Important Intermittent Fasting Message

Dr Brad Stanfield
15 Sept 202405:09

Summary

TLDRThe video discusses the complexities of intermittent fasting, particularly time-restricted feeding, and addresses common confusion surrounding it. The speaker explains that its benefits for weight loss and blood sugar control stem from reduced calorie intake, rather than any special metabolic effect like autophagy. Key takeaways include the importance of consuming enough protein, especially for those practicing resistance training, and the potential sleep benefits of an early, light dinner. Multi-day fasts, however, are discouraged due to muscle loss and lack of strong human evidence supporting their long-term benefits.

Takeaways

  • 😀 Time-restricted feeding can help people who are overweight or have type 2 diabetes by reducing calorie intake, leading to weight loss and improved blood sugar levels.
  • 🕐 The primary benefit of time-restricted feeding comes from eating fewer calories, not from any special metabolic process.
  • 🧬 Autophagy, observed in mice during fasting, does not provide the same benefits in humans based on current studies.
  • 📊 Studies show no significant difference in weight loss or blood sugar levels when comparing groups that eat within a time-restricted window versus those eating normally, as long as calorie intake is the same.
  • 🍽️ Time-restricted feeding may improve sleep quality by encouraging early, light dinners that allow the body to focus on repair rather than digestion overnight.
  • 💪 One potential downside of time-restricted feeding is difficulty in consuming enough protein, especially when skipping meals like breakfast.
  • 🥤 A low-calorie protein shake can help people practicing time-restricted feeding to meet protein needs without breaking the fast.
  • ⏰ The only additional benefit from time-restricted feeding beyond calorie reduction is improved sleep, with no other significant advantages observed in humans.
  • ❌ Multi-day fasts are not recommended due to the risk of muscle loss and lack of strong evidence supporting long-term benefits in humans.
  • 💥 Muscle loss during prolonged fasts can lead to strength reduction, outweighing potential fasting benefits.

Q & A

  • What is the main benefit of time-restricted feeding (TRF) according to the speaker?

    -The main benefit of time-restricted feeding is that it helps people eat fewer calories, which can be beneficial for weight loss and lowering blood sugar levels, especially for those who are overweight or have type 2 diabetes.

  • What common misconception about autophagy does the speaker clarify?

    -The speaker clarifies that while autophagy occurs in mice during fasting, studies in humans show no significant difference in weight loss or blood sugar levels between those who eat within a restricted time window and those who eat throughout the day, as long as calorie intake is the same.

  • Does time-restricted feeding offer any additional health benefits beyond calorie reduction?

    -Yes, the speaker mentions that one extra benefit of time-restricted feeding is improved sleep quality, especially when having an early light dinner, allowing the body to focus on repair rather than digestion.

  • What is the primary factor that determines the benefits of time-restricted feeding?

    -The primary factor is the reduction in calorie intake. Time-restricted feeding helps people eat less, but there is no other 'magical' mechanism contributing to weight loss or improved blood sugar levels.

  • How does time-restricted feeding impact sleep according to the speaker?

    -Time-restricted feeding, particularly when followed by an early light dinner, can improve sleep quality. This is because the body shifts its focus to repair processes rather than digestion, leading to a lower overnight heart rate and better rest.

  • Why is protein intake important during time-restricted feeding?

    -Protein intake is important to support muscle building, especially when combined with resistance exercise. Time-restricted feeding can make it harder to consume enough protein, particularly if meals are skipped, such as breakfast.

  • What strategy does the speaker suggest to maintain protein intake during time-restricted feeding?

    -The speaker suggests consuming a low-calorie protein shake in the morning as a way to maintain protein intake without worrying about breaking the fast. This helps ensure adequate protein intake despite restricted eating windows.

  • What is the speaker's opinion on multi-day fasts?

    -The speaker does not recommend multi-day fasts due to the lack of strong evidence for long-term benefits in humans and the potential for muscle loss, which can weaken the body over time.

  • Why does the speaker caution against muscle loss during prolonged fasting?

    -The speaker warns that during prolonged fasting, muscle breakdown occurs without adequate rebuilding, leading to a net muscle loss. This can result in weakness and a loss of strength, as experienced personally by the speaker.

  • What is the key takeaway regarding time-restricted feeding for healthy individuals?

    -For healthy individuals who don't need to control calorie intake, the key benefit of time-restricted feeding is improved sleep when having an early light dinner. Other significant health benefits have not been observed based on current evidence.

