Effects of Fasting & Time Restricted Eating on Fat Loss & Health

Episode 41 Oct 11, 2021 Episode Page ↗
Overview

This episode with Andrew Huberman, Professor of Neurobiology and Ophthalmology at Stanford School of Medicine, delves into the science and practice of time-restricted feeding (intermittent fasting). It covers how eating schedules impact weight, fat loss, muscle, organ health, cognition, and lifespan, emphasizing that *when* you eat is as crucial as *what* you eat.

At a Glance
23 Insights
2h 22m Duration
29 Topics
8 Concepts

Deep Dive Analysis

Introduction to Fasting and Time-Restricted Feeding

Blood Glucose as a Predictor of Mortality: Mice vs. Humans

Understanding Fed and Fasted States

Landmark Study: Time-Restricted Feeding Prevents Metabolic Disease

The Origin of the Eight-Hour Feeding Window

Importance of Eating During Active Phase and Avoiding Late-Night Meals

Impact of Time-Restricted Feeding on Liver Health and Circadian Genes

Foundational Rules for Time-Restricted Feeding

Optimal Timing and Duration of the Eating Window

Food Volume and Type Influence Transition to Fasted State

Shorter Feeding Windows (4-6 hours) and One Meal Per Day

Protein Intake Timing for Muscle Maintenance and Growth

Strategies for Shifting Your Eating Window

Consistency of Eating Window and Jet Lag Effect

Accelerating Transition to Fasted State: Glucose Clearing

Cellular Pathways: Growth (mTOR) vs. Repair (AMPK, Sirtuins)

Fasting Effects on Gut Health and Microbiome

Time-Restricted Feeding and Non-Alcoholic Fatty Liver Disease

Impact of Fasting on Hormones: Testosterone and Cortisol

Fasting, Fertility, and Individual Differences

Eight-Hour Feeding Window for Weight Loss Without Calorie Counting

Adherence and Mental Focus in Time-Restricted Feeding

Enhancing Fat Loss: Hepatic Lipase and CIDEC

What Does and Does Not Break a Fast: Context is Key

Artificial Sweeteners and Plant-Based Sweeteners During Fast

Cinnamon, Acidity, and Salt for Glucose Management and Fasting Support

Zero-Cost Resources: My Circadian Clock and Zero App

Common Questions: Toothpaste, Wine, Sauna and Blood Glucose

Summary of the Ideal Fasting Protocol

Time-Restricted Feeding (TRF)

TRF, also known as intermittent fasting, involves limiting food intake to specific portions of each 24-hour cycle. It's a strategy that leverages the body's natural fasted state during sleep and extends it to achieve various health benefits beyond just calorie restriction.

Fed State vs. Fasted State

The 'fed state' is when blood glucose and insulin levels are elevated due to recent food intake, promoting cellular growth. The 'fasted state' is when blood glucose and insulin are low, promoting cellular repair, clearance of debris (autophagy), and fat utilization.

Circadian Clock Genes

These are genes (like PER, BMAL, CRY1) that regulate 80% of the body's genes on a 24-hour schedule. When eating occurs at appropriate times, these genes become regularly entrained, leading to positive health effects; conversely, eating at irregular times disrupts them.

Glucose Clearing

This refers to the process of reducing blood glucose levels, accelerating the transition from a fed to a fasted state. It can be achieved through light movement, exercise, or certain compounds, allowing the body to access the benefits of fasting more quickly after a meal.

mTOR Pathway

Mammalian Target of Rapamycin (mTOR) is a protein pathway active in cells during growth, both healthy and unhealthy (like cancers). Eating activates mTOR, biasing the system towards cellular growth, while fasting reduces its activity, shifting towards repair.

AMPK and Sirtuins

AMPK and sirtuins are cellular pathways activated during fasted states or low blood glucose. They are associated with cell repair, breakdown, and clearance (autophagy), contrasting with the growth-promoting mTOR pathway.

Non-Alcoholic Fatty Liver Disease (NAFLD)

A growing health concern characterized by fatty deposits in the liver, previously rare outside of alcoholics. Time-restricted feeding appears to be beneficial in preventing or potentially reversing NAFLD by enhancing liver health and increasing brown fat stores.

