Repair The Body On A 36-Hour Fast - How To Do It Correctly For The Best Benefits | Pradip Jamnadas
Summary
TLDRThe video transcript discusses the practice of fasting for health benefits, outlining a gradual approach from 18-hour to 36-hour fasts and eventually to 3-day water fasts. It emphasizes monitoring blood pressure and blood sugar levels, adjusting medications accordingly, and the importance of ketosis in autophagy and other health benefits. The conversation also addresses the potential for fasting to be misused by those with eating disorders or addictive behaviors, highlighting the need for caution and professional guidance in such cases.
Takeaways
- 🕊️ Fasting protocols are used with patients, varying from 24-hour to 7-day fasts, with the aim of reducing health risks such as cancer.
- 📈 Monitoring vital signs like blood pressure is crucial during fasting, with medication adjustments made based on readings.
- 💊 For patients on blood sugar medications, oral agents are continued during fasting, and insulin dosages are halved during 24-hour fasts.
- 🚫 Insulin is completely stopped for fasts longer than 24 hours to prevent hypoglycemia.
- 📊 A gradual approach to fasting is recommended, starting with 18-hour fasts, then 24-hour fasts, and eventually moving to longer fasts like 36-hour or 3-day water fasts.
- 🥗 The transition to longer fasts includes a 36-hour fast once a week, skipping one main meal and having the next meal the following day.
- 🔍 Ketone testing is used to monitor the onset of ketogenesis, indicating physiological benefits such as autophagy and growth hormone production.
- 🌡️ Longer fasts, such as 36-hour fasts, are used to prepare patients for even longer fasts and to assess their readiness and response.
- 🏔️ 3-day water fasts are used for patients who have reached a weight loss plateau, helping them to continue shedding weight.
- 🚨 There is a potential risk of triggering eating disorders or addictions with fasting, and it's important to approach it with caution and professional guidance.
- 🧘♂️ The discussion highlights the importance of considering both physical and emotional health, as well as the potential for addiction in various aspects of life.
Q & A
What is the significance of monitoring blood pressure during fasting?
-Monitoring blood pressure is crucial during fasting to ensure it does not drop too low, which could be dangerous. Patients are advised to take their blood pressure twice a day and adjust their blood pressure medications accordingly.
How are blood sugar levels managed during fasting periods?
-For patients on oral agents, these medications are continued during fasting periods. Continuous glucose monitoring is used, especially for patients on insulin, to adjust insulin dosages and prevent hypoglycemia.
What is the initial fasting protocol for patients?
-The initial fasting protocol involves an 18-hour fast period, during which patients continue their oral medications and monitor their blood sugar levels closely.
How does the fasting protocol progress from 18-hour fasts to longer fasts?
-After two weeks of 18-hour fasts, patients progress to a 24-hour fast, reducing their insulin dosage by half initially and completely stopping insulin if the fast extends beyond 24 hours.
What is the purpose of a 36-hour fast in the fasting protocol?
-A 36-hour fast is introduced to prepare patients for longer fasts, especially those who are overweight or metabolically deranged. It helps them enter a state of ketogenesis, which is beneficial for autophagy and other physiological processes.
How often should patients undertake a 36-hour fast according to the protocol?
-Patients are advised to undertake a 36-hour fast once a week for two consecutive weeks as part of their fasting regimen.
What is the biochemical advantage of fasting for 36 hours?
-By 36 hours, most patients enter a state of ketogenesis, which is associated with benefits such as autophagy, growth hormone production, and mitophagy.
How does the doctor determine when patients are ready for a 3-day water fast?
-Patients are gradually prepared for a 3-day water fast by first undertaking 18-hour and 24-hour fasts, then 36-hour fasts, and finally progressing to the 3-day water fast if they feel motivated and are doing well.
What is the role of the 3-day water fast in the fasting protocol?
-The 3-day water fast is used to help patients who have reached a weight loss plateau or to provide additional benefits for those who are overweight or metabolically deranged.
How does the doctor address potential issues with addiction to fasting?
-The doctor recognizes that some patients may develop an addiction to fasting and advises them to stop if they are overdoing it. They may also refer patients with eating disorders or other addictions to a psychologist who specializes in addictions.
What is the potential risk of promoting fasting in patients with eating disorders?
