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The Right—and Wrong—Way to Intermittent Fast
Take intermittent fasting to the next level by leveraging new insight on how to break the fast and make the eating window work for you.
By Pamela Nisevich Bede, MS, RD
Nov 13, 2020
Raise your hand if the idea of losing weight and getting svelte sans a ton of food rules by eating whatever you want sounds appealing. There’s just one caveat, you must consume those foods during certain hours of the day. Intrigued? Read on to determine if intermittent fasting might be perfect for you.
Intermittent fasting (IF) may be the eating plan du jour but it’s certainly not new. People have been fasting for a plethora of reasons for centuries. Modern day fans assert that aside from hunger pangs, and a need to exert continuous self-control rather than 24/7 grazing, IF has inspired body composition benefits, improved ability to focus on work rather than the distraction of eating, improvement in lab values, and more. Here’s a look at some things to keep in mind before diving in.
How It Works
IF is gaining traction across weight loss, fitness, and wellness communities for the potential to simplify food rules while producing results. Requiring you to eat within a certain window of time and fast during the remainder of the day, IF promotes a smaller “feeding window” and the intake of mindless calories 24/7. Fewer calories equals weight loss; fewer hours eating can give your gut time to rest and restore; fasting long enough can even support metabolic shifts, including ketosis if that’s on your goal list.
The Many flavors of Intermittent Fasting
There’s little evidence to suggest one form of IF is better than another and no evidence suggesting IF is right for everyone (ask your registered dietitian for thoughts before diving in). Here’s a look at some common approaches.
Time- restricted fasting: Majority of the day is spent in the fasted state with specific hours allotted for eating. Popular methods include the 16:8 method (16 hours fasting: 8 hours eating) with ranges existing from a more liberal ratio (12:12) to pushing the limits of IF (20+:4).
Research on time-restricted fasting has found reductions in fasting glucose, and improvements in LDL- and HDL-cholesterol. Self-reported hunger was higher in the morning for those consuming a single meal per day, and subjects did not report becoming accustomed to this hunger over the course of the study.
Alternate- day fasting: Alternating between days of fasting (energy-free fluids only) and feasting (no rules).
Research comparing alternate day fasters to individuals on a standard, reduced-calorie diet found that there was no difference in weight loss or weight maintenance over the course of one year. Like time-restricted fasting, alternate day can lead to modest weight loss with possible improvement in metabolic parameters but hunger on fast days is intense and is unlikely to improve over time.
Modified fasting: Across the week, 5 days typical eating and 2, non-consecutive days of intake limited to 20 -25% of calorie needs.
Research suggests that this method results in weight loss, with modest and mixed effects on blood sugar control, blood lipid levels, and inflammatory markers. There is little evidence to suggest that this method produces superior weight loss or metabolic changes in comparison to standard energy restriction regimens.
Should You Try It?
IF is not the only (or even the best) way to lose weight but If food controls every minute of your waking hours and you’re desperate for a hard stop, then IF might be the break you need. Skip IF if you’re prone to overeating after periods of restriction. Individuals with diabetes, other chronic diseases, and (history of) eating disorder should ask their doctor before beginning IF. Athletes beware; research suggests that any form of fasting is likely detrimental to aerobic athletic gains since calories consumed in the hours before a workout are essential for optimal performance, recovery, and muscle gain.
Break the Fast Right
Choices during feasting hours and how you break the fast can make or break your success. Consider this; extended fasting may prompt the body to rely on ketones and endogenous fat stores for fuel once glycogen stores are exhausted. (And we know that followers of keto diets often turn to IF to jumpstart ketosis!). Relying on data from ketogenic dieters who broke their fast with simple sugars, we can theorize to uncover what happens to followers of IF who indulge in all-you-can-eat carbs when the feeding window finally opens. A small, recent study found that keto dieters who broke their ketosis with a bolus of 75 grams of simple sugar carbohydrate experienced vascular damage and inflammation suggesting that an influx of carbs after periods of fasting could push your health in the wrong direction.
To give yourself a break and ultimately move closer to health goals, plan ahead rather than eating everything in sight. Try easing back into eating with a ketogenic shakes or meals as your first choice. A keto or even a very low carb, high protein plate may better prevent an immediate blood glucose spike which can follow a plate full of mindless simple sugars. As your eating window continues, follow the advice of many fans of IF who report better progress when following a lower carbohydrate plan during eating hours.
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How can one get enough nutrients for optimal health by eating only twice a day? We know that the body can only assimilate small amounts of nutrients in one serving, not nearly enough nutrients can be consumed, and more importantly absorbed, in two meals. To the best of my knowledge, IF is a terrible idea! Another FAD diet that’s not healthy nor sustainable long-term.
I have been doing time restricted feeding for 5 years now and I eat only 2 meals a day and feel fantastic. I have just turned 66 teach 3 intense classes a week HIIT, Met Con and strength class plus a number of Pilates reformer and mat classes and work with some clients in the gym. My clients vary in age from 30 to 55
I do a blood check up yearly and I am in excellent health and have no mineral or vitamin deficiency. In fact my latest test found my level of glutathione very high. The concept of not getting enough nutrient in one or two meals is a misconception as lone as we trace our macros for each meal which I hardly do now because I know what I am doing and I teach my clients to do the same,
I eat breakfast and lunch and no dinner and I am not hungry between meals or during my fast