Islam is the only major religion that engages in a fasting practice reflective of intermittent fasting in terms of both food consumption and diet consistency.[12] The duration of the Ramadan fast is between 28 and 30 days, depending on the year, and consists of not eating or drinking from sunrise until sunset.[12] During the holiday, Muslims eat twice per day: once in the morning before dawn and once in the evening after dusk.[12] A meta-analysis on the health of Muslims during Ramadan shows significant weight loss during the fasting period of up to 1.51 kilograms (3.3 lb), but this weight was regained within about two weeks of Ramadan ending.[13] The analysis concluded that "Ramadan provides an opportunity to lose weight, but structured and consistent lifestyle modifications are necessary to achieve lasting weight loss."[13] Negative effects of Ramadan fasting include increased risk of hypoglycemia in diabetics as well as inadequate levels of certain nutrients.[12]
That said, I have heard that women may find a wider window of eating to be more favorable when doing daily intermittent fasting. While men will typically fast for 16 hours and then eat for 8 hours, women may find better results by eating for 10 hours and fasting for 14 hours. The best advice I can give anyone, not just women, is to experiment and see what works best for you. Your body will give you signals. Follow what your body responds favorably to.

Now that you’re properly prepared, it’s time to get started with intermittent fasting keto. In addition to cutting carbs, increasing fat intake and restricting food consumption to a specific window of time each day, you should also be sure to stay hydrated and plan your workout routine around your fasting schedule. While exercising is okay during days that you fast, it’s important to listen to your body and avoid pushing yourself too hard.
No cravings. Fat doesn’t spike your blood sugar levels. In fact, a keto diet is so effective at stabilizing blood sugar that it got type II diabetics off their medication entirely, according to a recent study.[15] If you pair a keto diet with fasting, your blood sugar will stay stable and low (but not too low) all day. Say goodbye to the cravings, fatigue, and mood swings that make high-carb fasting so difficult.
Now if you're not used to drinking your coffee black, don't despair. There are some no-sugar options that can help lighten and sweeten your morning cup of joe. If you're like me and can't fathom the idea of drinking black coffee, consider adding a few splashes of unsweetened almond or coconut milk. Cutting out the sugar can be especially hard for some people, but there are sugar-free substitutes on the market, such as stevia, erythritol, or xylitol, that can serve as a great alternative. Another modification you can make in your coffee during IF is to consume bulletproof coffee. Simply by adding high-quality grass-fed butter and MCT oil, you may find yourself having a much easier time abstaining from food.
That’s what I suggest you do when you start fasting. It should happen naturally, and you shouldn’t have to force it. If you’re still a sugar burner instead of a fat burner, it’s going to be much harder…so if you’re serious about trying out this whole fasting thing, I suggest slowly transitioning to a high-fat low-carb diet. You can read about the benefits here.
I started IT about 6 weeks ago. I eat between 12 noon and 8 pm. This works best for me and I have found easily sustainable. The results so far have blown my mind. I have an autoimmune disease and struggled with bloating, multiple food intolerance, gut pain, frequent urination, sugar cravings. All of these symptoms are gone. My hunger is controlled and I can enjoy lovely family dinners again. I think ideally eating earlier in the day would be better, but due to my schedule this works better for me and I am happy with the results.
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Processed foods are usually packed with sugar additives and other undesirable ingredients that improve the taste but negatively affect your health. Even if "sugar" isn't listed on the label of ingredients, chances are it contains a substitute in some form. Whether it's sucrose, dextrose, high-fructose corn syrup or something similar, these ingredients can have the same (or worse) effects as sugar.

So does that mean you should abstain from your caffeine fix when fasting? According to Dr. Josh Axe, D.N.M., C.N.S., D.C., founder of DrAxe.com, bestselling author of Eat Dirt, and cofounder of Ancient Nutrition, tea and coffee are fine to consume as long as you don't add any milk or sweeteners. He explains on his blog, "If you're on a time-restricted fast and you're in no-eating hours, it's best to stick to no- or low-calorie drinks like water, coffee, (with no milk) and tea. If you're on an alternate day diet or something similar, even during low calorie hours, you can technically drink whatever you'd like — but remember, this will count against your calories." Dr. Palanisamy also agrees that during fasting, the "appetite-suppressing effects of coffee are probably beneficial."