Hepatic Lipase (LIPC) & CIDEC

Hepatic lipase (LIPC) is an enzyme that metabolizes fat for energy, while CIDEC is a lipid droplet-associated molecule that inhibits lipolysis (fat breakdown). Long-term time-restricted feeding increases LIPC and reduces CIDEC, promoting fat loss during caloric deficit.

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What is the primary predictor of mortality related to blood glucose in humans?

In humans, higher resting blood glucose levels are associated with increased mortality, a finding that is the opposite of what is observed in mice.

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Does the type of diet matter for weight loss?

If the main goal is simply to lose weight, the specific type of food consumed (e.g., low-fat vs. low-carb) matters less than consuming fewer calories than are burned, provided adherence is maintained.

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How does eating late at night affect health?

Eating during the nocturnal phase of the 24-hour cycle is very detrimental to health, disrupting circadian rhythms and increasing inflammatory markers, which negatively impacts liver health and other metabolic functions.

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When is the ideal time to place an eating window for maximum health benefits?

Ideally, the eating window should be placed in the middle of the day (e.g., 10 AM to 6 PM) to extend the fast around sleep on both sides, maximizing cellular repair processes and circadian gene coordination.

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How long does it take for the body to transition from a fed state to a fasted state after eating?

After eating a meal, it takes approximately five to six hours for the body to clear the food from the gut and complete digestion processes, meaning one is not truly in a fasted state immediately after the last bite.

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Do shorter feeding windows (e.g., 4-6 hours) lead to better weight loss?

Relatively short feeding windows of four to six hours, while producing positive health effects like increased insulin sensitivity, often lead to no change or even increases in body weight, likely due to overeating within that condensed window.

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Does the timing of protein intake matter for muscle growth?

Yes, ingesting protein early in the day appears to be beneficial for muscle tissue maintenance and growth (hypertrophy) due to the expression of a clock gene called BMAL, which regulates protein synthesis pathways in muscle cells.

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How does the consistency of the eating window impact health?

Maintaining a regular placement of the eating window every 24 hours is crucial, as allowing it to drift (e.g., on weekends) can disrupt circadian clock mechanisms and offset many positive health effects of time-restricted feeding, similar to jet lag.

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What are some ways to accelerate the transition from a fed to a fasted state?

Taking a 20-30 minute light walk after a meal can increase gastric emptying time, and engaging in high-intensity interval training in the afternoon or evening can lower blood glucose, both speeding up the transition to a fasted state.

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How does time-restricted feeding affect hormones like testosterone and cortisol?

Time-restricted feeding can lead to significant decreases in free testosterone but also significant reductions in serum cortisol (the stress hormone), suggesting a complex interplay where lower cortisol might offset some of the testosterone reduction.

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What generally breaks a fast?

Anything that significantly raises blood glucose and insulin levels will break a fast; this is highly contextual, depending on when you last ate, what you ate, and your activity level. Simple sugars are most likely to break a fast, even in small amounts.

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Can artificial sweeteners or plant-based sweeteners break a fast?

The data are mixed and vary by individual and type, but in moderation, plant-based non-sugar sweeteners like stevia seem to have minimal impact on blood glucose. However, some people may experience increased appetite from the sweet taste, making adherence difficult.

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Can salt help manage hunger during a fast?

Yes, ingesting a small amount of salt in water can stabilize blood volume and electrolyte levels, often alleviating lightheadedness, shakiness, and feelings of hunger, especially for those using caffeine which can cause sodium excretion.

1. Avoid Food Post-Waking

Do not ingest any food for at least the first 60 minutes after waking up each day. This practice is metabolically beneficial and supports health, weight maintenance, and weight loss.

2. Fast Before Bedtime

Avoid ingesting any food or liquid calories for two, and ideally three, hours prior to your bedtime. This is crucial for liver health, metabolic health, and maximizing the benefits of sleep-related fasting.

3. Consistent Daytime Eating Window

Place your feeding window during the most active phase of your day (daytime for humans) and maintain its placement consistently across the week. This anchors the body’s gene systems, provides a regular circadian rhythm, and prevents health disruptions caused by shifting eating times.

