A 3-month program led by Dr. Roshani Sanghani for people who feel well, but want a clinical read on where their metabolism is heading - especially with family history, belly fat that will not shift, fatty liver, pre-diabetes, or rising triglycerides.
Dr. Roshani Sanghani · American Board-Certified Endocrinologist · ★ 4.8 · 224 Google reviews · 20+ years
First Consultation
Clinical review before you decide.
Dr. Roshani’s team spends more than 30 minutes on your record before you ever speak - labs, medications, history, and app data if available. The consultation is spent making sense of it with you.
You leave knowing what may be changing, what may be driving it, and whether the program is needed. If the picture looks good, she will tell you that too.
In person in Mumbai or online by video
Meet Dr. Roshani
A fasting glucose that moved from 80 to 90 to 99 over five years may be technically normal every time. But it is still heading in one direction.
Belly fat that will not shift is one visible clue. The fat that matters more is the visceral fat around your organs - and it can sit upstream of fatty liver, rising triglycerides, and insulin resistance. It can sit there at a waistline that looks completely normal.
Fasting insulin, triglyceride-to-HDL ratio, liver enzymes, body composition, and waist-to-hip ratio can reveal compensation before a diagnosis appears. These markers are often missing from a standard checkup, or reviewed one by one instead of as a pattern.
Dr. Roshani takes this personally - her own pre-diabetes was found before any symptom appeared. That is why she treats an early marker change as something to investigate, not something to wave away.
If you have family history, belly fat that does not shift, fatigue that does not match your schedule, high cholesterol, rising blood pressure, or other markers your doctor calls “borderline,” the useful question is not whether you are sick. It is whether you want to act now to support your health, energy, and independence for the years ahead.
It runs in two parts. First, Dr. Roshani reads your markers together, not one at a time - because a single number can sit inside the normal range while several others are quietly drifting. Then she builds the lifestyle foundation that turns that drift around.
First, she finds out where you actually stand.
Before any lifestyle change begins, Dr. Roshani reviews your full metabolic panel alongside your lifestyle questionnaire and app data. The question is not “are the numbers in range?” - it is “which way are they moving, and what would change that?”
Markers she reads together
Glucose trend
Fasting glucose and HbA1c over time
Insulin signal
Fasting insulin before glucose rises
Lipid pattern
Triglycerides, HDL, and their ratio
Liver signal
Liver enzymes and fatty liver risk
Body composition
Waist-to-hip ratio and visceral fat pattern
Daily context
Sleep, stress, movement, medications, and food data
Then, she builds the foundation - in the right order.
Start with the food that drives insulin.
Adequate protein, reduced refined carbohydrates, and understanding what Indian foods do to insulin specifically. This is where almost every preventive patient begins, because the typical Indian diet is heavily carbohydrate-dominant even for people who eat carefully. Dr. Roshani works with the patient’s existing kitchen and real life.
Poor sleep moves glucose - even when your eating hasn’t changed.
Poor sleep can worsen insulin resistance quickly, even when food choices have not changed. For a preventive patient, that makes sleep a clinical priority - not a soft suggestion.
Stress shows up in insulin, sleep, and abdominal fat.
Chronic elevated cortisol worsens insulin resistance, disrupts sleep, and drives abdominal fat storage. For the high-performing professional carrying significant work and family load, stress is not an abstract concept. It is a metabolic driver that is either being managed or quietly accumulating risk.
Muscle is the body’s glucose taker - not just a fitness goal.
Muscle is one of the body’s important places for clearing glucose after meals. Resistance training builds that capacity, and it compounds over decades. For a preventive patient, building muscle now is one of the most direct investments in long-term metabolic health.
On medication
Many preventive patients are not on medication, and acting early may reduce the need for escalation when clinically appropriate. For patients who are on statins, blood pressure medication, or early-stage diabetes medication, Dr. Roshani manages medications directly for India-based patients and provides clinical guidance for international patients’ local prescribers.
Dr. Roshani does not hand patients a generic diet chart. She helps them understand how different foods affect insulin, the liver, and the metabolic trajectory - using the food they actually eat. Vegetarian, non-vegetarian, Jain, eggetarian, vegan, keto, or carnivore.
Family history matters. But families also share kitchens, meal timing, stress rhythms, and food defaults. Reisaan helps patients see what may be inherited, what may be learned, and what can actually be changed.
The plan has to survive family meals, travel, preferences, and the food patients already know how to cook.
Heart and metabolic risk are connected because insulin resistance, abdominal fat, abnormal triglycerides, fatty liver, blood pressure, sleep, and stress can move together. Cholesterol still matters, but it is not the whole story.
For people of Indian origin, insulin resistance, abdominal fat, triglycerides, blood pressure, sleep, and stress can start moving before one dramatic number appears. The risk pattern can show up at lower body weights and younger ages than many standard thresholds suggest.
