Intermittent Fasting: Thoughts after 50 fasts

In November last year I decided I would experiment with intermittent fasting, or time-restricted fasting. Almost every day, for 50 days I restricted my eating to only 8hrs in the day, fasting for 16 hours. This meant I would usually finish dinner at 8pm, then not eat until 12pm the next day. If I went out and ate food until 9:30pm, then I would begin eating at 1:30 the next day. I talked about why I was doing this and the evidence for it here but essentially I had heard a lot about it and it’s benefits for health and figured, there aren’t really any risks, I’ll give it a go.

One thing many people asked me when I mentioned it to them was, “you don’t need to lose weight, why are you doing it?” I realised that fasting was most commonly seen as another weight-loss diet, it is the new fad. This question usually followed with me explaining autophagy and the health benefits of fasting, independent of weight loss, which again, I’ve explained previously.

How did it feel?

For the first week it was quite tough, I was getting pretty hungry around mid morning and consumed a lot of tea to keep myself full, which works a treat if you were wondering. Soon I became very used to not eating in the morning, especially if I was going to placement and not stopping until lunch time. This is when I noticed my first real issue with fasting. The post-fast insulin coma. I was having a massive lunch, to make up for not eating breakfast, usually with a lot of carbs to give me energy but come 3pm, I was exhausted. I was initially perplexed at this, but eventually realised it was because my body was so eager to start breaking down the carbs that it produced a heap of insulin to cope with the increased blood sugar levels, which increased my tiredness as the sugar levels dropped. On some days I experimented with eating lower carb, higher fat meals for lunch, or having lower GI carbs, both of which helped reduce the post-prandial crash. I also started having smaller lunch, not trying to play catch up, this also helped, and I would just snack throughout the afternoon on things like nuts and my homemade banana bread. The key for me was to eat healthily when I was, resisting the urge to just eat sugary or junk foods because I knew I’d feel much worse for it afterwards. I also found tracking my food in myfitnesspal very helpful to ensure I was getting enough food in me, without overdoing it.

The good things about fasting was that is is very convenient, you don’t need to allow time for breakfast in the morning, just grab a coffee or a tea and go. It would be a great way to lose weight because you make it through to lunch without eating and if you ate normally you’d be in a deficit, although it must be said I didn’t lose any significant amount of weight during the 50 days, but I was very conscious of eating enough. An unexpected benefit for me was even after I stopped fasting, I found that I was able to be much more flexible with my meal times. I used to always be hungry, i’d eat breakfast at 6-7am, have a snack at 9, and lunch at 12 then continue to snack until dinner, where I’d be insatiably hungry. Fasting helped me become much more able to be what we usually consider ‘hungry’ and just be okay with it, not needing to eat something immediately, helping me say goodbye to being hangry (most of the time). I think it’s worth just giving fasting a go for at least a week purely for this benefit alone, all other health benefits aside.

It wasn’t all good, when I began fasting I was not running very much, I was still in a stage of rehab where my sessions were <5km long and usually made up of intervals of easy running. I wasn’t expending a lot of energy during these and I would be doing them in the afternoons usually as well. A few issues began to arise when I started running more, six, seven or eight kilometres at a time and in the morning. I was feeling very flat and low in energy, with my heart rate much higher than it should have been. I soon came to the conclusion that I wouldn’t fast if I was training normally (which for me is >5hrs of exercise per week). Luckily, that nicely coincided with the 50 days of completed fasts. Over the past two weeks I’ve had a period of rest due to a recent niggle and a bruised knee and I’ve picked fasting back up. I noticed when I wasn’t training, I was still wanting to eat like I was training, so I figured fasting was a good way to kick myself back into gear and become okay with hunger again.

Overall I loved my time intermittent fasting, I think it’s a great strategy to be more conscious of what you eat, and when you eat it, as well as disrupt our psychological dependence on having constant access to food. I’m not going to continue it when I’m training a lot because it can be energy-sapping, especially when training in the morning, but for anyone completing <5hrs a week of training, I’d definitely recommend it to try, although it is crucial that you are eating sufficiently to fuel your training. Ultimately, it wasn’t life-changing, but wasn’t detrimental either and now I understand what it is like to fast, as well having picked up a few handy tricks along the way, and I’d recommend everyone try it, unless you’ve got a history of under fuelling your body, as an athlete or just as a person in general.