4. Target an 8-Hour Feeding Window

Aim for an 8-hour feeding window as a general target for time-restricted feeding. This window length has shown benefits across various health parameters, including inflammation, weight loss, fat loss, insulin sensitivity, and blood pressure, and is generally easier to adhere to.

5. Adjust Feeding Window for Reality

If your goal is an 8-hour feeding window, select a 6 or 7-hour target, and for a 10-hour goal, aim for 8 or 9 hours. This accounts for the common tendency for people to underestimate their actual feeding duration by 1-2 hours due to small caloric intakes outside the strict window.

6. Transition Gradually to TRF

Allow a transition period of 1 week to 10 days when shifting your feeding window, moving it by about an hour each day. This helps your hormone systems adjust, reducing overwhelming hunger and irritability, and preventing hormone imbalances.

7. Optimize Light Exposure

Get as much sunlight and bright light as safely possible in your eyes during the daytime, and avoid bright light in the middle of the night. This is the primary method to entrain your circadian clock genes, which are vital for mood, metabolic function, and overall health.

8. Walk After Meals

Take a 20-30 minute light walk after dinner or any other meal. This accelerates gastric emptying and glucose clearing from your system, helping your body transition more quickly from a fed to a fasted state.

9. Afternoon/Evening HIIT for Glucose

Engage in high-intensity interval training (HIIT) in the afternoon or evening to lower blood glucose. This can help accelerate the transition to a fasted state, provided it doesn’t disrupt your sleep.

10. Ingest Salt During Fast

If feeling lightheaded, shaky, or hungry during a fast, ingest a small pinch (e.g., half teaspoon) of sea salt or table salt in water. This stabilizes blood volume, offsets low blood sugar symptoms, and can reduce feelings of hunger, especially when consuming caffeine.

11. Protein Intake for Muscle Growth

If your main interest is maintaining or building muscle, ingest protein earlier in the day, ideally before 10 a.m. if you wake at 7 a.m. This supports muscle tissue maintenance and growth due to enhanced protein synthesis pathways regulated by clock genes.

12. Support Liver Health with TRF

Restrict your feeding to a particular window each 24-hour cycle to enhance liver health. This reduces inflammatory markers and prevents fatty deposits by allowing sufficient periods without food in the digestive tract.

13. Increase Brown Fat with TRF

Engage in time-restricted feeding to positively increase brown fat stores. Brown fat creates a thermogenic effect, helps reduce other fat, and is correlated with a lack of non-alcoholic fatty liver disease.

14. Monitor Short Feeding Windows

Be cautious with very short feeding windows (e.g., 4-6 hours) as they can lead to overeating relative to metabolic needs and potentially increase body weight. Ensure caloric intake aligns with your goals if pursuing such a window.

15. TRF and Fertility/Hormones

Women aiming to maintain ovulatory cycles or get pregnant, and men concerned about fertility, should avoid feeding windows that are too short (less than 8 hours). Sufficient leptin signaling and overall food intake are crucial for reproductive health.

16. Use Glucose Disposal Agents Cautiously

Approach glucose disposal agents like berberine (OTC) or metformin (prescription) with extreme caution. These can dramatically reduce blood glucose, potentially causing hypoglycemia and headaches if blood glucose is already low or if dosage/timing is incorrect.

17. Consider a Continuous Glucose Monitor

Consider using a continuous glucose monitor (CGM) to understand how different foods, supplements, and exercise impact your individual blood glucose levels. This provides objective data for optimizing your feeding strategy.

18. Artificial Sweeteners in Moderation

Ingest artificial or plant-based non-sugar sweeteners (e.g., stevia) in moderation during a fast. They generally have minimal impact on blood glucose and do not typically ‘break’ a fast, but individual reactions and potential gut microbiome effects (in excess) vary.

19. Lemon/Lime Juice for Acidity

Drink water with squeezed lemon or lime juice to mildly lower blood glucose levels. The acidity can help if you feel overwhelmed by sweetness or want to gently reduce blood sugar.

20. Avoid Alcohol While Fasting

Do not consume alcohol, even small amounts like a half glass of wine, during your fasting window, especially after a meal. Even one gram of sugar can disrupt circadian genes related to fasting and sleep when blood glucose is elevated.

