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shou / shu pu'er is best for fasting, very mild on your stomach |
This topic came up in online discussion recently, one that I've written quite a bit about here. Earlier posts were never really designed as a short introduction and how-to, so to supplement that other discussion I'll write that out here. To be clear I might have only fasted for a total of 60 days or so, so I'm definitely no expert, really only getting started myself.
Before getting into that I think a couple of preliminary factors apply:
1. Why fast?
That discussion was about potential anti-aging benefits, and I guess that is one reason. I've almost entirely reversed my experience of greying hair, probably from this input, over the course of the first year, or maybe less. Of course I didn't take up fasting for that reason. It is claimed to reduce risk of severe illnesses, especially cancer and diabetes, and it was partly about that. But who knows about that, really.
It's also supposed to improve energy level, especially metabolic flexibility, use of internal fat for metabolism. And to improve mental clarity, which I guess could've happened, but it's hard to track. And it's hard to separate causes; I've been exercising more than ever and eating a better diet since I started fasting, about 2 1/2 years ago.
Of course people also fast for weight loss, but that often may not work as well as expected. I think my metabolism may have slowed slightly, related to fasting practices, and I've gained a few pounds in that 2 1/2 years. It could just be muscle mass gain; I am exercising quite a bit, running 20 miles per week most weeks, swimming more than ever, and dabbling in pickleball most recently.
a picture from my running route this week; it's nice here, in Honolulu |
2. Are there risks?
There are risks related to almost everything, including fasting. In general it's accepted as very safe to fast, by fasting practitioners, but it's probably not safe to fast for 3 days or longer without supplementing electrolytes (sodium, potassium, and magnesium). Low levels of those will cause low energy level, headaches, muscle cramps, brain fog, dizziness, and problems sleeping.
How much to supplement, and in what form, is quite complicated. You can't take pills to supplement salts (what those are), because the volume is too high, and any type of tablet form could become stuck to the lining of your stomach and cause a problem. Magnesium might be the exception to that; you only need to supplement about 400 mg a day of that, versus 1 to 2 grams of the other two (with that requirement varying by different factors).
I definitely wouldn't recommend ramping up fasting practices quickly; it would be better to give your body time to adjust to the new experiences. Some degree of hunger experience is normal, of course, and also disrupted energy level and mental focus. After 2 or 3 trials of an extended fast all of that subsides quite a bit, and your mental clarity actually improves, energy level is quite consistent, even high. Later hunger experience takes on a completely different form, much reduced in intensity.
This isn't a comprehensive listing of risks. Specific pre-existing conditions could connect with more serious risks. In case of any concerns consulting a doctor would be best.
General approach
There's not so much to it; you supplement electrolytes, drink plenty of water, and don't eat. Most people will consume coffee, tea, or tisanes (herb teas), and some will drink diet sodas, while others won't. Anything containing next to no calories won't break a fast. Something like adding lemon slices to water might constitute a grey area; there is some calorie input in that, so most people who fast wouldn't do this, but it probably wouldn't change much. Discussion of bone broth as an input comes up; if that contains any calories, as it generally would, that would break the fast. I won't take vitamin C tablets that contain 10 calories, typically, but I suppose in a special case I might make an exception, if my throat felt a little sore, for example.
The concern isn't necessarily the idea of pure fasting, instead that ingesting any calories could trigger hunger response and digestive system activity, even when that's as limited as a cough drop. It's as well to err on the lower side. Some people would continue taking multi-vitamins, and other supplements, and some see it as a good time to take a break from those, as something along the line of a "detox," a concept typically not utilized by most in discussion of fasting, per my experience.
To begin fasting one might do well to employ a staged approach, trying out limited period eating first (within a 4 hour window, for example), then 24 hour fasts, on to two days, and so on. There is no need to try 3 to 4 days on an early attempt. I did, but I'm communicating this to help others learn from my mistakes. Experience of hunger over the first 48 hours is severe, and it doesn't decrease much over the next 2 or 3 days. Your body can adjust to use body fat as an effective energy source, which is very readily available, there just for that purpose, but you need to condition yourself to do so.
How to supplement electrolytes
This is a lot more complicated than it probably first seems. A first inclination is to buy a pre-mixed, flavored, pre-measured packet, like LMNT products. That could work. Even using this approach someone should consult a decent reference about daily requirements in relation to fasting, because the included levels may not be optimized for that.
This Reddit fasting sub wiki could be helpful. I think that recommendation range is a bit high, extending up to 6 grams a day of sodium and 4.7 grams of potassium. My guess is that few people could tolerate anywhere near those amounts. Everyone would need to experiment to see what works best for them anyway, probably starting much lower in the range. Their magnesium recommendation of 300-400 mg per day seems about right, and that may be somewhat universally applicable. The low end of the range they recommend, on the order of a gram a day for both sodium and potassium, might work for a starting point. Note that this would be the weight of the sodium and potassium in the related compounds, not the amount of total salt, including the "chloride" or whatever else.
