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.
So here’s the deal. There is some good scientific evidence suggesting that circadian rhythm fasting, when combined with a healthy diet and lifestyle, can be a particularly effective approach to weight loss, especially for people at risk for diabetes. (However, people with advanced diabetes or who are on medications for diabetes, people with a history of eating disorders like anorexia and bulimia, and pregnant or breastfeeding women should not attempt intermittent fasting unless under the close supervision of a physician who can monitor 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.
Intermittent fasting is hard in the contemplation, of that there is no doubt. “You go without food for 24 hours?” people would ask, incredulously when we explained what we were doing. “I could never do that.” But once started, it’s a snap. No worries about what and where to eat for one or two out of the three meals per day. It’s a great liberation. Your food expenditures plummet. And you’re not particularly hungry. … Although it’s tough to overcome the idea of going without food, once you begin the regimen, nothing could be easier.”
Diet soda doesn't contain any sugar, calories or carbohydrates, so it may seem like it's OK for fasting, but it's not that simple. Diet soda and other diet drinks are filled with artificial sweeteners, which can drastically increase sugar cravings, making fasting more challenging. Artificial sweeteners can also increase insulin resistance, which makes it harder to lose weight and increase your risk of developing diabetes.
Eating all your meals in an 8-hour window (say, eating between noon and 8PM, and fasting the other 16 hours a day) causes significant weight loss without counting calories.[1]  While this type of intermittent fasting causes weight loss no matter what people eat, research shows that people who do it in a healthy manner lose twice as much weight (7% vs. 3% of their body weight) as those who fast while still eating junk. So it’s still important to follow a high-performance diet like the Bulletproof Diet while you fast.
So very interesting, I was captivated reading your results—thank you! I would also love to see added to this research the keto effect of just water over those 120 minutes, and then the keto effect of adding collagen powder to your coffee. So appreciative of all that wincing-sticking-your-fingers that you both endured to help give us clarity in what goes on with our ketones and glucose when drinking our coffees with different add-ins. Great read!
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Conversely, a 2013 study completed by researchers at Washington University School of Medicine, presented the exact opposite, showing increased reactions in receptors on the tongue, when participants were given artificial sweeteners. Their study concluded that if the receptors are capable of detecting sweetness, even though calories aren’t present, a hormonal response (insulin release) is likely.
I’ll share some of my experiences, now doing heavy strength training for 3 years in a fasted state: For my first “fasted” workout or two after starting an IF protocol, it was very weird to not eat before training. However, after a few sessions, I learned that my body could certainly function (and even thrive) during my training sessions despite not eating a pre-workout meal.

If you have an addictive relationship with food and you struggle with portion control, track your calorie intake in your meals to make sure you’re not overeating. If you skip breakfast, you might be so hungry from this that you OVEREAT for lunch and this can lead to weight gain. Again, the important thing here is that with intermittent fasting you’re eating fewer calories than normal because you’re skipping a meal every day.

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