Intermittent fasting, or IF, has gained numerous traction for its potential well being advantages as a weight-reduction plan sample. Some IF-ers report extra vitality, weight reduction, and metabolic well being enhancements. (1) However intermittent fasting isn’t for everybody. There are just a few well being concerns you may wish to ponder earlier than you get began.
Some analysis suggests that people with particular well being situations, like those who influence digestion or blood sugar or these in particular life phases, ought to be cautious earlier than starting intermittent fasting. (4) Let’s break down the research-backed concerns that will help you resolve if intermittent fasting is best for you and your way of life.
Medical Situations and Medicines: Who Ought to Keep away from Intermittent Fasting?
Earlier than leaping on the intermittent fasting bandwagon, you need to take into account your private medical historical past and present drugs and as all the time, discuss to your physician. Significantly, these with diabetes, kidney stones, or gastroesophageal reflux illness ought to strategy fasting cautiously and obtain personalised recommendation earlier than starting to quick. (4)(5)
Plus, should you’re on drugs for coronary heart illness, blood sugar, hypertension, or medication that require meals for correct absorption, intermittent fasting might have an effect on their perform or have unfavorable unwanted effects. (6) And anybody with a historical past of an consuming dysfunction ought to keep away from intermittent fasting, as a result of any kind of weight-reduction plan plan can set off unhealthy patterns associated to meals restriction and binge consuming. (7)
Well being Situations That May Make Intermittent Fasting a Unhealthy Concept
In the event you’re taking drugs for any well being situation, together with coronary heart illness, diabetes, hypertension, or medication like insulin and blood thinners might require common meals consumption for correct absorption, intermittent fasting is probably not best for you. (6)
Listed here are different well being situations which may make intermittent fasting the fallacious strategy for you:
- Diabetes: Fasting impacts blood sugar ranges, resulting in harmful drops or unpredictable spikes. (4)
- Kidney Stones: Fasting might enhance the chance of stone formation by affecting hydration standing and dietary consumption.(5)
- Underweight People: Fasting can result in additional weight reduction, so it ought to be achieved below medical supervision and with common healthcare examine ins. (8)
- Historical past of Consuming Problems: Fasting might result in unhealthy consuming patterns, making it unsafe for these with previous or current consuming problems. (7)
The Influence of Intermittent Fasting on Metabolism
One of the vital extensively mentioned advantages of intermittent fasting is its influence on metabolism. Analysis means that fasting kick-starts fat-burning by means of a course of referred to as ketosis. That’s when the physique burns fats for vitality within the absence of carbohydrates. (1)
Moreover, intermittent fasting might enhance insulin sensitivity, doubtlessly decreasing the chance of creating kind 2 diabetes by decreasing blood sugar ranges and selling higher glucose management. (9)
Nevertheless, some noteworthy analysis factors out that when head-to-head with different forms of calorie managed diets, fasting wasn’t related to any extra vital weight reduction than different forms of calorie-restricted weight-reduction plan plans. (10)
Because of this should you aren’t a very good candidate for fasting, any kind of weight-reduction plan that resonates with you’ll be able to nonetheless work that will help you obtain your weight reduction objectives.
One other metabolic profit is autophagy, a technique of mobile restore and regeneration that occurs with any kind of calorie restriction. (11) This course of has been linked to longevity and will shield in opposition to age-related illnesses by clearing out broken cells. (11)

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Hormonal Results: Why Fasting Might Be Completely different for Girls
Girls’s our bodies are extremely delicate to modifications in calorie consumption, which is why intermittent fasting can have an effect on feminine hormones like estrogen and progesterone. (12)
Research present that extended fasting is perhaps disruptive to girls’s reproductive hormone stability, doubtlessly resulting in irregular menstrual cycles and ugly signs. (12) Importantly, girls attempting to conceive might wish to keep away from lengthy fasting home windows, as caloric restriction can negatively have an effect on fertility. (12)
For girls who’re pregnant or breastfeeding, fasting can result in nutrient deficiencies and inadequate calorie consumption, which can influence the well being of each mom and child. (13) If you’re a girl on this stage of life, seek the advice of your healthcare crew earlier than you try intermittent fasting.