21. Use Fasting Tracking Apps

Utilize zero-cost resources like the My Circadian Clock website or the Zero app to log and track your feeding and fasting windows. These tools help monitor progress, provide averages, and offer valuable information.

22. Be Aware of Sauna Blood Glucose Spike

Be aware that sauna use can temporarily increase blood glucose due to dehydration, as the concentration of sugar in your blood goes up. This is an observation for awareness, not necessarily a reason to avoid sauna if its other benefits are valued.

23. Avoid Swallowing Toothpaste

Avoid swallowing toothpaste while brushing your teeth during a fast. This is a precaution to prevent accidental caloric intake that could technically break a fast, though likely minimal unless swallowed.

When you eat is as important as what you eat, at least as it relates to health parameters, in particular, liver health and mental health.

Andrew Huberman

If you understand mechanism, you are in a true place of power and control over your biology.

Andrew Huberman

Everybody underestimates their feeding window, meaning people who think that they are on an eight-hour feeding window or six-hour feeding window, when their data are analyzed, it almost is always the case that they're actually on a feeding window that's one or even two hours longer than they think.

Andrew Huberman

It's not so much about the activities that you undergo, it's about the activities you undergo and their relationship to one another over time.

Andrew Huberman

Sometimes you think you need food, but what you really need is salt, and salt can make you feel better immediately.

Andrew Huberman

Foundational Time-Restricted Feeding Protocol

Andrew Huberman (based on discussion with Sachin Panda)
  1. Do not ingest any food for at least 60 minutes after waking up each day.
  2. Do not ingest any food or liquid calories for two, and ideally three, hours prior to your bedtime.
  3. Aim for an 8-hour feeding window, but understand that in reality, it might be 1-2 hours longer due to real-life constraints.
  4. Place your feeding window consistently within the 24-hour cycle, avoiding significant shifts on weekends to prevent circadian disruption.

Transitioning to a New Eating Window

Andrew Huberman (based on discussion with Sachin Panda)
  1. Allow yourself a transition period of anywhere from one week to 10 days.
  2. Shift your feeding window by about an hour each day or so until the desired schedule is reached.
  3. Once established, maintain the new feeding schedule for at least 30 days, ideally indefinitely.

Accelerating Transition to Fasted State

Andrew Huberman
  1. Take a 20-30 minute light walk after eating to increase gastric emptying time and clear glucose.
  2. Consider engaging in high-intensity interval training in the afternoon or evening to lower blood glucose, provided it doesn't disrupt sleep.
  3. For those comfortable with it, consider mild glucose disposal agents like cinnamon or acidity from lemon/lime juice.
  4. Ingest a small pinch of sea salt (or table salt) in water to stabilize blood volume, electrolytes, and reduce feelings of hunger or shakiness during the fasting period.
80%
Percentage of genes on a 24-hour schedule 80% of genes in your body and brain change their levels across the 24-hour cycle, influenced by light and food timing.
5-6 hours
Time for food clearance from gut After eating, it takes about 5-6 hours for food to clear the gut and for the body to transition from a fed to a fasted state.
8 hours
Recommended minimum duration for time-restricted feeding An 8-hour feeding window is considered a good target for most people to achieve health benefits while maintaining adherence and hormone health.
1 week to 10 days
Transition period for shifting eating window Allow this period to shift your feeding window by about an hour each day to adjust hormone systems and avoid overwhelming hunger.
30 days
Minimum duration to maintain a new feeding schedule Once a comfortable feeding window is established, maintain it for at least 30 days, ideally indefinitely, for consistent benefits.
60 days or longer
Duration of time-restricted feeding for fat loss shift Following a TRF schedule for 60 days or more seems to shift metabolism towards burning a higher percentage of fat during caloric restriction.
60 minutes
Minimum time to avoid food after waking Do not ingest any food for at least the first 60 minutes after waking up each day.
2-3 hours
Minimum time to avoid food before bedtime Do not ingest any food or liquid calories for two, and ideally three, hours prior to bedtime.
20-30 minutes
Duration of light walk for glucose clearing A light walk after a meal can accelerate gastric emptying and glucose clearing.
1 gram
Amount of sugar to disrupt circadian genes Ingesting even one gram of sugar post-dinner can disrupt the expression of circadian genes related to fasting and sleep if blood glucose is already elevated.