Superfoods Part 3: Critical Superfoods for a Healthy Heart

by Brynna Connor MD | Jun 24, 2021 | cardiovascular health, diet, heart disease, meals, nutrition

Superfoods Part 3: Critical Superfoods for a Healthy Heart

Heart health becomes increasingly important as we get older. Our daily habits, including the foods we eat, can have a big effect on whether or not we develop heart disease, heart attacks, or strokes. If you often eat food that you know is less healthy, it’s not too late to make changes now that can have an impact on your health later. Adding more superfoods to your meals can help your heart and blood vessels function at their best.

Why Is Heart Health Important?

Heart disease can be very serious. It causes one out of every four deaths in the United States, making it the number one cause of death. Additionally, every 40 seconds an American has a heart attack. Keeping your heart healthy can help you avoid sickness, disability, or an early death.

Heart Disease

The term “heart disease” doesn’t just refer to one illness. Rather, it’s a general term for several related conditions:

Coronary heart disease, in which plaque builds up in the blood vessels, blocking blood flow to the heart
Heart attack, also known as myocardial infarction, happens when blood flow to the heart is blocked and the heart muscle dies or becomes damaged
Heart failure occurs when the heart becomes too weak to keep pumping blood
Other conditions can also lead to changes in the heart’s valves, muscle, or rhythm

Who Gets Heart Disease?

Heart disease affects men and women at equal rates, although women tend to get heart disease at a slightly older age than do men. Additionally, a person’s risk of heart disease changes based on their race and ethnicity. People who are Black tend to have a higher chance of developing heart disease, while people who are Hispanic, Asian, or Pacific Islander tend to be at lower risk.

A person’s genetics also play a role. Genes are passed down through families, so if you have a relative who was diagnosed with heart disease, your risk is higher.

Finally, the older you get, the more your risk increases. Men who are older than 45 and women who are older than 55 have a higher chance of developing heart disease.

Lifestyle Factors Related to Heart Disease

While a person cannot change certain things, such as his or her genetics or age, each of us can still do other things to boost our heart health. The three main risk factors for getting heart disease include high blood pressure, high cholesterol levels, and smoking. Nearly half of Americans have at least one of these factors, but in most cases, they can all be prevented.

People with certain conditions or lifestyle factors are also more likely to develop heart disease:

Diabetes
Unhealthy eating habits
Lack of physical activity
Overweight or obesity
Drinking heavily

Eating for Heart Health

To boost your heart health, start by focusing on the things that are within your control. Changing the things that you eat is a great place to start. Goals of a heart-healthy diet include:

Lowering your blood pressure
Reducing levels of LDL (“bad” cholesterol) and increasing levels of HDL (“good” cholesterol)
Lowering your blood sugar levels

Many superfoods can help you reach these goals. Eating a variety of different nutritious foods on a regular basis can make a big difference in how well your heart functions.

Heart-Healthy Protein Options

Protein that comes from animals, including red or fatty meats, contains a lot of saturated fat. This type of fat leads to more cholesterol in your blood vessels, which in turn raises your risk of heart disease.

It’s okay to eat meat occasionally – it provides you with several different kinds of nutrients. Certain strategies can help you reduce the amount of saturated fat you are getting from meat:

Eat meat less often
Eat smaller portions of meat
Choose leaner cuts of meat
Take the skin off of foods like chicken

Ultimately, replacing meat with other protein-packed superfood options gives you the best shot at heart health.

Eat More Seafood

Replacing fattier meats with superfood protein sources is a great way to help your heart. Fatty fish is one such food that can boost your health. Research has shown that people who rarely eat fish are more likely to die from heart disease than those who eat fish once per week or more. Omega-3 fatty acids are thought to be responsible for this effect – people who get more of this nutrient have lower levels of fat in their blood and have a reduced risk of heart attack and heart disease.

Superfood seafood sources of omega-3’s include:

Salmon (fresh, wild caught is best)
Herring
Sardines
Mackerel
Trout
Oysters
Sea bass

Omega-3’s are available in supplement form but it is always best to obtain them from food if you can because the studies to date seem to be inconclusive about the effectiveness of the supplement form.

Plant-Based Sources of Protein

You can also use plant protein in place of fatty meats. Soybeans, beans, and lentils can all be used as a main dish, and are all considered superfoods.

Like seafood, soybeans also contain a lot of omega-3’s. Try stir-frying or sautéing tofu in an omega-3-containing oil such as canola oil, topping with your favorite sauce, and serving over brown rice or a healthy pasta. Alternately, roast tofu in the oven along with some vegetables or mash up a block of tofu to make a scramble.

Eating beans, lentils, and other legumes has also been tied to a lower risk of heart disease, stroke, high blood pressure, and diabetes. These foods contain many of the same nutrients as meat, but lack saturated fats. Legumes are also packed with fiber, and people who eat the highest levels of fiber have a lower chance of developing heart disease. Ideas for adding beans and other legumes to your diet include:

Throwing them in soups, stews, and chilies
Topping salads with beans or chickpeas
Dipping veggies in hummus or a black bean dip
Preparing beans or lentils as a side
Wrapping them up in a burrito or taco
Mixing beans or lentils with vegetables, herbs, and cheese for a light salad

Superfood Vegetables for Heart Health

Green vegetables – think spinach, kale, chard, collard greens, broccoli, and Brussels sprouts – have a lot of healthy nutrients that can protect your heart. Some of these health-boosting compounds are:

Fiber: This nutrient helps clean cholesterol out of your arteries and protects you from heart disease and diabetes.
Potassium: Foods like spinach and broccoli can provide potassium, which helps lower blood pressure. People who don’t get enough potassium may have hardened arteries and an elevated risk of heart disease and stroke.
Nitrates: Leafy greens have a lot of nitrates, which help keep your blood vessels healthy and your blood pressure levels normal.

These veggies make for great side dishes. Eat them raw, as a salad, or sauté in a healthy fat. Broccoli and Brussels sprouts taste great roasted with your favorite herbs and spices.

Whole Grains for Whole Health

Whole grains are less processed than their refined counterparts. Examples of whole grain foods include whole-wheat bread, brown rice, rolled oats, barley, grits, whole-wheat pasta, and even popcorn.

Whole grains are considered a superfood because of their many nutrients, including fiber, B vitamins, and iron. They also take longer to be broken down by the body, meaning that your blood sugar levels will stay more stable as you digest them.

Many clinical trials have found that eating whole grains is good for the heart. People who eat more of this superfood have a 25% reduced risk of stroke and 22% reduced risk of heart disease.

