reversal, based in Central London.
What I do.
Most people come to me with a diagnosis and one important question: does this have to be permanent?
The conditions I work with most frequently include type 2 diabetes, insulin resistance, thyroid dysfunction, PMOS and endometriosis. The majority of my clients are women, although I also work with men.
I develop the nutrition and lifestyle pathway: a personalised plan that combines clinical nutrition, movement, sleep, behavioural support and Ayurveda, with each intervention and outcome recorded consistently.
My approach brings together Western clinical science and the principles of Ayurveda. Every recommendation has a clear purpose and aligns with the underlying biochemistry. In many cases we begin with the gut, because this is so often where inflammation, hormonal disruption and metabolic dysfunction take root.
Your baseline is documented from the beginning, including markers such as HbA1c, fasting insulin and a comprehensive thyroid panel. We retest at appropriate intervals, so your symptoms, clinical progress and results guide each stage.
Why is the aim metabolic reversal, specifically?
Most nutrition practices focus on prevention or general wellbeing. My work is more targeted: to create measurable improvements in your metabolic health within a defined timeframe.
Progress is not assessed through blood results alone. We look at the complete clinical picture, including hormonal balance, menstrual health, energy, sleep, digestion, inflammation, mood and how consistently your improvements hold over time.
My aim is not to keep you dependent on an ongoing subscription. When your biomarkers remain stable and your body is functioning well, you are ready to continue confidently without me. If reversal is not realistic, I will tell you honestly and we will focus instead on achieving the best possible long-term management.
How I got here.
Long before nutrition became my profession, Ayurveda was already part of my life. I grew up surrounded by philosophy, meditation and pranayama, not as therapies but as natural ways of understanding the body, the mind and our relationship with the world around us.
Becoming a mother in my teenage years shaped me profoundly. It taught me responsibility and resilience, and gave me an early understanding that health is never separate from the emotional and practical realities of a person's life.
Each stage of my professional path began with a question the last one could not fully answer. Biochemistry at Queen Mary University of London taught me the language of the cell. NHS renal dietetics brought that science into the lives of real patients. Sports nutrition at St Mary's deepened my understanding of human performance, while three years of Ayurvedic study brought me back to the wisdom I had known since childhood.
Ayurveda helped me understand why two people with the same diagnosis may respond very differently to the same protocol. It is why I still return to the Charaka Samhita and Ashtanga Hridayam, just as I return to clinical research and laboratory data.
My current PhD research in Nutrigenomics brings these worlds together, exploring how our individual biology can help us understand, from the outset, what is most likely to work for each person.
This is where ancient wisdom meets modern medicine, guided by science but always grounded in the reality of being human.
Rise: a purpose close to my heart.
It's daunting being a teenage mum. I had support, security and loved ones who believed in my future. Every young mother deserves that chance.
That belief is behind Rise, a charity I am establishing to support teenage mothers and young women who are pregnant or parenting in underserved communities. Beginning in Nepal, its focus will include those who have experienced sexual exploitation, helping them find safety, support and opportunities to build independent lives.
My connection to Nepal began through sourcing Himalayan Shilajit and deepened through the felt angels handmade by young mothers, which I share as gifts through my brand. Each little angel reminds me of the hands that made it, and the hopes a mother holds for herself and her child.
Through Rise, I hope to bring together people and partners who can help make education, healthcare, childcare and sustainable work more accessible. Above all, I want young mothers to know that their futures still hold possibility, and that they do not have to build them alone.
Where the work happens.
I see 1-to-1 clients at my clinic in Central London, and if you are overseas we meet over video and follow the same protocol, with a referral to someone local I trust for anything that has to happen in person.
The Metabolic Clinic is waitlisted, so the Shop and the Events schedule are two other ways to work with me.
She is endlessly patient and always takes the time to answer my many questions.
Female, 47, type 2 diabetes and hypothyroidism