Thursday, September 12, 2024

Fasting and Long Term Weight Loss: Why I Recommend Three Meals a Day

 Three meals a day:  Why I don't recommend fasting


     So many diet experts are recommending fasting lately.   If you've read my books, you know that I do not.    Why?

         Fasting helps with weight loss in some people, but not more so than other methods.   Deliberately fasting and restricting feeding times can help some of us regulate our appetites, allow for fat burning, and also it can help regulate hormones that determine body composition.  

       If you stop fasting, however, you'll put the weight back on, just like any other diet regimen.  The body does not like to starve.  The brain, whose one job is to keep us alive, is vigilant against starvation.  It has a whole resume full of tricks to get you to eat more, slow down, hoard fat, and burn fewer calories if it senses that starvation might be possible.   

   I don't believe that fasting is ideal, and I think it can be detrimental to anyone who has suffered from disordered eating or has had food restricted in the past. 

    Reasons why some of us do not benefit from fasting are numerous.  Sometimes the cause of weight problems is a dysregulated appetite or a dysregulated metabolism.  And some of us have a dysregulated sense of reward from food.  In these cases,  it will be hard to restrict food, or if food is restricted successfully, the 8-hour eating window becomes an 8-hour binge.   The binge will upset leptin sensitivity, and also cause an insulin spike that will ensure that most of the food ingested during that 8-hour binge is stored as fat.  

     Especially for habitual dieters, or those of us who have suffered starvation or calorie restriction, the more often the body has had to do without enough food, the better it is at using starvation mode to store fat, increase food intake, and decrease energy expenditure.    So, if you have dieted in the past and lost weight, fasting may quickly trigger your body's and brain's "starvation mode".  You may find your appetite during your "eating window" voracious, so the recommendation to eat normally is impossible.  You may find you get tired and slow down.  You may also find that your brain becomes completely focused on food.   Your body is protecting you from what it sees as an upcoming threat: lack of food.   

    In addition to triggering a finely tuned starvation response, intermittent fasting can cause some chemical imbalances that cause dysregulated eating.   The two main problems intermittent fasting causes in this regard involve leptin and insulin.  

      Eating too little causes leptin to go too low, and so our appetite becomes fierce and our bodies lock down our fat stores.  When we then gorge, or eat too much, we eat past the signals from our rising leptin, we eat well past fullness.  And, this causes our cells to start ignoring leptin: our bodies still think they are hungry, and our fat doesn't come out of lockdown.

    Eating a lot all at once causes insulin to spike.  When insulin is high, fat cannot be burned.  Insulin increases appetite and tells the body to store fat.  Insulin is known as the storage hormone.  When we overeat, most of the excess calories are stored as fat because of insulin.  Also, high insulin levels cause insulin resistance, meaning our cells start to ignore insulin's call, and so they cannot absorb energy.  Fat cells become insulin resistant last, so, when we are insulin resistant, many of us can have hungry bodies that store fat before the rest of us get fed.   This is why bingers can gain weight, even if they only overeat while bingeing.  Intermittent fasting can trigger binge eating or other eating disorders in those of us with a history o

   Time between meals is a magic element that supports our other efforts to achieve or maintain a healthy body.   But we have to use time in a way that does not alert our brains fears of starvation.  Allowing time between meals does the following: 

1. Regulates Leptin sensitivity and Leptin levels.   Leptin is a substance the body makes in response to eating, higher leptin levels make us feel full and signal to our bodies that it is safe to burn fat.  However, when we overeat or eat too often, our cells stop listening to leptin.  They become leptin insensitive.  Allowing time between meals helps our leptin levels to fall, allows us to become sensitive to leptin again, and so helps to regulate our appetite.  When we are leptin insensitive, we can eat past fullness.  Especially if we are very hungry.  This is how fasting can backfire for some of us.  

 2. Supports Insulin Sensitivity.    Insulin is secreted by the pancreas in response to blood glucose.  Glucose is stored by our muscles and our cells and used for energy, but it is extremely toxic in the bloodstream.  The body wants to get glucose out of the bloodstream and stored quickly.  If our cells are full and have stopped listening to insulin, and our muscles are full as well, two things can happen.  1. Fat cells readily take up blood glucose and store it as fat, or, 2. our pancreas pumps out more and more insulin, to try to force our cells to take up more.  Especially if we have fat cells that are insulin resistant, our pancreas can wear itself out trying to get the poisonous glucose out of our bloodstream.  This is how diabetes gets started, it's also how we can store fat even though we rarely overeat, how we can feel hungry even though we've eaten enough.


    So, it is true that time between meals is important.  Time between meals allows insulin levels, blood sugar levels, and leptin levels to drop.  Time between meals gives our pancreas a rest, and our appetite a chance to reset.

