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Huberman Lab
Effects of Fasting & Time Restricted Eating on Fat Loss & Health | Episode 41
Effects of Fasting & Time Restricted Eating on Fat Loss & Health | Episode 41

Effects of Fasting & Time Restricted Eating on Fat Loss & Health | Episode 41

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Andrew Huberman
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Oct 11, 2021
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Episode Transcript
0:00
Welcome to the huberman Lab podcast, where we discuss science and science based tools for everyday life. I'm Andrew huberman, and I'm a professor of neurobiology and Ophthalmology at Stanford school of medicine. Today. We're talking all about fasting and anytime we're talking about fasting. We are also talking about eating because we all need to eat sooner or later.
0:24
We're going to talk about how fasting. And when we eat influences a lot.
0:30
Large range of aspects of our health, and well-being, both physical and mental.
0:35
So well, nowadays. Most people
0:37
are familiar with the term, intermittent fasting also, sometimes called time
0:42
restricted, feeding. I think most people don't really understand how that
0:46
process works sort of obvious, that intermittent fasting. AK time restricted feeding involves eating at certain periods of each 24-hour cycle or maybe even not eating 4 entire days in some cases.
1:00
But if you think about it,
1:02
everybody sleeps eventually and therefore, because people don't eat during their sleep, almost everybody is employing some form of intermittent fasting or time, restricted feeding. What we're going to talk about today is how particular schedules of time, restricted, feeding
1:19
can impact our health in
1:21
different ways. And when I say different ways, I mean, we're going to talk about how intermittent fasting AK time, restricted feeding,
1:29
impacts way.
1:30
Loss fat loss in particular,
1:32
muscle maintenance and loss and gain organ Health such as gut health and Liver Health.
1:39
The genome, the
1:40
epigenome inflammation sickness recovery and healing from
1:46
sickness exercise cognition mood and lifespan.
1:50
So we're going to cover a tremendous amount of information. I promise to make it all directly accessible, regardless of whether or not you have a background in biology and
2:00
Metabolic science or not?
2:01
I'm also going to talk about a lot
2:04
of tools. In fact, I'm going to discuss a number of tools during today's episode
2:08
that actually make it such that you don't have to follow any feeding schedule
2:13
or fasting schedule. Same thing. If you think about it
2:17
in any absolutely
2:19
strict regimented. Way meaning
2:23
if you were to only
2:24
eat during an eight hour period of each day, most of the time, but then occasionally eat across a 12-hour period.
2:30
Of the day in theory that could actually have pretty serious, detrimental, health effects. And yet, there are things that you can do to attenuate those negative effects. In fact, there are things that you can do and or take that can make it as if you did not eat at all. And so we'll discuss what those tools are. And in many cases for sake of Health weight, loss and performance,
2:52
making the body
2:54
think that it did not eat at all can actually be quite beneficial. So today, we're going to cover
2:58
mechanism and
3:00
We're going to cover tools before we do that. I want to highlight a
3:03
particular result that was published recently because it serves as a useful backbone as we wade into the conversation about fasting.
3:10
This is a study that was published in the journal cell metabolism, a cell Press Journal, excellent journal and the title of the paper is fasting blood glucose as a predictor of mortality
3:23
Lost in Translation, and I'll explain what the Lost in Translation. Part means in a
3:27
moment, but the basic takeaway of this study
3:30
I should mention that. The first author of the study is Pally, a guru.
3:34
PA. Lli. Why agur you Guru
3:39
Polly Polly. Yeah, Guru
3:41
at all. The
3:42
basic finding of the study is that in humans, higher blood glucose is
3:49
associated with mortality. And in fact, if you look at blood glucose resting blood glucose across the lifespan, what you find is as people age resting blood glucose.
4:00
Goes up. Now.
4:00
This is very interesting because for a long time, it was
4:04
thought that metabolism actually goes down as we age and, to some extent. That's true, but the reductions in metabolism are not nearly as robust as we once thought that they were across the lifespan. However, unless there's something done to mitigate the increase in blood glucose associated with the Aging. Almost everybody experiences a gradual but regular increase in resting blood glucose that predicts mortality.
4:30
Now, the title, as I mentioned is fasting, blood glucose as a
4:33
predictor of mortality Lost in Translation. And the reason that they included Lost in Translation in the title, is that what I just told you that increases in resting blood glucose predict mortality, or are correlated with? Mortality is true for human beings and for non-human primates monkeys, but the opposite is true in mice and so I thought it was
4:54
important to use this study as an example
4:57
of where studies and mice often.
5:00
But not always translate to humans and non-human primates. So today I'm going to be careful to distinguish. When a study was performed in mice, versus in humans.
5:08
Because it seems that at least when discussing feeding blood
5:13
glucose and other aspects of diet as they relate to health and well-being whether or not a study was performed in rodents or in humans, can be very important. In this case. The results were directly a hundred eighty degrees opposite to one another. In other words, in mice.
5:30
Nice resting blood glucose when down and it was associated with mortality, so lower blood glucose associated with mortality. Whereas in humans, higher resting, blood glucose was associated with mortality. And obviously, what we're mostly interested in is health and well-being of ourselves of humans. I'm sure there are some people out there that are intensely concerned about the health and well-being of my switch. You could imagine a few rare context where that's important, but obviously most of us are interested in human
5:56
health, so I'll be sure to emphasize when studies were performed.
6:00
In
6:00
humans versus in mice. Before we begin I'd like to emphasize that this podcast is separate for my teaching and research roles at Stanford. It is however, part of my desire and effort to bring zero cost to Consumer information about science and science related tools to the general public in
6:15
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10:11
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11:03
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11:15
So check it out. It's in the caption to this week's episode,
11:19
and it will remain there. It's up on YouTube and I hope you enjoy it. Okay. So
11:23
let's talk about feeding fasting, health and performance.
11:28
And I want to just establish a
11:29
A few
11:30
foundational terms so that we're all on the same page.
11:34
First of all rather than talk about fasting or time restricted feeding. I'm largely going to talk about time,
11:40
restricted feeding. But please understand that time restricted feeding is just one side of the coin. That is a two-sided coin that includes fasting on the one hand, not eating and time restricted feeding. On the other hand. I may occasionally say
11:54
fasting but because fasting and eating established different
11:58
biological
12:00
In the body time restricted feeding is the term that I will use to describe the overall
12:05
plan of restricting. One's eating window as it's called to a particular phase of each 24 hour day, or in some cases, to particular days within the week because as you'll soon, learn there are aspects
12:20
of time restricted feeding AKA
12:23
fasting that involve eating every other day or eating one way for five days and then fasting for two,
12:29
Days and so forth, so I'll be very precise about what I mean and why? I mean it, but for the time being, I'm going to refer to time, restricted feeding, as a way to put an umbrella over this conversation. Second of all,
12:44
I am going to emphasize a lot of biological mechanism. If you've listened to this podcast before, you
12:50
know, that I always begin with biological mechanism. I do describe tools of how to implement those mechanisms, but I wholeheartedly
12:58
believe that. No,
13:00
In mechanisms and understanding how these processes work
13:03
gives you tremendous flexibility and understanding and control
13:08
over the processes of your mental and physical health. Whereas if I were to just
13:12
list off a menu of things to do and not to do, those will work, but those will not give you the kind of understanding that would allow you to navigate
13:23
through life, through travel, through dinners out through different exercise, schedules.
13:29
Whether or not you're one age or another age, male female
13:32
Etc. I'm giving you mechanisms so that you can
13:35
gain more control over the systems in your brain and body. Everything is timestamp. So if you want to jump to the Tutu's, you can certainly do that, but I
13:43
encourage you to hang in there for the mechanism bit. I will make it all very clear because if you understand mechanism, you are in a true place
13:51
of power and control over your biology. If ever, there was a topic that is controversial, especially on the internet, it is that of diet. And
13:59
Ocean, so I'm wading into this with a smile and in eager
14:04
anticipation of all the, but, but, but this and but, but
14:07
that and wait, but this showed
14:09
that, here's the deal. We need to precisely Define what it is
14:14
that we're talking about. When we talk about nutrition.
14:18
I'm going to give you an example of a study that was published a few years ago, 2018 by a colleague of mine at Stanford.
14:25
Chris Gardner, so
14:27
terrific professor of nutrition and has done a lot of important
14:31
studies on how nutrition impacts different aspects of Health.
14:36
This is a large-scale study. It was published in Jama, the Journal of the American Medical Association. One of
14:41
the very top-tier journals in the area of medicine and certainly for a paper on nutrition to show up there meant that it had to meet an exceedingly high
14:50
standard.
14:52
This paper where Chris is the first author, it's Gardner at all. 2018, Jama.
14:59
Looked at weight loss in people following one particular diet versus another particular diet. In, this was a 12 month, weight
15:08
loss study. So it was focused specifically on weight loss. Although they looked at some other parameters as well.
15:14
And the basic conclusion
15:15
of the study was that
15:17
there was no significant difference in weight change between people following a healthy, low-fat diet, versus a healthy
15:24
low carbohydrate diet with significantly more dietary fats in them.
15:29
This caused a lot of
15:31
ripples in the world of nutrition and nutritional science. And certainly in the general population because anyone that understands diet and nutrition would
15:41
immediately say, but wait, there, all sorts of different implications of eating one. Type of diet. Say low
15:47
carbohydrate higher
15:48
fat versus a
15:49
higher carbohydrate lower fat
15:51
diet and indeed. There are this study was focused specifically
15:55
on fat loss and on weight loss.
15:59
So as we discuss
16:02
time restricted feeding, we need to be very precise about what are the effects of time, restricted, feeding and of eating it in particular ways at particular times. We are going to emphasize again whether or not the study was done in Mysore, in humans in athletes and men and women are
16:17
both. But the study from Gardner and
16:20
colleagues is a beautiful study,
16:22
and really emphasizes that if one's main goal is simply to lose weight. Then it really
16:29
It does not matter. What,
16:30
one eats provided that the number of calories burned is higher than the number of calories ingested. However, anyone out there, who understands a little bit of biology,
16:44
or a lot of biology will agree that
16:46
there are many factors that impact that calories burned part of the equation.
16:51
Some of those are obvious.
16:52
So, for instance, amount of exercise, type of exercise
16:56
basal metabolic rate, how much energy
16:59
He won Burns, just sitting there. I've talked before on this podcast about neat, non exercise-induced thermogenesis where
17:05
if people bounce around a lot and fidget a lot, they can burn anywhere from 800 to 2000
17:09
calories per day. So their quote unquote, basal metabolic rate is actually much higher simply because their fidget errs, whereas people who tend to be more stationary have a lower basal metabolic rate on average. There's great science to support this
17:22
metabolic factors and hormones are also very important hormones such as thyroid.
17:29
Phone and insulin and growth hormone, and the sex story to hormones, testosterone and estrogen, those levels will also
17:35
profoundly influence, the calories out the calories, burned component of the calories in calories out
17:41
equation. So, if out there on the Internet or in listening to a
17:46
particular podcast or speaker, somebody says this is the ideal diet or
17:51
calories in calories out does not matter or calories in calories out is the only thing that matters. I think it's very important to understand that there are some
17:58
General truths such as calories in calories out
18:01
but that, of course, hormone factors and the
18:05
context in which a given diet regimen is taking place are exceedingly important. A good example of this would be puberty at
18:14
that time in life. Sex steroid hormones are changing profoundly in the body
18:18
as our growth hormone and other hormones
18:20
and much of
18:22
caloric intake is directed towards protein synthesis towards the production of muscle and bone and other tissues of the body.
18:28
D. And that's because of changes in hormones that we call puberty. So,
18:32
there's no way that we can drill into every aspect
18:35
of a given
18:37
feeding plan or feeding schedule that would allow us to tap into every aspect of the list that I
18:44
read out before weight loss, fat loss muscle, organ genome epigenome inflammation, exercise, cognition, mood and lifespan. But today we're going to be very precise about how time restricted feeding. It's very clear from both animal studies and
18:58
Studies can have a very powerful
19:01
and positive impact on everything from
19:04
weight loss and fat loss to various Health parameters. This is a
19:09
beautiful literature that's emerged
19:11
mostly in the last 10 or 15 years. And as we March into this literature, what you'll see is that there actually is a perfect diet for you on a given day and that perfect diet, for you on a given
19:25
day is contextual. Meaning it depends on
19:28
On what you did yesterday and what you're going to do tomorrow?
19:32
So there is a perfect diet for you. And today, I'm going to arm you with the mechanisms and understanding that will allow you to Define what
19:39
that perfect diet is. And will allow
19:41
you to eat on a schedule and we'll and to
19:45
eat the things that are going to best serve your goals.
19:48
So let's talk about eating and what happens when you eat? And let's talk about
19:52
fasting or not eating and what happens when you fast.
19:56
I did an entire episode on eating and metabolism, and hormones and other
20:01
factors that impact appetite.
20:03
We don't have time to go into all those details. Now, although you're welcome to listen to that episode as well. But we can briefly describe the overall
20:12
conditions that are set in the body when we eat and when we don't
20:17
eat
20:18
the key word, here is conditions if I can emphasize anything today. It's that what you eat and when you eat it.
20:26
Set conditions in your body
20:29
and those conditions can be very good for you
20:31
or very bad for you. Depending on when you
20:34
eat. In fact, when you eat is as important as what you eat. I'll repeat that when you eat is as
20:43
important as what you eat, at least as it relates to health, parameters in particular,
20:47
liver health, and mental health. Some simple rules about eating, first of all, when you eat
20:54
Typically your blood glucose, your blood sugar will go up.
20:59
Also insulin levels will go up, insulin is a hormone that's involved in mobilizing, glucose from the bloodstream.
21:06
How much your glucose and Insulin go up, depends on what you eat and how much you eat
21:12
in general, simple sugars, including fructose and fruit, but also sucrose and glucose and simple
21:20
sugars will raise your insulin and blood glucose more than complex. Carbohydrates, things like grains and Breads, and pastas and so
21:28
forth.
21:28
And Grains and Breads and pastas. And so
21:30
forth will raise your blood glucose more than fibrous carbohydrates, like lettuce and broccoli and things of that
21:36
sort protein has a somewhat moderate or modest impact on insulin and
21:42
glucose and fat has the lowest impact on raising your blood glucose, and blood insulin. So what you eat will impact, how
21:51
steep a rise in blood glucose, and Insulin takes place. And there are a number of factors that are related to your
21:58
Jewel
21:58
Health, that will also dictate how steep and how high that rise in glucose and Insulin will be for the time. Being, I'm leaving out people who have type 1 diabetes. These are people that don't manufacture their own
22:10
insulin and type 2. Diabetes is essentially insulin insensitivity. Lack of sensitivity to
22:18
insulin which leads to high blood glucose,
22:20
but when you eat, blood glucose goes up and when you don't eat blood glucose and Insulin go down,
22:27
The longer it's been since your last meal, the lower typically, your blood glucose and Insulin will be and the higher things like glp-1 glucagon-like peptide, one glucagon, being a hormone. That's also secreted
22:44
when you are in a fasted state or a low blood glucose State. It's involved in mobilizing various energy sources from the body including fat, through what we call lipolysis.
22:57
Using carbohydrates and potentially even using muscle as a source of energy. So
23:02
that's kind of a
23:04
fire hose of information about what happens when you eat and don't eat. But just think of it this way blood
23:09
sugar and Insulin go up when you
23:11
eat, they go down when you don't eat and other hormones go up when you don't eat. So there are hormones associated with the fasted State and there are hormones associated with the eating and having just eaten State.
