Podcasts > The Diary Of A CEO with Steven Bartlett > Most Replayed Moment: Insulin Is The Reason You're Gaining Fat! How To Lower It Now

Most Replayed Moment: Insulin Is The Reason You're Gaining Fat! How To Lower It Now

By Steven Bartlett

In this episode of The Diary Of A CEO with Steven Bartlett, the discussion centers on how insulin resistance develops from frequent carbohydrate consumption and how it leads to metabolic dysfunction. The episode explains the connection between elevated insulin levels, visceral fat accumulation, and systemic inflammation, highlighting why standard blood sugar tests often miss early warning signs of metabolic disease.

The conversation also covers fasting as a strategy for improving metabolic health, distinguishing it from simple calorie restriction and explaining its effects on fat loss, cellular repair, and cognitive function. Additionally, the episode addresses optimal exercise approaches during fasting, discussing how different types of physical activity impact inflammation and metabolic recovery. Gender-specific considerations for fasting and exercise are also examined, particularly regarding hormonal sensitivity and timing strategies for maximizing health benefits.

Most Replayed Moment: Insulin Is The Reason You're Gaining Fat! How To Lower It Now

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Most Replayed Moment: Insulin Is The Reason You're Gaining Fat! How To Lower It Now

1-Page Summary

[restricted term] Resistance and Metabolic Dysfunction

[restricted term] resistance stems from frequent carbohydrate consumption, which triggers repeated [restricted term] release and damages the body's ability to process glucose efficiently. This metabolic damage is worsened by processed foods lacking fiber.

The Metabolic Damage Cycle

When glucose is consumed, the body must quickly remove it from the bloodstream because elevated glucose causes glycation, wherein glucose attaches to blood vessels and blood components, impairing normal function and accelerating aging. The pancreas produces [restricted term] to transfer glucose into tissues, reducing blood glucose levels. With typical eating patterns where carbohydrates are consumed every few hours, [restricted term] remains elevated for up to four hours, perpetuating high [restricted term] levels.

Repeated exposure to high [restricted term] causes the body to become desensitized, requiring the pancreas to produce increasingly higher [restricted term] levels to maintain blood sugar control—a state known as [restricted term] resistance. This allows individuals to have normal blood sugar results while high background [restricted term] silently damages the body's systems. Early detection via [restricted term] testing is crucial, as individuals often have years of advancing coronary artery disease before diabetes is diagnosed.

Visceral Fat and Inflammation

Persistently high [restricted term] directs excess calories into visceral fat storage—deep within the abdominal cavity and around internal organs. Unlike subcutaneous fat, visceral fat is metabolically active and produces inflammatory substances like interleukin-6 and tumor necrosis factor, contributing to systemic inflammation. Ectopic fat deposited in the liver, pancreas, and coronary arteries is also inflammatory and stimulates plaque formation, leading to cardiovascular risk.

Processed foods stripped of fiber are absorbed rapidly, causing steep glucose spikes and forcing large [restricted term] surges. Regular consumption of such foods accelerates [restricted term] resistance and inflammatory fat accumulation while masking early warning signs until significant disease has developed.

Fasting: Physiological Effects and Benefits

Fasting vs. Calorie Restriction

Pradip Jamnadas distinguishes fasting from calorie restriction. When calories are simply reduced, the body slows metabolism and breaks down both fat and muscle. In contrast, fasting triggers a different response: after depleting glycogen stores around 12 hours, the body switches to burning visceral fat while sparing muscle tissue. This also improves skin retraction compared to calorie restriction.

Fasting Protocols

Protocols vary according to health goals. For basic metabolic improvement, a 12-12 pattern is recommended initially—twelve hours fasting, twelve hours eating. More intensive regimens include 18-6 protocols for accelerated visceral fat loss. For obese patients with diabetes, weekly 48-hour fasts or three-day fasts every nine days are used, sometimes with one meal a day (OMAD). Jamnadas cites supervised fasts extending up to 72 days, resulting in diabetes reversal, normalized blood pressure, and substantial fat loss with remarkable skin retraction.

Metabolic and Cellular Benefits

During fasting, the liver converts fatty acids into ketones—a cleaner fuel than glucose that produces less oxidative stress. Ketones also act as signaling molecules, inducing brain-derived neurotrophic factor (BDNF) production, which enhances cognition, stimulates new brain cell growth, and sharpens reflexes.

