back to indexFasting & the Best Times to Eat | Dr. Casey Means & Dr. Andrew Huberman
Chapters
0:0 Introduction to Fasting Concepts
0:17 Benefits of Compressed Eating Windows
2:36 Intermittent Fasting & Cardiovascular Risk
4:7 Metabolic Flexibility & Eating Habits
6:11 Practical Tips for Fasting
7:2 Timing of Meals & Glucose Response
8:20 Conclusion
00:00:00.000 |
The way I conceptualize the idea of fasting, obviously this is one where we need more words, 00:00:07.720 |
Because the word fasting is so limited, there's so many different parts of this, but… 00:00:11.640 |
Skipping breakfast for me would be that, or skipping dinner. 00:00:15.440 |
Sometimes I'll skip dinner, sometimes I'll skip breakfast. 00:00:19.000 |
I think that some of the most interesting data that I've seen has been about if we 00:00:23.840 |
reasonably compress our eating into daytime hours during the part of the diurnal cycle 00:00:33.160 |
So essentially matching our chronobiology with our behavior, which, you know, we are 00:00:39.080 |
diurnal organisms, so we kind of need to respect that. 00:00:42.080 |
Like when we do that and we compress it in a moderate way, our metabolic health is better. 00:00:47.840 |
And so some of the studies that have looked at this, one that was interesting was, and 00:00:52.720 |
I think very hopeful for people, is that if you take all the food, all the calories that 00:00:57.560 |
you're going to eat, and eat them in a 6-hour window versus a 12-hour window, totally same 00:01:09.620 |
People who eat the same amount of calories in a 6-hour period are going to have much 00:01:14.000 |
lower, statistically significantly lower, glucose, 24-hour glucose and insulin levels 00:01:19.120 |
compared to people who just space it out over the course of a 12-hour period. 00:01:23.640 |
And it makes sense because if you're spacing that food out over the course of 12 hours, 00:01:29.560 |
that is a different biochemical milieu in your body throughout the day. 00:01:34.600 |
You know, it's like you are then stimulating insulin several more times. 00:01:39.760 |
You are exposing the bloodstream to insulin and glucose just more throughout the day. 00:01:46.920 |
And giving the bloodstream less of an opportunity to just sort of be clear from that glucose 00:01:53.380 |
And so compressing our eating window seems to be helpful for metabolic health. 00:02:01.800 |
You just have to eat in a shorter period of time. 00:02:03.480 |
So for people who want to eat, you know, a lot, maybe just consider compressing it into 00:02:15.160 |
I have friends like Lex Freedman that do the one meal per day thing. 00:02:17.480 |
I end up eating so much food at that meal that I experience a lot of kind of like mechanical 00:02:24.280 |
I think an 8- to 10-hour window has worked well for me most days. 00:02:29.380 |
I know as soon as we talk about intermittent fasting, which is what, or time-restricted 00:02:33.320 |
feeding, same thing, which is what we're talking about right now, I'm sure somebody is going 00:02:37.480 |
to call up the, there's been a study that's been circulating about a massive increase 00:02:44.440 |
in cardiovascular risk in people doing intermittent fasting and particularly the 6-hour feeding 00:02:52.000 |
As far as I know, I could be wrong, but as far as I know, that study is still in abstract 00:02:59.440 |
It's like the fact that studies that haven't been peer-reviewed aren't even close to being 00:03:04.480 |
peer-reviewed are being like put out there as new stories is really problematic because 00:03:10.800 |
I can tell you as somebody who sat on the editorial boards of many journals for many 00:03:14.480 |
years, I still sit on a few, reviewed countless papers, I've submitted and had to deal with 00:03:19.240 |
reviews on countless papers, the fact of the matter is like until the reviews are done, 00:03:24.640 |
the revisions are made, like that paper may never see the light of day and it may end 00:03:28.720 |
up in a journal that you, is barely worthy of a placemat. 00:03:33.020 |
It might end up in a high-tier, high-quality journal, but it might not. 00:03:35.800 |
So just because there was "a study done" means very little, but it means especially 00:03:40.640 |
little, maybe nothing until it's peer-reviewed. 00:03:43.680 |
And the methods were very poor in that study. 00:03:46.080 |
It was a recall-based study, I think, for two days of recall of people's diets, which 00:03:52.240 |
is notoriously very bad in terms of accuracy. 00:03:55.200 |
So yeah, and I think I'm not in any way suggesting that a six-hour window is the optimal window. 00:03:59.920 |