It's possible to use very common, inexpensive sources for these salts. Sodium can be consumed as table salt, or alternatively from baking soda. Potassium is most typically encountered as potassium chloride, although there must be other forms. Magnesium is more complicated, since many people report experiencing strong laxative effects from some forms. It all requires more consideration and review than I'll try to support here. In theory food-grade versions of epsom salt could supplement magnesium, but that form, magnesium sulfate, may really act as a stronger laxative than other compound versions.
That Reddit sub wiki recommends making up a "snake juice" daily supplementation mix and drinking that, along with extra water intake. That does work, but drinking salt water can seem a bit rough, even diluted forms. I've experimented with variations of that practice, and for me it works best to drink a good bit sort of as meals, 3 to 4 times a day. For sure even sodium and potassium can act as a powerful laxative if you ingest too much too quickly; everyone taking up fasting has that experience at some point. I can't stand the taste of baking soda in such a mix; that kind of factor enters in.
Flavoring that mix might be promising, but many people adjust to tolerating it without that step. There are two schools of thought about stevia and artificial sweetener input, which could relate to this. One take is that it can cause an insulin release response, and the other is that it probably doesn't. I don't drink much for sweetened tisanes or diet sodas but I've not noticed any related effects when I have, any problems of any kind.
Muscle cramps are one clear sign that your electrolyte balance is off, or trouble sleeping could be. I sleep well while fasting, in general, but while exploring electrolyte supplementation I often didn't.
Drinking a lot of water seems crucial. Some people report good results from drinking an awful lot, much more than 2 liters a day, so I suppose it comes down to personal judgment and experimentation.
Limitations of fasting, related practices
You can exercise while fasting; that seems to work. I keep intensity moderate, and have evolved practice to use it as a good time for a break from running, but I do tend to walk a lot while I fast. It keeps my energy level up, and helps me shift over to the experience ketosis faster over the first two days.
In fasting circles discussion the main restriction is on discussing that you are fasting, with anyone, under any circumstances. I don't observe this, but I get it. Some people are put off by it, and in one discussion account their company's HR department required them to stop the fast. It's a judgment call. People do have an aversion to practices that are completely unfamiliar to them, so in general discussing fasting isn't met with acceptance or interest.
I work well while fasting; the busier I stay the easier it is, and my productivity level can be even higher than when I'm not fasting. The extra mental clarity, after you adjust to it, is really something to experience. Flashes of creative insight and productivity can be quite an experience, surpassing what I almost ever go through at other times.
How long someone can or should fast is relatively open, or duration over time. It depends on the purpose. People trying to lose weight describe fasting for up to 3 weeks or so in that fasting group; beyond that many report relatively severe side effects, or some in even less time. Most people there adopt periodic fasting instead, like rotating 3 or 4 day fasting and eating periods (rolling 48s or 72s).
This is just my take, but it would intuitively seem necessary to eat a very nutritionally balanced diet while trying to pull that off, during the days that one eats, including plenty of protein, healthy fats, and micronutrients. Additionally supplementation through multi-vitamins might make a lot of difference. I wouldn't undertake such a practice myself, but then I've not been trying to lose weight.
I fast for 5 days at a time, generally 4 times per year. For someone trying to maximize or optimize the types of inputs I'm going after, improved general health, and experience of autophagy (cellular recycling), that might be sufficient, or alternating 4 day fasts every other month could be a next further step. Maybe someone could obtain most of the same benefits only fasting every 6 months, for that same period, 5 days. To me it helps to not go too long in between fasts to retain the acclimation to the experience.
Other sub-themes
There are so many other related sub-themes one might venture into. Is it dangerous to break a fast by eating a lot of sugar, or too much food? Yes, but not so much for shorter fasts, for a period of a week or less. You definitely should break a fast by eating healthy food though, no junk food, fast food, or high sugar content foods. Even very high fiber it would be best to avoid, resetting your digestive system with easy to process, balanced foods. I often broke fasts by eating a healthy version of a burger and fries, so it doesn't need to be so healthy, or as easy to digest as rice soup. Then I tried it using McDonald's food once, when time was tight, and it took days for my digestive system to recover. I guess I had that coming, for straying so far from common sense.
Drinking bone broth comes up as a topic, both in relation to a question about whether it would break a fast (it would; even minimal calorie input breaks a fast), and related to a potential input to re-start digestion. If someone fasts for two weeks or longer you need to re-feed in a much more careful, controlled way, or it really can be quite dangerous. In such a case using bone broth as a gradual resumption of digestion could work well, according to plenty of discussion input. But this is a topic I have no first-hand experience with, to be clear; I've only ever fasted for five days at a time.
