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Re:Features of a successful therapeutic fast of 382 days' du... by not_a_moth on Saturday November 30, 2019 @09:34PM (#21673444)
Even if you're not obese, fasting appears to be one of the most healthy things you can do for your body. Low insulin variability, autophagy, clear out visceral fat on organs, yields extended longevity in lab mice, etc.
Re:Features of a successful therapeutic fast of 382 days' du... by WilliamEdward on Saturday November 30, 2019 @10:14PM (#21673587)
Been fasting on and off for a while now, maybe 1-2 days every week. The effects are immediately noticeable, on about day 3 i feel better. A week later i see the weight loss, better skin, etc. It's a good feeling that everyone should try at least once.

Disclaimer: I eat like garbage so it's more likely that not eating garbage is having these positive effects, not just fasting.

Re:Features of a successful therapeutic fast of 382 days' du... by rpmisms on Saturday November 30, 2019 @09:45PM (#21673483)
Unless you have low body fat, which is less common than it used to be. I maintain body fat under 7%, and I have to eat regularly or I will become very ill very quickly. If I'm to fast, I have to cut something from my diet, not cut my diet.
Re:Features of a successful therapeutic fast of 382 days' du... by crazygringo on Sunday December 01, 2019 @12:43AM (#21674065)
I found something similar too -- and I'm nowhere even near that thin.

I successfully lost 50 lbs a few years ago doing keto and brought myself to exactly the middle of normal BMI.

While I was losing the weight, keto was easy -- I always had energy (more than ever before), felt great, wasn't getting sick.

But once I hit my target weight... all of a sudden keto became miserable. I had brain fog all the time, except for about the window of 2-4 hrs after each meal when my digestion seemed to peak. I started getting colds all the time.

Once I switched back to eating carbs, I felt great.

My theory is that your body burns fat proportionally to the amount of fat you have... and that it's fine to fuel yourself until you just don't have enough fat anymore to keep it going to even things out between meals.

I was pretty bummed actually to discover that keto doesn't work for me anymore, when I'm already at a healthy weight. I just loved the constant energy. But for however my body's built, it's just not an option for me anymore.

Re:Features of a successful therapeutic fast of 382 days' du... by carty76ers on Sunday December 01, 2019 @09:09AM (#21675540)
Oh that sounds difficult. Were you eating enough fat & protein each meal, that you needed to burn off? Since your body didn’t have the fat stored...
Re:Features of a successful therapeutic fast of 382 days' du... by loeg on Saturday November 30, 2019 @10:53PM (#21673743)
You are an extreme outlier. Even for men, bf% under 7 is in or getting into the unhealthily low range. Fasting is not for you.
Re:Features of a successful therapeutic fast of 382 days' du... by jodrellblank on Saturday November 30, 2019 @10:22PM (#21673626)
Intermittent Fasting, as described on the internet, doesn't involve eating less food but rather eating within a narrower time window. You can get 16-23 hours of fasting in a 24 hour day, and suggestions are that useful changes happen around 12 hours after eating, and (e.g. work of Prof. Sachin Panda) that fasts of this kind of length can do significant good for animal health.

Are you talking of this kind of thing, low body fat makes even this difficult, or are you talking of multi-day fasting?

Re:Features of a successful therapeutic fast of 382 days' du... by soalian on Tuesday December 03, 2019 @02:05PM (#21695455)
I don't understand Intermittent Fasting from a digestion point of view. The fast usually starts when you end your last meal, however you'll be busy digesting your food for hours, can those hours really be counted as "fasting".

Fasting, to me, begins when all previous meals are digested

Re:Features of a successful therapeutic fast of 382 days' du... by javagram on Sunday December 01, 2019 @08:44AM (#21675442)
FWIW, the time window of Intermittent Fasting usually leads to eating less food.

Although there are other benefits to IF, the weight loss is principally from calories in, calories out, because it’s much harder to cram an excess of calories into a small time window unless you purposefully eat beyond satiation.

Re:Features of a successful therapeutic fast of 382 days' du... by jodrellblank on Monday December 02, 2019 @03:09PM (#21686318)
> the weight loss is principally from calories in, calories out

Is it? Study [1] claims "Mice fed an FS [fat and sugar] diet ad libitum (FSA) consumed the same amount of calories as mice fed within a 9 hr window of the dark phase (FST) [fat and sugar, time restricted] (Figure S2A, i), yet the FST [time restricted] mice gained less body weight"

and then "to investigate the therapeutic potential of TRF [Time Restricted Feeding], we tested whether TRF could reverse or arrest body weight gain [..] Within a few days the mice were habituated to the new feeding paradigm and continued to consume equivalent calories (Figure S2A, iv). The 13:12 FAT mice showed a modest drop in body weight"

[1] https://www.cell.com/cell-metabolism/fulltext/S1550-4131(14)...

