← Feel Better, Live More with Dr Rangan Chatterjee

Why This Cardiologist Recommends Fasting with Dr Pradip Jamnadas #236

Feb 9, 2022 1h 59m 20 insights
TRIGGER WARNING: This podcast discusses fasting and its advice may not be suitable for anyone with an eating disorder. If you have an existing health condition or are taking medication, always consult your healthcare practitioner before going for prolonged periods without eating.   You probably wouldn’t expect a cardiologist to tell you that not eating is the key to better heart health. But today’s guest is a passionate believer in finding new solutions to old diseases – and in finding those solutions within ourselves. Dr Pradip Jamnadas is a Florida-based consultant cardiologist and a clinical assistant professor with more than 30 years’ experience and a keen interest in preventative health. He has performed thousands of interventional procedures during his career and his educational videos on fasting and heart health have been viewed by hundreds of thousands on his YouTube channel. From weight loss to reversing diabetes, lowering blood pressure and cholesterol to increasing longevity, Dr Jamnadas outlines the evidence-based, dramatic changes that fasting can bring. He talks us through the restorative processes that take place in the body when we take longer breaks from food and details the discoveries he made about fasting and its effect on insulin, metabolic health, obesity and heart health – along with the astounding difference it’s made to his patients’ lives. But it's not just physical benefits. Dr Jamnadas explains the ripple effect that changing your beliefs and habits around food can have on your mental well-being and the rest of your life. Dr Jamnadas also shares the very gradual and specific protocol he takes patients through, to build up their fasting in a way that’s sustainable. We discuss whether fasting is more beneficial for men than women, we touch on food addiction and talk about eating disorders. This is a fascinating episode and I think you will really enjoy it. Thanks to our
Actionable Insights

1. Consult Healthcare Professional for Fasting

If you are on medications (especially insulin or blood pressure drugs) or have an eating disorder, consult a healthcare professional before starting any fasting regimen. This is crucial to avoid hypoglycemia, manage blood pressure, and ensure the fasting protocol is suitable for your individual health conditions.

2. Clean Up Your Diet First

Before starting any fasting, eliminate all artificial foods, sugar, and processed foods for approximately two to three weeks. This helps reduce potential withdrawal symptoms and prepares your body for fasting by adapting to whole, natural foods.

3. Eat Whole, Natural Foods

Consume foods in their natural, whole form, ensuring you can recognize what’s on your plate. This includes grass-finished meats, organic chicken/eggs, fish, and plenty of vegetables for gut health, while avoiding anything processed, packaged, or made into flour.

4. Eat Infrequently, Only When Hungry

Shift your eating pattern to only consume food when truly hungry, rather than eating out of routine or at specific times. This helps break addictive eating patterns and empowers you to regain control over your habits.

5. Prioritize 7+ Hours of Sleep

Ensure you get at least seven hours of sleep daily. Adequate sleep is crucial for maintaining energy, mental clarity, and willpower, which are essential for adhering to dietary changes and fasting protocols.

6. Find Pleasure and Happiness

Actively seek pleasure and happiness in your life and daily activities. This helps prevent the body from metabolizing negative physiology stemming from bad habits and contributes significantly to overall well-being.

7. Start Fasting by Skipping Meals

Begin your fasting journey by randomly skipping meals when you are not hungry, such as breakfast or lunch, for about two weeks. This gradual approach helps your body adapt and builds confidence without immediately committing to longer fasts.

8. Practice 18-Hour Daily Fasting

After adapting to skipping meals, aim for two meals within a 6-hour eating window daily (Monday-Friday), creating an 18-hour fasting period. During the fasting window, consume only water, black tea, or black coffee, ensuring no caloric intake.

9. Implement One Meal A Day (OMAD)

Progress to eating only one meal a day on specific weekdays (e.g., Monday, Wednesday, and Friday), while maintaining two meals on other weekdays. This further extends your fasting period and deepens metabolic adaptation.

10. Incorporate Weekly 36-Hour Fasts

Once comfortable with one meal a day, introduce a 36-hour fast once a week for two consecutive weeks. This typically involves skipping an evening meal and not eating until breakfast the day after next, helping to induce ketogenesis.

11. Consider 3-Day Water Fasting

For deeper metabolic benefits or to break weight loss plateaus, consider a three-day water fast, but only after gradually adapting through shorter fasts. This prolonged fast can significantly enhance autophagy, growth hormone production, and fat mobilization.

12. Manage Hunger Cravings

When hunger strikes, recognize that ghrelin levels (hunger hormone) typically peak for about an hour before subsiding. Drink a glass of water and keep your mind busy with chores or activities to overcome the craving.

13. Address Deeper Addictions

Recognize that food addiction, especially to sugar and processed foods, can be linked to other addictive behaviors like digital media, alcohol, or gambling. A holistic approach addressing all forms of instant gratification is often necessary for sustainable change.

14. Embrace Fasting Beyond Food

Extend the concept of fasting beyond just food to include social media fasts, alcohol fasts, or caffeine fasts. This broadens the practice of self-imposed scarcity and control over various dependencies in your life.

15. Monitor Blood Pressure

If you are on blood pressure medication, monitor your blood pressure twice daily during fasting periods. Any adjustments to medication should only be made by a healthcare professional based on your readings.

16. Monitor Blood Sugar & Insulin

If on oral blood sugar agents, continue them during 18-24 hour fasts while monitoring blood sugars. If on insulin, reduce dosage by half for 24-hour fasts and discontinue completely for fasts longer than 24 hours, under strict medical supervision, to prevent hypoglycemia.

17. Supplement Electrolytes During Fasting

If experiencing cramps during longer fasts, add a pinch of salt to a glass of water and drink it. This helps replenish electrolytes and alleviate symptoms, especially during extended periods without food.

18. Practice Simple Meditation for Stress

To manage stress during fasting or in daily life, practice simple meditation by closing your eyes and focusing on your breath. Let thoughts pass without engagement, returning to your breath, to find inner awareness and reduce stress.

19. Cultivate Self-Empowerment

Realize that you are more than your hunger, cravings, or habits; you are in charge of your choices and can change your behavior. This realization fosters self-confidence and can positively impact all areas of your life, from work to relationships.

20. Consider Holistic Health Factors

Understand that health outcomes are significantly influenced by social determinants such as relationships, social support, and self-perception. Addressing these broader life aspects can profoundly impact your physical and mental well-being.