What if we told you that the answer to losing weight, improving body composition, and feeling better isn’t about dieting, but instead skipping meals every once in a while? For some, intermittent fasting, or going a longer period of time — usually between 14 and 36 hours — with few to no calories, can be a lot easier than you may think. And the benefits might be worth it. If you think about it, all of us “fast” every single day — we just call it sleeping. Intermittent fasting just means extending that fasting period, and being a bit more conscious of your eating schedule overall. But is it right for you? And which method is best?

Many people achieve the best results by starting the ketogenic diet first and then beginning intermittent fasting several weeks later. Although this is a bit different from the classic approach to the keto-intermittent fasting diet, it works better for some individuals. This is because intermittent fasting, as previously mentioned, should be a natural process, during which you should not feel deprived and hungry.


Those studies above, in working with small sample sizes, and different types of fasting than recommended here, would lead me to believe that fasting affects men and women differently, and that many of the weight loss benefits associated with intermittent fasting (that affect insulin and glucose responses) work positively for men and negatively for women.
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.
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.
To make “down” days easier to stick to, Johnson recommends opting for meal replacement shakes. They’re fortified with essential nutrients and you can sip them throughout the day rather than split into small meals. However, meal replacement shakes should only be used during the first two weeks of the diet — after that, you should start eating real food on “down” days. The next day, eat like normal. Rinse and repeat! (Note: If working out is part of your routine, you may find it harder to hit the gym on the lower calorie days. It may be smart to keep any workouts on these days on the tamer side, or save sweat sessions for your normal calorie days.)
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.

In animal studies, after two weeks of intermittent fasting, female rats stopped having menstrual cycles and their ovaries shrunk while experiencing more insomnia than their male counterparts (though the male rats did experience lower testosterone production). (6) Unfortunately, there are very few human studies looking at the differences between intermittent fasting for men and women, but the animal studies confirm our suspicion: Intermittent fasting for long periods of time can sometimes throw off a woman’s hormonal balance, cause fertility problems and exacerbate eating disorders like anorexia, bulimia and binge eating disorder.
Worried about losing muscle if you fast? Maybe this will put your concerns to rest: a single 24-hour fast increased human growth hormone (HGH) by 2000% in men and 1300% in women.[2]  HGH plays an integral role in building muscle. Boosting your levels this high will have huge effect on your physique. Research shows that higher levels of HGH leads to lower levels of body fat, higher lean body mass and improved bone mass.[3]
Because of the massive amount of sugar that Americans eat on average, most people have become dependent on glucose, instead of fatty acids, for energy. Every supermarket, grocery store and coffee shop sells an abundance of sugary foods and drinks. When you eat a lot of sugar, and that sugar isn't utilized for energy, your body breaks it down and eventually stores it as body fat.
Even though you are skipping breakfast, it's still important to stay hydrated. Make sure to still drink enough water. You can also have herbal tea. The catechins in tea have been shown to enhance the benefits of fasting by helping to further decrease the hunger hormone ghrelin, so you can make it until lunch and not feel deprived. Since you’ve increased your fasting period an extra four hours, you need to make sure your first meal (at noon) has enough healthy fats. The burger in the 8-to-6 window plan will work well, and you can add more fats in with your dressing or top with an avocado!

