Adipose Tissue in fasting Name : khidder essam khidder Ibrahim . ID\N : 577 Supervisor : Doctor \ Mai In principle , Fasting is generally considered as the willful refrain from eating and sometimes drinking , Fasting is commonly observed around the world to lose weight or religious practice . Circulating factors regulating adipose tissue metabolism during fasting : The changes in adipose tissue metabolism during fasting are largely driven by changes in the plasma levels of various hormones . Important metabolic hormones whose levels decrease during fasting include insulin and leptin . Insulin has enormous effects on adipose tissue metabolism . Metabolic hormones whose levels increase during fasting include cortisol, growth hormone, glucagon, adrenaline, and noradrenaline . noradrenaline acts as sympathetic-neuronal stimulation . Adrenaline regulates metabolic pathways of the hormonal pathway . Hormonal regulation and major lipid fluxes in the fasted state. Elevated plasma levels of cortisol, catecholamines, and growth hormone, in combination with low levels of insulin, promote adipose tissue lipolysis by stimulating ATGL activity. Purple lines represent metabolic routes. Green lines represent hormonal routes .