THIS Is Why Intermittent Fasting Never Worked For You | The Mel Robbins Podcast

Guest
Dr. Mindy Pelz
Read time
~5 min
Uploaded
21 Sept 2023
Duration
0:50:30
Views
412.6K
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KEYPOINTS

  • 01

    Fasting is about when you eat, not what you eat

    Mel frames intermittent fasting as a health protocol rather than a diet. The idea is to cycle between your sugar-burning energy system, which runs when you eat, and what Dr. Mindy Pelz calls the fat-burning system, which she says switches on after about eight hours without food. This episode focuses on the most common version: 12 to 16 hours without eating. Stop at 9 p.m., and your first food comes somewhere between 9 a.m. and noon.

  • 02

    Anything that won't spike blood sugar is fine in the fasting window

    Water, unsweetened mineral water, coffee, and black or green tea are fine. Sweeteners, including NutraSweet, are not. Bone broth is a good way to break a fast, but she says its protein changes the healing response and it can raise blood sugar, so it doesn't count as part of the kind of fast she's describing. She herself has full-fat cream in her coffee.

  • 03

    The first few fasts can feel rough, and that's expected

    Dr. Mindy compares it to a fever or sprained ankle: unpleasant while the body adapts. People may feel moody or foggy, get constipation or diarrhea, and in extreme cases rashes, which she describes as the body clearing things out. She says it usually lasts one to three days, and roughly half of people don't notice anything. Her advice to women is to get curious about unfamiliar body rhythms rather than reject them as too confusing.

  • 04

    Women's hormones run on a monthly rhythm, men's on a daily one

    She says a man's testosterone pulses roughly every 15 minutes on a 24-hour cycle, and that fasting suits it, so men can fast regularly. Women cycle over 28 to 30 days: estrogen builds in the first ten days, testosterone peaks around ovulation, and progesterone rises in the week before a period. In her account, estrogen "loves" fasting, while progesterone drops if blood sugar falls too low or cortisol rises too high.

  • 05

    Why early fasting fads backfired for many women

    Dr. Mindy says women who fasted all month long reported lost periods, hair loss, rising anxiety and sometimes weight gain, and the media concluded fasting wasn't safe for women. Her explanation is that constant fasting depleted progesterone. That affects shedding of the uterine lining, which shows up as spotting, and progesterone is calming, so anxiety rose. Long-term calorie restriction also disrupted the thyroid, which she links to the hair loss. Mel points out that the original advice came mostly from men talking about men.

  • 06

    Pre-period carb cravings have a purpose

    Dr. Mindy reframes the urge for ice cream, pizza and nachos before a period as progesterone asking for higher glucose to make more of itself, not a lack of discipline. The fix is to eat more "nature's carbs" that week: fruit, potatoes, sweet potatoes, lots of vegetables, bananas and tropical fruits. She also singles out chocolate as good for progesterone.

  • 07

    Her hormonal hierarchy puts connection at the top

    In her model, sex hormones sit at the bottom and are thrown off by insulin. Insulin is pushed around by cortisol, since stress makes you more insulin resistant. Above cortisol sits oxytocin, which comes from connection with other people. More oxytocin lowers cortisol, which improves insulin sensitivity, which helps balance sex hormones. That's her reason for recommending fasting with other people rather than alone.

  • 08

    Fasting breaks down some muscle, so protein matters when you eat

    During a fast, the body breaks some muscle down as it uses up stored sugar, which she says isn't harmful in itself. Problems start when you open your eating window and skimp on protein, so muscles don't get the amino acids they need to rebuild. She doesn't see fasting and high-protein advice as contradictory.

  • 09

    Mel's enthusiasm, with her own caveat

    Mel calls the benefits for brain fog, belly fat, energy and gut health strongly supported, and calls the research "irrefutable." That's her characterization. Dr. Mindy's specific hormone mechanisms are presented as her own clinical framework from her book Fast Like a Girl. Mel also says she initially thought "this is complicated" when hormones came up, which is why the episode boils the advice down to a simple rule.

EXAMPLES

  • 01

    Dr. Mindy's own routine

    Coffee with full-fat cream in the morning, first meal around noon or 1 p.m., and family dinner finished by about 8 p.m. After a trip to Hawaii where she ate off-plan, she stretched to an 18- to 19-hour fast. Once or twice a year she does a three-day water fast, which she says clears out old cells, slows aging and increases stem cells.

  • 02

    Bridget, the "rushing woman" CEO

    Bridget had been trying to manage her weight by exercising more and eating less. Fasting felt miraculous at first: her brain came back online and the weight came off. But 30 to 60 days of fasting every day led to weight gain and a lost period. Working out Bridget's rhythm is how Dr. Mindy arrived at the idea of stepping out of fasting the week before a period.

  • 03

    Mel's MCT oil disaster

    On a hike with a group of guys, Mel drank coffee with what was probably a loose shot of MCT oil and was doubled over with cramps and diarrhea within about 45 minutes. Dr. Mindy's dose is half a teaspoon to a teaspoon.

  • 04

    Listener questions on yo-yo weight and comfort food

    Jody kept losing and regaining the same 10 pounds. The suggested fix is intermittent fasting, no fasting the week before her period with more nature's carbs, then restarting on day one of bleeding. Becky wanted a weekly comfort-food lunch. The answer is to slide your eating window: for a 10 a.m. Sunday brunch, eat 10 a.m. to 6 p.m.

OTHER RELEVANT

  • 01

    The simplest rule for cycling women: don't fast the week before your period

    Fast 12 to 15 hours during the rest of your cycle. In the roughly seven days before your period, eat normally, including breakfast if you'd skipped it, and lean on whole-food carbs. Restart fasting when you start bleeding.

  • 02

    No regular cycle? Use the moon

    For women on a hormonal IUD or other birth control that hides their cycle, in perimenopause, or past menopause, she suggests treating the new moon as day one. Fast from about day 1 to day 21, take a week off, then restart at the next new moon. She uses the Moonly app, and her book has a 30-day reset. She calls this the best gauge available, not a precise measure.

  • 03

    Three quick-start hacks

    First, set a stop time at night and a start time in the morning. Second, add half to one teaspoon of MCT oil to coffee, which she says speeds ketone production and switches off hunger. Third, if you feel off while fasting, add a pinch of high-quality sea salt such as Himalayan for magnesium, potassium and sodium.

  • 04

    Limit three kinds of food and build a fasting lifestyle

    Cut inflammatory oils like canola, cottonseed, corn, partially hydrogenated, safflower and sunflower, and favor olive, avocado, sesame or walnut oil. Keep man-made carbs like bread, pasta and cookies minimal even if they're organic or gluten-free. Avoid toxins such as artificial sweeteners, colorings and nitrites. Her four steps are: know your goal (gut repair might call for 24-hour fasts, stubborn weight for 36-hour ones), cycle your fasts, cycle your food, and do it in community, even just a book club or a 30-day challenge with friends.