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The Latest Trend is Fasting: What say you?
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Bart you are continuing to mansplain.
nobody needs to study placebo or nocebo or any other effects or be an expert on anything, to see that the scale is, over time, doing what they expect and to decide their way of eating suits them therefore no need to change it.
Water weight, margin of error of scales, etc etc in your post makes no difference to my simple statement above.4 -
paperpudding wrote: »Bart you are continuing to mansplain.
nobody needs to study placebo or nocebo or any other effects or be an expert on anything, to see that the scale is, over time, doing what they expect and to decide their way of eating suits them therefore no need to change it.
Water weight, margin of error of scales, etc etc in your post makes no difference to my simple statement above.
This is not mansplaining, it is a screen shot:
You know this is bonkers, I know it is bonkers, some people (more than you seem to think there are) don't and are convinced it is true and are taken in. In order to lose this amount of weight, you need to burn 4983 Kcal a day. To compare, the world's most successful dieter, Angus Barbieri, lost 327 g per day, and he did that by fasting, i.e. not eating, under medical supervision, a very dangerous and ill-advised procedure that is known to kill people.
And just in case you think this is an exceptional claim, it is not. In fact, it is common:
Again, it is bonkers, it is nuts, it is crazy, it is ridiculous... but it is a common claim.
But is it really so ridiculous in a world that accepts claims about talking snakes, people curing blindness by rubbing spit in their eyes, people living on air alone (breatharians)?
Have you forgotten about Dr. Oz?
https://www.youtube.com/watch?v=kgApDJwc4Ow
There are millions of people out there who fall into traps like these. It made people like Dr. Oz rich.
Don't you think that people who believe this type of nonsense are ready to be discouraged when they see the scale go up instead of down?
You clearly got me fired up, but this is going to be my last post for now. I do have to work every now and then ^_^
If what preceded is not convincing enough, look at this (screenshot from Youtube):
It is easy to sit in a smug privileged position and look down on the people who believe this type of stuff, but lack of education is real, it causes problems and it can cost lives. Ignorance is everywhere and the traditional method of merely ignoring the nonsense has not worked. Just look at what has happened and is happening with respect to COVID-19. Over 1 million Americans are dead. Several hundred thousand would not be if they had been better educated. Their problems are over, but their families' problems are most probably worse, not less.2 -
Another post from you that goes into screeds of irelevant detail not about the topic of the thread mansplaining to me because ' I don't get it'
Stop hijacking threads!!
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I think fasting is an amazing tool for sustainable long term fat loss. It is the hammer in the toolbox of weightloss tools. It produces weight loss through "easy CICO".
As a former research scientist, I've read quite a bit of the literature on various forms of fasting. There's a systematic problem with them. The "magic" of fasting in my experience (and the reflected anecdotal experience of 300k+ people posting on internet fasting forums) is that moderate fasting makes it easier to sustainably consume less calories. Are there metabolic advantages to fasting? No way to know because forcing two groups (fasters and not) to consume isocaloric amounts of food negates the mechanism that produces weight loss. When allowed to eat ad libitum, fasters do consume less than control groups. (Krista Varady lab has several studies showing this).
I can tell you my personal story. I've struggled with obesity for 15 years, having lost/regained 50+ lbs multiple times. What "worked" in the short term was Jenny Craig, CICO/macro counting, Nerdfitness nutrition/strength training coaching, Whole30, low-carb, but none of these strategies were sustainable long term.
In 2020, I started intermittent fasting. It is a tool that does produce moderate weight loss on its own (through no counting CICO) but more broadly, it provides a "sticking power" for other strategies. Too much fasting (I've done months of consecutive 36 hr fasts, and 3-5 day fasting before) can produce binge, elevate cortisol and erode lean mass. Too little fasting will not produce weight loss. You can't outfast a diet high in processed foods/alcohol/sugar.
But moderate fasting is an amazing tool. It just reduces the feeling of "being on a diet" and allows me to be fully satisfied with reasonable, sustainable healthy food. My fasting insulin levels have decreased from 20 uI/U to 4uI/U, reversing "pre-diabetes"
I've lost 60lbs over the last two years and have top 3% lean mass and bone density for my demographic (measured by Dexa). My husband (also a serial dieter and now faster) has lost 85lbs in the same time and is at his high school weight at age 54. His only strategy is fasting--he still eats processed food (although much much less volume) and rarely exercises (he has lost lean mass along with fat).