A young woman with PCOS, a professional with a potbelly and a “normal” BMI, or someone with family history of diabetes and heart disease may all need a different kind of review: not just “is this number normal?” but “what is this pattern becoming?”
Dr. Roshani’s position: if family history or early markers are present, it is worth understanding the pattern before it becomes a diagnosis.
A note: Most Reisaan patients are of Indian origin, living across 12+ countries. Dr. Roshani also welcomes patients from other backgrounds who want this approach.
Family history
CVD, diabetes, hypertension, thyroid
Family-history concern · Patient-reported changes
Supriya joined before a diagnosis because family history made the risk feel real.
“I saw that the medication and symptom management I had witnessed with my family members had never left anyone better off. In Dr. Sanghani, I found not only the most qualified guide I could have hoped for, but a doctor who actually advocated for me - and taught me to advocate for myself. My health is totally transformed - all without medication.”
Supriya
Prevention - Family History
Supriya
Prevention - Family History
Family-history concern · Patient-reported changes
Supriya joined before a diagnosis because family history made the risk feel real.
“I saw that the medication and symptom management I had witnessed with my family members had never left anyone better off. In Dr. Sanghani, I found not only the most qualified guide I could have hoped for, but a doctor who actually advocated for me - and taught me to advocate for myself. My health is totally transformed - all without medication.”
2 years
Improved markers · Managing independently
Her GP recommended medication. Dr. Roshani reviewed the full picture before deciding the first step.
“From the beginning I was very attracted to Dr. Roshani's straight forward attitude and also her strict refusal to spoon feed me in my journey of lifestyle change. She refused to give me a daily diet chart but instead gave me an app. It is now almost two years since I have been under her guidance. My HbA1c and cholesterol levels are much better. I am confident that I can now handle things on my own.”
Prachi
Prevention - Cholesterol & Blood Sugar
Prachi
Prevention - Cholesterol & Blood Sugar
Improved markers · Managing independently
Her GP recommended medication. Dr. Roshani reviewed the full picture before deciding the first step.
“From the beginning I was very attracted to Dr. Roshani's straight forward attitude and also her strict refusal to spoon feed me in my journey of lifestyle change. She refused to give me a daily diet chart but instead gave me an app. It is now almost two years since I have been under her guidance. My HbA1c and cholesterol levels are much better. I am confident that I can now handle things on my own.”
Belly fat reduced
Belly-fat pattern changed
Nilesh wanted an approach that actually made sense. As his pot belly reduced, the pattern changed with it.
“Everything they explained actually made sense. Their philosophy is refreshingly back-to-basics. After applying the principles, I lost most of my pot belly quickly. As a bonus, I was also significantly reducing my risk of cardiovascular problems without even targeting them directly.”
Nilesh
Prevention - Metabolic Risk
Nilesh
Prevention - Metabolic Risk
Belly-fat pattern changed
Nilesh wanted an approach that actually made sense. As his pot belly reduced, the pattern changed with it.
“Everything they explained actually made sense. Their philosophy is refreshingly back-to-basics. After applying the principles, I lost most of my pot belly quickly. As a bonus, I was also significantly reducing my risk of cardiovascular problems without even targeting them directly.”
Lipid profile improved
Lipid markers changed · Best shape of his life
Pratik wanted cholesterol and health reviewed as one picture, not as a silo.
“By the end of the program I managed to significantly improve my lipid profile - including reversing some key metrics - and was in the best shape of my life. The focus was always on holistic health versus looking at an issue in a silo.”
Pratik
Prevention - High Cholesterol
Pratik
Prevention - High Cholesterol
Lipid markers changed · Best shape of his life
Pratik wanted cholesterol and health reviewed as one picture, not as a silo.
“By the end of the program I managed to significantly improve my lipid profile - including reversing some key metrics - and was in the best shape of my life. The focus was always on holistic health versus looking at an issue in a silo.”
When prevention works, the win is quiet. It may be catching a pattern early, learning that the current approach is enough, or reducing the need for escalation when clinically appropriate.
A clearer risk picture
A first step if something is drifting
Reassurance if the picture is good
“(On the book) Dr. Roshani has simplified the steps of reversing metabolic disease and covered every aspect of lifestyle change that people need. A potential life changer.”
- Dr. Jason Fung, NYT Bestselling Author, The Obesity Code and The Diabetes Code
Who leads your care
American Board-Certified in Endocrinology, Diabetes, and Metabolism
Dr. Roshani has been practicing lifestyle-first endocrinology since 2013. Preventive cardiometabolic health is not an add-on to her clinical practice. It is where her own story began.
In 2013, Dr. Roshani found pre-diabetes in herself - HbA1c 6.3, no symptoms, family history on both sides. She was already an endocrinologist. More than a decade later: no diabetes. Not because her genes changed. Because the trajectory changed. She shares this not as a promise, but as the clinical reason she takes early warning signs seriously.