From related work of https://www.salk.edu/scientist/satchidananda-panda/

I think "it has to be calories in/calories out because it's just common sense" is not nuanced enough for biological systems.

Re:Features of a successful therapeutic fast of 382 days' du... by rpmisms on Sunday December 01, 2019 @01:19PM (#21676893)
I do intermittent fasting frequently. I can't fast from food for long periods, or go below a certain calorie count in a day. As long as I get the nutrition I need, I'm ok, I just run on thin margins.
Re:Features of a successful therapeutic fast of 382 days' du... by jniedrauer on Saturday November 30, 2019 @09:56PM (#21673510)
A lot of "conventional wisdom" about health seems to be targeted at people who are sedentary, which is kind of counterproductive, since being active is the most effective way to improve your health. When you're highly active, things like intermittent fasting start to make a lot less sense.
Re:Features of a successful therapeutic fast of 382 days' du... by elif on Sunday December 01, 2019 @01:58AM (#21674257)
I disagree completely. Regular caloric restriction has its place, exercise has its place, and intermittent fasting has its place.

My wife and I are long distance hikers. That means carrying 10-15kg up and down mountains for 10-14 hours per day every day for 3-6 months.

It also means literally counting every calorie--because you have to plan it in week-long intervals and also optimize it for minimal weight and sufficient nutrients.

Sounds like a perfect recipe for weight loss right? Enter 'hiker hunger.'

Appetite is completely elastic. Your ability to perform depends on your brain's ability to produce happy endorphins and satisfaction signals etc.

That's where intermittent fasting is crucial. You exercise your body's regulatory functions. It's not just some belief or willpower or placebo I mean: at a chemical level you transform the function of your neurochemistry to improve your metabolic process.

Re:Features of a successful therapeutic fast of 382 days' du... by jniedrauer on Sunday December 01, 2019 @11:21AM (#21676138)
> That's where intermittent fasting is crucial

Would you be able to use IF during a thru hike? I suspect that the answer is no. The weight gain problem for distance hikers is after the hike is finished and we reduce activity significantly. I've solved that by training for distance races when I'm not hiking.

Zach Bitter, the current 100 mile record holder, put it in a way that makes a lot of sense to me[0]. For a mere mortal, fasting for 6 hours puts you in the hole for about 700 kcal. A world class athlete like him is at more like a 2000+ kcal deficit. It's impossible to catch up once you get that far behind, and you end up losing weight and injuring yourself. I only burn about 800 kcal during training on an easy day, but I still find it nearly impossible to catch up if I miss a meal. I'm already eating 5x a day. It's hard to cram 5 full meals into a few hours.

[0]: https://zachbitter.com/blog/2014/04/06/intermittent_fasting_...

Re:Features of a successful therapeutic fast of 382 days' du... by elif on Sunday December 01, 2019 @01:17PM (#21676880)
Of course not.

And weight gain is not contained to "after the trail"

And weight loss is not guaranteed.

It's great that you've found something that works for you. Like I said, it works for me too.

Bodies are different though.

"I've hacked around this problem" != "This problem is illusory"

Re:Features of a successful therapeutic fast of 382 days' du... by loeg on Saturday November 30, 2019 @10:58PM (#21673761)
Being active is one factor, but doesn't fix obesity. It's also difficult or even potentially harmful to start doing some kinds of activity when you're extremely obese.

Highly active is something you can be when you're at or approaching a healthy weight; the causality is IMO almost backwards from what you've described.

Re:Features of a successful therapeutic fast of 382 days' du... by PretzelFisch on Saturday November 30, 2019 @10:25PM (#21673640)
You can't outrun a bad diet. It's way too easy to overeat in our modern world, even if you're active.
Re:Features of a successful therapeutic fast of 382 days' du... by jniedrauer on Sunday December 01, 2019 @12:47AM (#21674072)
> You can't outrun a bad diet

In spite of jamming as much junk food down my throat as I possibly could, I struggled to maintain weight on the Appalachian trail. You can definitely outrun a bad diet. (Not that it's a healthy way to live either.)