-Promoting fasting can be triggering for patients with eating disorders, and it is important to be cautious and considerate of this when advising patients on fasting protocols.
Outlines
🍽️ Fasting Protocols and Medical Monitoring
The script discusses various fasting protocols, starting with 24-hour fasts and extending up to 7-day fasts, and their potential impact on reducing lifetime cancer risk. It emphasizes the importance of medical supervision, including monitoring blood pressure and adjusting medication accordingly. For patients on oral diabetes medications, the script suggests continuing these during fasting periods but halving insulin dosages during 24-hour fasts and stopping insulin completely for longer fasts to avoid hypoglycemia. The gradual introduction of fasting, such as starting with an 18-hour fast and progressing to a 36-hour fast, is recommended to prepare patients for longer fasts. The 36-hour fast involves skipping one meal and having the next meal the following day, which is suggested to induce ketogenesis in most patients.
🚱 Ketosis, Autophagy, and Long-term Fasting
This paragraph delves into the biochemical advantages of fasting, such as ketosis, autophagy, growth hormone production, and mitophagy. It describes the use of ketone test strips to monitor when patients begin to produce ketones, which is a sign of entering a state of ketosis. The script mentions that by the 36-hour mark, most patients are in ketosis, experiencing benefits like autophagy. The gradual approach to fasting is reiterated, with the 3-day water fast being a favorite for its effectiveness in weight loss and overcoming weight loss plateaus. The paragraph also addresses the psychological aspects of fasting, including the potential for addiction and the importance of balance in eating habits.
🧘♂️ Addressing Addiction and Emotional Health in Fasting
The final paragraph addresses the broader implications of fasting, particularly the risk of triggering or exacerbating eating disorders and addictions. It acknowledges the need for caution when recommending fasting to patients and the importance of considering emotional health and mental well-being. The speaker discusses the potential for overdoing fasting and the need for professional guidance for patients with addictive behaviors. The paragraph also touches on the broader issue of addiction in society, including not only to food but also to instant gratification from digital devices, and the importance of addressing these issues holistically.
Mindmap
Keywords
💡Fasting
💡Blood Pressure
💡Blood Sugar
💡Ketogenesis
💡Autophagy
💡Growth Hormone
💡BDNF (Brain-Derived Neurotrophic Factor)
💡Mitophagy
💡Eating Disorders
💡Addiction
💡Keto Flu
Highlights
24-hour fasting and 3-day fasts have been used with patients to reduce lifetime cancer risk.
Blood pressure should be monitored twice daily during fasting to prevent drops.
Blood pressure medications should not be stopped abruptly during fasting.
For blood sugar management, oral agents are continued during fasting, and continuous glucose monitoring is advised.
Insulin dosage is reduced by half during a 24-hour fast and completely stopped for longer fasts to avoid hypoglycemia.
A gradual transition to fasting is recommended, starting with 18-hour fasts and progressing to 24-hour and 36-hour fasts.
Patients are accustomed to one meal a day, and a 36-hour fast involves skipping one meal to extend the fasting window.
The 36-hour fast is beneficial as it usually induces ketogenesis in most patients.
Ketone testing with keto sticks can help patients understand when their body starts ketone production.
The transition to longer fasts, such as a 3-day water fast, is done gradually to avoid 'keto flu' and other adverse effects.
3-day water fasts are used for patients who have reached a weight loss plateau.
Fasting can be triggering for people with eating disorders, and caution should be exercised when recommending fasting regimens.
There is a potential for addiction to fasting, and it's important to balance the benefits with the risks of overdoing it.
Patients with eating disorders or addictions may require additional support from psychologists specializing in addictions.
The modern world's instant gratification culture, including smartphones and processed foods, can contribute to addictive behaviors.
Changing the type of food consumed can help eliminate addictive substances and behaviors.
A balanced approach to fasting and eating is crucial to maintain long-term health benefits without leading to extremes.