23:25
Now, the most important thing to
23:27
Stand. Is that like everything in biology? This is a process that takes time. So insulin and glucose go up when we eat and it takes some period of time for them to go down, even if we stopped eating, they
23:42
will remain up for some period of time and then go back down. It takes time.
23:47
This is very important because if you look at the scientific
23:50
literature on fasting, on time, restricted feeding, it's absolutely clear that the
23:57
Of benefits, not just the weight loss benefits, but that the health benefits from time restricted feeding
24:03
occur because certain
24:04
conditions are met in the brain and body for a certain amount of time. And that gives us an anchor for from
24:12
which to view what eating is in terms of how it sets conditions in the body over
24:18
time. And if
24:20
that sounds overly analytic, I promise you, this is the simplest and best way to think
24:25
about any eating schedule or anything.
24:27
E, eating plan. So I think it's fair to say that in the field of nutrition. There are a few Landmark studies that serve as really strong anchors for building our understanding of what to eat and what not to eat. And when to eat depending on our goals, the Garner study, that I mentioned earlier is one such study in that, it says, if your goal is weight
24:48
loss. It really does not matter.
24:51
What foods you consume provided that you consume a sub maintenance, Clark died.
24:57
However, I want to emphasize again.
25:00
That sets aside issues of
25:03
adherence, meaning how easy or hard it is to adhere to a given diet. Some people find it much easier to follow a high-fat low-carbohydrate diet. Some people, follow follow a different diet because it's much easier for them to follow.
25:15
And some people are concerned with mental
25:17
performance and athletic performance. So
25:20
that study doesn't say there's
25:21
a best diet. What it says. Is that what you consume is less important than the amount.
25:27
Mount of food that you consume at least for sake of weight loss, not necessarily for sake of Health.
25:33
Now, the study that I'm going to refer to
25:36
next is what I would consider, the second major pillar of nutritional studies. This is a truly Landmark study. That was
25:43
carried out by Sachin Panda,
25:46
who is a professor at the
25:47
Salk Institute of biological
25:49
studies in San Diego, and absolutely phenomenal institution, and an absolutely phenomenal researcher. I've known such in for a number of years and I want
25:57
For size that the current literature on intermittent fasting and time restricted. Feeding can largely be attributed to Sachin and the work that he's done. There are others involved
26:09
to of course. And of course, time restricted
26:12
feeding and fasting has a rich history that goes back many hundreds. If not thousands of years in different cultures and
26:18
religions, but the science
26:20
of time restricted, feeding can really mainly be attributed to the incredible work that suction
26:24
is done and I'm
26:26
grateful.
26:27
All to consider him a friend, and a colleague and we consulted at length in anticipation of this episode. I also hope to have him on as a guest in the future.
26:35
The Landmark paper that came from sogdians Lab was published in 2012. This was a paper in mice, that set the
26:42
basis for studies in humans that came later and the title of this paper
26:46
is time, restricted feeding without reducing caloric intake, prevents metabolic diseases
26:52
in mice fed a high-fat diet.
26:54
So the title tells us a lot. It says that
26:57
What's varied in? This study is not what these mice ate. It was when they ate it,
27:03
and there were essentially four conditions in this study and the results are absolutely remarkable. So I'm going to walk you through the major results. What they did is they gave mice access to different types of food. There were four groups, one group of mice, had access
27:21
to just a normal Mouse diet. It would not be a diet that you'd be very interested in. I confess, I've actually tasted Mouse.
27:27
If you work with mice at all, you just have to do it at least once it
27:30
doesn't taste very good. It tastes like a very
27:32
Bland graham cracker cookie. And I confess that, I only had the tiniest little bit, but mice like that stuff.
27:37
And if you allow them to eat that stuff, what's called ad libitum
27:40
whenever they want. You just keep it in their food. 24 hours a day. They will eat sometimes and then they won't eat at other times.
27:46
Or in this case. They also had a condition where they gave them Mouse Chow in a Time restricted way just for a certain number of hours
27:55
each day for about eight hours.
27:57
Hours.
27:59
Or they gave them a high-fat diet. That was a separate group, got a high-fat diet at any time they wanted. So this was kind of the carnival for mice, because mice really like high-fat, highly palatable foods. And so they got a lot of goodies and high fat in their
28:12
food. And then there was a fourth
28:14
group that had access to the high fat diet as much as they wanted to eat, but only during a restricted time period of each 24-hour cycle. Now,
28:22
mice are nocturnal, humans are what we call diurnal. Actually. We're not really dire. Nowhere crepuscular, which means that were
28:29
Active in the morning and in the evening, not so much in the afternoon. But nonetheless, everything I'm going to tell you
28:37
is true. Also for humans and we know this now from Human studies. One of the most important things to take away from this study. Was that mice, that ate a highly
28:45
palatable,
28:46
high-fat diet, a great-tasting diet, but
28:48
only during a restricted, feeding window of each 24-hour cycle
28:52
maintained, or lost weight over time.
28:55
Whereas mice that ingested, the same diet,
28:59
The same amount of calories but had access to those calories Around the
29:04
Clock, gained weight, became obese and quite sick and as an additional second point. The mice that restricted their feeding window to a particular portion of eight hours of every 24 hour cycle
29:18
actually showed some improvement in important Health markers. And what was
29:24
even more incredible. Is that mice that only ate during a particular feeding.
29:30
Also experience some reversal of some prior negative health effects.
29:35
So this study really lit up the world
29:38
and got people excited about time. Restricted eating
29:42
again. They used an 8 Hour feeding
29:44
window.
29:46
The story around that 8 Hour feeding window is kind of interesting though. Not many people know this because wasn't included in the paper and there was no reason to include it in the paper not to out anybody, but it turns out that the reason they used in a tower feeding window and not a nine hour or a 10 hour feeding window is
30:04
because studies of this
30:06
sort are actually quite demanding to perform and require the constant presence of the graduate student or postdoc there to
30:14
ensure that the food.
30:16
In the cages at particular times and not in the cages at other times. And mice are really good at hiding Food. They'll even hide food in their jowls. And so there's a lot of work that has to be done to prepare for that 8, Hour feeding window and to make sure after that eight hour feeding window.
30:32
There's all the food has
30:34
been removed from the Cajun, from the jowls of the mice and so forth. And
30:37
it turns out that the
30:38
significant other of the graduate student, and or postdoc, I won't reveal who they were running this study forbid.
30:46
Their significant other the scientist from being in the lab for periods of time that were much longer than the 10 or 12 hours that were required in order to ensure this 8 Hour feeding window. So when we hear the eight hour feeding windows are holy they are not holy and
31:02
later. We are going to talk about how
31:04
eating for a time that's restricted to eight hours versus 10 hours versus 12 hours. For instance how that impacts various parameters like Health parameters and weight loss Etc. But the 8-hour feet
31:16
Window
31:16
was actually created because of a real-world constraint on the research and the relationship of the researcher performing, the research not because there's anything holy about an 8 Hour feeding window.
31:26
Now an important point about when the feeding Window
31:29
Falls within the 24 hour cycle,
31:31
it is very important that the feeding window fall during the more active
31:36
phase of one's day.
31:38
So for humans that's typically in the early part
31:41
of the day or the later part of the day, but not at night,
31:45
put very simply.
31:46
Simply there are a lot of data. Now pointing to the fact that eating during the
31:51
nocturnal phase of the 24-hour cycle is very detrimental to one's
31:56
Health. In fact, when we eat can
32:00
either enhance our health or can diminish our health. When we see light can enhance, our
32:07
feelings of well-being or can diminish, our feelings of well-being. I've
32:10
talked many times before about this on the huberman Lab podcast that during the daytime, you want to get as much sunlight.
32:16
Than other types of bright light in your eyes as safely possible, and then you want to avoid light in the middle of the night. It has detrimental dopamine, lowering effects can cause depression, cortisol increases, Etc. So when you view light is as important as the light that you view. And when you eat is as important as what you eat
32:37
in this study, they saw something
32:39
really interesting, which was that not
32:41
only did restricting food
32:43
to a particular phase of the 24-hour cycle.
32:46
A benefit things like lean body mass and fat loss.
32:50
And a number of Health parameters that I'll talk about in a moment, but it also anchored.
32:55
All the gene systems of the body and provided a more regular stable. So called circadian rhythm or 24-hour
33:02
Rhythm. You may be surprised to learn that 80%
33:06
80% of the genes in your body and brain are on a 24-hour schedule. That is they change their levels going from high.
33:16
I too low and back to high again across the 24-hour cycle. And when those jeans are high at the appropriate times and low at the appropriate times. Meaning their expression is high and low at the appropriate times. And therefore the proper rnas and proteins are made. Because DNA and goats for RNA RNA is translated into proteins.
33:36
When that happens, your health benefits
33:39
when those genes
33:41
are not expressed at the right times when they're high or low at the wrong times of each 24-hour cycle. That's when you get Negative health effects. This study showed that when mice restrict, their eating to an eight hour period within the most active phase of their 24-hour cycle,
33:58
many of the genes that are associated with these. So called circadian, clocks.
34:02
These jeans have names, like /, be Mal. Cry 1,
34:05
Etc.
34:06
Those so-called clock genes underwent, a very
34:10
regular entrainment a locking in to the proper 24-hour schedule.
34:15
And while this was in mice, we now know that
34:17
this also occurs in humans, I've said before on this podcast, and I'll say it again that light and when we view, light is the primary way in which these genes and the clock systems of our body, get organized or entrained, meaning match to the outside, light dark cycle. So viewing light early in the day and in the afternoon and as much as possible. All day.
34:36
Great. Ideally that sunlight avoiding light in the middle of the night, is also great.
34:42
It's great because it causes the
34:44
increases in particular genes, in the decreases in particular, genes, in every cell throughout your body at the appropriate times. The second most powerful timekeeper or design Gaber as it's called is food. And when you eat and in this study the
35:00
results, they saw. Underscore
35:02
this point what they saw. Is that the peaks in these clock genes,
35:06
I'm very regular and the dips in these clock chains became very regular and that led
35:11
to a whole host
35:13
of really important positive health effects. Conversely, when mice ate, whenever they wanted across the 24 hour cycle. These clock genes became really out of whack and the negative Health consequences were the downstream result of these changes in these clock genes.
35:32
This is now also been shown to be true for humans. So if you want to be healthy, you want your organ Health, your metabolic Health to be in trained properly. One of the most important things you can do is to view light at the appropriate, times of each 24-hour schedule and to not view light at other times of that schedule and to eat at the appropriate time of each 24-hour day. Now again, there are rare instances that we will discuss, when skipping entire days or entire 24-hour cycles, of eating can be beneficial but
36:02
Now, we're
36:02
talking about schedules of time, restricted feeding them, involve a
36:06
window of feeding, that falls
36:08
during your more active phase. So, during the daytime, putting aside people that work shift work during the day time, is when you want to eat and this 8 Hour feeding window provided a
36:18
very strong reinforcing signal that combines with light
36:23
to ensure that these genes are expressed at the appropriate times,
36:27
the short take away from this is you probably want to think about
36:31
and perhaps even
36:32
Engage in time, restricted feeding.
36:34
So, as I mentioned earlier, when mice can eat around the clock, bad things happen. And one of the bad things that happens is that the liver suffers, the liver is involved in all sorts of things, production of important, hormones, and other factors related to metabolism. And when mice
36:50
can eat around the clock, their livers got very sick, fatty deposits in the liver, other factors in the liver essentially, taking down the pathway of liver
36:59
disease. The time restricted feeding as
37:02
Really reversed that or lead in many cases to even healthier liver conditions and that's based on this study. But also additional studies also now in humans, so
37:12
restricting, your feeding to a particular window, every 24 hour cycle has clearly been shown now, in mice and in humans to
37:19
enhance Liver Health, which is wonderful.
37:23
How does it do this? Well, it happens because food intake as I mentioned earlier, set certain conditions in the
37:30
body that last for a period of time.
37:32
I'm anytime we eat whether or not we are a mouse or a human.
37:36
There's a period of time that's required for so-called digestion. But also gastric emptying and other processes related to breaking down that food,
37:44
and utilizing it. And that is an active process. It requires energy,
37:49
and that process of breaking down food involves certain cellular functions that if they're ongoing throughout the 24 hour cycle, or even extended too far.
38:02
Across the 24-hour cycle, meaning you're eating across a 14 or 16 hour and 18-hour window
38:08
that causes serious problems. And this is now been established because of the fact that it increases the expression of different proteins and genes in the body, such as tnf-alpha. And il-6.
38:20
Il-1. What are all those things? They are pro inflammatory markers. So the reason that the liver gets sick when you're eating too, often is because inflammatory markers are increased
38:31
these inflammatory.
38:32
Tory markers are not inherently bad. They're there for a
38:34
reason, but they are
38:36
there in order to respond to certain challenges,
38:39
immune challenges, or the ingestion of food in the breakdown of food, but then, I didn't in an ideal circumstance. They are
38:46
reduced in the period, in which there's no food present
38:50
in the digestive tract, or in which there's very little food present in the digestive tract. So, by eating around the clock, you're making yourself sicker, by eating at restricted periods of time. Each 24-hour day. You're actually making
39:02
Of healthier and you're activating certain
39:05
processes that can positively impact both. Wait, either maintenance or loss of weight will talk about weight gain a little later
39:13
and positively impacting things like Liver Health. Also, the expression of different things related to
39:19
Brown fat, the fat that increases your
39:21
metabolism. We will return to this also a little bit later and blood glucose regulation. So the takeaway from this study. In fact, there are many takeaways from this study. It's so wonderful.
39:32
Why is that Liver Health, bile acid metabolism, energy expenditure inflammation, liver metabolites,
39:42
many, many aspects of our health are impacted by when we eat. Not just what we eat, as we move forward. And we talked about intermittent fasting for a tower Windows, six, our Windows 12-hour windows, for all sorts of different intents and purposes. I want to start to
39:58
establish a foundational
40:00
protocol that
40:02
All of us. Any of us can use
40:04
in order to maximize your particular
40:06
goals. There are some absolutes within this realm of
40:11
time. Restricted feeding. Here are a couple of absolutes that you would want to consider first of
40:16
all.
40:18
It pays off in the metabolic sense and in the health sense and in the weight maintenance,
40:24
or loss of
40:25
sense to not ingest any food
40:28
in the first hour after waking
40:30
and potentially for longer. So I want to repeat that one of the key pillars of intermittent fasting. Is that for the first hour after you wake up and potentially for longer to not ingest any
40:42
food? Okay, the second major pillar, that's well supported by research.
40:47
Is that
40:48
That for the two and ideally, three hours prior to bedtime. You also
40:53
don't ingest any food or liquid calories for that matter
40:57
and we will talk about what it
40:59
means to break a fast and whether or not certain liquids even coffee and tea can break a fast etcetera in a few moments, but
41:06
just as a foundation, it's very clear from the research in humans that
41:11
not eating any food or ingesting, any calories, liquid, or
41:14
otherwise for the first 60 minutes after way.
41:18
Waking up each day and for the two to
41:21
three hours prior to your bedtime. That's ideal for the parameters that we've discussed earlier. All the different things like weight, and Liver Health, and metabolic health, and so forth.
41:32
The two, most common questions about intermittent
41:34
fasting are when is the ideal time for the eating window. Is it early in the day, the middle of the day or later in the day?
41:41
And how
41:42
long should that eating window? Be? Should it be 8 hours. We already heard? Why the eight-hour window was first.
41:48
Established as because of these lab
41:49
conditions and the conditions of the particular relationship of the graduate student involved
41:54
or should it be seven hours or six hours or 12 hours, turns out that there's some general
41:59
Frameworks that we can follow in order to answer these questions.