Prepare Meals With Superfood Fats

When you cook food, you generally use some type of fat, like butter or oil. Because butter is an animal-based product, it contains a lot of saturated fat, and it’s better to eat it in moderation. Additionally, coconut, palm, palm kernel, and hydrogenated oils contain saturated fat and shouldn’t be used often.

Olive oil, on the other hand, is considered by many to be a superfood. It contains a lot of healthy monounsaturated fats and damage-fighting antioxidants. Olive oil also has compounds called polyphenols that help prevent heart disease. Cooking with olive oil can help people reduce their blood pressure, lower someone’s chances of heart disease or heart attack, and may even help people lose weight.

Flaxseed oil is another excellent superfood option. Flaxseeds have more omega-3 fatty acids than any other food! They also contain B vitamins, phosphorus, and magnesium. Flaxseeds can fight all the different types of heart disease, so cooking with flaxseed oil is a good move for heart health.

Other options for cooking oils that contain healthier fats include canola, safflower, sunflower, corn, soybean, or peanut oils.

Heart-Boosting Spices

Many of us get too much salt in our diets, and can improve our heart health by cutting out some of the sodium. In particular, people with high blood pressure should try to follow a low-salt diet. Salt is a big source of flavor. You may not miss it as much if you switch to flavoring your foods with superfood spices:

Black pepper protects the heart from unhealthy fats.
Cinnamon can help reduce blood pressure levels and helps keep the blood from clotting.
Chili peppers contain a spicy molecule called capsaicin, which can soothe inflammation and protect the heart.
Garlic may improve cholesterol levels.
Ginger helps prevent fat and cholesterol from building up in the arteries.

Can You Eat Sugar on a Heart-Healthy Diet?

Not all sugary foods are created equal. Some foods contain natural sugars, while others have sugar added to them while being processed. For example, fruits naturally contain sugar, but extra sugar may be added to items like canned fruit or fruit juice. When you’re eating for heart health, it’s better to limit the amount of added sugars you eat. This means cutting out sweetened drinks like soda, alcohol, and energy drinks. It also means limiting the amount of desserts or sugary snacks you eat. If you’ve got a bit of a sweet tooth, try looking to superfoods with higher levels of natural sugar to replace sweeter processed foods. Here are some heart-healthy options:

Berries: Blueberries, strawberries, and cranberries are loaded with nutrients, fiber, and polyphenols. People who eat them regularly have better fat and sugar metabolism, improved cholesterol levels, and boosted heart health.
Grapes: Red grapes contain a molecule called resveratrol, which protects against heart disease and aging.
Dark chocolate: Eating this superfood – in moderation, of course – may lower a person’s risk of heart disease, diabetes, and stroke.

Healthy Heart Diets

Some people may find it hard to add individual superfoods to their daily meals, and prefer a more comprehensive eating plan that tells them what and when to eat. Doctors have developed a couple of different diets that boost heart health, and many of these emphasize eating more superfoods.

The DASH Diet

Dietary Approaches to Stop Hypertension, or DASH, is an eating plan that helps people lower blood pressure and cholesterol levels. As an example, someone who is following DASH and needs 2000 calories per day would eat:

6-8 servings of grains per day, preferably whole grains
4-5 servings of vegetables per day
4-5 servings of fruits per day
2-3 servings of fat-free or low-fat dairy products per day
Less than 6 ounces of lean meat per day
4-5 servings of nuts or seeds per week
2-3 servings of healthy oils per day

Clinical trials that have studied the DASH diet have also found that people who make the following changes are more likely to see a benefit:

Reduce sodium intake to 2,300 mg or less per day
Replace 10% of carbohydrates with either protein or unsaturated fat
Get more physical activity

The Mediterranean Diet

This eating plan is based on the ways that people in Italy, Spain, and other regions near the Mediterranean traditionally prepare and eat their food. Like the DASH diet, the Mediterranean diet advocates eating whole grains, fresh produce, and other high-fiber foods. The eating plan is centered primarily around plant-based foods – lean meat or chicken is more of an accent than the main focus of the meal. Scientific research has found that people who follow the Mediterranean diet have better blood sugar and cholesterol levels. They are less likely to have heart disease and other chronic health conditions.

Other Strategies for Heart Health

Changing your diet is a great first step towards better heart health. Other lifestyle changes that your doctor may recommend include:

Losing extra weight
Reducing stress
Exercising and moving more throughout the day
Getting better sleep
Quitting smoking
Drinking alcohol less often

Your doctor can help you understand your risk of heart disease by measuring your blood pressure and cholesterol levels and assessing other risk factors. If you are concerned about your heart, get annual physical exams and ask your doctor for recommendations related to lifestyle changes you can make. If you have high blood pressure or high cholesterol levels, your doctor may also prescribe you medication in order to help manage these factors.

Putting It All Together

Changing up your diet is one of the best things you can do for your heart. Swap in superfoods for high-sugar, fatty, processed foods whenever possible. Eating a variety of different types of superfoods is a great way to start living a more heart-healthy lifestyle!

If you would like to learn more, schedule a consultation with Dr. Connor.

How to Prevent and Reverse Sarcopenia

by Brynna Connor MD | Apr 13, 2021 | blog, diet, nutrition

Is losing muscle just a normal part of aging? For some people, a drop in muscle mass and strength can be a serious health problem known as sarcopenia. People with this condition may be more at risk for falls and can have trouble performing daily activities. There are many risk factors for sarcopenia. Some of these, like not getting enough exercise, can be prevented. Additionally, muscle loss can be reversed. Strength training, a healthy diet, and supplements may all help treat sarcopenia.

What is Sarcopenia?

People with sarcopenia have low levels of muscle mass (the total amount of all muscles found in your body). They also have decreased muscle strength or function, which can be measured using things like walking speed or handgrip strength. This loss of muscle happens over time, usually due to aging.

The process of losing muscle starts happening earlier in life than you may think. After a person turns 30, they begin to lose about 3-8% of muscle per decade. This process speeds up even further when a person is in their 60’s. By the time someone reaches their 80’s, they may have lost up to half of their original muscle mass.

As many as one in three people over the age of 60 has sarcopenia. While sarcopenia is usually seen in older people, it may also be seen in younger people as well. For example, people with inflammatory diseases are more likely to develop sarcopenia.

Why is Sarcopenia a Problem?