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IF makes intuitive sense. The food we eat is broken down by enzymes in our gut and eventually ends up as molecules in our bloodstream. Carbohydrates, particularly sugars and refined grains (think white flours and rice), are quickly broken down into sugar, which our cells use for energy. If our cells don’t use it all, we store it in our fat cells as, well, fat. But sugar can only enter our cells with insulin, a hormone made in the pancreas. Insulin brings sugar into the fat cells and keeps it there.
With all of these drawbacks, you may be wondering: could you (and would you still want to) practice intermittent fasting as a female? If you take a more relaxed approach, the answer is yes. When done within a briefer timeframe, intermittent fasting may still help you reach your weight loss goals and provide the other benefits previously mentioned, without messing up your hormones.
Intermittent fasting (specifically the 5:2 diet) became popular in the UK in 2012[14][15][16] after the BBC2 television Horizon documentary Eat, Fast and Live Longer.[17] Via sales of best-selling books, it became widely practiced.[18][19] In the United States, intermittent fasting has become a trend among Silicon Valley companies.[20] According to NHS Choices as of 2012, people considering the 5:2 diet should first consult a physician, as fasting can sometimes be unsafe.[18][21] A news item in the Canadian Medical Association Journal expressed concern that promotional material for the diet showed people eating high-calorie food, such as hamburgers and chips, and that this could encourage binge eating since the implication was that "if you fast two days a week, you can devour as much junk as your gullet can swallow during the remaining five days".[22]
With this information in hand, you should know exactly how to schedule meals when starting an intermittent fasting plan. And while it might seem complicated at first, once you get into the habit of fasting, it will feel like second nature and fit pretty seamlessly into your days. Just remember to always start slow and gradually work up to more advanced plans.
Since all of your hormones are so deeply interconnected, when one hormone is thrown off balance, the rest are also negatively impacted. It’s like a domino effect. As the “messengers” that regulate nearly every function in your body — from energy production to digestion, metabolism, and blood pressure — you don’t want to disrupt their natural rhythm.
Whichever option you choose, there's enough evidence to show that intermittent fasting has many health benefits. Dr. Palanisamy sums it up best by saying, "The final caveat is that some fasting is better than none. So if having a regular or even bulletproof coffee is the only way that you can stick with the practice of intermittent fasting, then it's probably worth it."

On the flip side of that, eating keto can make your periods of fasting more manageable. For example, someone who is eating a diet higher in carbs will likely have more discomfort with intermittent fasting as the body constantly switches between glucose for fuel and ketones for fuel. By continuing to eat keto even during feeding periods, you can keep your body constantly running on ketones.
A 2018 review of intermittent fasting in obese people showed that reducing calorie intake one to six days per week over at least 12 weeks was effective for reducing body weight on an average of 7 kilograms (15 lb); the results were not different from a simple calorie restricted diet, and the clinical trials reviewed were run mostly on middle-aged women from the US and the UK, limiting interpretation of the results.[25] Intermittent fasting has not been studied in children, the elderly, or underweight people, and could be harmful in these populations.[25][26]
This is the same as the 8-to-6 window plan, but you are extending your fasting time an extra four hours. I personally practice this plan during the workweek. I'm not a breakfast person, so I just enjoy a few cups of herbal tea to start my day. With this plan you will be eating only between the hours of 12 p.m. and 6 p.m. for a full 18 hours of fasting within a 24-hour period.

Before the Nobel Prize was awarded to Yoshinori Ohsumi, other researchers were making groundbreaking discoveries about autophagy. In 2009, an article was published in Cell Metabolism entitled Autophagy Is Required to Maintain Muscle Mass. In this article, researchers described how deactivating an important autophagy gene resulted in a profound loss in muscle mass and strength.
Both the keto diet and intermittent fasting trigger something referred to as autophagy. The latter is simply the technical term for a natural bodily function called “self-eating.” Although at first this may sound a bit frightening, autophagy is merely your body’s normal detoxification process, during which it eliminates contaminants and replaces them with newly formed, healthy cells.
When the female body senses it’s headed towards famine, it will increase the production of the hunger hormones, ghrelin and leptin, which signal the body that you’re hungry and need to eat (2). Additionally, if there’s not enough food for you to survive, your body is going to shut down the system that would allow you to create another human. This is the body’s natural way of protecting a potential pregnancy, even if you’re not actually pregnant or trying to conceive.
In this example, lunch on Monday is your last meal of the day. You then fast until lunch on Tuesday. This schedule has the advantage of allowing you to eat everyday of the week while still reaping the benefits of fasting for 24 hours. It's also less likely that you'll lose weight because you are only cutting out two meals per week. So, if you're looking to bulk up or keep weight on, then this is a great option.
Amy Shah, MD, is double board-certified doctor who received her medical training from Cornell, Harvard and Columbia Universities. She has a thriving medical practice in the Phoenix area, where she sees more than 5,000 patients each year. In 2015, Dr. Shah was named one of the “Top 100 Women in Wellness to Watch” by MindBodyGreen and was a guest on the Dr. Oz show.
How It Works: Not completely satisfied with the IF diets listed above? This method takes the best parts of Eat Stop Eat, The Warrior Diet and Leangains, and combines it all into one plan. You also get one cheat day each week (yay!) — followed by a 36-hour fast (which may be not-so-yay for some). After that, the remainder of the seven-day cycle is split up between the different fasting protocols.