42:03
As we move into this portion of the discussion. I want to highlight a very important reference that just came out. Literally came out last week in the journal, Endocrinology,
42:12
reviews, and the title of this review is
42:15
time restricted eating for the prevention and
42:18
Management of metabolic diseases. Although the
42:21
data in this paper go. Well beyond metabolic diseases. This
42:25
is a paper from Sachin pandas lab. It's a very lengthy review with an enormous
42:31
table. That's beautifully organized that
42:34
scripts out all the studies done in humans.
42:37
Well over a hundred studies looking at time restricted feeding in athletes. Men. Women children, diabetes. No, diabetes, Etc, with detailed references and description of the out.
42:48
Hums spent a lot of time with its review even though it just came out recently and is a absolute
42:53
Goldmine resource. It is also the major resource for everything. I'm about to tell you, if you would like to delve deeper into the
42:59
material. So let's deal with this. First
43:02
question of when is the ideal feeding window? And
43:05
here again, we're thinking
43:06
about a schedule of eating that involves eating, at least once every 24 hours. Not to day, or three day or every other day
43:14
fast.
43:16
So it turns out that the answer to the question. When is it
43:19
best to eat?
43:20
Is actually best answered by thinking about the other side of the
43:23
coin which is when is it best to fast?
43:27
So, because we are fasting during sleep.
43:30
It's very clear that it's best to extend the sleep-related fast
43:36
either into the morning
43:38
or to start it in the evening. Now, this might seem kind of obvious, but
43:43
it's actually not so obvious,
43:45
you could place.
43:46
Feeding window early in the day. Middle of the day or late in the day.
43:50
Let's think about what happens when we sleep. When we sleep our body
43:54
undergoes, a number of different processes in the brain and body. In order to recover the cells and tissues. Many of you have probably heard of autophagy, which is essentially a
44:04
cleaning up a gobbling up
44:06
of dead cells and cells that are injured or
44:08
sick. And this is a natural process that occurs and it occurs mainly during
44:13
sleep. Although not only during
44:14
sleep.
44:16
Fasting of any kind does tend to enhance autophagy. It
44:21
is not the only way to create autophagy check conditions on a
44:26
frigid conditions can be created simply by following a sub,
44:29
caloric diet, and there are other things that one can do in order to trigger autophagy, but fasting does trigger autophagy. So when we're asleep,
44:37
the bad cells are getting gobbled up and eaten and the good cells also are undergoing certain repair
44:44
mechanisms. Mainly related to or at
44:46
Governed by those circadian genes that we talked about earlier, those clock genes.
44:51
So you're already fasting when you're asleep and how deep you
44:56
are into that fast,
44:57
depends on how long it
44:58
was since your last meal.
45:01
So if you fast early in the day, and you've been
45:04
asleep for five, six, seven, eight hours, I would hope somewhere between six and eight hours for most people is going to be beneficial. When you wake
45:13
up. I mentioned earlier that you don't want to
45:16
eat.
45:16
Or at least the first 60 minutes after waking, but we're you to extend that fasting to say 9 a.m. 10 a.m. 11 a.m. Or even 12 noon or
45:26
later. You are taking advantage of the deep fast that
45:29
you were in during sleep and certainly toward the end of sleep. Now, why do I say deep fast? Well,
45:35
because when we eat the clearance of that food from our gut and the processes in our cells and organs that are
45:44
related to digestion and the utilization,
45:46
Ation of that food takes about five to six hours. So if you eat a meal and that meal last
45:55
10 minutes, 20 minutes, or 30 minutes, or even an hour, and then you
45:58
stop eating. You stopped eating, but you are not fasting at that point. You can say you're fasting because you're no longer putting food into your
46:05
digestive tract, but you are not in a fasted State, you are not under conditions of fasting later. I'll talk about things that you can do to accelerate the transition into fasting.
46:16
So,
46:16
One thing is certain that you want you're eating window to be tacked or attached to your sleep based fasting in a way that makes
46:26
it easier for you to get into the fasted state for a period of time.
46:31
So we can view that point from the perspective of best better and worst. Okay. So if you are like
46:40
most people in you sleep at night and waking up somewhere around 6:30, 7:00 a.m. Or maybe even 8 a.m.
46:45
Let's say you were to push.
46:46
You're fasting window out, such that you started eating
46:51
at noon. And then you stopped eating at 6 p.m.
46:57
Well, then you're not eating from 6 p.m. Until. Let's say your bedtime is 10 p.m. But from 6 p.m. To 10 p.m. Your body is not yet in a
47:06
fasted State because you just ate
47:09
however, you're starting to taper into a fasted State before sleep, and
47:13
then all through sleep, and until the next morning, and
47:16
Late morning, you are actually in a fasted
47:19
State. Now. Most people find it very hard
47:21
to only eat in the middle of the day. So while that's best it's ideal for sake of the fasting related improvements in
47:29
health. It is not ideal and it's not
47:32
very applicable to most work and family and social situations. Most people eat breakfast with others and or eat dinner with others.
47:41
Some people eat lunch with others, but in general, it's hard to restrict your
47:45
feeding window to
47:46
Absolute middle of the day, but from a purely Health perspective in a very objective way. That would be the ideal
47:52
situation. Let's imagine a different
47:55
pattern of eating where the feeding
47:57
window starts in the
47:58
afternoon starts around 2 or even 3 p.m.
48:02
Some people don't have much trouble, or they can train themselves to get their feeding window out
48:06
to 2 or 3
48:08
p.m. And then they will eat until 10 or 11 p.m. Right. If you do the math, you realize that that feeding window is still pretty short. It's still constitutes what we would call.
48:16
Intermittent fasting or time restricted feeding, but assuming that they go to bed around 11:00 p.m. Or midnight. They are not actually
48:25
fasted in sleep
48:26
because for the first 6 hours or so of
48:29
sleep, may be 5 but probably more like six hours of sleep. They're still digesting the food that they consumed late in the night.
48:36
It does appear beneficial to grab ahold of
48:41
that. Sleep-related fast. Meaning you
48:45
don't want your
48:46
Feeding window to be too close to bedtime. And that's why we came up with this kind of foundational pillar that I discussed with such an earlier, which is
48:54
at least no eating for the first hour after waking, but
48:57
also no, eating, within two to
48:59
three hours, prior to bed and because we all need to sleep and sleep is exceedingly. Important for our health, of all
49:05
kinds, you want to prioritize sleep, but because we also have to eat. Then you start to think about this. And hmm. Maybe it's not so good to push that feeding
49:14
window, too late in the day, because
49:16
Cuz when you go to sleep, you're not actually capitalizing on the sleep-related fasting.
49:21
Now, it's not just the case that
49:23
it's easiest to fast while in sleep, although that's true because when we're asleep, typically we're not hungry or looking for food, or foraging for food, or wanting food, or trying to resist food. We're just sleeping.
49:34
There is something special about the fasting that occurs during sleep because it's associated with a number of
49:39
processes that relate to the so-called glymphatic system,
49:43
the movement of lymph like fluids and other fluids.
49:46
Through the brain, a kind of sweeping out garbage
49:49
disposal. If you will a clearing out of the metabolic debris and some of the autophagy that's associated
49:55
with bad processes in the brain.
49:58
So we could do a whole episode on this but
50:00
essentially during sleep and in particular during
50:02
fasted states of sleep.
50:05
We are undergoing a number of automatic cellular
50:08
processes that clear out debris from our brain. Enhance kick cognition, or at least offset dementia. This is now well established as well.
50:16
As a number of the same processes occurring in the organs of our body.
50:19
So what we're starting to see here is that there are a number of
50:22
constraints on when you can eat now, I would be remiss if I didn't acknowledge the social constraints in the real life, constraints.
50:30
Some of us because we want to eat with our family and
50:33
because our family, or our significant others, eat around 8:00 or 9:00 p.m. And that's the only time we're together. You have to eat late in the day and
50:40
that certainly not a sin. I'm not saying that's good or bad here. We're trying to establish if you
50:45
recall best bet.
50:46
And worse.
50:48
So from both a
50:49
practical and a health perspective, and a purely objective view of how intermittent fasting works and can benefit
50:56
us starting to eat each day, somewhere around 10
51:02
a.m. Or around noon and then allowing a feeding window that goes until
51:08
six or maybe 8:00 p.m. That seems to me at least based on the data and what I understand about typical.
51:16
Cultures where people
51:17
eat in the daytime and in the
51:19
evening that seems to me, like, the kind of schedule that will allow you to get the
51:25
most out of intermittent fasting time restrictive, eating,
51:29
but does not set you up to be really
51:32
out of sync with the social rhythms in most cultures.
51:36
If you think about it, from the perspective of say a noon to 8
51:40
feeding window, what you'll find is that you're able to eat lunch with others, if you like or
51:46
Self, you will be able to eat dinner at a reasonable hour
51:50
at least, in most countries in most cultures, eating dinner somewhere between 6:30 and 7:00 p.m. Is typical.
51:59
When you say a feeding window that goes until 8:00 that doesn't mean sitting
52:02
down to dinner at 8:00. That means your last bite of food or ingestion of any liquid calories was at 8 p.m.
52:09
Assuming that you go to bed somewhere between 10 p.m. And 1:00 a.m. That allows this tapering off or this transition from feeding to a fasted
52:18
State and still allows you to capitalize on the special period of fasting. That is sleep-related fasting. And again, I want to emphasize that the
52:26
fasting that occurs during sleep is vital and
52:28
Eating too close to sleep will
52:30
disrupt that fasting related
52:32
sleep. Now. There are a number of caveats and details related to this and there's an important caveat in detail related to people that are specifically interested in increasing or maintaining muscle mass. So first, let's talk about food, volume and food type and how that relates to whether or not you quickly or slowly enter a fasted State because clearly
52:58
Early. When we talk about a
53:00
feeding window that
53:01
feeding window could include any number
53:03
of different foods that could involve cake and ice cream. Pizza hamburgers,
53:06
plants fruit, whatever it is, or it could
53:10
involve just fats or just proteins. Etc.
53:12
There are at least three factors that are going to govern how quickly you transition from ingesting food to a
53:21
fasted State. Remember, as you ingest your last bite or sip of calories. That's not when the fast begins, that might.
53:28
In the fasting begins on your
53:29
watch or on one of these apps that I'll refer to later which can help you track your
53:34
fasting and eating windows, but that's not when it actually begins because your body is still seeing food. You're actually carrying around
53:41
food inside of you even though you're
53:43
not putting it into your
53:44
mouth. You're still eating in some
53:47
sense. So, it should be somewhat obvious that
53:50
very large meals, are going to take longer to digest and very small meals. So that will impact how slowly, or quickly you migrate from a
53:58
A Fed state to a fasted State.
54:01
There's no way I can spell out what exact volume of
54:04
food. You should ingest based on the size of your stomach and Etc.
54:08
But you're all familiar with being
54:10
extremely full, very full comfortably, full somewhat full or not feeling full and feeling
54:17
hungry. So learning to gauge food volume is important. Also foods that include some fats or a lot of
54:25
fats will tend to slow gastric emptying
54:27
time.
54:28
And depending on the kind of fat, it
54:31
could mean that a given meal is digested within three hours versus five hours or more fats might be a large meal. With a lot of fats has been can take five or six hours. A smaller meal with less fat is going to be digested more quickly. Consuming calories in liquid form is going to mean that gastric emptying time is going to be
54:47
faster. And then of course, there's the glucose and the insulin
54:51
aspect to it, which is that foods that lead to Big
54:54
steep Rises and glucose like Pierre sugars?
54:57
Then your glucose
54:58
Will drop. However, if they're combined with fats, then it tends to be more. Gradual rise in glucose. And it's more sustained, Etc. Fibrous foods will also create a more long lasting sustained. Release in glucose.
55:11
The important thing here is to
55:12
establish a feeding window that you can comfortably manage. Okay, meaning that on average, you can obey a six hour feeding window or an 8 hour, or feeding window or a 10 hour feeding window.
55:24
And then to place that feeding window
55:27
in a
55:28
Shal and life context that you can manage on a regular basis.
55:32
Now. There are two key points that have been gleaned from the
55:35
scientific data about this feeding window and when to place it,
55:39
and this is
55:40
based on a really important experiment that Sachin and his colleagues have been doing. There's a website that they have zero cost website called My circadian clock. You can go to this website, free of cost are a number of important resources there. But what they've done
55:54
is they've examined, the feeding
55:55
behavior of thousands of people
55:58
People will take a picture of the food. They're about to eat and it enters into their account, maybe your account. If you create one on my circadian clock and they do this over many days or
56:07
weeks. What's great about this. Is it establishes? What's essentially
56:12
called a feed ogram time in which people ate? And a number of important findings, have emerged from these phaedo grams across large populations of people in different time zones with different schedules, Etc. First of all,
56:27
Almost everybody underestimates. They're feeding window.
56:30
Meaning people who think
56:32
that they are on an 8 Hour,
56:34
feeding window or six hour feeding window when their data
56:39
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. Well, how could that possibly be if people are taking their first bite at noon and they're taking their last bite at 8
56:52
p.m.? Well
56:53
that must mean that they are on that feeding window of a
56:57
Hours and it turns out that people cheat but they don't cheat in any kind of obvious way. They might have, you know, a glass of
57:05
wine after dinner or they'll have a
57:07
cup of tea in a little bite of a cookie. And so when
57:09
people are honest and they are honest in most cases for this
57:13
experiment, what you find is that most
57:15
people's eating window is actually quite a bit longer. So in discussing this with such in, in reviewing the literature, it's clear that if you'd like to be on a
57:24
10 hour feeding window
57:26
that you should probably
57:27
Elect an 8 Hour, feeding window
57:29
because there's always a little bit of a taper on either side of that, eating window. Very few. People are
57:35
extremely strict about these eating windows. It's just hard to do in the context of Life events and social Gatherings and and family and so forth. Okay. So as we build forward
57:44
your ideal fasting, /
57:48
time restricted feeding schedule, we now have several different rules that we can list out first,
57:53
at least, no food for the first hour after waking up at.
57:57
Just one hour
57:59
to no food intake, for two, and ideally,
58:03
three hours prior to your
58:05
bedtime.
58:07
Three if you want to select an eight hour feeding window, then you should probably focus on a six or seven hour feeding window. Because in reality, you're feeding, window is going to
58:18
be longer reality meaning, real life,
58:21
constraints. And if you'd like to be on a 10 hour feeding window,
58:25
you should probably select an 8 or a 9 hour feeding window because the way it plays out is that people almost always eat outside of their eating window somewhat. The
58:34
other nice thing about selecting a slightly
58:37
Shorter eating window, then is comfortable for you.
58:40
Is that it takes into account
58:41
that, as you take your last bite or your last sip of calories. There's this
58:47
time or taper before, which you are actually in a
58:50
fasted State and because you're eating different things on different days, presumably some foods, leave your gut more quickly, something spike, your insulin, and your glucose more than others. Sometimes, eat more fat sometimes less fat.
59:04
This allows you to fall. Well,
59:07
within the margins of the benefits of time restricted feeding that have been demonstrated in humans, which generally involve an eight-hour window or so. So I think this
59:17
eight-hour window or six hour, window is a good thing to shoot for, for most people, some people and we will discuss the exceptions, but some people truly are exceptions to this. They just require more food and along those lines. I just now briefly want to touch on some of the studies that have looked at
59:33
using a very
59:34
Feeding window of about four hours nowadays. A number of people are doing the so-called one meal
59:39
per day or are restricting their feeding window to just four hours or six hours.
59:45
And that turns out to be an interesting strategy
59:48
and the data around it actually are a little bit, surprising
59:51
one, surprising thing to LEAP out of this
59:53
massive literature review
59:55
on time, restricted feeding and humans. Is that
59:59
relatively short feeding Windows of say 4 to 6
1:00:02
hours, do produce a number.