Even outdoors of being pregnant, girls with hormonal imbalances corresponding to polycystic ovary syndrome (PCOS) ought to be cautious with fasting. It could exacerbate signs. (13)
Finally, some analysis suggests that girls might profit from shorter fasting home windows, like 12 to 14 hours as an alternative of a extra restrictive 16 hours schedule. (14)
In regards to the Consultants:
Caroline Thomason is a is a dietitian and diabetes educator combining her love of diet with the facility of constructing higher well being straightforward to know. With 12 years within the trade, she’s printed in 40+ publications, a CPG marketing consultant and advisor, a speaker, broadcast spokesperson, and recipe developer.
Joanna Gregg, RD is a is a meals knowledge curator at MyFitnessPal. She earned her bachelor’s diploma in Vitamin from Georgia State College and obtained her Grasp’s diploma from The College of Nebraska.
Cortisol and Stress: The Science of Fasting and Stress Response
Intermittent fasting may have an effect on your cortisol ranges, a hormone answerable for managing your stress response within the physique. (15)
Lengthy fasting durations can enhance cortisol manufacturing, particularly should you’re already pressured or sleep-deprived. (15) Elevated cortisol ranges appear to be related to a rise in weight, notably within the belly space, which can counteract the load loss advantages related to fasting. (16)
Much more so, excessive cortisol ranges may trigger you to emphasize eat as soon as your fasting window ends, making a cycle of overeating adopted by restrictive fasting. (17) That is one type of disordered consuming, and if you end up falling into this sample, fasting is probably not a very good match for you. (17)
General, should you’re vulnerable to stress or have problem managing stress-related cravings, intermittent fasting is probably not the most effective strategy.
Blood Sugar Sensitivity: Who Ought to Be Cautious?
If in case you have blood sugar issues, corresponding to diabetes or hypoglycemia, you have to be notably cautious with intermittent fasting. (4) Whereas fasting may enhance your insulin sensitivity, it may be dangerous for these with diabetes, as a result of extended fasting can result in dangerously low blood sugar ranges. (9)
Particularly should you take insulin or different drugs that have an effect on blood glucose, fasting might enhance your threat of hypoglycemia, which might trigger critical signs like dizziness, mind fog, confusion, or fainting. (18)
Even for these with out diabetes, lengthy fasting durations could cause blood sugar dips, resulting in irritability or common emotions of fatigue. (19) If in case you have a blood sugar-related situation, take into account shorter fasting home windows or communicate with a healthcare skilled to seek out the most secure strategy for you.
The Backside Line: Is Intermittent Fasting Proper for You?
Whereas intermittent fasting has turn out to be common for its potential advantages on metabolic well being, it’s not proper for everybody. Earlier than you bounce in, take into account how fasting may have an effect on your hormones, metabolism, stress ranges, and blood sugar regulation.
With any new weight-reduction plan, seek the advice of a healthcare supplier like a dietitian or your physician. If fasting isn’t the suitable match for you, there are countless choices in your diet plan that will help you attain your objectives as an alternative.
And should you resolve to attempt it, you’ll want to take a look at the Intermittent Fasting Tracker contained in the MyFitnessPal app.
Regularly Requested Questions
Does intermittent fasting trigger or worsen gastroesophageal reflux illness (GERD)?
The analysis on intermittent fasting is blended. There’s some restricted knowledge that reveals GERD signs is perhaps improved with fasting. (20)
What ought to my first meal be when intermittent fasting?
When breaking your quick throughout intermittent fasting, it’s vital to decide on a balanced meal that gives important vitamins. Meals based mostly on entire meals that present lean protein, complicated carbohydrates, and wholesome fat are a very good guess.
What can I drink within the morning whereas intermittent fasting?
If you wish to keep away from breaking your quick stick with calorie free drinks like water, black espresso, or tea.
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