Fasting stimulates stem cell release from bone marrow, including endothelial progenitor cells that repair blood vessel linings. Peak fasting hours are optimal for resistance training, as higher [restricted term] levels promote muscle growth. Fasting also enhances immunity by converting stem cells into immunocytes.

Additionally, fasting activates autophagy—the process of breaking down damaged organelles and mitochondria. This leads to new, highly efficient mitochondria with increased energy production and reduced oxidative stress. Jamnadas emphasizes that fasting should be cycled with feeding states, recommending an 18-6 protocol for maintenance and a monthly 36-hour fast for ongoing health benefits.

Optimal Exercise Strategies

Excessive Aerobics Increase Inflammation

Jamnadas observes that excessive aerobic activity—such as marathon training or hours on treadmills—actually causes more inflammation and coronary artery disease than short sprints, resistance exercises, or HIIT. He explains that the rate-limiting factor is the body's ability to produce antioxidants like glutathione and superoxide dismutase. When exercise surpasses this capacity, oxidative stress accumulates, contributing to cardiovascular disease.

Balanced Exercise Approach

Jamnadas recommends limiting aerobic activity to 15-20 minutes per session for cardiovascular endurance without excessive inflammation. He advocates for resistance exercises using body weight—such as planks and leg lifts—and HIIT involving 30-45 seconds of intense effort followed by rest. This structure allows the body to address reactive oxygen species and promotes metabolic recovery.

Gender Considerations During Fasting

Steven Bartlett references Dr. Stacey Sims' research noting that women are more hormonally sensitive to fasting. Prolonged fasted aerobic exercise can drop women's blood glucose, prompting the hypothalamus to conserve resources and potentially disrupting menstrual cycles. However, Jamnadas notes that most women can safely perform resistance and HIIT while fasting without issues, unless pregnant or seeking pregnancy. He stresses that exercise type—rather than gender—is the primary determinant. Bartlett relays Sims' advice that women should consume carbs before longer aerobic workouts to prevent muscle breakdown and support reproductive health.

Timing Exercise with Fasting

Jamnadas explains that [restricted term] peaks during fasting. The ideal timing is performing resistance or HIIT near the end of the fast—such as at 4 pm when breaking fast at 6 pm—for maximized muscle-building benefits. Both fasting and resistance training surge [restricted term] production, and rest periods are vital for producing sufficient antioxidants to counteract reactive oxygen species.