1:00:04
Our of positive health effects, things like increased
1:00:07
insulin sensitivity, which we know is good. Remember, type
1:00:10
2 diabetes, is a
1:00:11
reduction and insulin sensitivity improvements in beta cell function and the pancreas decreased blood pressure decreased oxidative stress.
1:00:20
Decreases in things like evening appetite. So positive health effects, and psychological effects, in general. However, they either produce no change in body weight, or they tend to produce even increases in body weight. Now, of course, there's variation between
1:00:39
individuals and between studies, but this
1:00:42
is somewhat surprising. So The 8 Hour, feeding window seems to be very
1:00:46
beneficial across almost, all the parameters that we've discussed inflammation.
1:00:50
Weight loss fat loss, Etc.
1:00:53
And adherence, I should mention people's ability to stick to the diet. Seems quite good on this 8 Hour feeding windows,
1:01:00
but when people try and undergo very short feeding Windows of four to six hours. It seems that they are overeating in that four to six hours at least overeating
1:01:09
with respect to their metabolic needs.
1:01:13
Now, the contrast to this is the so-called one
1:01:16
meal per day schedule. Very few studies on one meal per day, one meal per day. Unless it's a very, very long meal and sort of feast, typically would not last four to six hours because it sort of depends on how you define a meal.
1:01:28
But when you look at the very few should emphasize again, very few studies on one meal per day. People typically maintain or lose
1:01:36
weight on the one meal per day
1:01:37
schedule. So what we can say, is that the 729, our feeding window,
1:01:42
Produces all of
1:01:44
the major health benefits of time. Restricted feeding,
1:01:47
as well as
1:01:48
being pretty straightforward for most people to adhere to on a regular basis. And on a regular basis, turns out to be very important. I'll get back to that point a moment.
1:01:56
Whereas the four to six hour eating window, doesn't seem to serve
1:01:59
people as well as say a seven or eight hour eating window. Simply because people are overeating during that eating
1:02:05
window and the one meal per day while perhaps
1:02:09
ideal for certain people's schedules. May actually cause
1:02:12
all to under e. And in some cases, that might be what people want. They actually want to under eat.
1:02:16
But when we start thinking about performance in
1:02:20
work and in sport, and when we start, considering Hormone Health, and hormone production
1:02:26
fertility, that's when we can really start to look at the seven to nine hour, feeding window versus the four to six hour feeding window
1:02:35
versus the one meal per day.
1:02:37
Type feeding window, with some
1:02:39
different objectivity. We can start to look at it through a different lens because it
1:02:42
Turns out that
1:02:44
when you place the feeding window and how long that feeding window is actually will impact a number of other things in particular hormones, that can be very important for a number of things related to sex. And reproduction can be related to performance at work performance in
1:03:02
athleticism. And there are excellent
1:03:04
studies on this. So let's explore those now.
1:03:07
So let's talk about some conditions. We're
1:03:09
having the feeding window early in the day would actually
1:03:12
be very beneficial. There
1:03:14
was a study that was published recently in cell reports again cell Press Journal. Excellent Journal peer-reviewed very stringent from aoyama at all. So, this
1:03:24
is a, oh, why am a at all?
1:03:28
This was published just
1:03:29
recently in July, 20, 21
1:03:31
that looked at the distribution of protein intake in different meals, delivered, either early in the day or later in the day, and I'm summarizing
1:03:42
Here quite a lot, but I should mention that this study was performed in both mice and humans. Same paper, mice and humans and involved. Hypertrophy training,
1:03:53
essentially, increasing the weight bearing of given limbs to try and induce hypertrophy, which is the growth of muscle tissue.
1:04:03
It does appear that muscle tissue is better able to undergo hypertrophy by virtue of the fact that there's better or enhanced protein synthesis early in the day because of the expression of one of these particular clock genes called B. Mel, B maal Be Mel regulates a number of different protein synthesis Pathways within muscle cells,
1:04:28
such that eating protein early in the day support.
1:04:33
Muscle tissue maintenance and or growth and in this study. They also looked at the effects of supplementing, so-called BCAAs branched chain, amino acids, Which is popular in bodybuilding circles and in strength, training circles, and
1:04:46
BCAAs are essential components of
1:04:50
a number of different foods, but can also be supplemented the take away. The study is pretty straightforward. However, the takeaway is if your main interest is maintaining and or building muscle,
1:05:02
then it can be beneficial.
1:05:03
Unofficial to
1:05:03
ingest protein early in the day.
1:05:05
You would still want to obey this.
1:05:08
What we're calling a kind of foundational rule of, no, not eating any food for the first hour? Post waking or at least the first our post waking, and the cutoff for when you would want to eat protein, would be some time before 10 a.m. And they're, I'm averaging across a number of different
1:05:26
situations. But in general, this be Mal
1:05:29
expression is such that, let's say you wake up at 7 a.m. Your main interest is
1:05:33
In hypertrophy or maintenance of muscle, then you would want to ingest some protein, some time before 10 a.m. But obviously, if you're interested in getting the health effects of intermittent fasting that you wouldn't ingest any food for at least the first 60 Minutes upon waking. Now, it's not as if at 10:01 a.m. A gate slams shut and you can't generate hypertrophy. Of course, that's not the case. However, it's very interesting that it doesn't matter when the resistance training the load bearing.
1:06:03
Sighs occurs in the 24-hour cycle. So whether or not in other words, people are training early in the day or their training, late in the day, it still appears that ingesting protein early in the day favors, hypertrophy or that one is better or I should say more easily able to access hypertrophy by way of these clock regulated protein synthesis mechanisms by ingesting protein early in the day
1:06:29
in, no way shape or form. Does
1:06:30
this study say that ingesting protein later in the day?
1:06:33
Somehow bad for you. It just emphasizes the positive effects of ingesting
1:06:37
protein early in the day for sake of muscle maintenance and or hypertrophy. So, if you're somebody who's mainly concerned with muscle maintenance and hypertrophy,
1:06:46
then it may make sense to move that
1:06:49
feeding window earlier in the day. And certainly, there are people out there who are interested in muscle maintenance and hypertrophy who aren't doing intermittent fasting at all. And that's also a perfectly fine. But this just so happens to be an episode about intermittent fasting and time restricted.
1:07:03
And there are, of course,
1:07:05
modes of eating where one eats small meals spread throughout the day, or weights meals differently. Such that meals early in the day are larger than later in the day or vice versa. There are a near infinite number of ways to organize this. But if you are, somebody who's interested in deriving, the many clearly established health effects of time, restricted feeding and you are somebody who would like to maintain
1:07:28
or build muscle.
1:07:31
Then
1:07:32
injesting proteins in the early part
1:07:34
of the day would be important to you. At least on the basis of these results and therefore that eight-hour window that we we've established as more or less ideal shifted to the later part of the day, might not be as beneficial for you. Now. I can just personally say that for me when I wake up in the morning. It's a very easy for me to not eat until noon or 1:00 or 2:00 p.m. Eating early in the day is actually somewhat of a
1:07:59
challenge.
1:08:00
I discussed this point with such n because we were talking about how is it that one can move
1:08:06
their feeding window or place themselves onto a different schedule of intermittent fasting. And it's very clear that one needs to provide a transition period in order for that to happen. You should allow yourself a transition period of anywhere from one week to 10 days in which you shift your feeding window by about an hour each day or so, and then once you establish a feeding window that feels comfortable for you.
1:08:30
And that you think you can maintain over time, that you simply maintain that, feeding schedule for at least 30 days, but ideally, you would do that indefinitely.
1:08:40
Now, this turns out to be important Based, on data that they've
1:08:42
gleaned from this, my circadian clock, massive experiment, that they've been doing, where people are entering the times that they're feeding, and, and eating. Excuse me. Anytime we talk about mice, always think about feeding, because I come from a background in my lab. Works on both laboratory mice, and on humans.
1:08:58
And he's on my thing about humans, I
1:08:59
think about eating, but of course,
1:09:00
If they are the same thing.
1:09:03
The interesting thing to emerge from that very large
1:09:05
data set in humans, is that when people log their feeding times, as I mentioned before, oftentimes, they think they're eating in an eight-hour window, but they are actually eating in a much broader window. However, even for people that are very good about restricting their feeding to a 4, 6, or 8 Hour window. If they're very strict about the start and stop times when they ingest calories, one of the findings. That's really been important to
1:09:32
Note is that
1:09:34
almost every
1:09:34
individual has a lot of drift in when that eating window resides in their 24-hour period, in particular, on the weekends,
1:09:43
people are either extending or
1:09:45
shifting their feeding window in a way that makes it seem that they've traveled to another time zone and are eating according to another time zone. And
1:09:54
this is extremely important. As
1:09:57
I mention earlier,
1:09:59
based on the 2012 study from Sasha.
1:10:02
Lab, we're eating at a particular phase of each 24-hour cycle. Can help enhance the expression of these clock genes.
1:10:12
If you are eating
1:10:14
within a very strict or semi strict feeding window, but that feeding window is migrating around from day to day or five days a week. You're really organized about when that falls. Let's say for sake, of example, from noon to 8:00 p.m. Noon to 8:00 p.m. Monday noon, to 8 p.m. Tuesday, Wednesday noon day p.m. Thursday and so forth. But then on a
1:10:33
Saturday it's becoming 11 a.m.
1:10:37
And you're ending it early, or perhaps you're starting early.
1:10:42
In the day on
1:10:42
Sunday, you're having brunch that starts at 9:30 or 10:00. And then it's extending out, still just eight hours. But it's shifting around
1:10:49
that can cause disruptions in these circadian clock mechanisms that cause disruptions in the downstream
1:10:56
effects of eating that are taking at least two to three days to recover from.
1:11:03
So obviously
1:11:04
we don't want to be overly neurotic about this stuff. But because this is an episode about the science of intermittent fasting and time restricted feeding.
1:11:12
As important as
1:11:14
how long you're feeding window is, is where that feeding window resides in each 24-hour cycle. And perhaps,
1:11:21
even more important than that, is that
1:11:23
it be fairly regular where that feeding window resides. Because
1:11:27
even if you have a very short, feeding window, if it's drifting around, from day to day,
1:11:31
that actually offsets a number of the positive health effects of intermittent fasting. So to really just underscore the way that these different pieces of the biological puzzle fit together.
1:11:42
If you are very strict or semi strict about your eight hour feeding window, but on the weekends that 8 Hour feeding window is falling later than it, normally would drain the middle of the week. It is as if you are going to bed later, even if you're going to bed at the same time, at least from the perspective of metabolic health because of the way that eating impacts these clock genes and impacts or I should say sub tracks, the sleep-related fasting that you would normally experience if you were to finish.
1:12:12
In a couple hours before bedtime. So again, we don't want to create any overly obsessive or neurotic focus on this. I
1:12:19
think that most all
1:12:20
people could benefit from a Time, restricted, feeding schedule, but they should really think hard about what they can stick to on a regular
1:12:27
basis and understand that they tend to underestimate the
1:12:31
feeding window that they actually
1:12:33
are partaking in and that they should place that feeding window in a portion of the 24-hour
1:12:39
cycle that they can be consistent on most days.
1:12:42
Days, and I want to emphasize most again because we are not laboratory mice. We don't have a graduate student coming in for 8 hours a day because that's what their significant other will allow them to do. And then removing the food from our jowls and from our
1:12:53
cages, we have access to food, pretty much 24 hours a day.
1:12:58
Along those lines. However, there are things that we can all do. That will allow
1:13:03
us to offset some of the drift, if you will, that we experience or that we induce in terms of, when are feeding window occurs, or that the feeding window might push out a little later and then, therefore start a little later. The next day. There are things that we can do in there things that we can take. And so I'd like to discuss those briefly. So, throughout this episode. I've more or less been
1:13:25
alluding to the fact
1:13:27
that
1:13:28
When you eat, there's some period of time afterwards in which you're actually still eating at least from the perspective of metabolism because glucose is up, insulin is up and you're undergoing, different metabolic and digestive processes that don't really speak to you being in a fasted state, right? It's not just about when you take your last bite or your last
1:13:49
sip, however, there are
1:13:51
things that we can do to accelerate the transition from a Fed state to a
1:13:57
A fasted State.
1:14:00
And so, I'd like to discuss what those are. And I want to emphasize that the term fed state is
1:14:05
probably a better way to think about it, then, eating or not eating, because we think of eating, as the verb. We're eating reading. Okay, we're done eating. I'm fasting. Now, you're not actually fasting you because you are fed. So we should really think
1:14:19
about fed and unfed States
1:14:21
because from a cellular processes perspective and from a health perspective. That's actually what your body in your system are paying.
1:14:28
Chintu. And by now, with everything that we've laid out. I think that should be intuitive to
1:14:32
understand. So there's a fun and exciting
1:14:35
concept related to this, which is glucose clearing.
1:14:39
You may have heard the old
1:14:40
adage that if you take a 20 or 30 minute walk after dinner, that it accelerates the rate at which you digest that food. And indeed, it
1:14:48
does clearing out of glucose. From your system can be accomplished through a number of different means but light movement or exercise does
1:14:58
Increase gastric emptying
1:14:59
time. So for
1:15:00
instance, if you were to eat a meal that ended at 8:00 p.m. And 2:00 and then plop to the couch watch TV or get on your computer
1:15:10
or go to sleep. It would be five or six hours
1:15:14
until you have transitioned from a Fed state to a fasted State. However, you can accelerate that considerably by taking a 20 or 30 minute just Light walk. It doesn't have to be speed walking. It certainly doesn't have
1:15:28
Jogging but just walking outside or moving around. So glucose clearing is an important aspect of the transition from the FED state to the fasted State and just a light walk can allow you to do that. Now, if you can't get
1:15:41
outside, some people will go through
1:15:45
the gymnastics literally of doing things, like air squats and push-ups and things like that.
1:15:49
And indeed, those will increase the
1:15:51
expression of things like glut4 and things that mobilize glucose into muscles and things of that sort, but
1:15:58
You know, under most conditions, most people aren't doing push-ups after dinner or certainly. If you've had a big meal, just taking a light, walk can be
1:16:04
beneficial in addition. You could consider doing intense exercise.
1:16:11
Now you wouldn't necessarily want to do that immediately after
1:16:13
eating. So let's take a
1:16:15
look at what high intensity training of any kind does to blood glucose
1:16:19
because in this case it turns out that when you do
1:16:21
high intensity training actually has opposite effects on blood glucose, depending on whether or not you do it.
1:16:28
Lee or later in the day,
1:16:29
so a fairly recent study looked at so called Hit training, high intensity,
1:16:33
interval training, which of course can take many different forms. It can take the form of circuit training with weights. It can take the form of burpees and push-ups, and Sprints, and all sorts of doing things. But I intensity interval training is typically training that gets people's heart rates up,
1:16:49
you know, well, above 70 percent of Maximum and then
1:16:53
brief periods of rest, and then repeating and how long the high intensity interval training. Of course, will also vary.
1:16:58
There's there are very brief, you know, six or 12 or 15 minute workouts. Some people can carry on with high intensity interval training for up to 45, or maybe even 60 Minutes in extreme cases. But when you look at the studies that have explored high-intensity interval training and its effect on blood glucose, there are a couple studies that leap out.
1:17:18
For instance, one that emphasized that blood glucose
1:17:21
levels will actually increase if high intensity interval training. Is performed early in the day and will decrease if high intensity
1:17:28
Well, training is performed later in the day. Now, the purpose for this exploration
1:17:34
was not
1:17:36
to explore clearance of blood, glucose for sake of intermittent fasting. It was mainly focused on athletic performance and whether or not that was better early in the day or later in the day at cetera,
1:17:45
but we can extract some information from these studies that are beneficial for sake of understanding glucose clearing. If you have ingested food throughout the afternoon.