Re:Features of a successful therapeutic fast of 382 days' du... by burlesona on Sunday December 01, 2019 @01:03AM (#21674114)
Not everyone can. Genetic factors and how your body handles insulin determine almost everything about how your body will gain or lose weight and in what conditions.

Gary Taubes book “Why we get fat,” is a great read on this subject.

Re:Features of a successful therapeutic fast of 382 days' du... by Cougher on Sunday December 01, 2019 @05:36AM (#21674846)
I agree that outrunning a diet is something that outliers do, but has Gary Taubes found a way for his foundation to confirm his claims after it refuted them? There's little doubt that genetics and how your body handles insulin have influence, but the variations still don't compare with how many calories you consume versus how much you move, given a healthy diet.
Re:Features of a successful therapeutic fast of 382 days' du... by PretzelFisch on Sunday December 01, 2019 @09:55AM (#21675716)
You can eat a lot of calories and lose weight.

I have lost weight like that before, but can't maintain a 2 hour a day exercise routine.

I imagine you can't stay on the Appalachian trail forever.

So eventually a bad diet will lap us.

Re:Features of a successful therapeutic fast of 382 days' du... by elif on Sunday December 01, 2019 @02:00AM (#21674266)
I had the same problem on the AT.

But, yknow, HYOH

Re:Features of a successful therapeutic fast of 382 days' du... by jdavis703 on Saturday November 30, 2019 @10:56PM (#21673753)
My mom used to regularly fast for "religious" purposes. One day during a week long fast she passed out in the shower. According to the doctor it's because we're not supposed to keep a full schedule while fasting.
Re:Features of a successful therapeutic fast of 382 days' du... by beagle3 on Sunday December 01, 2019 @02:58AM (#21674443)
Was it a wet fast or a dry fast?

> According to the doctor it's because we're not supposed to keep a full schedule while fasting.

That's a standard answer that likely does not draw on his medical knowledge. People pass out even when not fasting (women more so than man, something to do with vagus nerve IIRC), and thousands of people do long wet fasts while keeping a full schedule with no ill effects.

Re:Features of a successful therapeutic fast of 382 days' du... by not_a_moth on Saturday November 30, 2019 @09:54PM (#21673504)
The feeling ill part is a n=1.

As mentioned from fasting you still get major benefits from autophay, sirtuin activation, longevity, low insulin variability.

Some of the top fitness and health practitioners who are big on fasting are very low body fat, incredible shape.

Re:Features of a successful therapeutic fast of 382 days' du... by jniedrauer on Saturday November 30, 2019 @09:57PM (#21673513)
If you are highly active and have a low bodyfat percent, then you are just catabolizing your own muscle by fasting, and you become very injury prone. There's no upside.
Re:Features of a successful therapeutic fast of 382 days' du... by not_a_moth on Saturday November 30, 2019 @10:17PM (#21673608)
You seem out of touch with the scientific literature, and have hand-waved all the real health benefits I've listed.

Leading figures like Peter Attia, Tim Ferriss, Ben Greenfield, David Sinclair, Kevin Rose to name a few, all pro fasting, all in top shape/low body fat.

> and you become very injury prone

No, you become temporarily weaker, and that's only if you're fasting multiple days. It's recommended you work out during fasts... your body remains anabolic to muscle (barring other variables like elevated stress).

Re:Features of a successful therapeutic fast of 382 days' du... by jniedrauer on Saturday November 30, 2019 @10:31PM (#21673666)
With the exception of Ben Greenfield, none of these people seem to have a sports science background. In the realm of athletics, things like intermittent fasting and keto diets are something of a meme. Some people do advocate for training with depleted muscle glycogen first thing in the morning, but there's no consensus that this does anything.
Re:Features of a successful therapeutic fast of 382 days' du... by rpmisms on Sunday December 01, 2019 @01:18PM (#21676884)
Autophagy for me is my muscles eating themselves for energy. Not healthy, and it feels like being beaten.
Re:Features of a successful therapeutic fast of 382 days' du... by tingletech on Saturday November 30, 2019 @11:21PM (#21673834)
I just learned about autophagy (literally self-eating) this week reading about fasting and the Prolon Fast Mimicking Diet. This is why fasting is popular with cancer patients, your body maybe will start eating the cancer cells.

https://greatist.com/live/autophagy-fasting-exercise#definit...

