Healthy Byte: 5:2; 16/8; 14/10

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BLOGGER NOTE:  Click HERE for additional details on intermittent fasting variation. Personally in my 6th year of weight-loss maintenance I have naturally adapted to eating intermittently 15/9. Fasting for 15-hours may sound like madness but considering the bulk of the time fasting is spent sleeping, it has come easily for me and worked well in my day-to-day.

Originally Posted HERE

Let’s be honest: The word “fasting” doesn’t exactly bring up delicious thoughts and positive vibes. For plenty of people, it probably conjures up images of starvation and deprivation and makes their stomach start growling.

Yet, intermittent fasting has so many folks going wild right now, raving about how the strict-and-scheduled eating plans helped them lose weight and improve their health. So there must be *some* good in the health and weight-loss fad, right?

Charlie Seltzer, MD, weight-loss physician and certified personal trainer, points out that what most people are doing nowadays isn’t “true” fasting (in other words, eating only one meal per day or nothing at all in a day’s period). Instead, they’re intermittent fasting (duh), meaning they’re taking an approach to eating that involves restricting calorie consumption to a certain window of time each day, like only from 11 a.m. to 7 p.m. (so you fast for 16 hours, a.k.a. a 16:8 diet).

The logic behind periodic fasting as a weight-loss approach: “Since you need to have a calorie deficit to lose weight, eating within a window makes it easier to eat less and hit your designated calories,” Dr. Seltzer explains.

Intermittent fasting has some pros beyond weight loss, too, says Dr. Seltzer. It works with a lot of people’s lifestyles, allowing them to skip meals during the day when they’re busy or not super hungry and might otherwise just eat out of obligation. What’s more, following a 5:2 fasting schedule may even improve your heart health; fasting can lower blood pressure and bad cholesterol, according to Cleveland HeartLab.

“True fasting has a large variety of health benefits beyond those that occur with calorie restriction,” Dr. Seltzer adds. “It can cause something called cellular autophagy, where our cells eat themselves [to destroy damaged cells and make way for new, healthy ones].”

That said, intermittent fasting shouldn’t be attempted without some thought as to whether it’s really a good idea for your personality and lifestyle—and not just because it could be challenging to stick to, but because it could be downright bad for some groups of people.

Registered dietitian Barbie Boules of Barbie Boules Longevity Nutrition says the people who should not consider intermittent fasting are:
  • Folks with diabetes or other metabolic disorders
  • People taking medications that require food
  • Anyone with a history of disordered eating
  • Women who are pregnant or trying to conceive
  • Children and teenagers

But honestly, anyone who requires a consistent, healthy input of calories throughout the day to be healthy (physically *and* emotionally!) isn’t the ideal candidate to try intermittent fasting. If you’re unsure where you stand, it’s always wise to speak with a medical professional first.

Here are eight potential disadvantages, side effects, and straight-up warnings about intermittent fasting to keep in mind if you’re a healthy adult and thinking about trying it yourself.

1. You might feel way hungrier.

Surprise, surprise: Not eating for 16 hours a day could make you ravenously hungry, at least while you’re in an adjustment period.

In theory, says Dr. Seltzer, intense hunger shouldn’t happen while intermittent fasting using a plan such as the 16:8 method; if you’re fasting correctly by filling up on protein at the end of the day, you shouldn’t be hungry first thing in the morning. (Your appetite wouldn’t kick in until later on the following day.)

In other words, only eating within a short window is not a free pass to set up camp at the all-you-can-eat buffet for eight hours, which would defeat the purpose of fasting. And this can be a huge challenge for many people who are used to eating much more regularly and who may not be totally in tune with their body’s hunger cues.

2. It might make you feel sick or fatigued in the morning, especially if you work out first thing.

Committed to your 6 a.m. workout? Intermittent fasting might not be a great choice. “I think it’s a terrible idea to exercise on an empty stomach,” says Boules. “We benefit from a little glucose before and some protein after.”

And even if you’re not a morning exerciser, not eating until, say, noon when you’re used to waking up and having breakfast at 8 a.m. may leave your stomach churning. In turn, you may feel off, a little lightheaded, or nauseous as you get used to the new schedule.

3. Fasting diets are rigid and rule-based.

Both Dr. Seltzer and Boules describe intermittent fasting as very individualized, meaning it could work well for some people and turn into a total disaster for others depending on a number of lifestyle factors.

4. It doesn’t always play nice with other diets.

Boules says intermittent fasting is often combined with other restrictive diets, like keto, which can cause double-trouble if either of those approaches—or heaven forbid both—aren’t right for you.

Adopting a diet plan that means you can only eat lean protein and vegetables between the hours of 1 and 9 p.m. every day doesn’t exactly set you up for winning any popularity contests with your friends and family (not to mention the mental fatigue that comes with jumping through meal-planning hoops on the regular), Boules points out.

But hey, your diet choices are your own, and if you are up for the challenge of navigating an intense and strict food routine and your personal life, that’s entirely your decision.