1:17:57
Noon and evening and late in the day and you're thinking about going to sleep and you'd like to enter
1:18:02
sleep in a way that is less fed and more
1:18:04
fasted. Then engaging in high intensity interval training in the afternoon will lower
1:18:10
or evening. I should say will lower
1:18:12
blood glucose. And in that way will help you accelerate your
1:18:16
transition into the fasted state provided. You don't ingest something after the high intensity interval training. Now
1:18:21
is the increase in blood glucose that occurs from high
1:18:25
intensity interval training
1:18:26
early. In the day is that
1:18:27
Detrimental not necessarily. So that often times is associated with the shuttling of nutrients to the muscles that have just done a lot of hard
1:18:35
work. So it's not that high intensity interval training should not be done early in the day. In fact for many people including myself training early in the day, just for the way that my psychology and biology works is always better for me than training later
1:18:48
in the day and the other important thing to mention is that high intensity interval training, done late in the day, can be beneficial from the perspective of glucose clearing.
1:18:58
Lowering blood glucose and helping transition from the FED to the fasted state in preparation for
1:19:03
Sleep. However, if you're ingesting caffeine
1:19:07
or anything to engage in that high intensity interval training in a way that prevents you from getting to sleep. Well, then it's going to be detrimental overall.
1:19:15
So the
1:19:16
reason I mention this is of course because it's nice to know that light walks after dinner or any other meal for that matter or
1:19:22
high intensity interval training
1:19:24
provided. It's done in the second half of the day, can lower blood, glucose and speed.
1:19:27
Transition from fed too fast, it's dates.
1:19:30
But I also mention it because what we are really trying to achieve. When we
1:19:36
partake in intermittent fasting, so-called time restricted feeding
1:19:39
is what we're really trying to do is access unfed
1:19:43
States or fasted States.
1:19:45
It's not really about when you eat and what you do it's about extending the duration of the fasting period as long as you can in a way that still compatible with your eating, right, not the other way around.
1:19:57
Around. And this gets back to this key feature of our biology, which is that what we eat, when we eat when we exercise, when we view, like it's about setting a context or a set of
1:20:09
conditions in your brain and body.
1:20:11
So 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. And so, in this way, it really beautifully highlights. The way that your biology is interacting all the time. Light
1:20:25
is setting when you're going to be awakened when you're going to
1:20:27
Sleep when you eat is going to be determining when you're going to be awakened, when you're going to be asleep.
1:20:32
And when you eat is also going to be determining when you are able to clear out, debris
1:20:38
from your brain and body and repair, the various cells and mechanisms of your body. When you're able to reduce those inflammatory cytokines throughout your body.
1:20:46
And this is really the beauty of timer circuit feeding, which is it's not really about restricting your feeding. It's about accessing the beauty of the fasted State. Now. There are other ways
1:20:56
to clear out.
1:20:57
Blood
1:20:58
glucose that involve supplements or prescription drugs. These are so called glucose disposal agents glucose disposal agents such as metformin, which is a prescription drug
1:21:11
or berberine, which is an over-the-counter substance will
1:21:15
lead to very dramatic reductions in blood
1:21:17
glucose. And so they shift you from a fed to a
1:21:20
fasted State. And I know many people who take berberine before
1:21:25
eating meals that include
1:21:27
Number of carbohydrates, for instance, as a way, to clear out glucose.
1:21:32
Now, I've tried berberine before, and what I can tell you is that
1:21:35
if you take berberine, which by the way, is very much like met form and its effects are almost identical to metformin, in fact, but it's much less expensive and it's over the counter. If you take berberine and you have not ingested. Carbohydrates,
1:21:48
many people including myself experienced a splitting headache,
1:21:52
you become hypoglycemic because it is a glucose clearing agent. So if you're going to experiment
1:21:57
Things like metformin and or berberine or similar. You want to be very
1:22:02
cautious that you're not clearing out blood glucose.
1:22:04
That's already low and the
1:22:07
dose response for this varies. Tremendously from one individual to the next and there's a strong circadian component. So some people react very well to berberine early in the day, but find that later in the day, it provides extreme headaches for some
1:22:22
people. It's the opposite.
1:22:23
So I caution you in exploring things like, berberine and
1:22:27
Metformin.
1:22:28
That you should expect to experience a number of physical and psychological effects.
1:22:33
That may work for you might be great for you, but might also not be great for you. Nowadays. There are a number of
1:22:38
commercially available continuous glucose monitors. I've tried one of these involves putting what's essentially a patch with a little needle that goes into your skin, which is continuing continually scuse me monitoring your blood
1:22:50
glucose and you can look at it at an app on your phone
1:22:52
and you can learn a lot that way about how different foods
1:22:55
impact. The increases in decrease in blood.
1:22:57
Those, if you're doing experiments with berberine or metformin, you can see how those impact your blood glucose. You can see how
1:23:04
exercise hit training or otherwise in Black impacts
1:23:07
blood glucose. Excuse me. Again, it's very hard to assess blood glucose without a continuous blood glucose monitor. And if you're not using one, you're mainly going to be relying on subjective. Things like, oh, I feel like I have low blood sugar, or, I feel shaky like, I have high blood sugar or shaky because you have low blood sugar. So,
1:23:25
I have to say,
1:23:27
That glucose clearing agents
1:23:29
that involve a walk or exercise moderate or intents
1:23:34
are going to be a lot easier to titrate and adjust the levels of then
1:23:38
things that you're going to take, where you have to adjust the dosage. And then once you ingest a certain dosage, you're along for the ride at least until the effects of that particular compound wear
1:23:47
off. It doesn't mean those things don't have utility. It doesn't mean people aren't using them because many people are, but
1:23:54
they are potentially a very sharp blade. That is a
1:23:57
double.
1:23:58
Sided blade. So I encourage you to
1:23:59
approach those with caution. If you decide to at all, it's worth thinking about what the low blood glucose state
1:24:06
is and why it's
1:24:07
beneficial as well as
1:24:09
why it might produce headaches. And in some cases can also adjust the effects of other hormones
1:24:14
in the fasted State, a number of different proteins
1:24:18
that are expressed in cells, undergo changes in their expression. We talked about this
1:24:22
earlier. When we are fasted. We tend to
1:24:25
reduce the activity of a particular
1:24:27
Allure protein called mtor. Mammalian Target of rapamycin. Mtor is a very active in cells while they are growing. So throughout development. It's also very active in cancers of various
1:24:39
kinds.
1:24:41
Mtor needs to be what's called phosphorylated. If you don't know what that means, don't worry about about, phosphorylation
1:24:46
is a manner in which certain
1:24:49
proteins are altered so that they can actually be functional within cells mtor is associated with cell growth
1:24:54
of all kinds healthy and
1:24:56
unhealthy.
1:24:58
When mtor is phosphorylated, there's a marker called
1:25:01
ps6. So phospho mtor expresses ps6. If this is all escaping you, don't worry about
1:25:07
it, phospho mtor and ps6 are reduced by fasting. Now. This makes sense, if you
1:25:13
think about it, because eating and growth are associated with each other fasting, is
1:25:19
not necessarily
1:25:20
anti-growth, but it is not pro-growth. And when
1:25:23
we fast, we see increases in cells of things like ampk, the
1:25:28
Two ends things like transcription factors, like,
1:25:31
foxo ATF and ketones or Ketone bodies. You may have heard of the ketogenic diet. What's the point
1:25:37
of all this biochemistry? It's not just Blitz you with a bunch of cellular
1:25:40
biology and biochemistry.
1:25:42
It's to say that we have cell growth Pathways involving mtor & PSX and we have cell repair and sell shrinkage
1:25:51
processes that are associated with ampk. This will call
1:25:55
sirtuins, which dr. David Sinclair from
1:25:58
Offered and others are famous. For discovering an understanding things like ampk these two different Divergent Pathways of cell growth and cell breakdown, and
1:26:08
repair. And by breakdown. I mean, actual clearance autophagy and repair.
1:26:15
Those can be triggered by being in either the
1:26:17
fed or the fasted state. So, one way I'd like you to
1:26:20
think about the FED State, not just eating
1:26:22
but having recently eaten or the fasted State, meaning high, blood glucose.
1:26:28
Or you've recently eaten or are currently eating or drinking calories. Is that
1:26:33
when you eat or when you don't eat when you're fed, when you're fasted, you are either promoting cellular growth of all kinds or you're promoting cellular repair and
1:26:42
clearance of all kinds. And so, again, this is about setting conditions in the brain and body.
1:26:47
It's not so much about when you eat food A or B.
1:26:51
It leads to increases them. In mtor.
1:26:54
Any time you eat any food? Doesn't matter if it's plant-based.
1:26:58
It animal-based fat, protein carbohydrate, doesn't matter. You are
1:27:02
biasing your system towards a biochemical state of cell growth. And
1:27:06
anytime you haven't eaten
1:27:07
for a while or blood, glucose is low your biasing, your system toward a state of cellular repair.
1:27:13
And this is why people who do
1:27:16
not suffer from any blood glucose regulation issues. Take things like berberine as glucose disposal agents or take Metformin. I'm not necessarily
1:27:24
suggesting that you do that, but it's because those things mimic
1:27:28
Fasting. They create situations in the body that
1:27:31
promote things like ampk in the sirtuins and others to
1:27:34
push your body and your system
1:27:36
down a route of repair, even though you might have just eaten a meal, an hour ago,
1:27:40
along the lines of the health benefits of intermittent fasting there. Nice data showing improvements in the gut microbiome,
1:27:49
and in particular, in the treatment of irritable
1:27:52
bowel syndrome and other forms of colitis
1:27:56
in time
1:27:56
restricted feeding, meaning
1:27:58
I'm restricted feeding seems to be able to assist people with those
1:28:01
conditions following the general parameters that I discussed before eight hours and so forth.
1:28:07
Why, and how? Well, by way of intermittent fasting impact in the expression of these various clock genes. And because the clock genes impact the mucosal lining, the mucus lining of the gut, it appears that intermittent fasting can reduce the amount of so called, lactobacillus, that's present in the gut.
1:28:28
Lactose bacillus is when in high levels is correlated with a number of different, metabolic disorders. At the same time time restricted feeding seems to enhance the proliferation of some of the gut microbiota like isil of actor. And some of the other ones that promote healthy mucosal lining and that promote better overall
1:28:48
intestinal function. So,
1:28:50
these are Pathways that have now been established, and it appears that intermittent fasting isn't just modulating these processes, but is actually
1:28:57
having
1:28:58
In a direct effect on the mucosal lining in a way that favors a healthier gut microbiome, so it should come as no surprise, that many people who experience gut issues benefit from restricting their feeding window to eight hours or so per every 24-hour period.
1:29:11
The other very exciting finding about intermittent fasting is one of the major health issues. These days is the proliferation of so-called
1:29:20
non-alcoholic fatty liver disease,
1:29:23
30 years or
1:29:24
so, non-alcoholic fatty liver disease was exceedingly rare to see in the clinic.
1:29:28
Except in Alcoholics,
1:29:30
fatty deposits in the liver are
1:29:32
bad. It is essentially liver disease,
1:29:34
nowadays, children and adults are
1:29:37
showing up with non-alcoholic fatty liver disease. Some of these people are obese, others are not, but it's a serious health concern and it's growing in numbers. All the time, a
1:29:48
recent study that was published in cell reports medicine, just a couple weeks ago tested the hypothesis whether or not the gut microbiome or so-called.
1:29:58
Brown
1:29:58
fat tissue is impacting The
1:30:01
Liver Health and in particular
1:30:03
non-alcoholic fatty liver disease, the
1:30:06
short, take away from the study. Is that contrary to what was previously, thought the gut microbiome. While very important for a number of other
1:30:13
processes in the body,
1:30:15
doesn't seem to be
1:30:16
related to this non-alcoholic fatty liver disease. This is surprising to people are should be to those of you that have been following the gut microbiome literature. However,
1:30:25
Brown fat, which is a healthy
1:30:27
fat that
1:30:28
Have between our two scapulae and in our upper neck. It doesn't tend to be blubbery type fat pads, but it's it's deep to the skin. But creates a thermogenic effect in the body.
1:30:37
That is helpful for reducing the amount of other fat. The type of fat that
1:30:42
we're typically used to thinking about and talking about white fat and pink fat, that's subcutaneous, fat around the abdomen and so
1:30:48
forth.
1:30:49
Brown fat seems to
1:30:51
have a direct correlation with the lack of non-alcoholic fatty
1:30:55
liver disease. What this study showed, was that in people that have diminished concentrations of brown fat.
1:31:03
There is a
1:31:04
higher
1:31:05
probability of having non-alcoholic fatty liver disease. Now, the good news is brown, fat stores can be increased. And again, this isn't going to create blubber of brown fat. This is going to create increase thermogenesis and actually make people
1:31:16
leaner and
1:31:17
brown fat has a number of other important positive.
1:31:19
X.
1:31:19
Now this is interesting because cold
1:31:22
exposure
1:31:22
of anywhere from one to three minutes,
1:31:24
two or four times per week, or maybe even 10 minutes,
1:31:27
two to four times per week, can increase Brown fat stores. Also, time restricted feeding has now been tied to
1:31:34
the density of brown fat store. So, time restricted. Feeding
1:31:38
also seems to positively
1:31:40
increase Brown fat stores probably, because of the way, the brown fat stores relate to epinephrine, and adrenaline, which tend to go up when we're fasted.
1:31:47
What does this all mean? This means
1:31:49
Ins for sake of Liver Health and for sake of reducing, or may be preventing, or even potentially,
1:31:56
when underline potentially reversing non-alcoholic fatty liver disease time, restricted feeding also appears to be beneficial many people out. There are interested in optimizing their hormones. And as we mentioned earlier, insulin is a hormone and time, restricted feeding
1:32:11
seems to have very positive effects on overall, insulin profiles and so forth. But anytime you mentioned hormones,
1:32:18
people immediately seem
1:32:19
Leap to the sex store at hormones testosterone and estrogen because
1:32:23
indeed they have powerful
1:32:24
effects both in the short term and the long term in terms of our mental and physical health and performance.
1:32:31
There's at least one study that's explored the effects of time. Restricted eating on performance athletic performance immune function and body composition. So was a study by morrow at all that was performed on Elite cyclist. So I want to point that out. It was a randomized control trial.
1:32:49
But what's really nice about this study is that it explored a number of different hormonal parameters in people that were using time
1:32:58
restricted eating, or that had a more extended eating window
1:33:02
and they tracked, everything very carefully and the amount of food. They were eating was actually pretty considerable 4800 calories. So that's a lot of calories. But then, again, they were very active. And they measured a number of
1:33:16
different things related to vo2max Etc.
1:33:20
Performance and overall performance.
1:33:22
At what they did cycling is
1:33:25
not the point that I want to emphasize here. Although there were some positive
1:33:28
effects on their performance related to
1:33:30
time, restricted eating the point. I want to talk about relates to things that presumably relate to most everybody, which are the effects on things, like
1:33:40
glucose thyroid hormone, testosterone, sex
1:33:44
hormone-binding globulin, which can bind up testosterone and prevent the so-called.
1:33:49
Reform of testosterone, which is the one that has most of the actions in the brain and body. And the major takeaway from this study was that time restricted feeding of the same amount of calories as the so-called control
1:34:03
condition. Okay, same calories, but either
1:34:05
compact throughout the 24 hour cycle to an 8 Hour, feeding window or allowing them to eat over a larger feeding window did lead to significant decreases in free testosterone. And I think a number of people will
1:34:19
Raise their eyebrows to that and think, oh, well, then maybe time restricted feeding is not for me.