Transcripts
I know you have used 24-hour fasting
with patients I know you have used three
day fasts and you have also shared in
previous conversations some very
powerful statistics one in particular I
remember on a 7-Day fast you shared a
statistic a bit of research from Boston
in terms of what that does to your
lifetime cancer risk so maybe you could
talk about some of these longer fasts
and then practically how do people start
going about that yes yes so absolutely
so at all times they are supposed to
take the blood pressures twice a day
make sure that the blood pressure not
going down to because that do not stop
the blood pressure medications right off
the bat so on the blood pressure
medication reduction will be done
depending on your blood pressure
readings as far as blood sugar is
concerned if they are oral agents I'll
continue those oral agents while they're
doing the 18-hour fast periods even the
24-hour fast I'll keep them on it and I
will ask them to monitor the blood sugar
use now continuous glucose monitoring
the the the the little uh devices I only
advise those on on patients who are on
insulin when I'm fasting them because I
want to make sure that their insulins
don't drop off but when a patient is
taking insulin and he does the 24-hour
fasts I drop the insulin levels by half
first I mean insulin dosage by half and
I monitor the blood sugars and then when
they go beyond 24-hour fast I stop
insulin completely completely completely
I stop it completely because I don't
want them to become hypoglycemic so oral
agents I will
continue insulin I will discontinue if
I'm doing more than 24 hours but I
monitor the blood sugars very closely
and then that brings me to a little
longer fast before I go to longer fast I
make them do a 36-hour fast so I'll make
them do that once a
week once a week means that evening
rolls around skip that meal also and
then have yourself a breakfast treat
yourself for the breakfast the next day
and that brings it to 36 hours so I make
them do at least 136 hour fast for maybe
you know two consecutive weeks and then
I'll take them to higher levels can I
just clar can I just clarify that so the
36-hour fast the way you have found it
most beneficial for most of your
patients is what you skip one evening
meal to the next evening meal how when
when does fasting time I know you can do
it any way you want but what have you
found to work can we just clarify that
yeah so the patients already are used to
having only one meal a day okay so then
I'll say skip that one meal and then
have the next meal when you're supposed
to have then that'll bring you to 36
hours so for most patients these days
they're having their evening meals
because it's more social they're having
it with so they'll skip breakfast
they'll skip lunch evening comes down
they're supposed to eat and I tell them
skip it and go and have breakfast the
next day that brings them 36 hours I
guess if they're already used to having
one meal a day then actually skipping
that evening meal it's kind of I don't
know just go to go to bed early as well
you know sort of you know it's yeah I
like that so what stage do you take them
from this two meal a day which is this
uh you know this six-h hour eating
window you know you you do that
initially for the 18 hour fast then you
take them to 24 hours to you with just
one meal a day is that how you do it
that's exactly how I do it and then
they're doing one meal a day 5 days a
week weekends they're going to have two
meals they do that for two weeks and
then I say okay you've been doing this
for two weeks now you've been having
only one meal a day next few weeks one
day a week you're going to go to 36 and
the way you're going to do it is you're
going to skip that one meal also and
then have a breakfast the next day so
that'll bring you to the and I want to
see how you feel and most of them come
back saying I just missed the meal in
the evening I watched the movie and went
to
bed so why am I going from 24 to 36
because I want to get them ready for
longer fast especially if they
tremendously overweight and they're
metabolically deranged what's the
biochemical Advantage between 24 and 36
at by 36 hours almost all of them will
be in some degree of
ketogenesis so it's hard to know who's
going to start spilling ketone at 18
hours 24 hours 30 or 32 hours it's hard
to know that so when I prime
them then I'm finding that there's
longer and longer periods of ketogenesis
that means they go into Ketone
production at 16 hours so long as they
made their dietary changes gradually got
into this the ketogenesis phase starts a
little bit sooner at about 16 hours and
the most motivated patients say that oh
I want to know I said okay if you want
to know then go to the Pharmacy and pick
up some keto sticks and just test your
urine and tell me when you started
spilling the ketones so after 24-hour
fast almost all of them are spilling
ketones and when they spilling ketones I
know what's going on with their
physiology at that point I know that
they're getting the benefits of some
degree of autophagy growth hormone um
bdnf production and mitophagy I know
that's happening because they they're
spilling ketones so spilling ketones so
that's another motivating thing in the
patient who's showing me the interest
and the ones I really want them yes give
them the tool take this home check your
ketones that's what I find so
fascinating so by 36 hours they're
making the ketones so they'll do that
for a couple of weeks where they now
went to 36-hour fasts once a week for
two weeks now at that point depending on