https://prolonfmd.com/fasting-mimicking-diet/

Re:Features of a successful therapeutic fast of 382 days' du... by diminoten on Saturday November 30, 2019 @11:12PM (#21673805)
In no way is fasting healthy for you if you rely on having energy, focus, or any ability to function as an independent adult while fasting for more than a day or so at most.
Re:Features of a successful therapeutic fast of 382 days' du... by JenrHywy on Sunday December 01, 2019 @12:08AM (#21673965)
That's not my experience. I've done a few 72hr fasts, and many 48hrs fasts. In general I find I have more focus, more even mood and more enthusiasm (though less energy for physical activity) while fasting.
Re:Features of a successful therapeutic fast of 382 days' du... by loeg on Sunday December 01, 2019 @07:02PM (#21678710)
If you don't mind sharing, what kind of starting body fat % (or as a poor proxy, BMI), did you have at the beginning of your multiday fasts? I don't care about the literal numbers, but: bottom of healthy range? Mid-healthy range? Above healthy range? Do you exercise regularly (and did you keep it up during the fasts)?

I guess this is always my question of anyone who has a positive experience with fasts. Personally, I have been at the mid-upper range of healthy bf%/weight for years and exercise frequently (running 30+ minutes 7 days a week for a few years, cycling 60+ minutes 2-3 a week this year) and find much shorter fasts (say, 20h) excruciating and completely draining mentally and physically. And I'm not at 7% body fat like that other guy. Lowest I got was maybe 14% while I was running daily; while I'm up to 18%ish now, fasting hasn't gotten any easier.

(Even if I skipped exercising, just the mental effects made my mood significantly worse by the end of the day, which makes it harder to work effectively in a collaborative environment.)

Re:Features of a successful therapeutic fast of 382 days' du... by JenrHywy on Monday December 02, 2019 @10:56PM (#21689793)
I'd say that I'm in a similar position to you, though not as fit. I do a short HIIT session every day and am marginally chubby.

What's your non-fasting diet like? Fasting is the quickest way to get into ketosis. If you're used to eating a carb-heavy diet, the switch into ketosis can be brutal. So if you either ease off carbs leading up to the fast, or just all the time, it'll be easier.

The other thing is electrolytes. Your body doesn't store them, so you (IMO) have to supplement. If you start to feel like crap, have 1tsp of salt in about 1L of water and see if it fixes it. I also supplement with magnesium and occasionally potassium.

Re:Features of a successful therapeutic fast of 382 days' du... by GordonS on Sunday December 01, 2019 @04:59AM (#21674757)
I was going to say something similar.

I've fasted for up to 5 days before, and I felt just fine - especially on days 4 and 5, I actually feel like I have more mental clarity and drive than usual.

Re:Features of a successful therapeutic fast of 382 days' du... by not_a_moth on Sunday December 01, 2019 @12:53AM (#21674086)
You're arguing against evolution. Not only are we deeply wired to function for long periods of time without food, but when you haven't eaten in a while your mind becomes focused and alert since your body thinks it needs to find or hunt food.

I'm sure Dorsey isn't the only high profile/ functioning CEO who does multi day fasts each week.

Re:Features of a successful therapeutic fast of 382 days' du... by Cougher on Sunday December 01, 2019 @06:41AM (#21675011)
Who's arguing against evolution? Humans evolved to use our brains to help us develop ways to prevent having to go without food for extended periods of time.

"Not only are we deeply wired to function for long periods of time without food"

So the body doesn't collapse after x number of hours without fuel. Your body also has the ability to generate its own heat when it's cold. Does that mean that it's desirable or ideal that we deliberately use these abilities? Does it mean that there is no harm or risk in doing so? I'm not saying that there is or isn't; I don't know.

"but when you haven't eaten in a while your mind becomes focused and alert"

This is sort of like the focus that you get when you're being chased by a wild animal or falling out of a tree. I don't know that seeking focus from sources like this is a great idea, but YMMV.

"since your body thinks it needs to find or hunt food."

So maybe your body is telling you that fasting isn't such a good idea?

"I'm sure Dorsey isn't the only high profile/ functioning CEO who does multi day fasts each week."

I don't do multi-day fasts and I've lived for years longer than Dorsey.

Re:Features of a successful therapeutic fast of 382 days' du... by not_a_moth on Sunday December 01, 2019 @10:28AM (#21675887)
I hear your perspective.