1:34:24
There are a number of important considerations. Of course. One is while they decrease in free testosterone was significant. It's
1:34:31
also going to depend on where people start out. So if somebody has already low or modest levels of testosterone and it drops by 10 or 20% that could lead them into a state of poor performance in well-being. Whereas if somebody has higher testosterone a decrease won't
1:34:46
necessarily do that. So it's important to take that into consideration.
1:34:50
This is why I'm always such a fan of people doing their blood work and knowing what's going on under the hood for them. A very interesting change in hormonal profile, was cortisol so-called stress hormone
1:35:02
cortisol, of course, is also naturally released early in the day, in a healthy way to wake you up and promote alertness, but you don't want it's levels to be too high or to have Peaks and cortisol late in the day. It's actually correlated with depression and a number of other untoward
1:35:17
things.
1:35:19
I would have thought that by restricting a feeding window to a particular time each day that these hard training cyclists would have undergone increases in serum cortisol. And in fact, the opposite was true. They had significant reductions in serum cortisol as a consequence of time. Restricted feeding. I should mention there were significant reductions in
1:35:40
serum. Cortisol also in the control group, but not to the same extent and the two groups did
1:35:45
differ significantly from one another.
1:35:48
Now, this is important because
1:35:49
If you just look at one hormone testosterone, you'd say, Okay, based on these data time restricted feeding is reducing testosterone levels significantly, even though the number of calories is quite high and is held constant across the study, but in fact because cortisol is lower. It may mean that the effects of testosterone,
1:36:07
or the reduction in testosterone is offset, and that's
1:36:10
because cortisol and testosterone, or always in this
1:36:13
somewhat of a dance. In terms of cortisol inhibiting, the effects of testosterone largely and vice.
1:36:19
So so it is interesting and important to look at the total gallery of hormones. And they did, look at a number of hormones. They looked at other inflammatory markers. Those were not increased. That's not surprising. If you remember back to the 2012 Sachin Panda,
1:36:33
study this early pioneering study on time, restricted feeding. They saw reductions in stress hormones and in inflammatory markers in time, restricted feeding, mice. And here this also seems to be the case in humans. So, the takeaway
1:36:47
is
1:36:49
for sake of Hormone Health time, restricted feeding is compatible with
1:36:54
quality Hormone Health, even in high-performing athletes based on everything we know and that we've discussed. I would not suggest that people restrict their feeding window to less than 8 hours, especially if they're training hard on a regular basis,
1:37:06
and
1:37:07
it's not just athletes, that should pay attention to this. When we are working very hard when we are psychologically stressed, when we are studying for exams, or we are in conflict with
1:37:18
Buddy on a regular
1:37:19
basis that creates a stress in the body, that's very similar to that of physical training. The body and brain, don't distinguish between
1:37:27
physical stress and mental stress. It's all nervous system. Remember that? It's just cortisol and adrenaline. There's no
1:37:32
special hormone
1:37:34
just for physical stress versus psychological
1:37:36
stress. So again in thinking about what sort of feeding window will be right for you. We arrive
1:37:41
back at this eight hour
1:37:43
time bin. That seems more or less
1:37:45
flexible for most conditions even high.
1:37:48
Forming Elite athletes. And I would say, just by logical
1:37:51
extension, even for
1:37:53
people that have a lot of stress in their life, and I
1:37:56
personally wouldn't suggest that people who have a lot of stress in their life, where the potential for stress in their life.
1:38:01
Shorten their feeding window much shorter than eight hours because then you would expect that you would start to increase some of the inflammatory markers. You would increase the stress hormones
1:38:12
and you would be decreasing things like testosterone and
1:38:15
estrogen and some of the sex steroid hormones. So again, it's all about
1:38:18
Context and the eight-hour window,
1:38:20
it isn't wholly, but seems to be a really useful guide to
1:38:23
extract the great
1:38:25
health benefits of which there are many in of which we've discussed from intermittent fasting, time restricted, feeding. And yet that it could still be compatible with decent, social schedules and for maintaining Hormone Health in keeping with this for
1:38:41
women that are trying to maintain
1:38:42
ovulatory Cycles or for couples that are trying to get
1:38:45
pregnant.
1:38:46
I think it's also important to not create a feeding window that's too short. The relationship between feeding and body, fat stores and glucose and leptin, and hormones is a well-established one. And we can
1:39:00
summarize it very easily here. Although I've done several episodes related to this previously on optimizing Hormone Health,
1:39:06
but basically we undergo puberty, when there's enough food, and there's enough body fat, that the body fat sends a signal to the brain called leptin.
1:39:16
Hormone that comes from body, fat signals to the brain to turn on puberty that's puberty. But even as adults for women that are menstruating, there needs to be sufficient leptin signaling to the brain in order to maintain ovulation because of the way that the brain communicates with the pituitary in the ovaries. Similarly for men fasting or extreme exercise plus
1:39:39
fasting. We now know reduces testosterone.
1:39:43
It's impacts are not exactly clear. However, if you reduce food intake, either in total calories or induration
1:39:51
too much, you will suffer a drop in sperm, counts, fertility, will drop. And this makes sense. The body is communicating to the brain, whether or not conditions are
1:39:59
sufficient in the body to reproduce and to presumably. And hopefully support the health and well-being of those Offspring.
1:40:08
So there's a logical link between body fat and eating and how much food is available.
1:40:13
To you and how long it's available to you
1:40:15
and the signals in the brain that allow for Reproductive success.
1:40:18
There are some data that pointed differences in the effects of intermittent fasting for males versus females. Those data. Right now, only come from mice. That study was published by Sachin Panda, recently. We still await the studies in humans. Some people do not do
1:40:34
well on intermittent fasting, either in terms of mood or
1:40:38
Hormone Health, and so everyone needs to determine for themselves, whether or not having a Time restricted.
1:40:43
Eating window is good for them. How long that time restricted feeding window should be? I think eight hours is
1:40:48
kind of a nice minimum to adhere to based on everything that we've covered today.
1:40:52
And for some people time restricted feeding is not going to be
1:40:56
compatible with Hormone Health,
1:40:57
for them, for them eating more meals spread throughout the day. Presumably smaller meals, same caloric intake is going to be more beneficial for their hormones. This is something that is going to be individual and is going to have to be determined
1:41:10
on an individual basis. However, if you're going to try
1:41:13
I time, restricted feeding. I do want to remind you that taking a period of three to seven or ideally 10 days to transition into it. Not just going
1:41:21
flipping from eating two, three meals a day that span from 6 a.m. To 10 p.m. And suddenly going to an 8 Hour, feeding window, but rather winnowing down that feeding window
1:41:30
about an hour or so. Per day is
1:41:32
going to allow the hormone systems of your body, including leptin. The hypocretin orexin system, which are systems within the body that signal to the brain that food is about to come allowing those systems to
1:41:43
just so that you're not overwhelmingly
1:41:45
hungry irritable and you're not throwing your whole hormone system out of whack. I keep coming back to this 8 Hour feeding window and I want to provide a little more
1:41:53
basis for it and just to encourage that it's not completely
1:41:56
arbitrary.
1:41:58
The lengthy review that I mentioned earlier features a number
1:42:01
of studies that have used this 8 Hour feeding
1:42:03
window.
1:42:05
But there's a particular study that I'd like to highlight mainly because I don't expect people to delve into the full reference list of the other review. And this is a study that was carried out between Sachin pandas lab and Krista varieties lab. So this is a collaboration. The study was carried out in humans and is entitled effects of eight hour time restricted feeding on body weight and metabolic disease, risk factors, in obese, adults, excuse me, and this study essentially showed. I'll just read the conclusions.
1:42:34
That an eight hour, timer started, feeding produces a mild, caloric, restriction, and weight loss without calorie counting. So that's key, right? These people aren't calorie counting somehow just by adhering to an eight-hour window. They are taking in fewer calories than their burning off and
1:42:55
clinically it reduced blood pressure.
1:42:57
So I mentioned the study not because there aren't
1:42:59
many others involving The 8 Hour feeding window also in humans, but because the a towel
1:43:04
Are feeding window has been tested in obese, adults, and not obese, adults, and there are even
1:43:08
a few studies in children. So, this eight-hour window seems to be a really good rule of thumb and a kind of anchor around, which we can each, think
1:43:16
about incorporating time, restricted feeding. There are of course other
1:43:21
patterns of feeding. And while some people have engaged
1:43:25
in longer fasts of 24 hours, 36 hours or more alternate day fasting, meaning eat.
1:43:34
One day, not eating the next day or in some cases, eating one day and eating very few calories, 500 or 600 calories. The next day has been tested. A
1:43:43
few Studies have also looked at eating a sort of
1:43:46
Maintenance level of calories for five days and then taking two days and fast and clear through, or eating very few calories, you know, 300 or 500 calories. In fact, there's a sort of a community online of people that are exploring longer fast for sake of trying to offset dementia. A reverse effects of
1:44:04
Shh, thus far, at least in my awareness. There isn't any quality,
1:44:10
clinical peer-reviewed study on that yet, for sake of dementia. Although I await those studies, and if anyone's aware of them, please send me a link in the comments,
1:44:19
but alternate day fasting has gotten the so-called safe bill of health. This has been written up, meaning, that people didn't suffer bone loss. They didn't suffer any major detrimental effects. It does seem that it can create.
1:44:34
Significant weight loss and can help with obese individuals that it can reduce resting blood glucose.
1:44:40
And every other day fasting, in many cases can produce more rapid
1:44:44
effects on weight loss and reductions in blood glucose than time, restricted feeding.
1:44:49
However, every other day type fasting for most people is not going to be
1:44:55
feasible. They're just not going to be able to do that for a long period of time. And what hasn't really been done is the follow-up to see whether or not people who do every other day fasting or five days of
1:45:04
eating followed by two days of fasting whether or not that leads to a rebound in weight gain, whether or not that leads to a rebound in blood glucose Etc.
1:45:11
So for now, The 8 Hour feeding
1:45:13
window and time restricted feeding
1:45:16
seems to be the most tested supported in animal studies and in human studies and the one around which I think most people
1:45:24
should Orient if they're considering getting into time, restricted feeding. It's also sort
1:45:28
of hard to imagine how one could
1:45:31
include a significant exercise.
1:45:34
Or work schedule on every other day fasting. Remember in
1:45:37
any study people are often being compensated or at least are
1:45:41
incentivized in some way to adhere to the study. This
1:45:45
is one of the major issues that I have with any study that says
1:45:47
that three or four different diets are essentially equal in terms of their ability to produce weight loss. Adherence is very different in the outside world where you don't have a researcher monitoring you where you're not logging all your food. Most people don't do that consistently and we can take a little bit of
1:46:04
a neuroscience perspective on this to try and arrive at what, the best kind of
1:46:07
organization of eating plan, or if we wanted to call it a diet, we could would be for you.
1:46:14
Many people find it easier to just not
1:46:17
eat for certain periods of each 24-hour cycle, then to
1:46:20
eat smaller portions portion. Control is
1:46:22
very hard for some people for
1:46:24
other people. It's manageable, but people like me, I don't eat half
1:46:29
the croissant. I don't think it's a real thing. It's not a, it's not available.
1:46:34
To me, I should say. Now. Of course, I could eat just half a
1:46:37
croissant, but I noticed that when I eat the croissant because they're so delicious, that it creates a rise in blood glucose arise in the other hormones and chemicals that are associated with ingesting,
1:46:47
delicious, highly, palatable food
1:46:50
and it's actually a lot of work for me to just eat half the croissant. There's something that's much more thoroughly satisfying about eating
1:46:59
the entire croissant. And
1:47:00
actually there's something that's somewhat satisfying about not eating the grass.
1:47:04
Santa at all and
1:47:05
just knowing that later, I can eat the whole
1:47:06
croissant. Now, that's me other people, find that they don't have any trouble with portion control that for them just eating small bits of food throughout the day, is what sets them in the,
1:47:16
right? Psychological and physical state, for sake of work, etc.
1:47:20
And I mentioned work and mental focus because one of the
1:47:22
aspects of fasting that have drawn, a lot of people to time, restricted, feeding and
1:47:27
fasting is the clarity of
1:47:29
mind that people get. When first of all, they don't have to think about when they're
1:47:34
To eat because they know when they're eating window begins.
1:47:37
They also don't have to think about regulating their behavior because they already know when they're going
1:47:42
to eat and when they're not going to eat, whereas when you're restricting portions, you actually have to make decisions all the while, you know, and I think I like many people decide. Well, you know, is that exactly half where could I have like
1:47:54
another rung on the croissant, this kind of thing? I don't negotiate with food. That's why I like a Time. Restricted feeding window. I know
1:48:00
I'm going to eat for in my case. I use a 10 hour feeding window or so.
1:48:04
And I'll eat the whole croissant. I just don't have to think about it.
1:48:07
Now, the food choices that you make inside of that, feeding
1:48:10
window are of course, also going to be very important. Certain foods will increase blood glucose such that you're going to get
1:48:15
hungrier and hungrier, others will maintain lower, blood,
1:48:18
glucose and will allow you to be more controlled in the foods that you pursue.
1:48:24
Those are all individual considerations that are deserving of their own entire episode. But I do want to point
1:48:29
out that the advantage of time restricted feeding is that it involves a lot of the
1:48:34
Session making in the brain. The so-called go/no-go
1:48:37
circuitry's of our basal ganglia. If you want to know this areas that control
1:48:40
them, anytime. We have to restrict a behavior that's
1:48:43
called a no-go.
1:48:45
Anytime we engage in a behavior.
1:48:47
That's a go, no-go
1:48:48
behaviors, require a lot of what's called top-down
1:48:51
control and it's very metabolically demanding. And so time, restricted, feeding allows you to depart
1:48:56
from the whole. No, go go negotiation. That you have to undergo when you have
1:49:01
to restrict portions. And so I think this is
1:49:04
is a reason why many people have gravitated towards time restricted feeding and why for
1:49:08
people that don't want to have to think
1:49:10
about all that. It's just very straightforward. One
1:49:13
of the more hot-button
1:49:14
issues out there is whether or not given
1:49:16
equal amounts of caloric intake and equal amounts of activity and equal amounts of nutrients etcetera, whether or not restricting food to a
1:49:27
particular window biases,
1:49:30
more weight loss toward fat loss versus
1:49:33
loss of other tissues.
1:49:34
Of course, when we lose weight, we can lose that from any number of different storage sites within the body, muscle water
1:49:41
glycogen.
1:49:43
Or fat. Now. This is such a
1:49:46
hot-button issue that I almost don't want to get into it, but I'm going to get into it anyway because there are data
1:49:51
that are very interesting.
1:49:53
This is covered in the review that I mentioned earlier.
1:49:56
That describes how if people follow a Time restricted feeding schedule for long periods of time. So 60 days or longer, there are some metabolic changes in the way
1:50:08
that people metabolize
1:50:09
energy that do seem to shift the system.
1:50:13
Third more fat loss relative to burning of other tissues when, in a state of caloric restriction. And I want to say when in a state of caloric restriction because there's really no way to cheat the system. There's no way that you can
1:50:24
ingest far more calories than you burn or excrete when I say
1:50:28
excrete, you know, I certainly don't suggest this but they're you know bulimics and other people that have Eating
1:50:34
Disorders will use laxatives that a way to eliminate food quickly from their system. So it can be converted into fat or other forms of
1:50:40
energy. That's a very
1:50:43
In that case. It's a pathological situation. But in general calories in versus calories out. As I mentioned earlier, is this kind of foundational element, but in states of caloric restriction, meaning sub maintenance intake.
