Feel Better, Live More with Dr Rangan Chatterjee - BITESIZE | The Benefits of Fasting for Weight Loss, Health and Longevity | Dr Pradip Jamnadas #333
Episode Date: February 3, 2023TRIGGER WARNING: This podcast discusses fasting, and its advice may not be suitable for anyone with an eating disorder. If you have an existing health condition or are taking medication, always consul...t your healthcare practitioner before going for prolonged periods without eating. It’s not just what we eat that’s important for our health and longevity, but also when we eat, and how much. Feel Better Live More Bitesize is my weekly podcast for your mind, body, and heart. Each week I’ll be featuring inspirational stories and practical tips from some of my former guests. Today’s clip is from episode 236 of the podcast with Dr Pradip Jamnadas, a Florida-based consultant cardiologist and a clinical assistant professor. In this clip, Dr Jamnadas shares a beginner’s guide to fasting and describes some of the dramatic and restorative processes that take place in our bodies when we start to take periodic breaks from food. Thanks to our sponsor http://www.athleticgreens.com/livemore Support the podcast and enjoy Ad-Free episodes. Try FREE for 7 days on Apple Podcasts https://apple.co/feelbetterlivemore. For other podcast platforms go to https://fblm.supercast.com. Show notes and the full podcast are available at drchatterjee.com/236 Follow me on instagram.com/drchatterjee Follow me on facebook.com/DrChatterjee Follow me on twitter.com/drchatterjeeuk DISCLAIMER: The content in the podcast and on this webpage is not intended to constitute or be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or other qualified health care provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have heard on the podcast or on my website. Hosted on Acast. See acast.com/privacy for more information.
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Welcome to Feel Better Live More Bite Size, your weekly dose of positivity and optimism
to get you ready for the weekend. Today's clip is from episode 236 of the podcast with Dr. Pradeep Jamnadas, a Florida-based
consultant cardiologist and a clinical assistant professor.
It's not just what we eat that's important for our health and longevity, but also when
we eat and how much.
In this short clip, Dr. Jamnadas shares a beginner's guide to fasting and describes
some of the dramatic and restorative processes that take place in our bodies when we start
to take periodic breaks from food.
Please note, the advice in this episode may not be suitable if you are suffering from
or recovering from an eating disorder. What are the key benefits of fasting that you have seen in your patients?
Traumatic. You know, I've been a cardiologist for 30 years and I've tried everything. But when I
tried fasting, I started seeing changes. People began to lose weight. People's blood pressures
came down. Diabetes got reversed. The progression of coronary artery disease went down. Patients
mentally also seem to be doing better. Joints seem to get better. Bowel symptoms seem to get better.
Patients look better. But now there's data showing that these patients live longer,
But now there's data showing that these patients live longer, less cancer as well.
And we know about the chemistry that is induced, which one of them is called autophagy, where the cells actually recycle all the inner parts to become more efficient.
And mitochondria recycle as well, which is called mitophagy.
mitochondria recycle as well which go mitophagy so these autophagy and mitophagy which is recycling your your biochemistry of your cells does not occur in a fed state it's that one thing
fasting that's hitting so many different things isn't it it's reducing your insulin
it's encouraging autophagy, stem cell production, growth hormone,
so many different things are being activated. And actually, if we could get a drug to do any
one of those, we'd be sort of shouting about it. But this one thing does all of them.
What we're trying to do is support the body's natural defences. We're trying to support that
body's own natural resilience that's there. If we and modern life kind of gets out of the way, we're getting in the way and actually
stopping this stuff from working. And what I'd love to do, because I think you do it so well,
is really go through what happens in the body biochemically, physiologically, when we start
fasting. Because I think for many people,
they're going to need that knowledge and that science to convince them that,
actually, you know what, maybe I should give this a go.
Yeah, yeah, yeah. No, absolutely. Absolutely. You know, what fasting does, it allows your body to
do what it was made to do. You see, we eat, eat, eat. Insulin comes in, puts everything into storage,
so you build up some fat.
And then you're supposed to live. So when you live, you now start utilizing your calories and you start burning the sugar.
When that goes out after maybe about four hours or five hours, then the glycogen stores
in your liver and your muscles start breaking down, start giving you the calories that you
really need to burn so you can run, do your day-to-day activities and all that.