  The solution is three meals a day and no eating in between.  This used to be the universal rule.  Mothers used to admonish their children not to snack or they'd, "ruin their dinner."  Eating while walking around, at one's desk, driving, or doing anything else aside from sitting at a table at mealtime was considered rude.   

    Three meals a day is an almost universal ideal that most cultures, in one way or another, have abided by since the beginning of time.   It's ancient wisdom at work.

    How do we put this into play for ourselves?  How do we harness the benefits of intermittent fasting, but avoid the problems that can arise for those of us who have had problems with disordered eating, or have had calories restricted?

  We eat breakfast in the morning.  We make sure we eat enough food to get us through til lunch.  We eat lunch 4-5 hours after breakfast, and then we eat dinner 5 or 6 hours after lunch.  And we eat nothing in between.  Which means we go from dinner time to breakfast without eating.   If we eat dinner at 6pm and then eat breakfast at 7 am, this creates a 13-hour fasting window during a time when our body is naturally programmed to slow down metabolism and digestion.  

     Personally, I have found that my body just takes longer to process food than it used to when I was younger.   So, I try each day to eat a bigger breakfast and lunch, and small, early dinner.  By eating dinner earlier, I increase fasting time without skipping a meal.  By eating a smaller dinner, my body has an easier time processing food and I wake up with a better appetite.

     I have also found that making sure I eat at least 50% of my daily caloric intake during breakfast and lunch calms my appetite down for the rest of the day.  I don't have a mid-afternoon hungry horror strike, nor do I have a late afternoon energy drop.    It is much, much easier for me to manage my appetite and avoid bingeing if I have eaten plenty earlier in the day.  The brain gets the message that food is plentiful and shuts down not only the appetite, but the reward loop that makes us motivated towards, and constantly thinking about, food. 


    For millions of years people ate without much thought to dieting.  No one was obese.  The body knows what to do with food.  If we learn what the signals are that tell our brain that starvation is possible, we can learn to avoid them, and then our appetites, our metabolisms, and our feelings of reward from food normalize.   It starts with three meals a day of healthy, whole foods.   

Tuesday, September 3, 2024

Be Kind


   Be Kind

Morning, Noon, and Night:  Check in with yourself! 

  Add some kindness to your life.  Begin by treating yourself with kindness and tuning into your needs every day.  Sounds easy, right?  But how do we do that?  

    We start with check-ins.  Let's try one right now.   Take a deep breath and let it out slowly.  Close your eyes, and pay attention to how you are feeling.  How does your body feel?  Anything hurt, feel tight? Are you feeling antsy? Hungry? Thirsty?  Tired?
  How do you feel emotionally?  Are you sad? Scared? Angry? Bored? Lonely?
Just sit with how you are feeling for a moment.  After a minute or so, ask yourself: what can I do to take care of me right now?
    Some days it might be a simple as getting up, getting a drink of water, and grabbing a sweater.  Some days, we might reach out to a friend.  Maybe, we get up and walk around the house, our office, or the block.  Maybe we realize we need to stop for lunch.   Whatever it is, see what you can do to take care of yourself.  And, if there is nothing you can do right then, make a plan for how you may take care of yourself later on.
 
 Make it a habit to check in with yourself a few times every day. 

   And remember that kindness, along with attention, is the most powerful force of self change available to you.  Be kind to yourself, and to others as best you can. 

What does treating yourself with kindness mean? It means treating yourself with gentleness, concern, and care. Taking deep and radical care of yourself starts with first being kinder to yourself. Developing a practice of kindness to yourself starts with learning how to think about yourself in a kind and caring way, as well as taking time each day to take caring notice of yourself.