For me, fasting is a tool in the toolbox, but it's not the only tool. It's the "get started" and "stick with it" tool.
I think it's a mistake to hold up fasting as a singular dietary hero. However, intermittent fasting is the glue that has helped me collect and maintain other healthy habits along the way for years now, rather than weeks.
Strength training, running, triathlon, mostly avoiding added sugar, mostly avoiding fake sweeteners, better sleep, less alcohol, prioritizing protein and veggies, less processed food, glucose monitoring.
Fasting is something that you can adapt to and it's relatively easy--IF you consume nothing but water/black coffee while fasting.
I attribute my ability to stick to any weight loss strategy for more than 12 weeks a pop to intermittent fasting.
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I smoke too much weed to fast haha. The fridge and I would be having it out every night5
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If I to skip a meal it would be dinner. I don't do anything productive after 7pm.0
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I think fasting is an amazing tool for sustainable long term fat loss. It is the hammer in the toolbox of weightloss tools. It produces weight loss through "easy CICO".
I like your reference to Krista Varady, by the way. She is often ignored, possibly because she does not tell people what they want to hear, and because she has lost a bit of her initial enthusiasm about (intermittent) fasting, but she remains a pioneer in the field of intermittent fasting research and deserves more attention than she is getting.0 -
I did 16:8 fasting for years. I now have gallstones. I don't know if it was the weight loss that caused it or the fasting but I have read some papers that suggest there is a correlation between fasting and gallstones. I don't fast anymore and I don't get gallbladder pain anymore either.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1405175/pdf/amjph00207-0058.pdf1 -
refactored wrote: »I did 16:8 fasting for years. I now have gallstones. I don't know if it was the weight loss that caused it or the fasting but I have read some papers that suggest there is a correlation between fasting and gallstones. I don't fast anymore and I don't get gallbladder pain anymore either.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1405175/pdf/amjph00207-0058.pdf
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I'm happy to say that it's been a year and I kept the 10 pounds out of the 14 I lost, off!
So here I am again going to give it another try and getting back to working out because I've been sick for a couple of weeks.
I do eat more fiber which eases food cravings and hunger.
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One very important lesson I learned from my brief experience fasting (I frequently cannot for health reasons at present) was what it felt like to actually be hungry, and that I could wait a little to eat and not immediately die.
Maybe this is an overreach but I think learning to sit and be OK with a little discomfort (not a lot, not dangerously, but just, not constant immediate satisfaction) could do a lot psychologically re: weight loss all on its own. It certainly had a profound effect on me.10 -
I'm happy to say that it's been a year and I kept the 10 pounds out of the 14 I lost, off!
So here I am again going to give it another try and getting back to working out because I've been sick for a couple of weeks.I do eat more fiber which eases food cravings and hunger.
In my case, fibre has zero impact on hunger and my average consumption is more than double the minimum recommended. I wish it were different.1 -
We IF daily…we are on a 16:8 schedule most days but sometimes a 20:4. It fits our lifestyle. We have been pursuing IF for health reasons outside of weight loss. Our research led us to do our first water fast. We concluded at 49 hours because salmon sounded really good. We felt amazing and are excited to do a 24 hour fast probably weekly. We are in a period of time where food is available ALL the time. No wonder America is so dog gone FAT! I promise you won’t die if you fail to eat something every 2 hours. Do your research…dive deep because the health reason to fast outweigh the ones not to fast.1
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Was anyone suggesting you would die if you didn't eat every 2 hours???
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paperpudding wrote: »Was anyone suggesting you would die if you didn't eat every 2 hours???
I took that to mean, try fasting, your not going to starve yourself to death. Your right though, nobody says people will die if a person doesn't eat every 2 hours, or at least I haven't heard anyone say that. Cheers1 -
refactored wrote: »I did 16:8 fasting for years. I now have gallstones. I don't know if it was the weight loss that caused it or the fasting but I have read some papers that suggest there is a correlation between fasting and gallstones. I don't fast anymore and I don't get gallbladder pain anymore either.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1405175/pdf/amjph00207-0058.pdfrefactored wrote: »I did 16:8 fasting for years. I now have gallstones. I don't know if it was the weight loss that caused it or the fasting but I have read some papers that suggest there is a correlation between fasting and gallstones. I don't fast anymore and I don't get gallbladder pain anymore either.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1405175/pdf/amjph00207-0058.pdf
Actually this study only followed women because apparently men rarely get gallstones, why, don't know. They also believed that gallstones were affected mostly through dietary patterns of plant vegetable oils and fat and from weight loss dieting and "prolonged" fasts.
