I was very curious about this, so I asked the opinion of metabolic expert Dr. Deborah Wexler, Director of the Massachusetts General Hospital Diabetes Center and associate professor at Harvard Medical School. Here is what she told me. “There is evidence to suggest that the circadian rhythm fasting approach, where meals are restricted to an eight to 10-hour period of the daytime, is effective,” she confirmed, though generally she recommends that people “use an eating approach that works for them and is sustainable to them.”
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.
One thing to consider about bone broth that sets it apart from plant foods: Even if you do eat a variety of plants that contain collagen-boosting nutrients, if you have a weakened digestive system, you may not fully absorb them. On the other hand, the collagen in bone broth is incredibly easy to absorb, even for those with compromised digestive systems.
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.
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. Long-term, periodic fasting may cause eating disorders or malnutrition, with increased susceptibility to infectious diseases.
Weight-loss resistance can often be due to an underlying hormone imbalance. Leptin resistance occurs when your brain stops recognizing leptin's signals to use your body’s fat stores for energy. This causes your body to continually store fat instead of using it. Intermittent fasting has been shown to improve chronic inflammation that can dull the brain’s leptin receptor sites.
After determining your preferred protocol of intermittent fasting, you should start planning out your diet for the days that you do eat. On a standard keto diet, 75 percent of total calories should come from fat, 20 percent should be from protein and 5 percent should come from carbs. When getting started, however, you can start with a modified keto diet instead, which is often considered more flexible and easy-to-follow. With this diet plan, about 40–60 percent of calories should come from healthy keto fats with 20–30 percent from protein foods and 15–25 percent from carbohydrates.
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."
The primary reason for the failure of virtually any diet is the fact that you simply become too hungry and feel too deprived to continue following the meal plan. If you are like most people, you have probably tried overpriced diet programs, during which you are expected to get through an afternoon of work on a few tablespoons of pasta and a small protein shake.
I’m 63 years old and I have been following a daily 19 hour protocol called Fast 5, fast5.org for two years. I eat lunch at 3pm and dinner at 7pm close my eating window at 8pm. I’ve lost 43 lbs and kept it off, feel great and I am no longer pre diabetic. I eat what I want and don’t track anything. I belong to a Facebook Intermittent fasting group called Fast Club and would to have you check it out. Fasting is free and it works!
I believe this is a disservice to those, like me, with a history of eating disorder. It has made experimenting with IF unnecessarily stressful. Despite my worry about what might happen (reading all these baseless cautions), I went ahead and experimented. In my experience, contrary to this “expert advice”, IF has been the most profoundly effective intervention I’ve experienced for my bulemia.
Fasting helps you build a better brain, too. Intermittent fasting increases a protein in your brain called BDNF that researchers have nicknamed “Miracle-Gro for your brain.” BDNF improves learning and memory and can help you forge stronger neural pathways, making your brain run faster and more efficiently, which is especially important as you age.
Pros: While 24 hours may seem like a long time to go without food, the good news is that this program is flexible. You don’t have to go all-or-nothing at the beginning. Go as long as you can without food the first day and gradually increase fasting phase over time to help your body adjust. Pilon suggests starting the fast when you are busy, and on a day where you have no eating obligations (like a work lunch or happy hour).
Hi Thea, That’s wonderful that IF has worked for you. Diets, and particularly fasting, can be very triggering for others with a history of an eating disorder. People who have been in remission can relapse. For more about what concerns and problems others have had, there is alot of information out there, and for starters I recommend this thorough article from Psychology Today: https://www.psychologytoday.com/us/blog/hunger-artist/201411/the-fast-diet-fast-route-disordered-eating
According to a study published in Translational Research in 2014, intermittent fasting can reduce your weight by 3 to 8 percent over three to 24 weeks. A systematic review published in Molecular and Cellular Endocrinology in 2015 confirmed these results by reporting that, on average, participants following a fasting diet lost between 7 and 11 pounds in 10 weeks.
In Prime Women’s recently launched PLATE weight management program, Dr. Kathryn Waldrep recommends eating within a nine hour window and choosing that time frame based on your body’s circadian rhythms. Early risers might eat between 9:00 am and 6:00 pm. Night owls would eat their first meal at noon and finish their last meal at 9:00 in the evening. As more and more research has been done around IF and circadian rhythms, there seems to be more and more evidence on the soundness of this approach to eating for weight management.
Alternate-day fasting. Go back and forth between feasting days and fasting days. Eat like a king or queen one day, then eat nothing the next. This will probably be the most challenging fasting option for most people. If you try it, make sure you’re eating a ton on your feast days, otherwise you’ll fall into a major calorie deficit and you’ll likely feel miserable.
Zero-calorie beverages are okay. I drink green tea in the morning for my caffeine kick while writing. If you want to drink water, black coffee, or tea during your fasted period, that’s okay. Remember, don’t overthink it – keep things simple! Dr. Rhonda Patrick over at FoundMyFitness believes that a fast should stop at the first consumption of anything other than water, so experiment yourself and see how your body responds.