Intermittent Fasting: Understanding the evidence

I began thinking about intermittent fast (IF) a few weeks ago after becoming fascinated by Peter Attia’s (MD) ‘The Drive’ Podcast, where he discusses all things related to longevity and increasing one’s ‘health span’ which is staying disease free for longer, rather than living longer with a disease. I’ll discuss this difference on another blog, the focus of this blog is understanding the evidence for IF and why I’ve started doing it.

What is Intermittent Fasting?

IF is a very broad term and can mean not eating for as little as 16hrs, or as much as 3-5 days!! It’s quite simple, it’s just having more clearly defined periods of feeding, and fasting, rather than eating all the time. This confused me quite a lot because I was always told you want to have ~5 smaller meals throughout the day and initially I struggled to reconcile this with the theory behind IF. I haven’t yet been able to research this as much as I would like so the comparison of the evidence comes in another blog.

What are the benefits of IF?

As someone who eats, a lot.. this all sounded ridiculous to me, until I started reading up about the benefits and I was blown away. I just read through a review paper (which provides a broad overview of the evidence) on IF published (NOTE: The article is behind a paywall, but I cant send the PDF to anyone who wants it) in the the New England Journal of Medicine, one of the most prestigious medical journals. I was was amazed at the far-reaching benefits of IF, including:

  • Reduced risk of cancer
  • Improved metabolic profile lowering the risk of diabetes (or even reversing it),
  • Lower blood pressure, heart rate, improved HDL (the good cholesterol), reduced LDL (the bad cholesterol)
  • Decreased inflammation and molecular stress
  • Increased BDNF, a key signalling molecule which is reduced in mental health conditions
  • If IF couldn’t get any better, it also improves your gut microbiota, which is key for having a healthy gut.

These aren’t even all the benefits, but as you can see, IF seems to improve almost every aspect of health. So how and why does it work?

Figure from: de Cabo, R., & Mattson, M. P. (2019). Effects of intermittent fasting on health, aging, and disease. New England Journal of Medicine381(26), 2541-2551.

How does intermittent fasting work?

The in depth explanation is outlined in the figure above from the paper. The main benefits stem from this thing called autophagy, which is a fancy word for getting rid of cells you don’t need. Essentially what happens is that when fasting, your cells start to get rid of the parts of the cells which are damaged and recycling the parts which aren’t, whilst reducing overall protein building. Autophagy is a period where every cell in your body begins to get refined, like an essay which is being edited, the extra bits which aren’t helpful, or even damaging get removed. Autophagy is believed to be the reason for the many anti-cancer properties of IF, because the cells which are maladaptive (potential cancer cells) get removed in this process.

But wait! Does this mean I’m going to lose all of my muscle mass, or not be able to put on muscle?

Well, I was worried about that as well, but interestingly there is another strength of IF here and it comes about because you have this intensified block of feeding, which promotes a greater recovery (outlined in the figure above). It is during the periods of feeding where you turn back on all the things you switch off during the fasting, you get increased protein building, increased mitochondrial biogenesis increased glucose which all promote an enhanced level of cell growth and tissue remodeling. Essentially, you go through this period of building up during the feeding period, then you strip away all the parts which you aren’t essential and helpful during the fast.

So how do I start?

Well, I’ve justed started on the past few days so the jury is still out on how it goes in practice, but I’ve been using a free app called Zero (funnily enough with Peter Attia as the medical director) which starts you off on a 16:8 regimen, which means 16hrs fasting, and 8hrs feeding. What this looks like for me is finish eating by 8pm, and then start eating again at 12pm the next day. One thing I will say is tea has been an absolute godsend for increasing satiety and it hasn’t been much of struggle at all getting through to lunchtime on an empty stomach.

I’d recommend starting out with Zero on the 16:8 regimen and see how it goes! Fot me the benefits seem to far outweigh the risks, so i’m going to try it for at least a month and see how it impacts me, and I’ll be sure to write about my experiences as well.

If you do have any medical conditions I would also recommend seeing a dietician or GP before starting this as it can be quite a change and this is all just information not clinical advice.