Outlines

00:00

🤔 Understanding Intermittent Fasting and Its Benefits

The speaker introduces the confusion that often arises when discussing intermittent fasting on their channel, especially regarding time-restricted feeding (TRF). The speaker emphasizes the importance of clarifying this topic, as getting it wrong can have long-term health consequences. They share insights from their work with patients, explaining how TRF can be helpful for people with obesity or type 2 diabetes, mainly because it reduces calorie intake, which lowers blood sugar and insulin levels. The speaker highlights that the key to TRF’s success lies in consuming fewer calories rather than any special metabolic effect.

05:02

🔍 Autophagy and Calorie Intake: Debunking the Myths

The speaker explains autophagy, a process where the body clears out damaged cells, which has been observed in mice during fasting. However, studies in humans show that TRF's benefits mainly come from eating fewer calories rather than autophagy. The speaker references a study comparing two groups—one eating in a 10-hour window, the other eating after 5 p.m.—where both groups saw no differences in weight loss or blood sugar when calorie intake was controlled. The speaker's key takeaway is that TRF’s benefits are due to calorie reduction, not any 'magical' effects of fasting.

🌙 TRF and Sleep Quality: An Extra Perk

An additional benefit of TRF discussed is improved sleep quality when an early light dinner is consumed. This is because the body can focus on repair rather than digestion, leading to better rest. The speaker encourages viewers to try a fun experiment with a smartwatch, noting that late dinners result in a higher overnight heart rate, while early light dinners improve sleep and energy levels. This benefit, however, applies mostly to those who are already at a healthy weight and are not trying to reduce calorie intake.

💪 Protein Intake and Time-Restricted Feeding

A second point of confusion is protein intake during TRF. The speaker stresses that to support muscle building and maximize the benefits of resistance exercise, people need to consume about 1.6g of protein per kilogram of lean body weight daily. However, when people skip meals, especially breakfast, they may struggle to meet their protein needs. The speaker offers a solution—having a low-calorie protein shake in the morning, even during fasting, since it doesn’t break the fast and helps ensure sufficient protein intake.

🔄 Summing Up: Key Points About TRF

To eliminate confusion, the speaker summarizes key points: TRF helps people who are overweight or diabetic by reducing calorie intake, which leads to weight loss and lower blood sugar. The only additional benefit from TRF is improved sleep from eating an early light dinner. The speaker emphasizes that autophagy in humans during fasting hasn't been proven to work as it does in mice. Lastly, those practicing TRF should ensure adequate protein intake, especially if involved in resistance exercise, to avoid losing out on muscle gains.

⛔ Why Multi-Day Fasts Aren't Recommended

The speaker advises against multi-day fasts for two main reasons: there’s limited human evidence supporting their long-term benefits, and they cause muscle loss. Every day of fasting leads to muscle breakdown, and without sufficient rebuilding, people experience a net loss of muscle and strength. The speaker shares their personal experience with prolonged fasting, stating that it led to muscle loss, weakness, and required weeks of hard work to recover. The speaker concludes that the negative impact on muscle outweighs any potential benefits from extended fasting.

🙏 A Thank You to the Patreons

The speaker expresses gratitude to the Patreons who support the channel, acknowledging their contribution in helping the content reach more people.

Mindmap

Keywords

💡Intermittent Fasting

Intermittent fasting refers to an eating pattern where people cycle between periods of eating and fasting. In the video, the focus is on time-restricted feeding, a form of intermittent fasting where meals are eaten within a specific time window. It’s highlighted as beneficial for weight loss and managing type 2 diabetes due to reduced calorie intake, not because of magical processes.

💡Time-Restricted Feeding

Time-restricted feeding is a specific type of intermittent fasting where all daily food intake occurs within a limited window of time, such as 8 or 10 hours. The video explains that its benefits come from helping people eat fewer calories, which leads to lower blood sugar and weight loss. There's no special metabolic effect beyond calorie reduction.

💡Calorie Intake

Calorie intake is the amount of energy consumed through food and drink. The script emphasizes that the benefits of time-restricted feeding come from reduced calorie intake, not from the timing of meals itself. Even in studies comparing different eating windows, results show that if calorie intake is the same, there is no significant difference in weight loss or health markers.