1-Page Summary

Additional Materials

Clarifications

  • Glycation is a chemical reaction where sugar molecules, like glucose, bind non-enzymatically to proteins or lipids in the body. This process forms harmful compounds called advanced glycation end products (AGEs). AGEs stiffen blood vessels and impair their function, contributing to aging and disease. They also promote inflammation and oxidative stress, damaging tissues over time.
  • [restricted term] is a hormone produced by the pancreas that helps cells absorb glucose from the bloodstream for energy or storage. It signals muscle, fat, and liver cells to take in glucose and convert it into glycogen or fat. [restricted term] also inhibits the breakdown of fat and promotes protein synthesis. Without [restricted term], glucose remains in the blood, leading to high blood sugar levels.
  • [restricted term] resistance means the body's cells respond poorly to [restricted term], requiring more [restricted term] to manage blood sugar. This condition forces the pancreas to overwork, eventually leading to its dysfunction. It increases the risk of type 2 diabetes, heart disease, and other metabolic disorders. Early detection is vital because damage occurs before blood sugar levels rise noticeably.
  • Visceral fat surrounds internal organs deep within the abdomen, while subcutaneous fat lies just beneath the skin. Visceral fat releases hormones and inflammatory molecules that disrupt metabolism and increase disease risk. It is linked to [restricted term] resistance, heart disease, and type 2 diabetes more than subcutaneous fat. Subcutaneous fat mainly serves as energy storage and insulation with fewer harmful effects.
  • Interleukin-6 (IL-6) and tumor necrosis factor (TNF) are proteins called cytokines that regulate immune responses. They promote inflammation by signaling immune cells to the site of injury or infection. Chronic high levels of IL-6 and TNF contribute to tissue damage and diseases like [restricted term] resistance and heart disease. These cytokines are key mediators linking excess visceral fat to systemic inflammation.
  • Ectopic fat refers to fat stored in organs not designed for fat storage, such as the liver, pancreas, and coronary arteries. This abnormal fat accumulation disrupts normal organ function and promotes inflammation. In the liver, it can cause fatty liver disease, impairing metabolism and [restricted term] regulation. In arteries, ectopic fat contributes to plaque buildup, increasing cardiovascular disease risk.
  • During fasting, the liver breaks down fatty acids into ketone bodies—acetoacetate, beta-hydroxybutyrate, and acetone—through a process called ketogenesis. Ketones serve as an alternative energy source for the brain and muscles when glucose is low. They generate fewer reactive oxygen species (ROS) because their metabolism in mitochondria is more efficient and produces less electron leakage. This reduced ROS production leads to lower oxidative stress compared to glucose metabolism.
  • Brain-derived neurotrophic factor (BDNF) is a protein that supports the survival and growth of neurons in the brain. It enhances synaptic plasticity, which is crucial for learning and memory formation. Low BDNF levels are linked to cognitive decline and mood disorders. Increasing BDNF through activities like fasting or exercise promotes brain health and mental sharpness.
  • Stem cells in bone marrow are immature cells that can develop into various specialized cell types. Endothelial progenitor cells (EPCs) specifically help repair and regenerate the inner lining of blood vessels, called the endothelium. Their release during fasting supports vascular health by healing damaged blood vessels and improving circulation. This process reduces the risk of cardiovascular diseases by maintaining vessel integrity.
  • Autophagy is a natural cellular process where cells digest and recycle damaged components to maintain function. It helps clear out dysfunctional proteins and organelles, preventing cellular damage and disease. This process supports cell renewal and improves overall cellular efficiency. Enhancing autophagy through fasting or stress can promote longevity and protect against age-related conditions.
  • Fasting triggers a metabolic switch from glucose to fat-derived ketones for energy, preserving muscle mass. Calorie restriction reduces overall energy intake, causing the body to slow metabolism and break down both fat and muscle. Fasting also activates cellular repair processes like autophagy, which calorie restriction does not strongly induce. These differences lead to distinct effects on body composition and metabolic health.
  • Oxidative stress occurs when there is an imbalance between free radicals, like reactive oxygen species (ROS), and the body's ability to neutralize them with antioxidants. ROS are highly reactive molecules containing oxygen that can damage cells, proteins, and DNA. This damage contributes to aging and various diseases, including cardiovascular conditions. Antioxidants protect the body by neutralizing ROS, preventing cellular harm.
  • Antioxidants like glutathione and superoxide dismutase protect cells by neutralizing harmful molecules called reactive oxygen species (ROS). These ROS are byproducts of metabolism that can damage DNA, proteins, and cell membranes if not controlled. Glutathione directly neutralizes ROS and helps regenerate other antioxidants, while superoxide dismutase converts a specific ROS (superoxide) into less harmful substances. Together, they maintain cellular health and prevent oxidative stress-related diseases.
  • Fasting protocols like 12-12, 18-6, and OMAD differ in fasting and eating window lengths, influencing how long the body stays in a fat-burning state. Shorter fasts (12-12) gently introduce metabolic benefits, while longer fasts (18-6, OMAD) deepen fat burning and cellular repair processes. OMAD (one meal a day) maximizes fasting duration, promoting significant [restricted term] reduction and fat loss but requires careful nutrient intake. These protocols balance ease of adherence with metabolic impact, allowing customization based on individual health goals and tolerance.
  • Excessive aerobic exercise can overwhelm the body's antioxidant defenses, leading to an accumulation of reactive oxygen species (ROS). These ROS cause oxidative stress, damaging cells and tissues, including blood vessels. Chronic oxidative stress promotes inflammation, which contributes to the development of atherosclerosis and cardiovascular disease. Moderate exercise balances ROS production with antioxidant capacity, minimizing inflammation and heart risk.
  • Women’s hormonal systems are closely linked to energy availability and stress signals from the brain. Prolonged fasting or low blood glucose can signal the hypothalamus to reduce reproductive hormone production to conserve energy. This can disrupt the menstrual cycle by affecting ovulation and hormone balance. Such sensitivity helps protect fertility during times of nutritional stress.
  • [restricted term] levels naturally rise during fasting to help preserve muscle and promote fat burning. Exercise, especially resistance training and HIIT, further stimulates [restricted term] release. Performing these exercises near the end of a fast aligns with peak hormone levels, maximizing muscle repair and growth. This synergy enhances muscle protein synthesis and recovery more effectively than exercising outside fasting periods.
  • HIIT involves short bursts of intense exercise followed by rest, boosting cardiovascular fitness and fat burning efficiently. Resistance exercises use body weight or weights to strengthen muscles and improve bone density. Both increase metabolism and support muscle growth, aiding long-term health. They also enhance [restricted term] sensitivity, helping regulate blood sugar levels.
  • Metabolic recovery refers to the body's process of restoring energy balance and repairing cellular damage after exercise. Exercise produces reactive oxygen species (ROS), which can cause oxidative stress if not neutralized by antioxidants. During recovery, the body replenishes antioxidant levels and repairs tissues to prevent inflammation and maintain metabolic health. Proper recovery supports improved performance and reduces the risk of chronic disease.

