Wednesday, March 1, 2023

What fasting is like when it doesn't work out

 

Day one:


This is my fourth trial of fasting, moving on to a habit or accepted regular practice.  It made perfect sense to try it out as an experiment, but I could be clearer on what I expect from this.

It's not losing weight; I didn't weigh myself before or after the last five days, less than a month ago, but at a recent health check I'm 1 kg over my normal weight last year, up to 75 (165 pounds).  My blood pressure was up too, so general health isn't looking better, instead worse.  I've been running a lot lately and wonder if I'm not stressing my body a bit much, if recovery isn't a burden for it.  Of course I ran today, on the first day of the fast too, so it's not as if I'm acting on that as a concern.  

The theory behind that was from online discussion input that if you can burn up some available glycogen reserves on the first day that can speed up switching to ketosis, use of stored fat as energy (mostly that, at least; your body can use your own protein based tissue too, muscle, per my very limited understanding).  Supposedly even hunger might seem less an issue.  It is strange how I keep forgetting I'm fasting today, when in the past days 1 through 3 have always been rough.

There are a list of supposed, somewhat mysterious health benefits attributed to fasting (especially autophagy), and maybe it really is all that, the appeal of something wonderful being possible, just not clearly defined.  I'm also curious if the experience keeps changing, if it gets easier and easier, and some degree of benefit emerges with more exposure.  I may be slightly clearer mentally; something like that.  

I've been eating a continually healthier diet since I've started fasting some months ago, but it seems like the "diet reset" function is largely finished, that I'm as "switched over" in terms of clean diet as I'm probably going to get.  Most sugar and processed food is already out, and I eat a bit like those people who go on and on about it on social media, the streams of ultra healthy meal photos, I just don't mention it.


Day 2


Done already; I woke up in the night and couldn't go back to sleep, and felt an odd and disturbing sensation in my chest, and eventually called it.  I woke to drink water, with some extra electrolytes, but then over an hour later it wasn't resolving, so I ate a snack.

Maybe an electrolyte imbalance?  Seems most likely.  I was very careful about measuring out recommended amounts of sodium and potassium, and took a mid-level supplement range of magnesium, in pill form, in a multi-vitamin, and in a dissolving tablet, about 500 mg worth in total, but it still may have been that.

Two variable conditions came into play, which could've worked together.  I ran yesterday, thinking that it might help switch me over to ketosis to clear glycogen stores.  Since it was a short run (2.1 miles) I bumped intensity, to see how that would go, running that as 4 fast half-mile (800-900 meter) sections.  Of course that went badly; I don't train exactly like that, even though adding a fast 800 meter section at the end is normal for me.  Making a change in form might've been a bad idea.  I hadn't eaten for 15 hours or so at that point but I was expecting reserve energy level to hold over from the day before.  It kind of did, just not completely.

That step definitely seemed to help to smooth transition; I wasn't hungry at all yesterday, and an hour could go by without me thinking of being on a fast.  When I did walk by a snack food I'd often not notice, or the inclination to eat seemed muted.

A second variable was going to a health check-up a week or so ago and registering higher blood pressure than I've ever experienced (150 / 85).  I don't know why that happened.  My mother said that high blood pressure runs in our family, that she switched to experiencing it quite suddenly in middle age, in "spells," and there is probably a trigger I'm not clear on causing it.  

I've been increasing running distance, frequency, and intensity over the past 3 weeks, and that breaks a golden rule of running training, exceeding something like 10% weekly increase in any one or set of those.  That alone could be it, that my body is shocked by the change, experiencing higher recovery demands causing stress.  Or I suppose it's easy to see how working with a standard electrolyte supplementation input may not apply at all coupled with increasing running training.  

I checked total weekly running distance while editing this and I covered about 27 miles in a week, 43 km, when my past total never amounted to half that, at the same time I've been dropping pace down to around or under 6 min / km, around 9 1/2 minute miles, across run distances up to 10k.  Stopping eating without stopping running was foolish, even if it was the plan to take a couple days off for the fast.  It was surely too much recovery demand to put on my body even if all the running occurred just prior to the fast, with the last run in the first half day.


I'll move to Hawaii in two weeks so there's a lot that I wanted to get in (running, fasting, and of course packing), and compressing it together is probably not a good idea.  My kids are there now, and have been there, and I spent last Sept. and October there, so it's an odd staged move.  