Most of us have contemplated going on a diet. When we find a diet that appeals to us, it seems as if it will be a breeze to do. But when we get into the nitty gritty of it, it becomes tough. For example, I stay on a low–carb diet almost all the time. But if I think about going on a low–fat diet, it looks easy. I think about bagels, whole wheat bread and jelly, mashed potatoes, corn, bananas by the dozen, etc. — all of which sound appealing. But were I to embark on such a low–fat diet I would soon tire of it and wish I could have meat and eggs. So a diet is easy in contemplation, but not so easy in the long–term execution.
If you're worried you’ll be starving while fasting, you’ll be pleasantly surprised! Intermittent fasting decreases your hunger hormone ghrelin, which in turn can increase dopamine levels in the brain. (Just another example of the gut-brain axis at work.) Fasting can also help free people from emotional eating and kill cravings by transitioning your metabolism from unstable sugar-burning to steady fat-burning.
In practice, however, I would be concerned with eating enough. Based on my experience, teaching yourself to consistently eat more is one of the harder parts of intermittent fasting. You might be able to feast for a meal, but learning to do so every day of the week takes a little bit of planning, a lot of cooking, and consistent eating. The end result is that most people who try intermittent fasting end up losing some weight because the size of their meals remains similar even though a few meals are being cut out each week.
Once you start your IF journey, you’ll most likely find that you feel fuller longer and can keep the meals you do eat very simple. There are a few different ways you can fast, so I broke up each of the different plans below into beginner, intermediate, and advanced along with a typical meal plan for each day. The combination of nutrients will give you the energy you need to enhance the benefits of your fasting journey. Just make sure to take into account any individual food intolerances, and use this as a guide for your particular health case, and adjust from there.
Understanding the potential adverse effects of intermittent fasting is limited by an inadequate number of rigorous clinical trials. One 2015 review of preliminary clinical studies found that short-term intermittent fasting may produce minor adverse effects, such as continuous feelings of weakness and hunger, headaches, fainting, or dehydration.[29] Long-term, periodic fasting may cause eating disorders or malnutrition, with increased susceptibility to infectious diseases.[29]
Intermittent fasting isn't a regimen built around limiting calories (although it's likely that your calorie intake will be restricted naturally since you're going a period of time without eating), but it can promote weight loss in a big way. Fasting gives your metabolism an overhaul. It works on the same principles as a ketogenic diet. By restricting food (and carbohydrates), you'll switch your body from burning glucose for energy to burning stored body fat.

Your body contains proteins and other structures that constantly become dysfunctional or die. This isn't a bad thing; it's a necessary process for optimal health. However, if these dead tissues aren't cleared out from the body, they can cause cell death, contribute to poor cell and organ function and even become cancerous. Enter a process called autophagy.

Fast for 16 hours of the day, and allow yourself a single eight-hour window for eating. This may be a good option for most beginners, because it represents the most subtle change from the standard three-meals-per-day lifestyle. As approximately eight of those fasting hours should be spent getting a good night’s sleep, that leaves only eight hours where participants need to be consciously avoiding food. For many, allowing themselves to eat normally from noon until 8pm gives them a stable meal schedule while also staying in a fasted state for the majority of the time.


I don’t recommend that you go straight for a 1-2 day fast, but begin by restricting yourself to certain eating windows. Typically people restrict themselves to the hours of 5pm – 11pm. People often refer to their fasting windows by numbers: 19/5 or 21/3, for example, means 19 hours of fasting and 5 hours eating or 21 hours fasting and 3 hours eating, respectively.
A 2018 review of intermittent fasting in obese people showed that reducing calorie intake one to six days per week over at least 12 weeks was effective for reducing body weight on an average of 7 kilograms (15 lb); the results were not different from a simple calorie restricted diet, and the clinical trials reviewed were run mostly on middle-aged women from the US and the UK, limiting interpretation of the results.[25] Intermittent fasting has not been studied in children, the elderly, or underweight people, and could be harmful in these populations.[25][26]
That window can be shrunk or expanded depending on your needs and preferences but typically, it’s somewhere between 4-7 hours of feeding during the day. Intermittent fasting is a great practice for weight loss, appetite control, digestion, and health on its own. When it’s combined with the keto diet and its benefits, the results can be even better.

Although some of the intermittent fasting methods online seem more intense than others (some can last upwards of 48 hours), the beauty of intermittent fasting is that you get to choose and experiment with how long you fast. This not only allows you to determine how intermittent fasting can fit in within your lifestyle, but to discover the fasting sweet spot that helps you feel best physically.
As a lifestyle-leaning research doctor, I needed to understand the science. The Obesity Code seemed the most evidence-based summary resource, and I loved it. Fung successfully combines plenty of research, his clinical experience, and sensible nutrition advice, and also addresses the socioeconomic forces conspiring to make us fat. He is very clear that we should eat more fruits and veggies, fiber, healthy protein, and fats, and avoid sugar, refined grains, processed foods, and for God’s sake, stop snacking. Check, check, check, I agree. The only part that was still questionable in my mind was the intermittent fasting part.
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