Sarcopenia can lead to multiple other physical and mental health issues. People with this condition may be more likely to get broken bones. They may also walk more slowly, which can be a sign that a person has a higher risk of sickness and death. Sarcopenia may also lead to disability and a greater risk of falls.

People living with sarcopenia also say that they experience many other physical and mental issues as a result of their condition, such as:

Trouble standing
Balance problems
Muscle aches and pains
Feeling afraid of being injured
Feeling embarrassed about their health
Feeling lonely or meeting up with friends and family less often

Many people with sarcopenia have a harder time meeting their own needs. Sarcopenia can make it harder to do everyday tasks such as cleaning up around the house, showering, and driving. This may mean that they are less able to live independently.

Finally, people with sarcopenia may have a shorter life expectancy. Focusing on sarcopenia risk factors and working to build more muscle can help you live a longer, healthier life.

How Do You Know if You Have Sarcopenia?

If you think you may have this condition, talk to your doctor. Your doctor may run several tests in order to make a diagnosis, such as:

Imaging scans in order to see how much muscle you have throughout the body
Tests that test measure how strongly you can grip, in order to see how strong your muscles are
Tests that measure how quickly you can walk or climb stairs, in order to see how well your muscles work

If your doctor thinks you may have sarcopenia, they can help you come up with a plan to prevent further muscle loss and even build new muscle.

Preventing Sarcopenia

Sarcopenia has been linked to several risk factors. For example, this condition becomes more common with age. Additionally, up to 30% of your risk of sarcopenia may be linked to genes passed down from your parents. While you can’t control your age or your genetics, there are other risk factors that you can change.

Exercise

Not getting enough physical activity can increase your chance of developing sarcopenia. Getting more exercise can reduce your risk and lead to more muscle strength. When healthy adults undergo strength training, they build muscle and can perform everyday tasks more easily.

Many different forms of physical activity can help. Some types of exercises that have been used in studies to help protect against sarcopenia include:

Resistance training: This type of workout, also known as strength training, helps build up muscle. It includes exercises that use weights, resistance bands, or body weight.
Functional training: This type of movement trains people to better carry out everyday life activities. Functional training strengthens multiple different muscle groups and helps them work together better.
Aerobic exercise: Exercises in this category increase your heart rate and make you breathe faster. Aerobic exercise, or cardio, includes activities like running, walking, and swimming.

Diet

Nutrition also plays a key role. People who eat more protein and get more vitamin D are less likely to get sarcopenia. If you want to lower your chance of being diagnosed with this condition, eating a balanced diet where you’re getting enough of these nutrients may help.

Other Factors

Certain diseases may also lead to more muscle loss. These include heart disease and cancer. Factors like eating a healthy diet, quitting smoking, and not drinking alcohol heavily can help with your heart health. These healthy habits can also reduce cancer risk, and in turn, may lower your chance of getting sarcopenia.

Other risk factors of sarcopenia include:

Changes in hormones
Damage to the nervous system
Inflammation
High levels of fat in the liver
Not getting good enough nutrition

These health issues can often be detected during regular doctors’ visits. Talk to your doctor about how often you should have check-ups and health screenings.

Sarcopenia Treatments

There are no official treatments that the FDA has approved for sarcopenia. However, there are several things that people with this condition can do in order to build up more muscle and improve their strength.

Exercise

Many different types of exercise can help people with sarcopenia. However, one of the best types of workouts may be progressive resistance training, or PRT. During PRT, people focus on building up strength using things like resistance bands, free weights, or weight machines. As a person gets stronger, the amount of weight or resistance used is slowly increased.

In one set of studies, researchers found that PRT helped older people gain an average of 2.4 pounds of muscle. In another analysis of 121 clinical trials that included 6700 people, researchers found that PRT could help people:

Walk faster
Get out of a chair more quickly
Go up steps more easily
Gain stronger muscles
Have less arthritis pain
Have enhanced physical ability
Complete daily activities like cooking or bathing more easily

Studies have found that performing more repetitions of an exercise or doing higher-intensity exercises can lead to more improvements in building muscle for older adults. However, too much exercise can lead to injury, so it’s important to start slow. Talk to your doctor before beginning a new workout program, especially if you have other health conditions. Your doctor can give you recommendations for an exercise plan that is best for you.

You can start using PRT by making a habit of strength training. Experts recommend that older adults perform exercises that are focused on muscle strength two times per week. Try taking a class geared towards seniors at a local gym, community center, or online. You can also try tracking your exercise with activity logs or with smartphone apps. Additionally, PRT is not the only type of exercise that can improve your health. Many people living with sarcopenia have found that exercises like cardio, physical therapy, and pool exercises have helped them improve their flexibility and strength.

Nutrition

Because eating low levels of protein has been linked to sarcopenia, it’s important for older adults to make sure they are getting enough of this nutrient. Eating more protein can help older adults gain more mass and increase their life expectancy. Experts recommend getting 25-30 grams of protein at each meal. Foods that contain a lot of protein include meat (beef, pork, sausage), poultry (chicken, turkey, duck), seafood, eggs, beans, lentils, nuts and nut butters, seeds, and soy foods (tofu, tempeh, edamame).

A Combination of Better Nutrition and Exercise Is Even More Effective

Getting enough nutrients, and especially eating enough protein, is important if you are also getting more exercise. Eating a nutritious diet can help exercise be more effective for people living with sarcopenia.

In one clinical trial, researchers tried to help older, frail nursing home residents build muscle. Participants who exercised had some improvements in muscle strength and were able to walk faster and climb stairs more easily. People who got better nutrition in addition to being put on an exercise program had even larger improvements.

Other studies have had similar findings. Another clinical trial showed that when older adults got aerobic exercise, their bodies were better able to absorb nutrients and deliver those nutrients to the muscle. People who used a combination of healthy eating and exercise built more muscle than people who got better nutrition but didn’t exercise.

Supplements

Sometimes, it’s hard to get all of the nutrients you need from diet alone. Taking supplements may help you make sure you are reaching your nutritional goals.

One easy way to get extra protein is by taking high-protein supplements. Many of these supplements contain essential amino acids. Amino acids are the building blocks of protein, and “essential” amino acids are ones that your body can’t make itself – it needs to get them through the diet. When people over 65 years old take this sort of supplement, they have more muscle strength, fewer health problems, and less hospital visits.

Vitamin D is an important nutrient for those with sarcopenia. Older adults who don’t get enough vitamin D are four times more likely to be frail. Whether vitamin D can be used as a sarcopenia treatment is less clear, however. Some studies have not found any benefit for people taking more vitamin D. On the other hand, other studies have shown that getting more vitamin D can increase physical function and reduce the risk of falls. If you have sarcopenia, taking a vitamin D supplement may help.

