Fasting Topic Guide

Curated clips, articles, and podcast episodes

The term fasting covers a wide spectrum of dietary strategies, from time-restricted eating and intermittent fasting to prolonged water-only fasting and fasting-mimicking diets. The proposed benefits of fasting range from weight loss and metabolic health to cellular repair, disease risk, and longevity—but the evidence behind these claims varies considerably, and much remains unsettled.

This guide explores the definitions, mechanisms, and evidence surrounding fasting, with an emphasis on separating hype from data and understanding when and how fasting may be useful—or harmful.

Foundations & Definitions

This section defines fasting and distinguishes it from related approaches like caloric restriction. It explores the most common fasting protocols, how they are structured, and why someone might choose fasting over continuous energy restriction. It also addresses key practical questions such as timing of eating windows and how different fasting strategies are applied in both research and clinical settings.

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Defining fasting and how it fits in the framework of dietary restriction

Ep. #353 (AMA #72)

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The most common types of fasting

Ep. #353 (AMA #72)

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Why someone might choose fasting over continuous caloric restriction

Ep. #353 (AMA #72)

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Defining the various fasting protocols

Ep. #89 (AMA #11)

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What do we know about the optimal protocol, frequency, and duration for fasting?

Ep. #11 (AMA #2)

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Time-restricted eating as the gateway to fasting

Ep. #53 (AMA #6)

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When intermittent fasting, does the placement of the feeding window matter?

Ep. #53 (AMA #6)

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Time-restricted feeding and intermittent fasting

Ep. #59 with Jason Fung, M.D.

Mechanisms & Physiology

This section examines the biological processes that occur during fasting, including shifts in fuel utilization, ketone production, and hormonal regulation. It also covers cellular mechanisms such as autophagy and how fasting interacts with pathways related to metabolism, aging, and disease. Understanding these mechanisms provides context for both the potential benefits and limitations of fasting.

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The effect of caloric restriction on the hallmarks of aging

Ep. #324 with Eric Ravussin, Ph.D.

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Comparing the physiological effects of a ketogenic diet to those of long-term fasting

Ep. #353 (AMA #72)

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What do we know about fasting, ketosis, and autophagy?

Ep. #353 (AMA #72)

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Nutritional ketosis defined

Ep. #375 with Dominic D’Agostino, Ph.D.

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Insulin, weight gain, and using fasting to deplete the cells of glucose

Ep. #59 with Jason Fung, M.D.

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Fasting observations: Core body temperature and thyroid hormone

Ep. #89 (AMA #11)

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Fasting observations: Glucose, BHB, and hunger levels

Ep. #89 (AMA #11)

Outcomes, Benefits & Claims

This section evaluates the evidence behind fasting’s proposed effects on body composition, metabolic health, and chronic disease risk. It explores common claims related to longevity, cardiovascular health, cancer, neurodegenerative disease, and autoimmune conditions, highlighting where evidence is strong, limited, or inconclusive.

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Examining the evidence for the long-term health benefits of fasting beyond short-term metabolic effects

Ep. #353 (AMA #72)

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Exploring whether prolonged fasting can reduce cancer risk

Ep. #353 (AMA #72)

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Evaluating fasting's role in health

Ep. #353 (AMA #72)

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How extended fasting compares to caloric restriction in improving insulin sensitivity in people

Ep. #353 (AMA #72)

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Examining whether fasting improves cardiovascular disease risk

Ep. #353 (AMA #72)

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Exploring fasting as a tool for longevity

Ep. #300

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Examining various fasting methods for autoimmune diseases

Ep. #353 (AMA #72)

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Examining fasting for protection against neurodegenerative diseases

Ep. #353 (AMA #72)

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Fasting and gut disorders

Ep. #353 (AMA #72)

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Is there any evidence that fasting can extend lifespan?

Ep. #353 (AMA #72)

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The common health claims associated with fasting across metabolic health

Ep. #353 (AMA #72)

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The impact of fasting on body weight and body composition

Ep. #353 (AMA #72)

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Weight loss strategies, tracking calories, cheat meals, snacks, fasting, exercise, and more

Ep. #205 with Layne Norton, Ph.D.

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Where Layne has changed his views on fasting

Ep. #235 with Layne Norton, Ph.D.

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Latest insights on fasting, Alzheimer’s disease, cancer, exercise, and nutrition

Ep. #252 with Rhonda Patrick, Ph.D.

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Comparing bariatric surgery to fasting as a treatment for Type 2 Diabetes

Ep. #59 with Jason Fung, M.D.

Application, Tradeoffs & Personalization

This section examines the practical and physiological considerations surrounding fasting implementation, including risks such as muscle loss and nutrient deficiencies. It looks at how factors like sex, age, and activity level influence outcomes, and what the research suggests about populations for whom fasting may be appropriate or contraindicated.

