http://www.bbc.com/news/health-39070183

Not to be too cynical here (I will be sarcastic, however), but there are good findings that this works for people as well. Dr. Longo would do well to understand the many who have shown how a diet change can eliminate T2 symptoms and help balance T1 blood sugars and insulin requirements. There are a few experts including Bernstein, Fung, Westman, Hallberg, Eenfeldt, Noakes, and others who can attest to this in clinical settings eschewing rodents in favor of actual homo sapiens.

As for the "do not try this at home" recommendation, come on! He's kidding, right? I guess when you are dealing with this extreme level of complexity requiring lofty levels of intelligence, it can be very dangerous for the plebeians to even think of messing with this . . . .

Yes, all he's talking about is a 1000 calorie diet for a five day period, that's really not that big a deal. Warnings of the possibility of Atkins flu are probably all that's really necessary.

I'm sure you received this already by email this morning, but what an amazing story.
https://intensivedietarymanagement.com/keith-harmon/

Like it. Also like the Terry Crews video. You see headlines about various celebrities being Paleo or fasting etc., but it's obvious from how he's talking that he really drank the Kool-aid. Or wouldn't go anywhere near the Kool-aid.

I don't drink coffee and tea gives me heartburn/reflux, so I wanted to find out if replacing coffee/tea with Kaffree Roma Roasted Grain Beverage is ok? (it's roasted barley, roasted malt, roasted chicory, roasted rye)

A scan of the label is on the product listing on Amazon here - https://www.amazon.com/Kaffree-Roma...91497516&sr=8-2

It does have some calories (I think coffee has 2 calories per teaspoon, and this has 10), and I'd take it with a tablespoon of heavy cream.

Thanks

One rounded teaspoon has 1.7g carb. See http://nutritiondata.self.com/facts/beverages/10529/2 for the rest of the nutritional data.

https://intensivedietarymanagement....ic-restriction/

This graphic from Fung's latest blog sort of says it all. The real challenge of course is to create a calorie deficit without eliciting a compensation--whether due to reduced metabolism, reduced activity, reduced appetite, whether we want to call it "hunger" or "head hunger" or "craving."

https://www.youtube.com/watch?v=hDEw561NFto

Show with Michael Mosley and Roy Taylor (he did the Newcastle studies showing that giving people a diet similar to what gastric bypass patients eat for eight weeks reverses diabetes). Mosley has a book out based on Taylor's plan, but with real food instead of diet shakes.

At one point a fellow from Diabetes Australia gives the critique that people with diabetes can be prone to depression, and that this might be just one more thing for them to feel like failures about, if they don't manage to do it. I think the last thing a depressed person needs is for a health care provider to have the same dim view of their abilities that their depression might make them prone to.

It must be true because I agree with it Calories DO matter - but that's not very useful information. Sort of like saying "The Sun is Hot"

For me;

IF or Extended Fasting = fewer calories, lower appetite
One Meal A Day = fewer calories, lower appetite
Morning workouts = fewer calories, lower appetite
Net carbs under 25 = fewer calories, lower appetite

I guess the common thing I see is "lower appetite" when you can sustain this you will loose weight no matter what strategy you use.

That. Is. My. Opinion.

But it isn't calories that drive up insulin. It's carbs.

I once tracked over a few months. I dropped my carbs from 32 to 22. This brought my average calories from 1800 to 1852.

And I lost weight.

But protein can drive up bg (at least in diabetics - don't know about you normal people). When I started low carbing I thought I could eat all the meat I wanted. Turned out I couldn't. I'm not sure what meat does to insulin, but I would assume it goes up, too. I also had to reduce the amount of fat I was eating - too many calories meant I couldn't lose weight.

So the upshot for me - as an overweight diabetic - is to reduce carbs, reduce protein, and reduce fat. Overall, a reduction in calories.

It probably doesn't have to work the same for everybody, though.

Type of calories do matter--change one type for another, and insulin will go down. But also, taking fat, carbs, and protein, keep any two at the same absolute level, but lower the third, and insulin secretion probably goes down. Also there are interactions between the three. The insulin index for various foods shows that if you give 200 calories or so of very lean beef or fish, mostly protein, there'll be a higher insulin response than if you give eggs or cheese, with roughly the same calories but two thirds fat--but if you work it out as insulin per gram of protein, in that respect the insulin response is greater. This is more obviously true with carbohydrate and fat, absorption of the carbs might slow down, but the insulin requirement per gram of carbohydrate is greatly increase by the fat, even though if you were to eat the fat alone, going from a completely fasted state, there'd be practically no increase in insulin. I'm sort of skeptical about bulletproof coffee--but if you look at it, not only does it minimally break a fast, not much insulin requirement, it also sort of separates some of the day's fat calories from the rest of the diet--does the day's intake of carbohydrate and protein then require less insulin?

I've been eating more ketogenically since Christmas, and I've lost about 15 pounds. I seem to do this almost every year, after a summer of barbecues, although most times previously, I've done it with higher protein intake. I've been eating 16-1800 calories, similar to previous times, but with protein mostly between 60-70 grams (including protein from my veggies) instead of probably 100+. It's just easier. Lowering protein to lower insulin and lose weight makes a lot of eyes roll even in low carb circles, but it does seem to make things easier for me.

I've come around to the same way of eating as being easiest, because I am never hungry. When I was eating 100g protein/day I would sometimes feel hungry in 2-3 hrs, instead of 5-18 hrs later. vHFvLC fits perfectly with a 5-6 hr IF eating window, which feels natural for me and allows me to do a lot more living every day.

His latest blog post on hunger and ghrelin could not have come at a better time for me. I am living it this week. https://intensivedietarymanagement....lin-fasting-29/
Always learning something new with Dr Fung.

I have listened to every FastingTalk podcast since it started and Megan Ramos has been a wealth of Fasting knowledge. This past Friday she and Jimmy (could do without but he provides the platform) that when you fast you fast, when you feast you feast, i.e. clearly OMD is just another form of calorie restriction and you need to shake things up. OMD works in maintenance but not if you want to lose weight. At the same time, in a recent interview, Dr Seyfried is leaning more to fasting than a steady Ketogenic diet for prevention of cancer (treatment is a totally different situation). And Dr. Fung on Fasting and Cancer: http://www.fastingtalk.com/14-dr-ja...ing-and-cancer/

So, back to the post, using all the Tips from 15 episodes of Fasting Talk, getting through the waves of hunger in day 2 and 3 was easy and they became progressively less, and then hunger was gone...exactly as Megan has been advising many times on the podcast. Exactly as in Dr Fung's latest blog post.

Also, The Fasting Book (that I previously wrote I wouldn't buy) is offered New at $9.99 with free shipping from a "Just Launched" Amazon re-seller. After hesitating to trust one with no reviews, I clicked buy yesterday and it has already shipped (or so email says..will let you know when it shows up at my door.

I feel great, am exercising more this week than since my little knee surgery last October, BG was 57 this morning, no hypo symptoms, so much for dawn phenomena, urine ketones deep purple (dating myself, makes me think of the band, singing Smoke on the Water) bursting with energy, am buoyed by Prof Noakes victory, it's a gorgeous day and life is good