💡Autophagy

Autophagy is the process by which cells remove damaged components and recycle them. The video mentions that while autophagy has been observed in mice during fasting, there is no conclusive evidence that it occurs the same way in humans during time-restricted feeding. This is brought up to dispel the myth that time-restricted feeding offers unique cellular benefits beyond calorie reduction.

💡Blood Sugar Levels

Blood sugar levels refer to the amount of glucose in the bloodstream. The video notes that time-restricted feeding can help lower blood sugar, particularly in people with type 2 diabetes, but this effect is largely due to eating fewer calories, not the timing of the meals. Studies show that when calories are controlled, there is no difference in blood sugar levels between different eating patterns.

💡Sleep Quality

Sleep quality refers to how well a person sleeps, including factors like sleep duration and restfulness. The video highlights that one significant benefit of time-restricted feeding is improved sleep when eating an early light dinner. This allows the body to focus on repair rather than digestion, leading to better rest and lower heart rates during the night.

💡Protein Intake

Protein intake refers to the amount of protein consumed in the diet. The video stresses the importance of maintaining adequate protein intake, especially for those practicing time-restricted feeding. Skipping meals can make it harder to meet protein needs, which are crucial for muscle repair and growth, especially for people engaging in resistance exercise.

💡Muscle Loss

Muscle loss refers to the reduction of muscle mass, which can occur if the body breaks down more muscle than it builds. The video warns against multi-day fasts because they can lead to muscle loss, as the body isn’t getting enough nutrients to repair and rebuild muscle. This is presented as a significant downside to prolonged fasting.

💡Type 2 Diabetes

Type 2 diabetes is a chronic condition characterized by insulin resistance and high blood sugar levels. The video discusses how time-restricted feeding can be beneficial for people with type 2 diabetes by helping them reduce their calorie intake, leading to lower blood sugar and insulin levels. However, the effect is due to eating fewer calories rather than the timing of meals.

💡Multi-Day Fasting

Multi-day fasting involves going without food for several consecutive days. The video advises against this practice because there’s no strong evidence of long-term benefits, and it can cause muscle loss. The speaker shares a personal experience of losing muscle mass during multi-day fasts, which took significant effort to rebuild.

Highlights

Intermittent fasting often causes confusion, and it's important to simplify explanations for better understanding.

Time-restricted feeding (TRF) can help those with type 2 diabetes or those who are overweight by reducing calorie intake.

TRF helps lower blood sugar and insulin levels by promoting eating within a specific time window.

The main benefit of TRF is calorie reduction, and there’s no extra 'magic' behind its effectiveness.

Autophagy, where the body clears damaged cells, is observed in mice but hasn’t been conclusively proven in humans with fasting.

Human studies show no significant difference in weight loss or blood sugar control between people who eat within a small window and those who eat freely but with the same calorie intake.

The true benefit of time-restricted eating is due to lower calorie consumption, not the time window itself.

Early, light dinners can improve sleep quality by allowing the body to focus on repair rather than digestion.

A smartwatch experiment can demonstrate how late dinners affect heart rate and sleep quality.

TRF might not provide additional health benefits for those already maintaining a healthy weight, except for improved sleep.

Protein intake is crucial for muscle building, and skipping meals during TRF can reduce overall protein intake.

To maintain muscle while fasting, low-calorie protein shakes can be consumed even during fasting periods.

Multi-day fasting is not recommended due to muscle loss and the lack of strong human evidence supporting long-term benefits.

Prolonged fasting can lead to muscle breakdown, weakening the body over time.

The speaker shares personal experience of muscle loss from prolonged fasting, outweighing any potential health benefits.

Transcripts

play00:00

whenever I discuss intimate and fasting

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on my channel confusion erupts in the

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comments section and that's on me I try

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and add Nuance to this complex topic and

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it's my job to make sure that the

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explanations are easy to follow and we

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have to get this right because if we

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don't it can take years off our lifespan

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so let's break down the approach that I

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take with my patients at the clinic

play00:19

regarding intermittent fasting so

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time-restricted feeding or eating within

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a small part of the day can be really

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helpful it works well for people who are

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overweight or have type 2 diabetes

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because it helps them to eat less which

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lowers their blood sugar levels and

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insulin levels I recommend the strategy

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to some of my patients at the clinic and

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work alongside the dietitian to achieve

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great results for our patients and I've

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seen it work wonders some people lose a

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ton of weight and we can stop their