Another useful supplement ingredient is omega-3 fatty acids. These molecules are found in fatty fish and in fish oil supplements. Omega-3 fatty acids can:

Build more muscle
Reduce inflammation in the muscle
Help people build muscle following resistance training

Hormone Treatments for Better Muscle Function

Hormones are natural chemicals produced by the body that help different parts of the body communicate. Levels of certain hormones change as we age, and this may play a role in sarcopenia.

Testosterone is a reproductive hormone that is primarily important for the development of male sex characteristics and sexual function. Testosterone also helps support healthy bones, blood cells, and muscles in both men and women. As we age, both men and women experience a drop in testosterone levels. This may be one of the reasons why we lose muscle as we get older. When older men get testosterone treatments to increase their levels of this hormone, they often gain muscle mass and strength. However, it is important to know that taking testosterone may lead to side effects such as acne, joint pain, insomnia, mood swings, and an increased risk of prostate cancer.

Another key hormone is human growth hormone (hGH or GH). Like testosterone, hGH levels decrease about 1% per year after a person turns 30. People with sarcopenia tend to have lower levels of hGH in the body. Some studies have shown that hGH treatment, alone or in combination with testosterone, can improve muscle strength. However, other studies have found that people with sarcopenia don’t gain muscle mass after taking hGH. hGH supplements may also come with side effects such as swelling, joint pain, and carpal tunnel syndrome.

Hormone therapy may help some people build muscle, but it doesn’t seem to work for everyone. Additionally, some people may experience side effects from taking hormones, while others feel just fine. Talk to your doctor to see if the possible benefits of taking testosterone or hGH outweigh the potential risks.

Conclusion

Sarcopenia can be a serious condition, leading to many additional physical and mental health problems. If you feel like you may be losing muscles and are not as strong as you used to be, exercise and a healthy, protein-rich diet can help you build up strength. Some people may benefit from taking hormones such as testosterone or human growth hormone. If you think you may have sarcopenia, talk to your doctor to come up with a treatment plan that can work well for your needs, or make an appointment with Dr. Connor.

Will a “Hormone Diet” Help You Lose Weight?

by Brynna Connor MD | Mar 30, 2021 | blog, diet, hormones, nutrition, weight loss

Will a hormone diet help you loose weight? New diets and fitness fads are constantly popping up. Most of them promise easy weight loss and long-lasting health benefits. However, the science doesn’t always back up the claims, and it’s hard to know which weight loss strategies will provide real results.

One diet that has been popular in recent years is the hormone diet. There are a few different versions of this eating plan floating around, although they all promise to help you rebalance hormones in order to lose weight and achieve better health. The people who sell these diets claim they work. But what does science say?

What Are Hormones?

Hormones are chemicals that are made by organs called glands. Their job is to act as a messenger between different organs or different body parts. For example, the gland in one part of the body may send out signals that affect how cells in a different area behave. Hormones affect many processes, such as metabolism, mood, and reproduction.

Some examples of hormones are:

Growth hormone: This hormone is made by the pituitary gland, found in the brain. Growth hormone helps children grow and develop. It also necessary in people of all ages for functions like breaking down and storing fats, making proteins, and keeping brains and bones working properly.
Cortisol: The adrenal glands make cortisol when you’re feeling stressed out. It helps control inflammation, blood pressure, sleep, mood, and metabolism.
Insulin: Insulin, made by the pancreas, is also linked to metabolism. It helps cells absorb sugar from the blood to use for energy.
Thyroid hormones: The thyroid, located in the front of the neck, makes hormones called T3 and T4. These control metabolism and help the bones and heart work properly.
Reproductive hormones: Estrogen, progesterone, and testosterone help the reproductive system develop and work properly and are important for healthy sexual function.
These and many other hormones affect the way the body breaks down food, stores it, and uses it as fuel. When hormone levels are too high or too low, they can cause someone to lose or gain pounds. This has led many people to study the connection between hormones and weight loss.

What is the Hormone Diet?

The first person to start promoting the hormone diet was Dr. Natasha Turner, a naturopathic doctor who published the book “The Hormone Diet” in 2009. This book claimed that following a particular eating plan and adopting certain lifestyle habits would change the levels of 16 different hormones in order to burn more fat. Dr. Turner has since published two more books that further explain how to optimize hormone levels. Since “The Hormone Diet” was published, many other people have begun promoting similar diets. Dozens of books have now been published that claim that eating or avoiding certain foods or applying other habits can put your hormone levels in balance.

What Do You Do on the Hormone Diet?

The original hormone diet lists three separate phases: Phase 1: The first part of the diet is detox. People avoid certain foods for two weeks, including gluten (found in certain grains and bread products), cow’s milk and dairy products, peanuts, alcohol, caffeine, corn, sugar, and certain citrus fruits such as grapefruit. Additionally, processed, man-made foods are off-limits. According to the diet, these foods can cause inflammation and make it hard for your digestive system to absorb the nutrients it needs. Instead, people are told to eat foods such as rice, vegetables, fruits, beans, nuts, seeds, poultry, fish, and eggs. Dieters are also instructed to take supplements such as probiotics and fish oil. The hormone diet is supposed to help people lose 12 pounds during this first phase, in addition to lowering levels of hormones like estrogen and cortisol. Phase 2: After two weeks of detox, a person starts slowly adding some foods back into the diet. However, they are told to pay attention to how their bodies respond to these foods. For example, a person may notice that eating dairy products tends to give them a stomachache. People following the hormone diet are still told to stay away from processed foods and foods with preservatives during this time. Phase 3: At this point in the hormone diet, people continue the same eating plan but begin to exercise. They also add other healthy habits into their routines, such as getting good sleep and reducing stress, as these habits play a role in the levels of certain hormones.

Does the Hormone Diet Work?