People ask about what can offset hunger when fasting, if drinking water or salt-water might work, or if there are other "hacks." It can't hurt to drink a little water or salt-water, but in general the hunger experience is just part of it, kind of unavoidable. It subsides after 2 or 3 trials, but in those first rounds it's rough. Your stomach might rumble or produce some gas, and thoughts of food don't quiet down. Again I think gradually building up to longer periods--5 days; not multi-week fasts--might help. To me there is no reason why one would need to go further, why fasting for a week or longer would make sense. Autophagy is said to peak at or after 48 hours, so a 5 day break goes plenty beyond that.
Even though I've said that I've not used fasting for weight loss I can pass on speculation about how that might work. I reset my diet to be just a little cleaner and healthier after every fast, and I think an approach like this could work. You could reset, re-start eating, at a slight calorie deficit, switching to 1800-2000 calories per day, if you normally eat more. You might just reset your metabolism to be slower, instead of inducing gradual weight loss, so it might work as an option to try dropping to 1500 calories for a couple of extra weeks. Given that fasting could cause micro-nutrient gaps restarting diet to be much healthier than normal would make sense, especially if the idea is to eat less. If you wake up and eat a few frozen waffles with syrup and then skip eating until dinner your diet will be essentially empty.
One main theme that people lean into in a fasting sub (group) is drawing on support from others to continue a fast, often supported by using an app to track fasting time. I don't do any of that. I wouldn't need a timer counting down hours across a period of five days, because I already know exactly when I started. It wouldn't help me to know that a few internet strangers were also not eating at the same time. But I don't think that my own approach and preferences are necessarily better for any reason.
I'm also not careful about making sure that I fast for the entire 120 hours (5 days); I tend to start a fast after dinner the first day, and eat a normal dinner on the last, so I would really only fast for 4 days and 22 hours, or so. These types of practices and preferences vary by person; I get it why crossing the actual finish line makes a lot of difference for most people, as a personal victory. I would just as soon not re-start eating right before sleeping on that last day, so those kinds of concerns also factor in.
I've not mentioned when I would stop a fast, under what circumstances. If I feel sick I might, unless symptoms are very mild. If something feels off I would stop. I've started to get sick before, the stage prior to the normal symptoms, sore throat and such, and resuming eating a day or two early has seemed to cut short that illness experience to follow.
The only times fasting has seemed to cause atypical health issues seemed to relate to getting electrolyte supplementation wrong, early on. Experience of an irregular heartbeat is especially concerning; when that occurs I would stop the fast. I have experienced plenty of hunger, of course, and energy level fluctuation and limited dizziness is normal. If I feel off drinking a round of tisane (herb tea) seems to correct for that. In some cases I may just be getting behind on hydration, so that it's really the water in the herb tea that's making the difference. Drinking a bit of salt water, supplementing some extra sodium and potassium, will often make a difference. I tend to take magnesium as tablets or capsules, a couple of times a day, so it's easy to keep up with that input.
Conclusions
I don't tend to recommend fasting often because it's just too extreme a practice for most people. Maybe not as much in other cultures with that practice as a component, but most Thais and Americans certainly can't relate to it. Since I don't really recommend it for weight loss, as covered here, it's hard to suggest with certainty that it's great for general health, even though that is my understanding. I think my general mental clarity has improved since fasting, and again I lost the experience of greying hair, which may well connect with other forms of internal systems health that is less obvious.
It's a little harder than I've let on, especially for the first 2 or 3 fasts. Hunger experience is profound. I think someone could avoid most of that by using a staged, progressive approach, as I've described. Now when fasting I can go hours of the day without thinking about food at all. The sharp, intense experience of hunger no longer occurs, and a dull empty feeling is quite diminished. It does add some tension, or light underlying mental stress, that never completely goes away. I find this comparable to the off feeling related to being jet-lagged; something isn't completely normal, for days. Over time being jet-lagged seems normal to you though, and so does fasting experience, to an extent.
Optimum timing would vary by schedule demands, and how someone relates to different phases of the experience. To me the first day is very easy, the second sometimes relates to the most experience of hunger, and on day three adjustment of energy level can occur. Then days 4 and 5 tend to be easier, but mental tension can increase a little. It seemed to work out well to start fasting on a Wednesday, on work-weeks, because that day is the easiest, and weathering Friday was the main concern. Then fasting on off-work days was easy, because I could add a nap to offset energy issues, or make the time go faster, and watch more video content to stay distracted.
I think in the future fasting will become much more accepted, in "the West," but not any time soon. We're just not there yet. Isolated positive accounts will continue to enter into public awareness, but it will probably take years for this kind of experience to become more mainstream. It's trending more lately, and plenty of health-guru types now recommend it, especially more science-oriented examples of that broad type, like Huberman and the like. Even so I think people will take up easier versions of their trend-oriented recommendations first, like trying to get some sun exposure in the morning, or ice baths. It's much easier to exercise than to fast, and a little of that exposure goes a long way for general health.