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blood pressure or insulin medications

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it's awesome to see the results but

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there are two crucial points that cause

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a lot of confusion let me explain them

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so that they're super easy to understand

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the first thing is that the benefits

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from time-restricted feeding come from

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eating fewer calories there's nothing

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else magical happening you might have

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heard of something called autophagy

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that's a fancy word for where your body

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clears out old damaged cells in mice

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when they fast for 16 hours their bodies

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clear out these old cells and they have

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less inflammation less cancer risk and

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live longer even beyond what happens by

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just eating less scientists hoped that

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the same would happen in humans but when

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we look at the studies on humans we find

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that if one group eats whenever they

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want and the other group eats what

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within a small window in the day but

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they both eat the same amount of

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calories that's the important Point

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there's no difference in weight loss or

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blood sugar it's all about calorie

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intake it's the same for fatty liver

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there's no benefit from time-restricted

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feeding Beyond just eating less in fact

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in a recent study that had one group eat

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within a 10-hour window and ate 80% of

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their food before 1: p.m. the other

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group ate normally but had over half of

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their food after 5:00 p.m. both groups

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ate the same amount of calories but

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overall there were no differences in

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weight loss or blood sugar levels

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between the two groups suggesting that

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any effect on time-restricted feeding is

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due to reductions in calorie intake so

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here is the take-home message any

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benefits from time-restricted feeding

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are because we're eating fewer calories

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there's no extra magic happening but

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there is one key extra benefit better

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sleep if we eat an early late dinner and

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stop eating our body focuses on repair

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instead of digestion which improves

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Sleep Quality it's actually quite a fun

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experiment you can try if you've got a

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smartwatch you can check your heart rate

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overnight you'll see if you have a big

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late dinner your heart rate stays higher

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overnight but if you have an early light

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dinner your heart rate will be lower and

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most people will wake up feeling way

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more energized overall for people who

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are already a healthy weight and don't

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need help controlling their calorie

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intake having an early light dinner is

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great for sleep but beyond that based on

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the evidence we have today there are no

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other big advantages to time-restricted

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feeding the second point of confusion is

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is protein to maximize the benefits of

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resistance exercise and to support

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muscle building we want about 1.6 g of

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protein intake per kilogram of lean body

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weight per day but when people skip

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meals it's harder to get enough protein

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most people who practice time-restricted

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feeding they skip breakfast and only eat

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in the afternoon and evening sure that

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helps them eat fewer calories but not so

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great for protein intake one way around

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this is to have a low calorie protein

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shake in the morning even if we're

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fasting because we don't have to worry

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about breaking the fast we know it's not

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the fasting itself that gives us the

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benefits it's the fact that we're eating

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fewer calories and before we go any

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further let me sum up everything so that

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there's no confusion time-restricted

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feeding is a great way to help people

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who are overweight or have type 2

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diabetes to eat less which helps them

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lose weight and lower blood sugar the

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only extra benefit is better sleep if we

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have an early light dinner because the

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body can focus on repair rather than

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digestion and from all of the studies we

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have time-restricted feeding doesn't

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activate autophagy in humans the way it

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does in mice and the final point is that

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if we do choose to do time-restricted

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feeding we need to make sure that we're

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still having enough protein to maximize

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the benefits of resistance exercise

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regarding multi-day fasts these are not

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recommended because of two reasons

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there's no good human evidence that it's

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beneficial in the long term it just

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hasn't been studied enough and

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randomized clinical trials but the

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second and more important reason is

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muscle loss so every day we break down

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muscle and if we don't rebuild that lost

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muscle we're in a net loss and we lose

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strength so when I tried these longer

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multi-day fasts I lost a lot of muscle

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mass quickly and it took me weeks of

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hard work to rebuild it over that year I

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felt weaker and weaker any potential

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benefits I was receiving from these

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prolonged fasts they were vastly

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outweighed by the negative impact on my

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muscle stores let me know in the

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comments if anything wasn't clear and

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I'll try and make sure to clear up any

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confusion and speaking of muscle mess

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make sure to check out this next video

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here that explains stepbystep how to

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build muscle faster than 99% of people

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and a massive thank you to all of the

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patreons supporting the channel

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Related Tags
Intermittent FastingCalorie IntakeSleep ImprovementWeight LossType 2 DiabetesProtein IntakeMuscle BuildingAutophagyTime-Restricted EatingHealthy Living