And when you run out of that by, let's say, about 18 hours or 20 hours, and then the body
says, hmm, I need to start burning fat now.
That's what you're supposed to do.
That's why you put on fat in the first place.
That's why we have fat.
It's a storage.
And then you start burning that fat.
And therefore, you start burning that fat.
So the fat comes out, comes into your liver, gets converted to some ketones perhaps. And now you're making ketones
and the ketones are being utilized for energy. And then you go for your next meal again. So the
body was made to do this. It was not made to just pile on, pile on, pile on all the time.
Because that results in increased fat stores, which you'll never break down.
So the important thing is that when you eat and you're taking calories, your insulin level
obviously goes up.
Why?
Because insulin has to get that sugar out of the bloodstream.
Blood sugar must always come down because otherwise you get damaged from that high glucose
level in your bloodstream.
That's why we treat diabetes, right? Because the blood sugar or the glucose rather attaches itself
to proteins, glycation end products, and therefore these proteins become dysfunctional. So insulin
says, I'm going to take the glucose out, put it down into the storage. First place it puts it into
is the liver. When the liver stores are full,
then it spills over into the pancreas. More calories come in, there's more glucose,
then it goes into the muscles and it stores everything from there into the skin. And that's
the way it was supposed to be. But now when we continue to do that, we just keep piling it on,
piling it on. We never get a chance to burn it down. And we're supposed to burn it down.
So the biochemistry of the body was made for feeding, fasting cycles.
This is the way the bioengineering of our body was, but we became dysfunctional because
as food became more available, we just kept piling it on and on and on and on.
And that's the problem that we have today.
It's exactly what you said, excessive calories too frequently. So our insulin levels stay high all the time. And because your
insulin doesn't come back down again, you're always in a storage mode. This high insulin
is the problem we've hormonally changed because we're eating too frequently. We're not designed
to eat that frequently.
Insulin is supposed to go up, then come back down again.
When I brought that insulin levels down on these patients through fasting,
blood pressure has just plummeted,
and I had to actually take patients off blood pressure medications.
So that's a huge thing that I found with insulin.
So fasting seemed to me the best way to really make the patient's blood pressures come down.
And I found that their weights came down.
The question is, why did the weight come down?
Well, insulin, the bottom line for all your listeners, insulin just is a storage molecule.
It puts everything in storage.
So when the insulin levels come down, the storage padlocks are taken
off. So your fat can now be mobilized. In terms of getting really practical for people,
if we compare fasting to let's say, movements, right? So people, if they want to move more,
they know they could start off with a 15 minute walk around the block. You know,
they want to do a bit more, they make it 30-40 walk around the block. They want to do a bit more. They make it 30, 40 minutes
around the block. Then they might start jogging. Some people might want to do a 5K walk or even a
run, a 10K. Some people want to do a marathon. There's different grades of movement. What are
the different grades of fasting? Where can people start? Super know, super, super simple. What are the benefits of that level?
And then how can people progress up depending on their state of health, depending on their goals?
You know, I think that would be quite a useful way at looking at fasting and making it really
practical for people. Great question. So my general advice in my office and all my nurse
practitioners do the same thing with our patients is,
look, the first thing you need to do is cut out all the sugars.
Because if you're going to a fasting with your regular diet pattern, you're going to have a very nasty experience.
You're going to go through withdrawal from sugar.
You're going to feel terribly hungry, sweaty.
You may even actually have worse symptoms.
So the first thing I tell my patients is, look, you need to
get rid of all artificial foods. You need to cut out all sugar, all processed foods, processed
foods. Anything that is made in a factory, anything that has a barcode on it is suspect.
Anything that's been pulverized, anything that has been made into a powder, get rid of everything.
You need to eat foods in their natural whole form. I said, when you look
at the food in your plate, you need to be able to recognize it. Yes, this is what this is. This is
what this is. And they said, what about meat and chicken and fish? I said, no problem. As long as
it is grass-finished meat, organic chicken, organic eggs, and you can have some turkey,
but you must have vegetables in their normal,
natural state. I want you to eat a natural diet. So eat as much as you want, but of the right food.
