Tropical Weight Loss
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Daily intermittent fasters restrict eating to certain time periods each day, say 11 in the morning to 7 at night. The fasting period is usually around 12 or more hours that, helpfully, includes time spent sleeping overnight. Periodic fasting will feel most familiar: no food or drinks with calories for 24-hour periods.
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Read More »If you are obese or overweight, fasting is an effective weight-loss method, if you stick to it. But it is no more effective than a diet that restricts your daily calories. We know this because there were no additional weight-loss or cardiovascular benefits of fasting two days per week, over an ordinary calorie-restriction diet, in a study of 150 obese adults over the course of 50 weeks. But you should also consider how difficult the diet will be to stick to. In a study of 100 randomized obese and overweight adults published in 2017, the dropout rate was higher with those who were fasting, 38 percent, compared with 29 percent for calorie restrictors and 26 percent for those who kept eating as they normally did. “Some people really struggle with having to monitor their intake and constantly record food in an app every day. So the takeaway of the study was if daily calorie restriction doesn’t work for you, maybe alternate-day fasting would be a little easier,” said Krista Varady, Ph.D., professor of nutrition at the University of Illinois at Chicago and the senior author of the study. “There’s nothing magical here. We’re tricking people into eating less food, in different ways,” she said in 2017. There is some new evidence that shows different forms of fasting are not equal — in part because some are easier than others, but also because some forms of fasting better match our body’s natural circadian rhythm, thus lowering insulin levels, increasing fat-burning hormones and decreasing appetite. Basically, because our metabolism has evolved to digest food during the day and rest at night, changing the timing of meals to earlier in the day may be beneficial. In a study done in Dr. Peterson’s lab, 11 adults did time-restricted feeding (eating from 8 a.m. to 2 p.m.) and a control 12-hour eating period, for four days each. On the last day of each session, researchers measured energy expenditure and hunger hormones and found that time-restricted feeding improves the appetite hormone ghrelin and increases fat burning. “It’s shown to reduce the amount of fat in the liver, which is a risk factor for diabetes and cardiovascular disease,” said Dr. Peterson.
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Read More »Pedre agrees that around 16 hours is a good daily fasting window for many (i.e., confining your eating to an eight-hour time frame and known as 16:8 fasting), but, he says, "You might not start seeing bigger benefits like autophagy until you reach 24 hours."
Experts agree that your personal habits will play a role in when exactly certain health benefits will kick in. "There are very few definites here," says Vincent Pedre, M.D., an integrative physician and gut health expert who frequently recommends intermittent fasting diets to his patients. "Where you start seeing those benefits depends on what you eat, how healthy your gut health is, what kind of physical activity you're doing, etc." For example, letting calories slip into your fasting window, overeating calorie-dense foods like pizza during your eating window, not prioritizing sleep or physical activity, or making one of these intermittent-fasting mistakes could all delay or counteract the benefits of intermittent fasting. Even if you're formulating the rest of your diet and lifestyle perfectly, it's important to understand that the different health benefits associated with intermittent fasting will likely kick in at different durations of fasting. For example, weight loss may be triggered by a relatively short fasting window, while entering ketosis or triggering autophagy—that "self-cleaning" cellular process that boosts brain functioning and maybe even longevity—may take significantly longer. Unfortunately, not enough research has been conducted on all the different forms of intermittent fasting to provide any hard-and-fast rules. Based on personal and patient experiences, however, the doctors and researchers we spoke with were able to offer a general idea of how long you may need to fast to reap certain benefits, which we'll dive into below.
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