5. You may deal with low blood sugar.

This is why people with diabetes should steer clear of fasting. Low blood sugar, or hypoglycemia is a side effect of diabetes and insulin medication, but it can happen to non-diabetics, too (if you have thyroid disease, for example).

Other symptoms of mild to moderate hypoglycemia include headache, blurred vision, sweating, fatigue, and paleness, according to the National Institute of Diabetes and Digestive and Kidney Diseases.

6. The research is minimal.

Look, we all know the internet is full of so-called health claims made by “experts” about the best diets. And while the field of research on intermittent fasting isn’t empty, Boules is hesitant to jump on the bandwagon based on what she’s seen so far.

“Despite a deluge of articles citing studies, solid evidence in support of intermittent fasting as a superior approach to eating just isn’t there yet,” she says.

What studies is Boules referring to? Well, most of the more compelling ones were actually performed on rodents. Human studies have not shown the same scope of evidence.

There also remains debate about whether the actual fasting is responsible for the health benefits, or if it’s simply the reduction in calories.

This isn’t to say that better, more conclusive research won’t ever become available, but as Boules said, we’ve got a ways to go before we understand everything about intermittent fasting.

7. It doesn’t help you create mindful eating habits.

While Boules admits that intermittent fasting can be a great strategy for curbing mindless late-night snacking, it can totally work against mindful eating, too. Rather than thinking about whether or not you’re truly hungry, you’re simply eating by the clock.

“I encourage my clients to [evaluate their hunger] on a daily basis and act accordingly,” she says. “Every day is different for sleep, exercise, stress, hormones, and schedule, which all affects appetite. It’s one of many reasons I don’t believe it’s healthy to apply ‘rules’ to your food philosophy.”

8. You can take it too far.

Even in dieting, moderation is key; no diet is sustainable if you’re unable to adapt it to your lifestyle as needed. For example, Dr. Seltzer reiterates that many athletes need a morning meal and see better results when they eat before training. Sticking to a strict intermittent fasting schedule in that example precludes that.

Ultimately, if you’re just not sure how to feel about intermittent fasting, don’t hesitate to hash it out with a pro, like an RD or doc you trust.

At the end of the day, if you’re a healthy adult, intermittent fasting probably won’t do damage (even if it turns out to not be a good fit for you personally). Dr. Seltzer and Boules both acknowledge the control it teaches, though they remain on the fence about whether the potential side effects outweigh the benefits.

“Please understand this will not work for everyone and is not required for good health,” Boules says. “While I’m watching the research and will own it if I’m proven wrong, I think it’s yet another example of a fad approach to wellness.”

Healthy Byte:

Originally Posted HERE

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(Reuters Health) – People who start fasting every other day may lose more weight than they would if they stuck to their usual eating habits, a small study suggests.

The 60 healthy people in the four-week study were not overweight. Researchers randomly assigned them to either stick to their usual eating habits or switch to alternate day fasting, with 12 hours of unrestricted food followed by 36 hours of no food.

With alternate-day fasting, people reduced weekly calories by 37% on average and shed an average of 3.5 kilograms (7.7 pounds). That compares with an average calorie reduction of 8.2% and an average weight loss of 0.2 kilograms (0.44 pounds) without this diet.

“We do not recommend this as a general nutrition scheme for everybody, because this is a harsh intervention of which we do not know the long-term effects,” said Frank Madeo, senior author of the study and a researcher at the University of Graz in Austria.

“We feel that it is a good regime for some months for obese people to cut weight,” Madeo said by email.

To ensure that people assigned to alternate day fasting didn’t eat on fasting days, researchers asked them to wear continuous glucose monitors. Spikes in blood glucose levels might mean people had a snack. Researchers also asked participants to fill in food diaries documenting their fasting days.

After 4 weeks of alternate day fasting, people had more lean muscle and less body fat, lower cholesterol levels and improved heart health – all things that can happen with a wide variety of exercise and nutrition programs.

To get a sense of the safety of alternate day fasting, researchers looked at a separate group of 30 people who had been eating this way for at least 6 months, comparing them to healthy people who had not been fasting.

They didn’t find any meaningful negative side effects.

One limitation of the study is that researchers didn’t test the diet in people who needed to lose weight. They also didn’t have any long-term safety data, and many health problems associated with extreme dieting like malnutrition and brittle bones can take much longer than 6 months to develop.

“The ‘starvation mode’ the body goes into during alternate day fasting may have some benefits,” said Susan Roberts, a senior scientist at the USDA Nutrition Center at Tufts University who wasn’t involved in the study.

For example, fasting can improve the body’s ability to use the hormone insulin to transform sugars into energy, a process that can help reduce blood sugar and prevent diabetes, Roberts said by email.

But there isn’t enough safety information about alternate day fasting to recommend it as a regular way of eating to maintain a healthy weight or for weight loss, Roberts said.

“My preferred option to be honest is not to recommend alternate day fasting per se but to use occasional daily fasting as a toolbox option that some people may find helpful,” Roberts said. “A small percentage of people wanting to lose weight may find it helpful, but we don’t yet know the long-term safety to recommend it with comfort.”