The best way to know whether or not a diet works is for researchers to conduct a clinical trial. In this type of study, researchers divide participants into groups. One group would follow the diet, and other groups may follow different diets, or no diet at all. The researchers would then compare results between the different groups to see whether the diet actually made people lose weight, and whether it affected other factors such as hormone levels. This type of clinical trial has never been conducted for the hormone diet. This means that we don’t know for sure if this diet works better or worse than other weight loss strategies, or even if it works at all. However, we can look at other types of studies that have studied the link between weight loss and hormones. For example:

- Multiple studies have found that when people lose weight through different methods, including eating fewer calories or getting weight loss surgery, they can normalize their levels of thyroid hormones.
- When people lose weight, their insulin levels decrease and their bodies can use insulin more efficiently.
- In one clinical trial, overweight women who had gone through menopause used diet, exercise, or both to lose weight. All of the women who lost weight, but especially those in the diet plus exercise group, also had a decrease in levels of estrogen and testosterone. However, it is imperative to note that the study participants had elevated hormone levels at the beginning of the study.

What’s Good About the Hormone Diet

- - Natural, whole foods: The hormone diet tells people to avoid processed, man-made products. These foods tend to have extra calories without providing much nutrition, so cutting them out of your diet is a good thing. Processed foods can make you overeat and gain weight and increase your risk of heart disease.
  - Good nutrition: The foods that people eat on the hormone diet are fairly similar to those eaten on the Mediterranean diet, which has been extensively studied. The Mediterranean diet has many health benefits, such as healthy aging, weight loss, and a lower risk of heart disease, brain disease, and some types of cancer.
  - Paying closer attention to what you eat: The diet encourages people to find out whether they are intolerant to certain foods by avoiding those products for a couple of weeks, and then trying them again. It’s possible that some people are intolerant to foods such as gluten and that avoiding these foods will help make people feel healthier.
  - Exercise: The hormone diet encourages people to get cardiovascular or aerobic exercise as well as strength training or weight lifting. Physical activity is essential for many aspects of health, including weight loss.
  - Stress management: Feeling stressed on a regular basis can lead people to gain weight, but learning how to better deal with stress through relaxation techniques and breathing exercises can help people lose pounds.
  - Getting enough sleep: Quality sleep helps people burn more fat and stay at a healthy weight, making it an important weight loss tool.

What’s Bad About the Hormone Diet

- - Fast weight loss: Sure, dropping pounds quickly sounds great, but it’s not very realistic. Often, it takes a while for the weight to come off. Additionally, losing weight quickly is not very healthy. While the hormone diet expects people to lose 12 pounds in the first two weeks, the CDC says that people who lose 1-2 pounds per week are more likely to keep the weight off in the long term.
  - Changing your hormone levels may be risky: Hormones are involved in nearly every process in the body. Your body normally tightly controls levels of these molecules in order to keep everything working correctly. If you do end up drastically altering your hormones, you may end up with negative effects in other parts of the body. Please talk with your physician about this as hormone balancing is a very comprehensive undertaking and must be done with the help of a board-certified physician.
  - It’s hard to know if your hormone levels are actually changing: Even if you follow the hormone diet exactly as written, you won’t necessarily be sure which hormones are increasing or decreasing, or how much they’re changing.

Do You Need to Worry About Hormone Levels?

The body tightly controls how much of each hormone is made. Sometimes, health problems cause certain glands to make too much or too little of a hormone. This can lead to a hormone disorder, which may also be called an endocrine disorder. The most common disease in this category is diabetes, which occurs when the body doesn’t make enough insulin, causing blood sugar levels to get too high. Another example is hypothyroidism. In this disorder, the thyroid doesn’t make enough T3 and T4 hormones, leading different body processes to slow down.

Finding Out Your Hormone Levels

If you think that you may actually have a problem with certain hormones, the first step is talking to your doctor. Your primary care provider can help you test your hormone levels by drawing your blood. If you are female, you may also be able to have your gynecologist measure levels of your reproductive hormones. Your doctor can then help you understand whether there are any problems and what steps you can take.

Some companies also sell kits that allow you to test your hormone levels at home. This often involves collecting a sample of saliva, blood, or urine and mailing it in to a company. The company will then send you results that say what your levels of different hormones are and whether they are in a normal range. Again, it is important to take this information to your physician to review with you.

Treatment

If you are diagnosed with a hormone imbalance, there may be several different treatment options depending on what exactly the problem is. For example, if your thyroid produces too many hormones, you may be able to fix this through medication, radioactive treatment, or surgery to remove all or part of the thyroid.

Low hormone levels may be able to be fixed by taking man-made hormones in order to replace the ones that your body isn’t making. One example of this is someone with diabetes taking insulin in order to help control blood sugar levels. Another example is a woman taking hormone replacement therapy while going through menopause. True hormone imbalances can usually be solved through medical means, rather than by going on a diet.

Conclusion

Overall, there is much we have yet to learn about hormones and the link with our food to our hormones and weight loss. Following the hormone diet could help you shed pounds, but any weight loss you see may be simply due to the fact that you’re eating healthier foods and exercising more. Regardless of whether or not you’re resetting your hormones, the hormone diet does contain many great ideas that can help people become healthier and weigh less.

For more information on what type of diet would benefit your body, please schedule an appointment with Dr. Connor.

Do the Three Most Popular Diets Really Work?

by Brynna Connor MD | Mar 16, 2021 | blog, diet, fasting, weight loss

Do the three most popular diets really work? There’s so much health, nutrition and fitness advice out there, and some tips seem to contradict others. Additionally, trends are constantly changing, and it’s hard to know what is actual good advice and what is just a passing fad.

Here, we’ll break down the three most popular diets. These eating plans each come with some benefits that science shows may help your health. They all also come with advice that may be ineffective or even harmful for certain groups of people. Paying attention to the parts that work may help you learn how to maintain a healthy weight.

What Are the Most Popular Diets?

One way to tell which diets are the most popular is through surveys and studies. One such study is conducted each year by the International Food Information Council (IFIC). In 2020, the IFIC surveyed over 1000 Americans about their food habits and beliefs. 43% of Americans said that they had tried a diet or eating plan within the last year. This number was an increase compared with the past few years.

The 2020 IFIC survey found that the three most popular diets were:

Intermittent fasting
Clean eating
Ketogenic or high-fat diet

Of course, just because a diet is popular doesn’t mean that it works for all or even most people! Here, we will dive into the science behind each of these diets and explore whether these eating plans are worth the time and effort.

Intermittent Fasting

How Do You Try Intermittent Fasting?

Intermittent fasting doesn’t involve counting calories, eating certain foods, or avoiding certain items. This type of diet doesn’t tell you how or what to eat – it just tells you when to eat. However, the intermittent fasting diet is much more effective if — when the “eating” window occurs — one eats healthier options rather than higher caloric, heavily processed and unhealthier options. That is, if one engages in eating these very unhealthy options during this time, the effects of the intermittent fasting diet is diminished.