I've "trained up" to a point where a lot of new running options are open to me, I'll just have to not rush to try too many at once.  I really should start tracking my heart rate, and just eating a good diet may not be enough, I may need to check into a few extra key supplements.  I switched over to running 6+ miles in distance back in Honolulu last year, including hills there, so it's not really sudden, but checking timing and pace recently probably caused me to increase that.


my longer running route there goes around this, Diamondhead



we live in that background shown there, with my heart and soul in the foreground


I want to distill this to what I take to be a lesson, to advice, but to be clear I'm no authority on any of it, and the main thing I would recommend is caution (so don't do what I do).  Fasting seems like it can be quite safe, interesting to experience, and probably healthy, but dialing in electrolyte supplementation, drinking enough water, and eliminating other variables seems helpful.  Going into it with concern over a health condition is probably always going to raise level of doubts, and with or without that activating a significant risk it could be quite uncomfortable.  Stepping up to longer time-frames seems much better, which I didn't do earlier, but then I pulled the plug on my first fasting trial after three days as a result.

Then there is an odd balance theme that comes up, how keeping busy enough to not focus on not eating seems critical, but being over-taxed by physical and mental demands won't work either.  Something like watching a movie can provide enough distraction, or cleaning the house.  I packed for the move yesterday, or started to, and I suppose it's conceivable that embracing the stress of wondering what I'm going to need, and what's going to happen, could've added mental burden.  During fasting would be a fantastic time to get out and experience a bit of nature, which luckily is all around me where I live now, even though I'm in Bangkok.


papaya in the yard; that squirrel just ate another one, long before it was ready



I don't feel bad about this test not working out.  Of course I'm more concerned about my general health; I keep saying that I'm going to moderate running intensity but I'm addicted.  Maybe I'll test how slowly I can run this evening, or taking a day off would make more sense.  [later edit:  of course I ran, and tried to keep it slow, but did drop below that 6 min / km pace on a light 4 mile run, which seems moderate because it's normal now].


More on electrolytes


It sounds like it should be simple to dial this part in, right?  There's an RDA for minerals like potassium and magnesium, and surely some normal range for sodium, and ingesting that should keep you in the clear.  One problem is that people claim you go through more of those in ketosis, and if you end up drinking a lot of water (which is recommended, to support different body function using different internal energy source), and add in exercise, then who knows what the actual suitable input level is.  

Let's take a look at what I'm working around, that Reddit fasting sub reference, cited in high level of detail here to talk around (but there is more to check out; the rest is worth a look):








So potassium deficiency can cause irregular heartbeat and low magnesium levels insomnia; sounds about right.  Fasting is no joke; I get it why people often recommend consulting a doctor before trying it, which of course I didn't do.  Then you would have the problem that if you talked to 10 different doctors you would probably hear a range of advice, from some seeing it as a great idea with low risk and others saying not to do it, with advice in the middle varying.

Checking RDA is pretty easy, since you just need to look at the back of a multivitamin bottle and multiply out the percentage value (in the US; the same approach could give slightly varying results elsewhere, but it would be similar).  Magnesium (on mine) lists 50 mg as 12%, so that's just over 400 mg per day.  Then it's a bit complicated sorting out bio-availability concerns and amount of a compound in a salt form.

I had read through all this, made simpler for taking a 300 mg magnesium supplement capsule that first morning.  As best I could I sorted out using a variation of what they referred to as "Lite Salt," filling a container of water full of the sodium and potassium mixture for a day (the "chloride" version of both; I had tried mixing baking soda as an input before, as they recommended in one place, but it's disgusting).  It should've been fine.  Maybe especially the magnesium input, since I ended up taking around 500 mg, versus that 300 - 400.  Mixing a day's worth in advance like seems best because you can not worry about tracking amounts, and can mix that solution with water or an herb tea as you like.

Adding running is a variable though; it has been cool out, for us, so level of demand seems to be not as much an input as when I'm running in the mid 90s F (mid 30s C), but I should've tried out a slow, easy run.  I was still undergoing muscle recovery from a run the day before too; it's hard to factor that in, but I guess that process may or may not also utilize electrolytes (why wouldn't it?).

Related to taking it easy, or not, I ran another "short" 4 mile / 6 km outing the evening after bailing the night before, and 10k the next day, and as I finish final editing I'm forcing myself to take a day off.


I discussed in a recent post how getting new running shoes is part of wanting to get out more


I think if people had to wait until conditions were perfect to try out fasting, or extend duration of trials, that they never would get to it.  Work is always going to enter in, or exercise, family demands, or other external stresses.  Some degree of moderation must be required though, which of course I didn't factor in.  Naps are perfect for adjusting energy level imbalances, more of an issue in early fasting trials, but that's not a standard practice most people could include, outside of during weekends.  Days 1 through 3 seem the hardest, so starting on a Saturday could include the first two then.

I was awake in the night some last night, not related to fasting, and it's obvious then that if I had been fasting I might see that as a potentially significant side effect, when really it just varies how long it takes to fall back to sleep.  A lot of it is psychological, that if you expect it all to go well and see minor issues as minor then it's not so bad, but with the opposite negative expectations little issues could add up.  I think that I really did screw it all up for not moderating exercise, as described, that it wasn't mostly about expectations this time.


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