And I want you to do that for approximately two to three weeks. No fasting right now. So that way,
they get used to that idea that I'm going to first just change my diet. And then after two to
three weeks, then I bring them back inside and I say, okay, so now you're going to learn to skip
meals. So step number two is skip meals. Wake up in the morning. I'm not hungry for breakfast.
Skip it. Come around to lunch, have your lunch, have your dinner. Next day, have breakfast,
around to lunch, have your lunch, have your dinner. Next day, have breakfast, but skip your lunch.
The next day, skip your dinner. So learn to just skip meals. And look, you felt fine. Nothing bad happened. You were perhaps a little hungry. You got over it by drinking a glass of water. Drink
lots of water during the daytime. So I do that for another two weeks or so. See, I'm doing it
gradually, just like your athlete. You can't go to your 5k right now. You first need to build into it. So for a couple of weeks, I make them just skip meals
randomly. Then I sit down with them and say, now, this week, five days a week, I want you to have
only two meals. And these two meals are going to be within six hours of each other. So that you're
going to have 18 hours that you're not going to eat at all and only drink water. No calories in those 18 hours whatsoever.
You can have water, black tea, black coffee.
And they say, oh gosh, that's great.
And they do that for about two weeks.
So for two weeks, Monday to Friday, two meals within a six-hour window period.
So they're 18 hours.
They are fasting.
Weekends, I let them have fun because they're with their families.
So I say you can have breakfast, you can have lunch, dinner, but no snacks in between.
So most you're going to have on weekends is three meals on the weekends.
Then they do that for another two weeks.
Then I say, okay, now is when you're really going to start your fasting.
Monday, Wednesday, and Friday.
I want you to skip that second meal also.
Now you're only going to eat one meal on Monday, Wednesday, and Friday. I want you to skip that second meal also. Now you're only going to eat one meal on Monday, Wednesday and Friday.
That's it.
The rest of the days during the week, you're going to have your two meals.
Weekends, you can still have your three meals.
So I gradually get them into that.
And most of the time, patients are able to do it this way.
When I try to make them go to once a day eating or time-restricted feeding within a six-hour window from the get-go, my failure rate is much higher.
So I make them do it gradually.
And then they self-empower themselves.
Yeah, I mean, I love that.
And what I want to be really clear on, someone who feels that they're in good health, they're of a decent weight, they don't have any health problems, is that the
approach they should be doing as well? Or are you specifically talking about patients who are already
a little bit sick? No, what I'm talking about here applies to just about everybody.
You've mentioned all the kind of physical benefits, the biochemical benefits when we
have a period of not taking in food, a period of fasting.
But there's also something really powerful, isn't there, about what it does for you when you know,
oh, I can go 12 hours without food. I can go 18 hours. Well, actually, I can go 24 hours and I
don't actually need to put something in my mouth.
I think there's a real freedom, which many people feel that they're in chains,
I guess, to the food industry and to their hunger and their stomach. We shouldn't
undervalue just what that does for someone. Absolutely, absolutely. And you know, on this
journey,
they find out something about themselves.
I'm talking about what they find out.
They find out that I am something beyond my hunger.
I am beyond my body.
I'm beyond my habits.
I've suddenly realized that I am in charge.
And now they're empowering themselves.
They realize that there's another part of themselves,
a real inner amness,
my awareness, the real me, which is beyond my body, beyond my feelings, beyond my sensations,
and I have control over it. So what I'm saying is that it empowers them even more because they
realize, yes, I have control. Pretty much everything you're talking about,
it's about putting the patient back in control of their health. And I guess I would argue
their wider happiness as well. Absolutely. Absolutely.
I wonder if right at the end of this conversation, you could share with your decades of experience
as a cardiologist with all the patients you've seen,
can you share with my listeners, with my viewers,
some of your very top tips that they can think about
applying into their lives immediately
after this conversation finishes?
Number one, eat only natural foods in its natural state.
Number two, eat infrequently, only when you are hungry.
Number three, sleep at least seven hours a day.
Number four, find pleasure in your life and activities so that you don't metabolize bad physiology from bad habits.
Find happiness, find pleasure in your life.
And if you do these four things, you'll find your health will turn around completely.
Hope you enjoyed that bite-sized clip.
I hope you have a wonderful weekend.
And I'll be back next week with my long-form conversational Wednesday
and the latest episode of Bite Science next Friday.