American Board-Certified in Endocrinology, Diabetes, and Metabolism·American Board-Certified in Internal Medicine·MINT-Certified Motivational Interviewing Trainer·Certified Personal Trainer·Author, Turn Around Diabetes (2024)·KEM Hospital, Mumbai · Internal Medicine training (US)
View full credentials →First Consultation
₹5,000 / USD 60 · In person in Mumbai or online by video
A clinical review of your labs, medications, history, and daily context after Dr. Roshani’s team has reviewed your record.
Decision
With a clear picture of your metabolic state and the Reisaan approach, you decide whether to continue into the 3-month program.
Program
Alternate consultations - Dr. Roshani and her team, supported by app data and weekday Telegram support between sessions.
Independence
The goal is to leave with the knowledge and habits to keep managing your metabolic health independently.
First Consultation
₹5,000 / USD 60 · In person in Mumbai or online by video
A clinical review of your labs, medications, history, and daily context after Dr. Roshani’s team has reviewed your record.
Decision
With a clear picture of your metabolic state and the Reisaan approach, you decide whether to continue into the 3-month program.
Program
Alternate consultations - Dr. Roshani and her team, supported by app data and weekday Telegram support between sessions.
Independence
The goal is to leave with the knowledge and habits to keep managing your metabolic health independently.
Alternate consultations
Dr. Roshani joins alternate consultations with her team.
Daily chat support
Via Telegram, Monday to Friday, between consultations.
Dr. Roshani’s video course
Dr. Roshani's course. 3 months access.
Reisaan app
Log your food, sleep, exercise, glucose, and more daily. Your data feeds directly into Dr. Roshani’s clinical record - so every consultation starts with what actually happened, not what you remember.
Medication management
India: managed directly. International: guidance for your prescriber.
Community
A coached patient community during the program.
Most patients finish the program knowing enough to manage independently. If you want continued clinical involvement, maintenance options are available.
Turn Around Diabetes explains the same metabolic process this program looks for early: insulin resistance, fatty liver, rising triglycerides, and the lifestyle foundation that changes the trajectory before disease is established.
Endorsed by: Dr. Eric Westman (Duke University) · Dr. Medha Munshi (Harvard Medical School) · Benjamin Bikman, PhD · William R. Miller, PhD (Co-founder, Motivational Interviewing) · Mark Cucuzzella, MD (WVU School of Medicine)
Read more about the book →Have a family history of Type 2 Diabetes, heart disease, PCOS, fatty liver, or metabolic syndrome - and want to change the trajectory before it repeats
Are noticing early warning signs - belly fat that does not shift, fatigue, creeping blood markers, a doctor who says "borderline" - and want to act before it becomes a diagnosis
Feel well but want an endocrinologist to look at your full metabolic picture and tell you where you actually stand
Are health-conscious and doing a lot already - but want a qualified clinical eye to validate your approach and fill the gaps you cannot see on your own
Want to understand your own metabolic biology - not just follow generic wellness advice
Want a doctor who understands your food, your culture, and your context
A willingness to understand the why, not only follow a chart
Enough daily logging to let Dr. Roshani’s team see what is actually happening
Openness to changing sleep, stress, food, and movement together when the pattern calls for it
If that is not what you want right now, the First Consultation can still help you understand whether Reisaan is the right fit.
A note on Type 2 Diabetes
If you already have a Type 2 Diabetes diagnosis, visit our Type 2 Diabetes Remission program - the approach is the same, but the clinical starting point and medication management are different.
Type 2 Diabetes Remission program →Metabolic syndrome is a cluster of insulin resistance, abdominal fat, elevated blood pressure, abnormal lipids, and impaired blood glucose regulation. It raises the risk of Type 2 Diabetes, heart disease, fatty liver, and other chronic conditions.
For people of Indian origin, this pattern can appear at lower body weights and younger ages than many standard thresholds suggest. Dr. Roshani looks at the full pattern because many people with metabolic risk feel completely well. Feeling fine is not the same as knowing where the metabolic trajectory is heading.
Because metabolic risk can build quietly for years before symptoms appear. A person can feel well while fasting insulin is rising, liver enzymes are creeping up, triglycerides are moving in the wrong direction, or waist-to-hip ratio is changing.
Dr. Roshani's preventive approach looks at those early signals together, not in isolation - and treats an early marker change as something to investigate, not wave away. It is the approach she applied to her own pre-diabetes in 2013.
Dr. Roshani reviews the full metabolic panel - HbA1c, fasting glucose, fasting insulin, the triglyceride-to-HDL ratio, liver enzymes, waist-to-hip ratio, body composition, and blood pressure - and reads them together rather than one at a time.
What she is looking for is direction. A number inside the normal range today can still be drifting year over year, and one marker on its own can miss a pattern that several together would show. In the First Consultation, Dr. Roshani goes through your own results with you and what they mean.
You do not need to wait until a number crosses a line. Start with a First Consultation and let Dr. Roshani look at the whole pattern. If it looks good, she will tell you that too.
In person in Mumbai or online by video