how motivated they feel and how well
they are doing now I'll go to more prol
long fasts and my favorite fast is the
3-day water
fast and most of the I'm telling you
greater than 95% of them when they've
graduated to this point where they've
gradually gone and done all this they're
able to do the 3-day water fast with no
difficulty
whatsoever and if they get cramps then I
tell them okay take a glass of water and
put a pinch of salt in it and just just
down it and you'll feel better but most
of them don't because they've adapt
themselves if you go into a 3-day water
fast too quickly you're going to get
more cramps but more important you're
going to go through what is known as
keto flu and you just feel terrible and
achy and just feel really bad so I do it
gradually but I must make them go to a
3-day water Fest I use it in that case I
also use it in patients who are able to
lose weight but then they reach a
plateau so now they're weighing 230 lbs
and I want them to have more weight loss
so they've been doing this now for a
month and they said look doc I just
can't shed any more weight now I've done
everything you're saying and I'll put
them on a 3-day water fast and lo and
behold they'll start losing weight again
so I use that in patients who've reached
the plateau going to the 3-day water F
thank you for sharing that I think
something I did want to bring up today
um
because I know a lot of people and again
we we're all influenced by the online
world or the patients that we've seen or
the online world that we inhabit
and you know I spoke to David CLA uh
this Harvard Professor who talks about
aging in a very very profound and novel
way
and you know when I put out that episode
with David A lot of people were saying
look asking people to skip meals uh is
very triggering for people with eating
disorders and I know Eating Disorders
are on the rise uh massively all over
the world certainly here in the UK and
and in
America so I think we need to be careful
about that uh I think it's worth me just
flagging that here that potentially this
advice is not for people with eating
disorders that's a sort of separate
issue well I'd welcome your perspective
on that um but also you know is it
possible that we take these things to
extremes I guess there would be some
people we mentioned Anna ly's book
before dopamine nation and um that we
are all we're living in a world of
addicts now and that you know she
mentions that the smartphone is the
modern day hypodermic needle which I
thought was a very provocative way but
but I I actually completely agree with
her of talking about
it there's Health there's physical
biochemical Health but there's also this
kind of emotional health and our mental
well-being do you think as much as you
love fasting do you think some
people they can sort of overdo it and
get so addicted to kind of that feeling
of fasting and actually go to an extreme
which potentially could become
problematic I think you're right it can
happen fortunately I haven't seen it
here with somebody I tell them stop now
stop stop this is enough now you should
be eating two meals a day and you know I
think that the pattern you need to
settle down in is for you I think that
two meals a day in a 6 or 8 Hour window
period may be a nice thing for you to do
chronically to maintain what you've
gained the benefits that you've already
gained um then I have seen any patients
who ignored that and contined to do the
3day water fasts on a on a weekly basis
or whatever or two weekly basis I
haven't seen that but but but you are
absolutely right that there are some
patients who clearly have an eating
disorder and they clearly have a type of
addiction and and they're going up at
night and they they creep downstairs and
they're eating away five bars of
chocolates and all this kinds of stuff
and those patients clearly do need help
and I will not deal with those on my own
I will supervise it but I'll send them
to a psychologist that
specializes in addictions because they
have to really spend time with that
patient about addiction behavior and
it's not just Behavior about the food
there may be other issues that are
actually triggering um because you see
you slide from one addiction to the
other to the other to the other so so
you can't take off this alone on its own
until you also take take care of the
sugar and maybe the the cell phone and
and other digital gadgets that gives you
the instant gratifications and and there
may even be other issues he may be a
gambler for you know or have other type
of deviant Behavior addictions so no
you're absolutely so recognizing those
with the biggest problems and addiction
is a huge problem and it's becoming more
more known now that uh the addiction is
to not only sugar but it's also addicted
to to to process food content process
foods and the content of processed foods
um are very addictive yeah I think
that's why you want to change the the
type of food that you so you're getting
rid of all the addictive substances in
the food The Addictive sugar in the food
and then addictive behaviors in other
aspects of your life as well so so it's
it's really looking at the whole thing
it's it's it's a huge problem it's a
huge problem and yes we are an addicted
nation and that's why it's making it so
easier for us to become addicted to food
later on in life because it starts at a
very young age yeah already getting
addicted to gadgets um and instant
gratification if you enjoyed that clip
here another powerful clip that I think
you are really going to enjoy
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