1:50:56
Time restricted feeding does seem to buy us more of the energy burned to compensate for that deficit from fat. And the way it accomplishes. It is very interesting. It turns out that it drives more fat loss by way of increasing at hepatic
1:51:13
lipase. This is something called el IPC. Hepatic
1:51:16
means of the liver and lipase, which any time you hear a sec is means it's an enzyme. So it seems to increase hepatic lipase. So it increases the
1:51:26
Zayn. That metabolizes fat for lipolysis in energy production and reduces something called side x EI DEC, which is a lipid droplet Associated and lipolysis inhibitor. Now that's a mouthful, no pun intended. But what sidek really is this lipid droplet Associated molecule is it can inhibit lipolysis? So extended periods of time, restricted feeding, meaning
1:51:55
ate our feet?
1:51:56
Ding window or 10 hour, feeding window, that's obeyed
1:51:59
for several months or more seems to allow the system to shift toward burning more fat or rather using a higher percentage of fat when in a caloric deficit.
1:52:13
Now, I doubt that. This is going to resolve the truly barbed wire, almost hairball ridiculous. Online. Debates
1:52:19
about whether or not time
1:52:21
restricted feeding is better than another feeding schedule. Look, I don't think any particular feeding schedule is Holy.
1:52:26
If you are sub caloric, meaning fewer calories, burned than calories ingested, you're going to lose weight. But the data seem to point to the fact that if you do time restricted feeding for a fairly long duration of time, and you maintain that that you are increasing these lipases that increase lipolysis energy, use from fat and you are decreasing, the lipid droplet Associated lipolysis Inhibitors. So it's both a, you're removing the brake and you're pressing on the accelerator of fat loss. I
1:52:56
That this logically points to a case in which using time restricted feeding with a sub, caloric intake, seems to be at least, to my mind, the most scientifically
1:53:08
supported way to ensure that a significant portion of the weight. That one loses is from body fat
1:53:14
stores. Any discussion about fasting would be incomplete without a discussion about what does and does not break a fast. However, there is no black and white
1:53:25
answer.
1:53:26
To that
1:53:26
question. And you should immediately understand why? It's because eating and not eating are not equivalent to fed and fasted. It depends on
1:53:37
when you ate how much you ate
1:53:39
and
1:53:41
where you are in your circadian cycle.
1:53:43
We can actually arrive at a simple
1:53:46
answer to whether or not something breaks the fast or not. Now, the technical way to go about this would be to wear a continuous glucose monitor and to ingest little
1:53:54
bits of food of different.
1:53:56
Or large amounts of food of different kinds and measure blood glucose. Because ultimately
1:54:01
blood glucose is the readout of whether or not your system is in a fed or fasted State. There are other parameters to of course, but that's the dominant one
1:54:10
in so far as the scientific literature says,
1:54:14
Drinking water will not break your fast.
1:54:19
Drinking tea will not break your fast. Drinking coffee provided. It is black coffee will not break your
1:54:24
fast. Ingesting caffeine in pill form, will not break your fast. There are other things that won't break your fast. For instance, eating one peanut when deep, in a fasted state will not break your fast. Eating a
1:54:39
whole handful of peanuts, might not even break your fast, if you are in a very low
1:54:43
glucose State, however, if you just finished a meal, that included carbohydrates, or it was a very
1:54:48
Large meal of any kind an hour ago.
1:54:52
Yes, indeed. Eating one peanut Could Break Your fast so it's all
1:54:56
contextual. That's what's really important to understand.
1:54:59
Unless you're going to wear a continuous glucose monitor. And unless you are going to wear a continuous glucose monitor and set an absolute numerical threshold
1:55:08
for what it is to break your fast.
1:55:11
I think there are some simple rules that we can follow. First of all, anything that involves
1:55:18
Sugar in particular, simple sugars can potentially break your fast, and there's actually a study on this, which shows that, if people, ingest, even one, one gram of sugar post-dinner. If they had a full meal for dinner, that can actually disrupt the expression of some of the Circadian genes related to fasting
1:55:39
and to sleep and sleep related fasting. Now, that's pretty extreme.
1:55:43
It's almost kind of scary to think about but that's how sensitive our system is if we already
1:55:48
Have somewhat elevated blood glucose from a meal that we ate an hour or
1:55:52
so ago. Whereas if we have run for an hour or trained hard high intensity training and we haven't quite reached the beginning of our so-called feeding window will eating a small amount of food. Take us out of that fast. Well, depends on what the food is, if it's mostly fat, probably not a number of people out there, nowadays, talk about so-called fat fasting, fat fasting is
1:56:18
Way too kind of Regal past the stringency of either eating or
1:56:24
not eating as a black-and-white rule for feeding window versus non feeding window. So some people
1:56:30
will ingest medium chain triglycerides,
1:56:33
so-called MCTS or people will ingest
1:56:35
fats only until their official feeding window begins. So these are sort of how the negotiations that people carry out tend to go. But a fat of course, won't increase blood
1:56:45
glucose and Insulin, as much as carbohydrates, will
1:56:47
protein will.
1:56:48
Have sort of in an intermediate
1:56:50
effect. And as I mentioned earlier, ingesting carbohydrates, with some fat will tend to blunt the rising glucose and will extend the duration over which glucose is released.
1:57:00
So we really can't say food X or beverage X breaks a fast. However, at the extremes we can say that. For instance, if you drink a can of soda pop,
1:57:13
Unless you just ran an ultramarathon. You're breaking your fast. Okay, eat a piece of pizza. You're
1:57:18
breaking your fast. If you eat purely
1:57:20
fats, maybe probably not. If you've been fasting for five hours or more
1:57:27
strictly fasting for five hours or more so you can start to see where
1:57:30
there's a lot of wiggle room and it's very contextual. And this is why any post that you see or any information
1:57:36
that you see that something does or does not break your fast. It doesn't place it in the
1:57:40
context of when the last time
1:57:42
you ate.
1:57:43
And what you ate
1:57:45
and your activity and
1:57:46
your time within the circadian clock schedule of 24 hours. It's a sort of meaningless discussion. So in general, I think
1:57:53
what's really useful, if you're not going to wear a continuous, glucose monitor is to try and be fairly strict about when you initiate your feeding window. And when you stop your feeding window,
1:58:03
and as time evolves, and you establish a more regular routine of eating certain kinds of foods and not others that are right for you because, as I've emphasized before, on this podcast and I will continue to emphasize key,
1:58:13
I do works great for
1:58:14
some people. Vegetarian Quito works great. For some people. Carnivore diet works, great for other people.
1:58:20
Some people are omnivores. Some people are carnivores. Some people are vegan. All of that is great and fine by me. Everyone has to establish. What's right for them
1:58:27
today? We've really bypassed the discussion about foods of a particular origin or type animal-based or plant-based.
1:58:36
But all the same rules apply within this thing
1:58:39
that we call, intermittent fasting, or time restricted feeding. So what?
1:58:43
Fast will depend and what you want to eat, or what you are
1:58:47
willing to eat. That's a totally separate
1:58:49
manner from when you eat. But as we've established, when you eat is vitally important,
1:58:55
some of you are probably wondering whether or not artificial sweeteners or non-artificial plant-based sweeteners, like
1:59:02
Stevia, break a fast.
1:59:05
This will vary somewhat and I have to say the data on this are somewhat mixed. There is evidence that when people ingest artificial sweeteners that it can create a transient increase in blood glucose, followed by a transient
1:59:20
decrease in blood glucose below
1:59:22
Baseline. This is thought to explain the increase in hunger caused by ingestion of things like
1:59:27
aspartame and Sucralose and things of that sort.
1:59:30
There are not a lot of
1:59:31
good studies exploring. The plant
1:59:33
based.
1:59:35
Sugar sweeteners, things
1:59:36
like Stevia, even things like monk fruit, which is a separate category unto itself. There aren't a lot of
1:59:42
studies on this. I think most people need to establish this for themselves. The best way, of course, would be to wear a continuous glucose monitor
1:59:48
to go into a fasted state of either one hour or two hours or maybe you've been fasting all night and then ingest Stevia and whatever form you want or coffee and whatever form you want with sucralose or aspartame
1:59:59
Etc. Setting aside, the discussion about the effects of these things on the gut
2:00:03
microbiome, which is
2:00:05
A different topic entirely. I
2:00:07
think it's fair to say that in moderation. The plant-based non-sugar sweeteners, like Stevia. In particular, Stevia seem to have a minimal
2:00:16
impact on overall blood glucose. When considered over a fairly large time, bin
2:00:21
aspartame and Sucralose saccharin. I think we can say more or less the same. But as soon as you get into a discussion about those, you also have to get into a discussion about some of the evidence
2:00:32
published in nature and other excellent
2:00:33
journals. Now,
2:00:35
Pointing to the fact that when consumed in excess not when consumed in
2:00:39
moderation, but when consumed in excess that those might have some detrimental effects on the gut microbiome,
2:00:44
so do artificial sweeteners, break a
2:00:47
fast, depends on the amount, depends on the
2:00:49
type and in general, I think you're probably
2:00:52
okay provided that you're not indulging in them, too often.
2:00:56
However, some people just by virtue of tasting, something
2:00:59
sweet, feel, a spike in their appetite. That makes it harder for them to adhere to the feeding window.
2:01:05
And so this is why you can imagine that a
2:01:07
really well controlled study on this would
2:01:09
be very hard to carry out and I'm not really sure that it's worth our tax dollars to actually
2:01:13
design and carry out a study like that because there would be so much individual variation in terms of discipline in that hearing to the feeding window whether or not people experienced
2:01:22
increases and drops in blood glucose how that impacts them whether or not they're
2:01:25
exercising. It just becomes an
2:01:27
infinite variable space as we say in experimental science. So you really have to determine that for you, but I don't think that
2:01:35
We can fairly say that artificial sweeteners break a fast. I think that would be incorrect to say,
2:01:40
earlier. We were talking about glucose,
2:01:42
disposal agents, both
2:01:43
behavioral
2:01:45
and compound base, things like metformin, and berberine. And in fact,
2:01:49
cinnamon is even a mild glucose
2:01:51
disposal agent. It can actually reduce blood glucose
2:01:54
lemon and lime
2:01:55
juice, believe it or not can lower blood
2:01:57
glucose. You may have experienced this before of eating something very, very
2:02:01
sweet and almost feeling kind of overwhelmed and out of poisoned by How
2:02:04
Sweet It Is.
2:02:05
See, if you're not accustomed to eating a lot of sugary things. One, quick remedy for that is actually
2:02:11
a half lime or
2:02:12
1/2 lemon squeezed into juice and drinking that just by virtue of the taste, and by virtue of the fact that it will reduce blood glucose. You'll notice that that
2:02:21
affect almost immediately disappears.
2:02:24
That's not magic. That's the effects of acidity on blood glucose levels. So there are a number of things that can adjust
2:02:31
Blood glucose, they're not necessarily disposal agents. They're not sweeping
2:02:35
it out of the bloodstream in the same way that berberine and Metformin would or that high intensity exercise at the appropriate times of day would. But
2:02:43
there is one particular thing that one can ingest, that can help manage psychologically and performance-wise through the fasting portion
2:02:53
of the intermittent fasting and get you to your feeding window. And
2:02:57
that's salt. I've talked a little bit about this on the podcast.
2:03:00
Ask before but because neurons use salt sodium and potassium and magnesium. The so-called electrolytes in order to perform their magic
2:03:10
of chemical and electrical signaling. Everything. You do depends on chemical and electrical signaling and all that chemical and electrical
2:03:16
signaling requires electrolytes in some form or another neurons run on the passage of ions,
2:03:23
like sodium in and
2:03:24
out of their cell. Membranes
2:03:27
are should say across their cell, membranes to be accurate.
2:03:31
Many people find that the kind of lightheadedness the shakiness that's accustomed with having slightly low blood sugar
2:03:39
can be offset by taking 1/2
2:03:42
teaspoon or so of sea salt, or even just a tiny pinch of salt and putting into some water and drinking it.
2:03:50
Some people find because of the
2:03:53
glucose lowering effects of acidity that if they're feeling kind of shaky and not. Well, and they put some lemon juice into water and drink that it drops their blood glucose further.
2:04:01
So, there's a common practice nowadays, that's discussed
2:04:04
on the internet of waking up, drinking some water with some lime or lemon juice in it with a little
2:04:09
pinch of salt. I think that little pinch of salt is a good idea. What is it doing? How is it offsetting all this? Well, salt water actually has a mild effect as a glucose disposal.
2:04:20
But it has a stabilizing effect
2:04:21
on blood volume and so because sodium brings with it water and the so-called osmolarity of your blood and your body depends on the salt levels in your blood and brain and body.
2:04:35
Many people find that if they're feeling shaky. They're feeling light-headed. They can't concentrate. They think they need sugar or food, but what will actually Remedy, that
2:04:43
is some salt and I know a number of people that have Incorporated this practice and have written to me and saying, oh, you know, I just take a little bit of salt and some
2:04:50
I'm water, they may or may not include the lemon or lime juice. They immediately feel better and find that. It's actually quite straightforward to get out to that to wait until the feeding window kicks
2:04:59
in. This is especially true for people that are using caffeine because when you ingest caffeine, you actually excrete a lot of water as a diuretic effect. And with that water goes
2:05:09
salt, so it actually causes you to excrete sodium. Now the
2:05:13
role of sodium in blood pressure and hypertension is, you know, quite controversial Science magazine. One of
2:05:20
Premier scientific journals out there at a special issue all about salt.
2:05:25
Some years ago, talking about the research around
2:05:27
hypertension indeed people with chronic hypertension or high blood pressure or very high blood pressure.
2:05:32
In particular, should be wary of ingesting too much sodium, but for most people
2:05:37
ingesting sodium provided. They drink enough water and they
2:05:40
don't have chronic hypertension or high. Blood pressure
2:05:43
is actually beneficial. That doesn't mean you should be drinking seawater doesn't mean
2:05:47
you should be over indulging insult.
2:05:50
But many people find that they can
2:05:52
manage their mental and physical state, and even
2:05:55
feel really terrific real Clarity of
2:05:57
mind and really enjoy their fast when they're ingesting, sufficient salt and all it requires really is a small pinch of salt, ideally Himalayan or sea salt if you want to get fancy about it, but table salt would be fine and just
2:06:09
drinking that in some water. Maybe with lemon or lime juice to
2:06:12
offset the taste a little bit. Can
2:06:14
really stabilized ones Jitters and can stabilize the mind and you
2:06:20
Also notice can offset that churning and
2:06:23
yearning and appetite. Where you can't imagine going another five minutes before eating something. Suddenly you feel, okay, and that has to do with a lot of the effects of blood volume caused by ingesting salt in the appropriate amounts. In other words.
2:06:36
Sometimes you think you need food. But what you really need
2:06:38
is salt and salt can make you feel better immediately.
2:06:41
I'd like to mention two. Excellent,
2:06:43
zero cost resources. If you're going to explore time, restricted feeding, or maybe if you already are doing time.
2:06:49
Restricted,
2:06:50
feeding. I have no affiliation to either of these, the first is the website that I mentioned before my circadian clock, which is the website hosted by Sachin Panda and colleagues. There are a lot of
2:07:01
resources there where you can log your food intake. Get information about time, restricted feeding, all the science. The ongoing studies Etc. The other is the so-called zero app. That makes it very easy to
2:07:15
Mark when you're beginning your feeding window and when you're ending your feeding window and in so doing marking when you are beginning, your fast and ending your fast or at least initiating the beginning of the unfed state as we could more accurately call it. It's a
2:07:29
terrific app. I've used it from time to time. I don't tend to use it in an ongoing basis because I'm just sort of used to eating at a particular time of day now, but any time I've shifted that window
2:07:41
for instance, a few weeks ago. I started moving that protein intake in my entire feeding.