There are many possible intermittent fasting plans you can follow. Some examples are:

Alternate day fasting: With this method, people fast every other day. On fasting days, a person only eats a couple hundred calories or doesn’t eat at all. On other days, a person eats normally.
5:2 diet: This is a type of alternate-day plan where you eat normally for five days per week. On the remaining two days, you eat two very small meals totaling 500-600 calories. For example, you may decide to fast on Tuesdays and Fridays.
Eat-Stop-Eat: This plan involves fasting for a full day once or twice a week.
16/8 method: On this plan, you fast for 16 hours and then eat all of your meals within an 8-hour window. For example, you may skip breakfast, and then eat a couple of meals between noon and 8:00 pm. Other similar plans exist, such as the 14/10 method, where you fast for 14 hours and eat for 10 hours.

Many people are more successful at IF when they ease into it more slowly. Starting with the 16/8 or 14/10 method, or even just starting with skipping breakfast, may be easier than jumping right into alternate-day fasting.

What is the Science Behind Intermittent Fasting?

When you avoid food for a bit, several changes happen within your cells. Right after eating, the level of sugar in your blood gets higher. Your cells use this sugar to make energy. When you fast, you have less sugar in your blood, and your cells switch from using sugar to using stored fats as fuel. Additionally, during fasting periods, your cells can more easily heal damage.

What Are Possible Benefits of Intermittent Fasting?

IF seems to help boost metabolism, spurring your body to burn more calories. Many clinical studies have shown that IF can help people shed pounds. This seems to be especially true for people who already weigh a little more. Additionally, when fasting is combined with strength training workouts, it can help people lose more fat without losing muscle.

IF may also lead to other health benefits, including:

Improvements in heart health through lowering blood pressure, cholesterol, and heart rate
Stabilized blood sugar levels for people who are diabetic
Boosted brain health and better memory
Fewer symptoms of chronic health conditions like asthma and arthritis

Additionally, fasting plans may be easy to follow. You don’t have to plan or prep specific meals, or keep track of your foods. You can still easily visit restaurants and enjoy your favorite foods, which may be more difficult when following other diets.

Are There Any Cons to Intermittent Fasting?

Fasting can lead to many side effects, like extreme hunger, headaches, problems focusing, irritability, or bad breath. However, side effects may start to go away after several weeks.

These side effects can make fasting hard to stick with. In clinical trials, people often eat more than they are supposed to on fasting days. Some studies have found that that IF leads to a larger drop in pounds compared to traditional calorie-cutting diets, while others have found that both diets produce similar amounts of weight loss and other health benefits. This means that if you’re more likely to stick with a standard low-calorie diet than an intermittent fasting plan, it may be better to just do that.

People who try intermittent fasting should also know about other possible health issues while following this plan. Fasting can increase levels of LDL (“bad”) cholesterol. Fasting can also be risky for people with certain health conditions, such as diabetes. If you’re interested in trying IF, talk to your doctor first to get advice on how to fast safely.

Clean Eating

The second most popular type of diet in 2020, according to the IFIC survey, was clean eating. These diet plans emphasize eating whole foods that are in their natural state, as opposed to processed foods. People who follow clean eating plans say that they can lead to weight loss and better health.

What Foods Do You Eat On a Clean Eating Plan?

“Clean eating” does not refer to just one specific diet. It’s more of a loose, flexible set of guidelines. Clean eating plans encourage people to eat a lot of vegetables, fruits, whole grains, non-fatty proteins, and healthy fats. These foods should also be eaten in their natural forms, without being altered, whenever possible.

People on clean eating plans avoid foods that are processed. Any time a food has been changed from its original form, it’s not considered to be as “clean.” For example, clean eating says that eating whole fruits is better than drinking fruit juice. There are some exceptions, however. Frozen veggies and fruits are usually picked and frozen at their freshest, and are considered clean eating. Additionally, while cooking is technically a form of processing food, it’s fine to cook your meals when you’re on a clean eating plan. Examples of processed foods to avoid when following clean eating plans include:

Pre-made, pre-packaged, ready-to-eat foods
Frozen or microwaveable meals
Items with additives and preservatives
Foods with added salt, fat, or sugar

Check the labels of the foods you eat. If there are multiple ingredients you don’t recognize, that item may not be part of a clean eating plan.

Does a Clean Eating Plan Work?

Clean eating has not been directly tested in clinical trials. However, some of its principles have been.

People who eat a lot of processed foods are more likely to be obese. However, this doesn’t necessarily mean that cutting out processed foods will automatically make you start dropping pounds – it may be more complicated than that. Clean eating as a weight loss strategy has not yet been well-studied. However, clean eating is similar to the Mediterranean diet, which also emphasizes whole, fresh foods. Many studies have shown that the Mediterranean diet can help people lose fat and achieve and maintain a healthy weight.

Clean eating principles can potentially have other health advantages, too:

People who eat more fruits and vegetables are less likely to have heart disease
Diets low in processed foods are less likely to lead to inflammation and heart disease
Eating whole grains, rather than processed, refined grains leads to less belly fat and lower risk of death due to heart disease or cancer
Avoiding foods with added sugars can protect you from liver disease, diabetes, heart disease, and certain cancers
Cutting out ultra-processed foods may lower your risk of cancer, protect you from heart disease, and increase your life expectancy

Should You Follow a Clean Eating Plan?

Clean eating hasn’t yet been well-studied enough to know whether or not these eating plans generally lead to weight loss. However, clean eating plans can likely provide many health benefits.

It’s important to consider that clean eating means avoiding ready-made meals. Many restaurant or fast-food meals are also off the table. This means that you will need to cook most of your meals at home. This may be a good thing. It probably means that you’ll be saving money on your food bill. However, if you don’t have a lot of extra time to cook, it might be difficult for you to follow this plan.

Ketogenic or High-Fat Diet

A ketogenic diet, often simply called “keto,” is an eating plan in which people control the amounts of carbohydrates, proteins, and fats that they eat. People following this diet will eat much fewer carbs and more fats than usual.

What Is the Science Behind Keto?

Keto works in a similar way as fasting. The cells in your body typically use carbohydrates, including sugars, as fuel. When cells aren’t getting enough carbs, they turn to a process called ketosis. During ketosis, fats are converted into molecules called ketone bodies, which are then used by cells to make energy. During this time, the body also stores less sugar and fat.

Do Keto Diets Work?