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A practical framework for using fasting as a strategy to improve body composition

Ep. #353 (AMA #72)

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The primary risks and downsides associated with fasting

Ep. #353 (AMA #72)

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Weight regain and potential metabolic consequences of fasting

Ep. #353 (AMA #72)

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The risk of lean mass loss with fasting and how to mitigate it

Ep. #353 (AMA #72)

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How fasting and calorie restriction affect muscle mass and what can be done to minimize muscle loss

Ep. #349 (AMA #71)

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Who should avoid fasting and why

Ep. #353 (AMA #72)

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The essential vitamins and minerals to supplement during prolonged fasting

Ep. #353 (AMA #72)

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Body composition, protein, time-restricted feeding, fasting, DEXA scans, and more

Ep. #227 (AMA #40)

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Examining fasting as a tool for cognitive enhancement

Ep. #375 with Dominic D’Agostino, Ph.D.

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Fasting and Type 1 Diabetes

Ep. #353 (AMA #72)

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Evaluating differences between men and women in their ability to fast

Ep. #89 (AMA #11)

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Exploring CGM insights into the depth of a fast

Ep. #89 (AMA #11)

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Importance of community support while fasting

Ep. #89 (AMA #11)

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Peter's exercise regimen during a fast

Ep. #89 (AMA #11)

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Peter's hunger levels during a typical 7-day fast

Ep. #89 (AMA #11)

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Peters' sleep protocol during a fast

Ep. #89 (AMA #11)

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Peter's supplement protocol during fasting and why he eats a ketogenic diet leading up to a prolonged fast

Ep. #89 (AMA #11)

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Does fasting cause gallstones?

Ep. #59 with Jason Fung, M.D.

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Muscle loss during fasting

Ep. #59 with Jason Fung, M.D.

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Why do people think that fasting is bad for you?

Ep. #59 with Jason Fung, M.D.

Articles Related to Fasting

Free Article

Can extreme calorie restriction enhance human lifespan?

Free Article

Does time-restricted eating increase the risk of cardiovascular death?

Free Article

Does skipping breakfast increase the risk of an early death? Part I

Free Article

Does skipping breakfast increase the risk of an early death? Part II

Free Article

Is alternate-day fasting superior to calorie restriction for fat loss in lean adults?

Free Article

Time-restricted eating: efficacy versus effectiveness

Free Article

Intermittent fasting

Free Article

Can fasting help athletes hold their breath longer?

Free Article

Alternate Day Fasting

Free Article

Can you maintain muscle during fasting?

Free Article

Can you preserve lean body mass during “semi-starvation?”

Free Article

Fasting and cancer

Free Article

Fast-breaking without glucose spiking

Free Article

Is there an optimal window of time-restricted feeding?

Free Article

Ketones, fasting, and muscle loss

Free Article

Fasting and conserving energy

Full Podcast Episodes Related to Fasting

Guest Episode

The ketogenic diet, ketosis, and hyperbaric oxygen: metabolic therapies for weight loss, cognitive enhancement, cancer, Alzheimer’s disease, brain injuries, and more

Ep. #375 with Dominic D’Agostino, Ph.D.

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AMA

Fasting: benefits for body composition and disease prevention, potential risks, and Peter’s updated practical framework

Ep. #353 (AMA #72)

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AMA

Building strength and muscle mass: how to optimize training, nutrition, and more for longevity

Ep. #349 (AMA #71)

Guest Episode

Metabolism, energy balance, and aging: How diet, calorie restriction, and macronutrients influence longevity and metabolic health

Ep. #324 with Eric Ravussin, Ph.D.

Podcast Episode

Special episode: Peter on exercise, fasting, nutrition, stem cells, geroprotective drugs, and more — promising interventions or just noise?

Ep. #300

Guest Episode

Latest insights on Alzheimer’s disease, cancer, exercise, nutrition, and fasting

Ep. #252 with Rhonda Patrick, Ph.D.

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AMA

Peter’s historical changes in body composition with his evolving dietary, fasting, and training protocols

Ep. #242 (AMA #44)

Guest Episode

Training principles for mass and strength, changing views on nutrition, creatine supplementation, and more

Ep. #235 with Layne Norton, Ph.D.

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AMA

Body composition, protein, time-restricted feeding, fasting, DEXA scans, and more

Ep. #227 (AMA #40)

Guest Episode

Energy balance, nutrition, & building muscle

Ep. #205 with Layne Norton, Ph.D.

Guest Episode

Fasting as a potent antidote to obesity, insulin resistance, type 2 diabetes, and the many symptoms of metabolic illness

Ep. #59 with Jason Fung, M.D.

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AMA

Fasting framework, vitamin supplementation, antioxidants, time management, problem-solving, and more

Ep. #53 (AMA #6)

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AMA

Low testosterone, hypothyroidism, building muscle (and preserving it while fasting)

Ep. #84 (AMA #10)

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AMA

The Nothingburger — results from Peter’s week-long fast between two weeks of nutritional ketosis — and answering questions on all things fasting

Ep. #11 (AMA #2)

Guest Episode

Fasting, rapamycin, performance vs. longevity, and more

Ep. #80 with Apolo Ohno and Sasha Cohen

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AMA

All things fasting

Ep. #89 (AMA #11)

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AMA

Fasting, exogenous ketones, autophagy, and exercise for longevity

Ep. #108 (AMA #13)