2:07:45
Earlier in the day and because that takes some
2:07:48
attention on my part because I'm not used to doing that. I've been using the zero app and I like it quite a lot. It logs your progress and it gives you averages and you can see how many other people are fasting. Again. Totally zero
2:07:58
cost. I actually don't know who owns that app. But I think they've done an
2:08:02
excellent job. The interface is really terrific. And as far as I know it's available for Apple and Android, but it's at least available for Apple phones, which is the type of phone. I happen to have. So
2:08:12
check those out my circadian clock. You just put that into Google.
2:08:15
You'll find it and the
2:08:16
zero app. Both excellent, zero cost resources
2:08:20
in a moment. I'd like to review the parameters
2:08:22
of a ideal feeding schedule for you and give you the variables that you can plug into your lifestyle and your preferences. There are a
2:08:31
couple of things that I would Place into the category of frequently Asked somewhat odd, but still worthy of discussion. For instance, people have asked will brushing your teeth with toothpaste, break your fast.
2:08:45
I think unless you're swallowing the toothpaste know. Now, if you really want to run out and get a continuous glucose monitor and brush your teeth and you
2:08:53
can evaluate that, but no
2:08:56
people have asked will 1/2 glass of wine
2:08:58
after dinner a couple hours after dinner, break your fast.
2:09:01
Absolutely, it absolutely will. And
2:09:03
it's been demonstrated to do that based on the one gram of sugar, kind of eerie or scary effect that I talked about before, scary and area because it just seems like one gram of sugar. How could it?
2:09:15
Do that. But these are metabolic processes and they are very sensitive post-meal. A
2:09:21
few months back. I did an experiment, wearing a continuous glucose monitor,
2:09:26
and I got a
2:09:27
surprise when I discovered that going into a sauna increases, my blood glucose quite a bit actually spikes it, as high as a meal and then it
2:09:36
tends to drop back down to baseline or even slightly below Baseline afterwards.
2:09:40
When I talk to people about this.
2:09:43
Somebody said, oh, it's got to be that the
2:09:45
continuous glucose monitor was getting disrupted by the
2:09:47
heat in the sauna. That's actually not the case. Turns out that when you go in a sauna because you dehydrate your losing
2:09:56
water. I wasn't drinking water and you're dropping a lot of water, the concentration of sugar in your blood actually goes up and I actually put these data out in a social media post on
2:10:07
Twitter
2:10:08
and people were kind of shocked to see how much a song I can spike your blood glucose.
2:10:13
Now, I do practice
2:10:14
time, restricted feeding, intermittent fasting. I'm not super strict about it. I use a kind of eight to ten hour, ish window, either, early in the day or late in the day.
2:10:23
I saw this effect of the sauna, personally, the psychological and physical health effects of the sauna are valuable enough to me,
2:10:33
that I continue to use it. I'd just not concerned about this increase in blood glucose to the extent that I'm going to eliminate sauna. I like to use the sauna three or four times a week before.
2:10:42
Sleep. So I'll use an hour or two before sleep.
2:10:44
And yes, indeed. It
2:10:46
creates this big spike in blood glucose that then drops based on change in the concentration of blood sugar.
2:10:51
I'm just not going to worry about it. Now if you're
2:10:54
concerned about blood glucose spikes, then you might be worried about it. But in
2:10:58
my case, it was one of those things where it was interesting and it
2:11:01
was worthy of discussion. I thought because it was somewhat surprising to me. Although it makes perfect sense, why this
2:11:05
would be the case, but at the end of the
2:11:08
day, literally it just makes sense for me to get in the sauna. Okay. So now you've heard
2:11:12
A
2:11:12
lot of science, you've heard a lot of examples, even a few anecdotes, and
2:11:18
let's come up with the ideal intermittent, fasting AKA time,
2:11:23
restricted feeding schedule for you. And when I say ideal, I mean, what are the variables that are negotiable? What are the ones that are non-negotiable? What is ideal for, you will
2:11:35
depend on the context of your life and what you are willing to do consistently, so
2:11:41
first of all, we established based on the discussion with Sachin who is
2:11:46
truly the premier World expert in this area, who knows the animal and human scientific literature better than anybody has written this incredible review and for whom I consulted
2:11:57
that
2:12:00
You do not want to ingest food for at
2:12:02
least, I want to emphasize at least 60
2:12:04
Minutes post waking up.
2:12:07
Second, you want to avoid ingesting, any food of any kind, even one gram of sugar. Remember? This is the ideal
2:12:17
one. Gram of sugar, even would be too much for the two to three hours prior to bedtime.
2:12:24
He also mentioned ideally, you are spending eight hours in bed. I
2:12:28
didn't tell you that earlier. I save that for now,
2:12:31
but
2:12:31
ideally you are sleeping that entire eight hours,
2:12:34
but simply by being in bed for that. Eight hours
2:12:36
and avoiding.
2:12:37
After waking for an hour. And before bed,
2:12:40
for 2 to 3 hours, you're starting to build out the duration of this fasted
2:12:45
period.
2:12:48
Remember that the sleep-related fasting is particularly important for the
2:12:53
health benefits of time. Restricted feeding. Again, the sleep-related fasting is especially important because of all the seller repair processes that occur in the liver, in the gut, in the microbiome, in the brain, all over the body and because of the way that that coordinates, the expression of the clock genes that are then going to Wick out and have many other positive effects on health.
2:13:17
Cluding weight and fat loss. But in addition to that Liver Health Etc.
2:13:24
An 8 Hour feeding window
2:13:26
as a Target seems to be
2:13:29
the best Target feeding window at least by my read of the literature. And in discussing it with chud such in
2:13:36
shorter feeding Windows of four to six hours, tend to lead to overeating and potentially increases in wait.
2:13:44
One meal per day, type eating do not seem to do that. But those are special cases in that most
2:13:51
people can't adhere to a one meal per day type schedule, at least not on a regular basis and it's not very compatible with most social schedules. Although
2:14:00
some people may be able to adhere to that in a straightforward way, but there aren't any
2:14:04
robust studies exploring the advantages of one meal per day. So if you feel there are advantages of one meal per day for
2:14:12
you.
2:14:14
As opposed to an 8 Hour feeding window will, then by all means use a one meal per day
2:14:19
approach or use a four to six hour,
2:14:21
feeding window and just make sure you don't over eat in that
2:14:24
window.
2:14:26
Remember that most people tend
2:14:28
to not adhere to The 8 Hour feeding window. They say, 8 hours, but they tend to eat outside of they have eight hours a little bit on each side. So if your goal is a 10-hour feeding window, you might want to set it to nine hours or eight hours. If your goal is six hours, you might want to set it to seven or eight hours. And this is simply based martians. They simply this is based on thousands. If not tens of thousands of human subject data.
2:14:56
It's that such an and colleagues have collected.
2:15:00
Regular placement of the eating window.
2:15:04
Or feeding window, every 24 hours is important. You don't have to be absolutely rigid and erotic about this but you don't want it sliding around on the weekend so that it's starting two hours later and ending 2 hours later. A couple days a week because then, you start to
2:15:20
offset many of the
2:15:22
positive health effects that have been demonstrated for time restricted feeding.
2:15:27
Remember if you eat your food within a certain feeding window, but that feeding window shifts by a couple hours. It is effectively like jet lagging your system. It is effectively like traveling a couple times owns over eating there for a few days and coming back. When in fact, you're not traveling. That's because of the way that food, adjust the circadian clock genes. Now, you can offset some of that through the use of light and I've talked extensively about,
2:15:56
How to use light and previous podcast. But again, early morning and all day bright light exposure, as safely as you can ideally from sunlight not through window Etc, avoiding bright light in the middle of the night. Extremely important for mood offsetting metabolic dysfunction, Etc.
2:16:12
Not incidentally such ins early work. Was he was one of the three
2:16:18
Co discovers of the cells in the eye, the so-called melanopsin cells that set the central circadian clock. So he was a Pioneer in that field which led him to
2:16:26
be a Pioneer in this field and so on.
2:16:30
When should that eight-hour
2:16:31
window, be placed within each 24-hour cycle? Well, let's talk about ideal
2:16:36
ideal. If you really want to maximize all the health benefits of time, restricted feeding. You need to extend the fast around, sleep on both sides. You would place it smack-dab in the middle of the day. It would be a schedule in which you started eating, for
2:16:55
instance at 10 a.m. And you stopped eating at
2:16:59
Six pm an absolutely Dreadful schedule for anyone that wants to have some semblance of a normal life. In my
2:17:06
opinion. It's not really compatible with most schedules. Although some people might be able to do it, maybe you and your family or your friends. You're,
2:17:15
you know, you're eating a late breakfast or a and then you're having a latish lunch around 2 p.m. And then you have dinner at 6:00
2:17:22
and then assuming that you go to bed around 9:30 or 10:00 p.m.
2:17:26
That is going to extract.
2:17:29
The maximum amount of weight related body fat related,
2:17:34
metabolic Factor related aspects of time restricted
2:17:38
feeding. Some people tend to fall into a category where they do best placing that feeding window later in the
2:17:45
day and provided. It doesn't run too close to your sleep. Remember you need a two or three-hour buffer before your sleep? Where you are not ingesting anything that's in order to extract the benefits of time,
2:17:56
restricted feeding. Well, then starting your feet.
2:17:59
Window at 12
2:18:01
p.m. And ending at 8, p.m.
2:18:03
Plus or minus half an hour or so,
2:18:07
day-to-day seems like a perfectly reasonable schedule for some people starting at 2 p.m. And ending at 10 p.m. Will be that schedule. Of course, you have to take into consideration when you exercise. If you exercise
2:18:19
for instance, I like to exercise early in the day if I
2:18:22
run or if I do some moderate or light, intensity exercise, regardless of what type of exercise it is. I have no trouble.
2:18:29
I'm waiting until my feeding window kicks in around noon or even 2 p.m., But if
2:18:34
I do high-intensity weight
2:18:36
training, for instance, early in the day, or if I run sprints and I do that at 7 a.m. Or 8 a.m. By 11 a.m. I'm very, very hungry. And it's hard for me to do other things. Concentrate, Etc. Now, I'm not neurotic about my feeding window as I mentioned before, I kind of let it expand and contract a bit around the 8 hour mark and feel perfectly free to do that to we're talking here in ideals. Not in.
2:19:00
Necessarily practicals. But other people find that they're very hungry. When they wake up early in the day. If you're one of these people or you're somebody who really is trying to emphasize hypertrophy
2:19:13
or maintenance of muscle, then it does seem that ingesting protein early in the day is beneficial, that it can be more readily converted into muscle tissue. And this has been demonstrated in at least one study. There's another study underway that's exploring this
2:19:28
further.
2:19:29
For people that are really,
2:19:30
really interested in hypertrophy and building muscle will then time restricted, feeding is usually not the way they go. I mean, let's be honest. There are many people out there who are eating for more meals per day and they're doing that from 7 a.m. Until 8 p.m. I realized that not everybody is overweight. There is an obesity crisis indeed, you know, the percentage of obesity and non-alcoholic fatty liver disease is just Cosmic through the roof at least in this country and in other countries as well. This country me in the US but other countries as well.
2:20:01
But there are, of course, people that are trying to gain weight, who don't want to lose weight, or who are trying to maximize physical performance, or hypertrophy or things of that
2:20:09
sort. And so of course, time restricted feeding for them might be as long as I'm
2:20:13
awake. I'm eating and I, you know, I tip my hat to those people and just say, you know provided you understand what you're doing and the burden that that places on some of the other processes in your body. If that's right for you then by all means, pursue that
2:20:27
Another thing that we can add to this summary or key points related to time restricted feeding is the use of glucose
2:20:33
disposal, agents and or behaviors.
2:20:36
If you find that you've eaten too close
2:20:38
to a period of time in which you would prefer to
2:20:41
be fasting. That's when a 30-minute brisk walk, or even modest, walk after
2:20:46
eating can be beneficial ingesting. Some lemon juice or lime juice can help lower blood glucose somewhat.
2:20:54
And then there are the things like metformin and berberine there. Even some supplements out there that combine things, like berberine cinnamon, which can lower blood glucose and things like chromium. And
2:21:07
Is that have a mild effect on blood glucose, but berberine and Metformin are very high. Potency glucose, disposal agents. And I mentioned earlier, why you would want to approach those with the appropriate level of caution, and figure out the dosages for you. And for some people, the dosages will be 0 milligrams is going to be ideal.
2:21:27
And then, of course, we discussed how making sure that you're ingesting enough fluids and
2:21:31
particular water and salt,
2:21:33
especially if you're using caffeine
2:21:35
in order to
2:21:36
Increase your levels of alertness regardless of where that caffeine Source comes from coffee to your otherwise that can cause the excretion of sodium and can lead to a kind of shakiness a light headedness and the
2:21:48
feelings of hunger that may or may
2:21:50
not be related to blood glucose. Some people genuinely need to eat. I certainly would not want to see people getting hypoglycemic to the point where it's dangerous. Certainly, if you are diabetic you and in fact, we're all people, you should consult with your physician when
2:22:06
Luring any major changes to diet or additions or subtractions of anything including supplementation, but for most
2:22:12
people maintaining relatively low too, modest blood glucose levels is going to be pretty healthy
2:22:18
and will allow all the positive effects of intermittent fasting to
2:22:24
occur. And when you find that reaching, that start to the
2:22:28
feeding window is challenging, that ingesting sodium can often stabilize your system mentally and
2:22:36
Ali and allow you to reach that window. Often painlessly.
2:22:40
And then, as a final Point, as I mentioned earlier, provided that they are consumed in low, no or modest amount. Artificial sweeteners, or plant-based non-sugar. Non-caloric sweetener
2:22:55
don't seem to really impact blood glucose to the extent. That it would quote, unquote, take you out of your
2:23:00
fast, but that like, fat
2:23:03
fasting is something that's going to be highly individual and that you're going to have to
2:23:06
Berman with for yourself and being
2:23:09
able to recognize when you're in a fast and when you're out of a fast
2:23:14
at a subjective level and not constantly having to measure your blood glucose, or do things of that sort
2:23:19
can be beneficial. And I think, if you watch for
2:23:22
the feelings associated with eating and post eating foods of different kinds and different amounts and you watch for the feelings associated with being fasted for long periods of time or short periods of time of having gotten sufficient sunlight of
2:23:36
Train hard or not trained hard earlier that day Etc.
2:23:39
You can do the most important thing, which is to start to learn to evaluate your own system to run simple. Safe experiments on your system in a way that allows you to really establish the ideal
2:23:51
nutrition schedule for you, whether it be time, restricted, feeding AKA intermittent fasting or some other nutritional plan.
2:23:58
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And send the supplement industry as a whole, is that the quality and amounts of supplements,
2:25:12
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2:25:14
Therefore, we've partnered with Thorn TH or any because Thorn has the absolute highest levels of stringency, with respect to the quality of ingredients and the amount of the ingredients matching. What's on the label. If you want to see what I take and get 20% off any of thorn supplements. You can go to Thorn thoi knee.com, the letter U / huberman, you'll see the list of supplements that
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I take you can get 20% off those and if you enter the thorn site through that portal, you get 20% off. Anything that thorn makes. I know we covered a lot of information today. I hope you learned a lot about time, restricted feeding. I hope you learned a lot about metabolism and energy and health and how when you eat is as important as
2:25:56
what you eat and last, but certainly not least. Thank you for your interest in science.
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