I'm just sharing the data that suggests that compressing the window seems to have a favorable 00:04:06.840 |
effect, and I certainly don't do six hours, but I think when you look at what the average 00:04:11.560 |
American is doing, which is the average American has 11 eating events per day and 50% of Americans 00:04:24.040 |
I can recall those because I remember when I was writing the book, I was like, "That's 00:04:28.120 |
a long time, 15 hours and 11 events," and every time you're doing that, you're going 00:04:33.920 |
to be stimulating this glucose rise in the bloodstream, exposing the blood vessels to 00:04:40.040 |
You're going to be turning on all the pathways with insulin to basically store it, and so 00:04:45.840 |
And so I think giving the body times intentionally to allow insulin to come down and to allow 00:04:54.200 |
glucose to come down, what that does is it generates metabolic flexibility. 00:04:58.880 |
It gives our body an opportunity to have space to use accessible glucose and then convert 00:05:06.440 |
into using stored fat, and that ultimately is metabolic flexibility, the ability for 00:05:12.160 |
the body, giving the body opportunities to use glucose but then have times when there's 00:05:16.320 |
not high glucose and insulin around to actually get into the fat stores. 00:05:22.080 |
And I think one of the reasons why we have such a massive overweight and obesity rates 00:05:28.760 |
in the country is because with the way the culture of eating right now, 11 eating events 00:05:34.200 |
per day, eating over the course of 15 hours per day, I would imagine the average American 00:05:38.160 |
body is rarely, if ever, tapping into their fat stores for energy in a meaningful way 00:05:44.520 |
because we always have glucose available to the body. 00:05:48.560 |
If you think about, again, the stats about ultra-processed food, about 70% of the items 00:05:54.680 |
on the shelves in the grocery store are ultra-processed food, and those ultra-processed foods are 00:05:57.920 |
built on refined added sugars and refined added grains. 00:06:01.880 |
So we're just – we very rarely give the body the opportunity to rest and move into 00:06:06.840 |
And that's where compressing the eating window can be valuable. 00:06:11.800 |
Obviously, people have talked about this before, but fasting can be a stressor for the body, 00:06:18.560 |
especially if your body is not used to using fat for energy. 00:06:22.680 |
And so it's something to ease into and go slow. 00:06:24.880 |
But I think if you're slowing down enough to really hear what your body's signal 00:06:28.920 |
are saying, you can kind of know whether I think your fasting is working for you or not. 00:06:35.880 |
If I've got too many other things going on, I haven't slept well, a lot of stress, 00:06:39.960 |
I can tell that fasting is kind of making me jittery and not feel good versus if I have 00:06:44.600 |
good capacity, I can feel that it's actually making me feel really incredible. 00:06:48.280 |
And so tune in with your body, obviously, and you can check your biomarkers. 00:06:52.600 |
If you have a CGM on, you can see what's happening in your glucose. 00:06:55.160 |
If you have a ketone monitor, you can see what's happening in your ketones and really 00:06:57.800 |
actually track, which I think makes fasting actually even more fun. 00:07:02.680 |
I'll mention one other piece of data that I think is actually really kind of fun as 00:07:09.160 |
There was a study that looked at people who ate the exact same meal at 9.30 a.m. or 8.30 00:07:15.840 |
p.m., so basically after dark, essentially in the part of the diurnal phase when we probably 00:07:20.600 |
shouldn't be eating versus early in the morning, 9.30. 00:07:26.120 |
And the glucose and insulin responses for the same meal at 8.30 p.m. were significantly 00:07:36.280 |
It appears that eating in that earlier part of the day when we're active and our chronobiology 00:07:41.680 |
is set up for metabolism and activity, we have a lower glucose and insulin response. 00:07:48.840 |
There's also some evidence that melatonin, which is secreted as we get closer to sleep, 00:07:55.760 |
has somewhat of an effect on impairing our insulin sensitivity transiently. 00:08:00.360 |
And so we may actually just be not absorbing the glucose from those meals effectively later 00:08:05.680 |
So I tend to kind of move a little bit more low-carb, I would say, throughout the day 00:08:11.040 |
based on that data and what I've seen on my continuous glucose monitor, basically just 00:08:14.920 |
higher spikes for the same meal later in the day.