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.
Keep in mind that when considering using pink Himalayan salt in your coffee, it really is more for taste than for the health purposes. Some experts warn that the best way to reap the benefit of the pink wonder is to place it directly on or under your tongue, so that it can be immediately absorbed into your system. Adding it to coffee or water would minimize that process.
Jerimiah, the linked study in the article (https://www.sciencedirect.com/science/article/pii/S1550413118302535) specifically studied “eTRF”(Early Time-Restricted Feeding) from 8am – 2pm, and implies that eating earlier is better than later. I haven’t read the study (it’s behind a damn Elsevier pay-wall), so I don’t know how strongly they feel about early vs late, though. For me, personally, 12-8 is doable, and skipping dinner (given the existence of a family and the desire to have dinner with said family) isn’t doable, so I’m pleased to hear from you and April above that it’s working. Just starting!
AN IMPORTANT CAVEAT: Intermittent Fasting can be more complex for people who have issues with blood sugar regulation, suffer from hypoglycemia, have diabetes, etc. If you fit into this category, check with your doctor or dietitian before adjusting your eating schedule. It also affects women differently (there’s a whole section dedicated to that below)

This content is strictly the opinion of Dr. Josh Axe and is for informational and educational purposes only. It is not intended to provide medical advice or to take the place of medical advice or treatment from a personal physician. All readers/viewers of this content are advised to consult their doctors or qualified health professionals regarding specific health questions. Neither Dr. Axe nor the publisher of this content takes responsibility for possible health consequences of any person or persons reading or following the information in this educational content. All viewers of this content, especially those taking prescription or over-the-counter medications, should consult their physicians before beginning any nutrition, supplement or lifestyle program.
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 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."
Finally, note that fasting to induce ketosis can also trigger a set of symptoms often known as the “keto flu.” Fasting ketosis symptoms may include decreased energy levels, increased cravings, digestive issues, muscle aches and dizziness. These symptoms can last between a few days to a few weeks when starting the ketogenic diet, but they typically subside once your body enters ketosis and begins to adapt.
There are different types of intermittent fasting, but the most common involves only eating within a certain window of time each day. For example, you might only eat between 12pm and 6pm each day, giving you a 6-hour “feeding” window when you eat all of your calories for the day. That means you’ll be fasting for 18 hours in between. Your intermittent fasting ratio would then be 18/6.
Well, most notably, it’s a great way to get lean without going on a crazy diet or cutting your calories down to nothing. In fact, most of the time you'll try to keep your calories the same when you start intermittent fasting. (Most people eat bigger meals during a shorter time frame.) Additionally, intermittent fasting is a good way to keep muscle mass on while getting lean.
What better way to nourish your bones and joints than by consuming more of the nutrients already found within them, including hyaluronic acid, glucosamine, chondroitin, calcium, and magnesium. Bone broth contains all of these nutrients, plus several amino acids that support joint mobility and healthy inflammatory response like glycine proline. It’s for these reasons that bone broth is becoming a go-to drink among athletes.

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.
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.
The benefits of intermittent fasting translate to untrained overweight and obese individuals as well. One study published in Obesity Reviews found that eating fewer calories is effective for fat loss, but it does come with some muscle loss. However, if the subjects fasted for 24 hours and ate as much as they wanted on the next day for a period of 12 weeks, they lost significantly less muscle mass.
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.
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.

How It Works: Fast for 14 (women) to 16 (men) hours each day, and then “feed” for the remaining eight to 10 hours. During the fasting period, you consume no calories. However, black coffee, calorie-free sweeteners, diet soda and sugar-free gum are permitted. (A splash of milk in your coffee won’t hurt, either.) Most practitioners will find it easiest to fast through the night and into the morning. They usually break the fast roughly six hours after waking up. This schedule is adaptable to any person’s lifestyle, but maintaining a consistent feeding window time is important. Otherwise, hormones in the body can get thrown out of whack and make sticking to the program harder, Berkhan says.


Because we don't enter the fasted state until 12 hours after our last meal, it's rare that our bodies are in this fat burning state. This is one of the reasons why many people who start intermittent fasting will lose fat without changing what they eat, how much they eat, or how often they exercise. Fasting puts your body in a fat burning state that you rarely make it to during a normal eating schedule.
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And while this may sound difficult, it’s really not. After all, the reasons our bodies store fat in the first place is because we, as a species, aren't really designed for constant eating. The three-square-meals (or more) eating plan is a relatively new phenomenon in human history; for much of our past, feast and famine were the order of the day. Our bodies know how to handle long stretches without food, and they know how to make good use of the “feasts” when they come along.

As a functional medicine practitioner, I see a wide range of health problems that all stem from chronic inflammation. And while acute inflammation is a natural and healthy response to help fight off pathogenic bacteria and infections, long-term chronic inflammation that doesn’t subside when the threat is gone can contribute to everything from autoimmune conditions to cancer.


Jeremiah, I don’t think the author is suggesting that TRF in the later hours of the day is bad, but rather that it is DIFFICULT. The key finding in this study is that the 07:00-15:00 eaters had a reduced appetite (in other words, didn’t find it very hard to follow this regimen), whereas other approaches have been found to be kind of difficult for some.
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.
Harvard-trained physician and author of The Paleovedic Diet, Dr. Akil Palanisamy further explains to POPSUGAR that "autophagy is the self-cleaning process by which the body's cells break down and recycle damaged proteins and components. This is activated by intermittent fasting, but anything other than water (even black coffee) disrupts it to some extent."

You drink sugary beverages, digest them quickly and store the leftovers as body fat. After the initial spike in blood sugar, you experience a dramatic drop, which prompts you to eat more, and what happens? You store more fat. Because of this, it's best to avoid sugary drinks, like soda, lemonade, fruit juices, sweetened iced tea and even some kombucha, completely, whether you're fasting or not.
As with any diet, you’ll get the best results if you’re consistent. At the same time, you can certainly give yourself a break from this kind of eating schedule on special occasions. You should experiment to figure out which kind of intermittent fasting works the best for you. Lots of people ease themselves into IF with the 12-12 plan, and then they progress to 16-8. After that, you should try to stick to that plan as much as possible.

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.
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.
It requires less time (and potentially less money). Rather than having to prepare or purchase three to six meals a day, you only need to prepare two meals. Instead of stopping what you’re doing six times a day to eat, you simply only have to stop to eat twice. Rather than having to do the dishes six times, you only have to do them twice. Rather than having to purchase six meals a day, you only need to purchase two.
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