This was also an epidemiological study where information was gathered through FFQ's (food frequency questionnaires) which are notoriously wrong, then followed these women for a decade or so then after adjusting for confounders, which is an impossibility, but it the context of an observation anyway, what else can be done, but take a stab at it. I wouldn't be taking these conclusions to the bank. Further studies are needed always follow any epidemiology studies, without exception and for good reason, you simply can't draw any conclusions whatsoever.
I love correlations. One of the better ones was, at the beach ice cream sales directly correlated to shark attacks, therefore, increased ice cream sales caused an increase in shark attacks. Conclusion sharks like to eat people full of ice cream. Cheers.2 -
In this video Dr Valter Longo (well known for his longevity research) says fasting for longer than 12 hours per day for more than a few months can lead to the formation of gallstones. He says it at around 7 minutes into the video. I assume he can synthesize the weight of research on the subject better than most @neanderthin.
https://youtu.be/bl380FLpBnM2 -
refactored wrote: »In this video Dr Valter Longo (well known for his longevity research) says fasting for longer than 12 hours per day for more than a few months can lead to the formation of gallstones. He says it at around 7 minutes into the video. I assume he can synthesize the weight of research on the subject better than most @neanderthin.
https://youtu.be/bl380FLpBnM
Some people may also recognise him from Michael Mosley's documentary on intermittent fasting that also featured Krista Varady, another pioneer in intermittent fasting research. She was initially over-the-top enthusiastic on the subject, and published a popular book on it, but has since cooled down quite a bit, realising there is very little to no credible evidence for the claimed superiority of intermittent fasting., but it still remains one of many options to reduce energy intake for weight loss and weight maintenance. She is now researching more on "time-restricted eating".
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I find particularly odd the argument that natural selection designed us to go for long periods without eating, so that implies that we best thrive if we go for long periods without eating. Why would that be true? Natural selection designed us so that our broken bones can heal, too, but no one suggests healthy people should routinely break bones in order to make them stronger.
We could add to this that natural selection also evolved us to be able to regrow parts of our liver. That does not mean that it would be a particularly brilliant idea to cut everyone open every now and then to harvest half of their liver or so. What is also funny is that people are claiming that stress is bad for you. Yet, natural evolution has given us the tools we need to deal with stress. When following the same logic, we should be very happy about stress, because it improves our health.
There are numerous other examples, but it is clear that the natural selection argument is a very poor argument indeed.1 -
refactored wrote: »In this video Dr Valter Longo (well known for his longevity research) says fasting for longer than 12 hours per day for more than a few months can lead to the formation of gallstones. He says it at around 7 minutes into the video. I assume he can synthesize the weight of research on the subject better than most @neanderthin.
https://youtu.be/bl380FLpBnM
Yeah, interesting video and watched it through. He's developing what he refers to as a fasting mimicking diet (FMD) for the study in longevity in animals, mostly mice and humans. Basically it's a diet where you eat food while fasting, which would really not be fasting in the true sense of the word but it's a fascinating hypothesis to say the least and I will be looking into it more.
To address your question, yeah he only refers to gallstones as a possible problem in longer fasts based on the mechanisms that effect gallstones, to which there are many and mostly from diabetes and obesity and one includes from again observational data that extended fasts could also be factored in. That's the best science appears to have at the moment simply because no RCT (random control trials) have been done, and never will, it's just to difficult to control and expensive to determine actual risk, so it comes down to association and in the video he assigns "risk" to be double, so an extended fast could double a person risk for gallstones.
When you research gallstones and see who are at risk it mainly falls to females apparently and certain ethnic groups more so, so there is that, plus, in reference to risk, they're talking about RR relative risk and not AR absolute risk. Relative risk as it pertains to an individual comes down to what is the likelihood a person would be inflicted with gallstones to begin with. In the USA it appears to be 1-3%. For example if a person had a 1% chance of gallstones and if extended fasts double a persons risk of getting gallstones in their lifetime, then the risk would now be 2%. Cheers.
To Add: A good example of relative risk is with pharmaceutical companies that promote statins. A few years ago they showed a 33% RR reduction is heart related events but when you extrapolate that out to absolute risk it worked out to 1 in 10,000. Basically 10,000 people prescribed statins and only 1 person saw a benefit. Statins are also the most prescribed drug in the world.
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