First, we must learn to take caring notice of ourselves. Many of us need practice doing this, and I have found that planning daily check-ins can be an effective way to make this a daily habit. Most people find that it works very well to check-in in the morning, at midday, and then sometime around dinner time or before bed. We can call them the Morning, Noon, and Night check-ins. Set some reminders, because this simple yet effective step can be easy to forget as your day gets underway.
Make this work with your own schedule. If you work night shifts, your morning noon and night will be different. Pick a time soon after you are awake, about halfway through your day, and then again when your day is winding down.
During these check-ins take a deep breath. Take one or two minutes to think about how you are feeling. Notice your five senses: what is going on around you and how do you feel? How does your body feel? How are you feeling emotionally? Are you feeling tired? Cold? Hungry? Sad?
Take a minute or two and think about how you feel and what you need. Then, see if there is something you can do about how you are feeling. Get up and get what you need if you can. If you can’t, take note and see if you can plan to take care of what you need when the time comes.
Maybe you don’t know what you can do about how you are feeling or what you might need. This seems like a simple exercise, but many of us struggle with it at first. If that is the case, just make a note of what you noticed. Just think on how you are feeling and take care of yourself if you can.
     These check-ins are important. They make sure that you are not neglecting your basic needs. They help you connect with your body and allow you to become aware of how you are feeling. It may seem simple, but over time these check-ins will help you to reduce stress and also to start to recognize situations that make you feel awful, such as not having anything to drink all day, or skipping lunch.
When I started with doing these check-ins, they seemed too simple and too easy at first. And then they seemed hard because I always forgot about them. What one of my volunteers did was write a reminder on a little index card and hang it in a corner next to her desk. Another programmed reminders into her phone.
Over time, many of us realized that each time we checked in we were thirsty. One of us who worked at a school was thirsty and had to pee, every single time. What kind of message is that sending to your brain, that you can’t take two minutes to take a sip of water or urinate? Talk about stress!
These check-ins, for everyone that participated in our program, significantly reduced daily stress. Most reported that they felt much calmer and settled during the day. Not allowing ourselves to get too hungry, too thirsty, too out of touch with our physical needs or how we felt emotionally, allowed us to focus on the present.
Those of us who work during the day used the check-ins to refocus at work. Instead of getting off track or distracted from the most important tasks for the day, during the check-in, we were able to realize what we had accomplished so far that day and could take a minute to think about what we could do to wrap up the day and leave work feeling less stressed.
Over time, most of us noticed that our needs during our check-ins changed. Those of us who found ourselves thirsty all the time began drinking more water more consistently throughout the day. And then, during check-ins, other needs made themselves known. The need to get up and walk a little. Or go find someone to talk to for a minute. Or the need to take one minute, close one’s eyes, take a deep breath, and allow the brain to rest from the stress of the day.
As you do this, you will find yourself calmer and less reactive during the day. You might end up shocked at some of the basic things you have allowed yourself to go without for too long during your day. Eventually, taking care of these things will become more automatic.
For now, make sure to have three times a day that work for you. Check in with yourself three times a day: Morning, Noon, and Night.
In your journal, or on an index card or postcard that you put on your refrigerator or on your nightstand (yes, you can use your phone as long as you remember to look at it!), write a reminder.
Some things to think about during these check-ins:
  1. Food: Sometimes we get busy and we forget to eat. While we can lose track of how hungry we are, being hungry makes us stressed, irritable, and unable to focus. Give your body something nutritious to eat three times a day. Avoid sugar because it can depress our mood and makes us more hungry. Sometimes, when we don’t eat regular meals, we get struck with the hungry horrors and then end up making unhealthy food choices, or just eating whatever appears in front of us or whatever is easiest. Pick something to eat that is nutritious, such as some nuts, a piece of fruit, some protein, some cut-up vegetables with some nut butter. Also, think about meal times. Having regular meal times helps keep your body rhythms regular, helps keep your energy up, and helps you not get too hungry or eat too much in between meals.
  2. Water: Many of us who tried this step came to the realization during our check-ins that we spent most of the day thirsty. Staying hydrated helps us feel less tired, more alert, and it helps improve most bodily functions. Just about every part of your body needs water and your body has lots of warning signs that it throws out to try to get you to drink. Being hydrated makes us feel better. Check in with yourself and if you are thirsty or haven’t had any water in a while, drink a glass and see how it makes you feel. While everyone’s needs for water are different, it’s a good idea to have a glass in the morning, at lunch, and at dinner at the very least, so making sure you have water available at your check-ins is a good way to make sure you stay hydrated throughout the day.
  3. Movement: We also know that sitting for a long time can reduce our circulation, and create a state of inertia that can be hard to break. If you haven’t been up in a while, or if you find yourself sitting a lot, get up and stretch or walk for a minute (even if it’s just walking to the bathroom). If you have a job where you have to be on your feet all day, maybe taking a minute to stretch, sit down, and think about what you need would work best for you.
  4. Rest: Sometimes, we are doing too much. If you have a physically demanding job, are home alone with little ones, or are working on a big project and can lose track of time, during your check-ins see if maybe what you need is a bit of a rest. Sit down and relax for a minute or two. Scan your body and see if you can let go of any tension that your are holding. Take a break from what you are doing and refocus and refresh.
Check-ins reduce stress, and help us be more aware of how we are feeling physically and emotionally. They allow us to not only take care of problems and stressors as they arise, but also help us to react more thoughtfully and calmly to problems as they arise throughout the day. Check-ins also reduce cortisol. This is a big deal. Cortisol is the chemical our bodies release during times of stress. Lowering cortisol levels improves our overall health in profound ways. Lowering cortisol helps with insulin resistance, maintaining muscle mass, appetite control, immune system function, digestion issues, and also helps support our mood, our focus, and our ability to respond creatively and calmly to problems as they arise. Check-ins are powerful habits.
So, check in with yourself three times a day and take care of what you need. Remember: Morning, Noon, and Night!