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.
Instead of going 18 hours without food, brew Bulletproof Coffee beans in the morning, and blend it with a nice big hunk of grass-fed butter and Brain Octane Oil for breakfast with no carbs or protein. If you use mold-tested Bulletproof Coffee beans, you have a satisfying, low-toxin coffee that doesn’t cause adrenal stress the way most coffee does, and it tastes like a creamy latte.
Two ground-breaking studies have recently been published on the effects of intermittent fasting on males. One group of researchers studied the effects that 16 hours of intermittent fasting had on males that lift weights. They found that muscle mass stayed the same, fat mass decreased significantly, and the males who fasted for 16 hours a day burned more fat for fuel compared to the control group that only fasted for 12 hours.
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.
Every diet plan that has ever produced results is, at its heart, a strategy for lowering calorie intake. All-fat, no-fat, reduced-carbs, gluten-free, paleo… they may all take different approaches to weight loss, but they all have the same result. By limiting food intake, or even just limiting food options, these diets reduce our calorie consumption. And when calorie intake drops below calorie burn, that’s when we start to drop the pounds.
Make sure you still eat enough. Intermittent fasting does help you naturally eat less during the day, but be sure you’re still eating nutritious ketogenic foods to avoid any deficiencies or metabolic issues. Use a website or app to calculate ideal caloric intake and your ketogenic macros for each day, then track them to make sure you’re getting sufficient nutrition.
Cons: On the flip side, if you have a hard time handling cheat days the healthy way, this method might not be for you. Additionally, because the plan is pretty specific and the fasting/feeding schedule varies from day to day, this method can be a bit confusing to follow. (However, the plan does come with a calendar, noting how to fast and exercise each day, which may make it easier.)
Instead of going 18 hours without food, brew Bulletproof Coffee beans in the morning, and blend it with a nice big hunk of grass-fed butter and Brain Octane Oil for breakfast with no carbs or protein. If you use mold-tested Bulletproof Coffee beans, you have a satisfying, low-toxin coffee that doesn’t cause adrenal stress the way most coffee does, and it tastes like a creamy latte.
You’ll spike your blood sugar when you eat. If you’re fasting on a high-carb diet and you’ve powered through the cravings and lack of energy from low blood sugar, there’s a good chance you’ll eat a ton of carbs when you feast. You want to eat big meals when you fast to make sure you’re getting enough calories, but all those excess carbs in one go will spike your blood sugar in the opposite direction, from low to high.[14] High blood sugar causes fatigue and lack of focus. That raging hunger will also cause you to binge unnecessarily, and whatever carbs you don’t use will get stored as fat.
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It doesn't matter when you start your 8–hour eating period. You can start at 8am and stop at 4pm. Or you start at 2pm and stop at 10pm. Do whatever works for you. I tend to find that eating around 1pm and 8pm works well because those times allow me to eat lunch and dinner with friends and family. Breakfast is typically a meal that I eat on my own, so skipping it isn't a big deal.
One monk, for example, set out to do a 40 day fast with medical supervision while maintaining his daily activities in the monastery. After 36 days, the medical professionals had to step in due to “profound weakness” and low blood pressure when standing. Although the monk fasted for 15 days longer than Ghandi, the medical professionals were able to stop the fast in time so that he could recover.
Perhaps most importantly, intermittent fasting is one of the simplest strategies we have for taking bad weight off while keeping good weight on because it requires very little behavior change. This is a very good thing because it means intermittent fasting falls into the category of “simple enough that you'll actually do it, but meaningful enough that it will actually make a difference.”
One potential disadvantage of this schedule is that because you typically cut out a meal or two out of your day, it becomes more difficult to get the same number of calories in during the week. Put simply, it's tough to teach yourself to eat bigger meals on a consistent basis. The result is that many people who try this style of intermittent fasting end up losing weight. That can be a good thing or a bad thing, depending on your goals.
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.
Because of the massive amount of sugar that Americans eat on average, most people have become dependent on glucose, instead of fatty acids, for energy. Every supermarket, grocery store and coffee shop sells an abundance of sugary foods and drinks. When you eat a lot of sugar, and that sugar isn't utilized for energy, your body breaks it down and eventually stores it as body fat.

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.
So, if your goal is ketosis, intermittent fasting can help you get into ketosis even faster. Simultaneously, the keto diet makes intermittent fasting more doable because your body is already adapted to fasting with ketones. In addition, most people naturally eat less frequently on keto because of the high satiety level, so you’re likely already used to bigger windows without food.
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.
Expect funny looks if you spend a lot of mornings with breakfast eaters.  A few weeks back I had a number of friends staying with me, and they were all completely dumbfounded when I told them I didn’t eat breakfast anymore. I tried to explain it to them but received a bunch of blank stares. Breakfast has become so enGRAINed (zing!) in our culture that NOT eating it sounds crazy.  You will get weird looks from those around you…embrace it. I still go to brunch or sit with friends, I just drink black coffee and enjoy conversation.
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