Several studies have found that high-fat diets can lead to greater amounts of weight loss than low-fat diets. Keto may help you lose weight by burning extra fat and by helping decrease your appetite and encourage you to eat less.

Ketogenic diets help with other health issues, too. These diets have been used for nearly 100 years to help treat epilepsy. Modern studies have also found other benefits. Keto can:

Decrease insulin and blood sugar levels, which may lower diabetes risk and potentially help treat diabetes
Support brain health and reduce symptoms of Alzheimer’s disease and Parkinson’s disease
Improve mood
Help reduce acne

What Are Some Potential Problems With the Keto Diet?

Keto can lead to side effects like nausea, tiredness, sleeping problems, and constipation. However, these side effects usually don’t last more than a few days, or occasionally up to a couple of weeks.

Additionally, only a couple of studies have taken a deep look at how ketogenic diets affect health long-term, and we know that there are several long-term side effects that must be taken into consideration before one starts a ketogenic diet. These include the following: fatty liver (hepatic steatosis), low protein levels in the blood (hypoproteinemia), kidney stones (renal calculi), and certain mineral and vitamin deficiencies and it is possible that there are other long-term side effects that we don’t yet know about. Additionally, keto can increase your cholesterol levels, so if you already have high cholesterol, this diet may not be a good fit for you.

How Do You Follow a Keto Diet?

If you want to try keto, you will need to eat a lot more fat and a lot fewer carbs. There are different keto plans that advise eating different amounts of these nutrients. Many plans encourage people to eat foods in the following ratios:

55-60% of the calories you eat should be fats
30-35% of your calories should be proteins
5-10% of your calories should be carbohydrates

In order ensure you’re hitting these goals, you will have to track everything that you eat and drink. Several websites and apps can help by allowing you to log foods. These tools can then calculate how many of your calories come from fats, proteins, and carbs, and help you see if you are on track.

Will Any of These Diets Help You?

Most diets give people good results after six months. They often help people lose weight, lower blood pressure, and improve cholesterol levels in the short term. However, in the long term, these benefits often disappear. People gain back the weight and their blood pressure and cholesterol levels go back to where they were before.

One reason is that diets are very hard to stick with. It’s somewhat easy to see results when a diet feels new and exciting. It’s harder to have momentum. For this reason, it may be better to build up eating habits that you know you’ll be able to stick with. Take a look at your needs and preferences, including how much time you have available to cook your own meals and the types of foods you usually like to eat. Try to find a diet that doesn’t involve a lot of big changes, and start slow.

Fasting, clean eating, and keto can all probably help you maintain a healthy weight and improve your health. It’s always a good idea to talk to your doctor before starting a new diet or eating plan, because they can help you do so safely and minimize possible health problems.

If you would like to learn more, schedule a consultation with Dr. Connor.

Weight Loss and Health Benefits of Intermittent Fasting

by Brynna Connor MD | Jan 12, 2021 | diet, fasting

Intermittent fasting has become very popular in recent years. Many people use intermittent fasting to lose weight, but scientific research shows that it can have many other positive health effects as well.

Intermittent fasting is a type of eating plan based around periods of eating and periods of fasting, or avoiding food. Whether you realize it or not, you already go through a period of fasting over the course of a typical day: you fast while you sleep. When following an intermittent fasting plan, you purposefully make these fasting periods longer, by skipping certain meals or by not eating at all on some days. Intermittent fasting isn’t like a traditional diet plan – it doesn’t tell you exactly which foods to eat or how much food to have. Instead, intermittent fasting tells you when to eat.

Why are People Trying Intermittent Fasting?

Intermittent Fasting: Weight Loss and Health Benefits

Experiments throughout the 20^th century showed that eating fewer calories each day, also known as calorie restriction, could lead to longer life for multiple different types of animals. The studies also found that calorie restriction could reduce symptoms of several different kinds of diseases. In recent years, researchers have begun clinical trials in humans to try to discover whether calorie restriction can offer us the same results. Many of these studies have led to positive health benefits.

In the past couple of decades, researchers have realized that one of the reasons calorie restriction may be effective is because it often leads to long periods of fasting. Therefore, many new studies are currently underway to study whether intermittent fasting can also lead to good health and long life.

Weight Loss and Muscle Gain

When it comes to dropping pounds, intermittent fasting is at least as effective as cutting calories. In fact, some clinical trials have found that fasting may lead to even greater amounts of weight loss. Additionally, people with a higher BMI are especially likely to shed pounds when on an intermittent fasting eating plan. Researchers think that the reason fasting helps you lose weight is that it can boost metabolism.

In recent years, intermittent fasting has become very popular among health and fitness enthusiasts, with many personal trainers and fitness communities recommending the diet. Scientific research shows us there is probably good reason for this. Multiple studies have looked at the combination of intermittent fasting with resistance training, which includes strength-building exercises such as weight lifting and bodyweight exercises. The studies found that the combination of fasting with resistance training led people to burn more fat and maintain or possibly even build more lean muscle.

Other Health Benefits

Heart Health

Intermittent fasting can boost heart health in several ways. It can help people lower blood pressure, heart rate, cholesterol, and insulin levels. Fasting also drops levels of fat and sugar in the blood. All of these factors affect a person’s likelihood of developing heart disease or of having a heart attack or stroke. It’s possible that intermittent fasting eating plans could reduce a person’s risk of disease by keeping these factors under control.

Additionally, fasting may help lessen the impact of a poor diet. For example, eating a lot of saturated fat increases a person’s risk of heart disease. When mice are fed a high-fat diet, they develop obesity, high insulin levels, and fatty liver disease. However, mice that are fed a high-fat diet but are only allowed to eat for limited periods of time each day don’t have these heart disease risk factors.

Interestingly, a few studies have looked at the effects of fasting in religious populations. Studies of Muslims and Latter Day Saints found that people were less likely to have heart disease or heart failure while going through a religious fast.

Diabetes

Some studies have also shown that intermittent fasting plans can improve insulin sensitivity and blood sugar levels, meaning that their bodies can better digest and use sugar. When the body becomes more efficient at metabolizing sugar, a person is less likely to develop diabetes. However, these studies have only looked at short-term health effects, and some other studies have shown mixed results. It’s not entirely clear yet whether intermittent fasting can directly lower a person’s diabetes risk in the long run.

Brain Disorders

Intermittent fasting may help the brain age in a healthy manner by encouraging brain cells to grow and form new connections. Animals who fast are better protected against injury and have lower rates of Alzheimer’s disease and Parkinson’s disease.