The evolutionary angle isn't the reason why I believe fasting is a good idea - it's just a rebuttle to "there's no way you function well while fasting"... of course you can, it was likely the MO for millions of years of modern human evolution (or 100+ M years for mammals). It's as natural to fast as it is to fornicate.

Rather, my reasons for fasting come from the scientific literature, centered around autophagy, insulin control, sirtuin activation, visceral (organ) fat depletion, and troves of clear lab test results of benefits (albeit most on non human mammals).

Based on many comments here I think folks just haven't caught up with the longevity research of the last 3-4 years.

Re:Features of a successful therapeutic fast of 382 days' du... by nverno on Sunday December 01, 2019 @03:00PM (#21677476)
From what I've read, this "evolution" argument doesn't seem to hold much weight. If you take other apes as examples, they tend to eat much more, and more regularly than modern humans. Modern hunter-gatherer tribes do as well. So, I don't think there is reasonable evidence that our ancestors normally followed a feast-and-starve diet.
Re:Features of a successful therapeutic fast of 382 days' du... by diminoten on Sunday December 01, 2019 @03:04AM (#21674465)
What you've written here sounds a lot like the utter pablum that comes from the marketing literature of every fad diet on this planet. Besides, how CEOs behave and what is sane are not overlapping circles if you're trying to draw a Venn diagram relating the two...
Re:Features of a successful therapeutic fast of 382 days' du... by nverno on Sunday December 01, 2019 @02:52PM (#21677443)
Not my experience, having fasted periodically (2-5 day fasts) for years. It's absurd to think everybody reacts the same to fasting given the range of bodyweights/types out there. This article is evidence this is not the case.
[dead]
Re:Features of a successful therapeutic fast of 382 days' du... by loeg on Sunday December 01, 2019 @06:53PM (#21678657)
Your earlier comment came across as a pretty literal blanket statement for me, FWIW.

> In no way is fasting healthy … while fasting for more than a day or so at most.

The italicized portions are both qualifiers that suggest / reinforce something like "literally no one in human history has successfully fasted."

If you meant "On average, low blood sugar will cause lower metal and physical performance," just say it. Sarcasm and hyperbole don't come across clearly on the internet. It's much easier and more considerate to write what you mean the first time, rather than writing a hyperbolic and simplistic statement and then retroactively rationalizing it.

Re:Features of a successful therapeutic fast of 382 days' du... by diminoten on Sunday December 01, 2019 @07:39PM (#21678933)
I did write what I meant; there's simply no way, on average, fasting has zero negative side effects. That's what I wrote. The fact that you or others couldn't navigate your way to that conclusion is on you, not me.

And I did want to come across as sarcastic and condescending because it's frankly insulting to others when you claim such outrageous and wrong nonsense on the internet. You deserve sarcasm and negativity if you bring idiocy to a reasonable conversation.

Re:Features of a successful therapeutic fast of 382 days' du... by dang on Monday December 02, 2019 @01:38AM (#21680329)
We've banned this account for repeatedly breaking the site guidelines and ignoring countless requests to stop. We've cut you an incredible amount of slack, but at some point enough is enough, and this is it.

If you don't want to be banned, you're welcome to email [email protected] and give us reason to believe that you'll really follow the rules in the future.

https://news.ycombinator.com/newsguidelines.html

Re:Features of a successful therapeutic fast of 382 days' du... by loeg on Sunday December 01, 2019 @08:04PM (#21679064)
> it's frankly insulting to others when you claim such outrageous and wrong nonsense on the internet. You deserve sarcasm and negativity if you bring idiocy to a reasonable conversation.

I think you're replying to a different person than you think you are. I'm not nverno nor not_a_moth; I've made no radical claims about fasting. It's insulting to me to … claim such outrageous and wrong nonsense, to put it in your words.

Finally, one suggestion. If you find yourself writing, "You deserve sarcasm and negativity," click the X, take a break, and go for a walk to clear your head. That's just not really appropriate or useful anywhere.

Re:Features of a successful therapeutic fast of 382 days' du... by diminoten on Sunday December 01, 2019 @08:15PM (#21679113)
I'm not you; I don't need the kind of help navigating the Internet that you do, and it's condescending as hell, writing what you're writing. You have zero clue what my mental state is, please don't presume to know how I'm feeling.

And no, I didn't misdirect my comment; you said my comment came across one way, and I replied to that. You are, again, not an objective arbiter of intent, and again, please stop trying to be.