Cancer

Initial laboratory studies have found that fasting can starve tumor cells and activate genes that protect cells from cancer. In animals, intermittent fasting leads to fewer tumors, less cancer growth, and increased sensitivity of tumors to treatments like chemotherapy. In human studies, very early results have shown that fasting diets may shield cells from damage and lead people to have fewer symptoms after undergoing chemotherapy. These early studies haven’t yet been able to tell us whether intermittent fasting can be an effective cancer treatment in humans. However, many clinical trials studying this question are in progress.

Other Effects

Early evidence also shows that intermittent fasting may reduce symptoms of other diseases such as asthma, arthritis, and multiple sclerosis, and may help heal wounds more quickly.

Intermittent fasting may also have several other health benefits, such as:

Cells are more protected from damage
Cells can more easily repair themselves
The body increases levels of antioxidants
Cells can more efficiently produce energy
Old or damaged cells are removed from the body and recycled
Lower levels of inflammation

These benefits can lead to better physical and mental health. For example, animal studies show that intermittent fasting leads to much better physical endurance, as well as boosted balance and coordination. Additionally, restricting calories may lead to better brain function and an improved memory.

How Does Intermittent Fasting Work in Your Cells?

Scientists don’t yet completely understand how intermittent fasting works. However, they have come up with several possible ideas to help explain how fasting affects your cells, your body, and your metabolism:

Cell Damage: As your cells process food and extract nutrients, they create toxic molecules called free radicals. It’s possible that giving your body fasting periods helps cells produce fewer free radicals. Fasting also allows your body to heal and repair damage.
Circadian Rhythms: Your circadian rhythms are part of your body’s internal clock. Your body clock links eating/fasting cycles with the outside day/night cycles. This helps your body maximize its energy during the day, when you’re awake. When our body clocks become mismatched with the outside day/night cycles, problems can result. Studies of intermittent fasting have found that when people eat for a shorter period in the middle of the day, they have health benefits related to better metabolism and heart health, but these benefits aren’t seen when the feeding period is later in the evening when it’s dark.
Ketosis: Intermittent fasting can lead to a change in metabolism. After eating, your body uses carbohydrates such as sugars for fuel, and stores the fat. During fasting, sugars are no longer available in the blood supply, so your body starts using up the fat it stored. During this period, the body also produces molecules called ketones that it can also use as fuel. Ketones also help cells work properly by controlling many proteins within the cell, such as growth factors, DNA repair enzymes, and sirtuins, proteins that control many aspects of health and aging.

How Do I Go About Intermittent Fasting?

There are several different types of intermittent fasting eating plans. In general, they fall under two different categories:

Alternate-day fasting consists of skipping food for a full 24 hours. This may be done once or multiple times per week. For example, one common fasting plan is the 5:2 diet, where someone fasts for two non-consecutive days in a week and then eats normally for the other five days. Or, someone may rotate every other day between fasting and eating. Some alternate-day plans tell people not to eat anything for the entire day, while others say that eating a couple hundred calories is okay.
Time-restricted fasting is when someone fasts for certain hours each day. They may eat for only eight hours and then fast for 16 hours, or eat during a four-hour window and fast for the remaining 20 hours of the day. In this case, fasting means that you completely go without food. However, it’s important to still drink water during this time, so that you don’t get dehydrated. Other zero-calorie drinks such as coffee are also okay to have during fasting periods.

Most intermittent fasting plans don’t tell you exactly which foods to eat during feeding times. However, it’s still important to eat healthful foods while doing fasting plans. Eating more plant-based meals supplemented with healthy proteins such as chicken or fish will amplify the health benefits that come with intermittent fasting. If you are eating a lot of saturated fats, sugar, and salt during your eating periods, you may still be at increased risk for developing several different diseases.

Is Intermittent Fasting Safe?

Many clinical trials have been conducted to look at potential risks of intermittent fasting. So far, researchers haven’t found any major concerns. Even trials of more extreme fasting plans, such as eating zero calories every other day, have reported that fasting seems safe for most people. However, in certain groups of people, intermittent fasting should be approached with caution. No single diet or food lifestyle change is universally appropriate or effective for all people. Depending on one’s individual circumstances, an effective food lifestyle for one person could be harmful if practiced by a person with different personal or medical circumstances so I advise anyone who is considering intermittent fasting to first consult with their doctor.

By way of example, fasting may be risky for people with diabetes, especially for those who are on medications such as insulin that may cause hypoglycemia. Fasting could lead a person’s blood sugar to drop too quickly.

When women try intermittent fasting, some may find that they stop having their period. If this happens to you, try going back to a normal eating pattern and consult your doctor. Additionally, if you’re pregnant, trying to become pregnant, or breastfeeding, it’s probably not healthy for you to try intermittent fasting.

Minor Side Effects

When fasting, it’s common to feel very hungry. In clinical trials, people have also reported other minor side effects, such as:

Feeling cold
Headaches
Feeling light-headed
Difficulty concentrating
Experiencing mood swings
Less energy
Bad breath
Constipation
Not being able to stop thinking about food

While these symptoms may be difficult to deal with, they do seem to go away over time. After a month or so, people tend to not feel as hungry or experience these symptoms.

Bigger Risk Factors

Sometimes, people who try IF eating plans are at risk for malnutrition. Taking vitamin or mineral supplements may help you ensure your body is continuing to get the nutrition it needs. Additionally, make sure to eat sufficient protein during meals, as protein malnutrition is a possible concern.

People trying IF should also be aware of signs of more serious health problems. Talk to your healthcare provider if you become dizzy, nauseous, or weak, or if you have trouble sleeping or faint.

Is it Possible to Do Intermittent Fasting Long-Term?

So far, we don’t know of any safety concerns for healthy people who try intermittent fasting over the long haul. However, it might be tough to stick with this eating plan, as it can be very inconvenient or be difficult to incorporate into your daily routine.

It may help to gradually ease into a fasting eating plan. For example, if you’re doing alternate-day fasting, you could try to eat 1000 calories on fasting days for the first month, 750 calories the second month, and 500 for the third. Or, to gradually take on time-restricted fasting, you could try to gradually extend your fasting time each day. Try fasting for 12 hours every day the first month, 14 hours the second month, and so on until you hit your goal. If you immediately jump into a very restrictive plan, you may have more trouble sticking with the diet.

For best results, work with a registered dietician or nutritionist to come up with an eating plan that works for you. A professional nutritionist can help you make sure you’re getting all of the nutrients you need to stay healthy and see maximum health benefits!

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