Counterarguments

  • The assertion that frequent carbohydrate consumption alone causes [restricted term] resistance oversimplifies the condition; genetics, physical activity, total caloric intake, and dietary fat composition also play significant roles.
  • Not all carbohydrates have the same metabolic impact; whole grains, fruits, and vegetables (which contain fiber) are associated with improved metabolic health and lower risk of [restricted term] resistance.
  • The claim that glycation from normal postprandial glucose levels accelerates aging is not fully supported; glycation is primarily problematic in chronic hyperglycemia, as seen in poorly controlled diabetes.
  • [restricted term] resistance can develop even in individuals with low or moderate carbohydrate intake if other risk factors (such as obesity, sedentary lifestyle, or genetic predisposition) are present.
  • The idea that high [restricted term] levels "silently damage" the body in the absence of hyperglycemia is debated; the clinical significance of hyperinsulinemia without elevated blood glucose is not fully established.
  • While visceral fat is more metabolically active and inflammatory than subcutaneous fat, the relationship between [restricted term], fat distribution, and inflammation is complex and influenced by multiple factors beyond [restricted term] alone.
  • The effectiveness and safety of prolonged fasting protocols (such as 48-hour or 72-day fasts) are not well established in large, long-term clinical trials, and such regimens may carry risks, especially without medical supervision.
  • Claims that fasting "spares muscle" more than calorie restriction are contested; muscle loss can occur during fasting, especially with inadequate protein intake or in lean individuals.
  • The assertion that fasting leads to "remarkable skin retraction" lacks robust scientific evidence; skin elasticity after weight loss varies widely among individuals.
  • The benefits of ketones and BDNF production during fasting are supported by some studies, but the long-term cognitive and neurological effects of repeated fasting in humans are not fully understood.
  • The claim that excessive aerobic exercise increases inflammation and coronary artery disease risk more than resistance or HIIT is not universally supported; regular aerobic exercise is associated with reduced cardiovascular risk in most studies.
  • Recommendations to limit aerobic exercise to 15-20 minutes per session may not align with established guidelines, which support longer durations for cardiovascular and metabolic health.
  • The safety and efficacy of fasting and exercise protocols can vary significantly between individuals, and blanket recommendations may not be appropriate for all populations, especially those with underlying health conditions.
  • The statement that exercise type is more important than gender in determining fasting safety may overlook important sex-specific physiological differences, particularly regarding reproductive health and hormonal balance.
  • The role of autophagy in human health is still being researched, and the extent to which fasting-induced autophagy translates to clinical benefits in humans remains uncertain.

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Most Replayed Moment: Insulin Is The Reason You're Gaining Fat! How To Lower It Now

Insulin Resistance: Frequent Glucose Intake, Eating Patterns, and Their Role in Visceral Fat and Metabolic Dysfunction

[restricted term] resistance and the resulting metabolic dysfunction stem from the cycle of frequent carbohydrate consumption, which triggers repeated [restricted term] release and ultimately damages the body’s ability to process glucose efficiently. This metabolic damage is exacerbated by dietary habits and the prevalence of processed foods lacking fiber.

Cycle of Metabolic Damage From Frequent Carbohydrate Consumption

When sugar or glucose is consumed, the body must quickly remove it from the bloodstream because glucose is toxic at elevated levels. Excessive glucose in the blood leads to glycation, wherein glucose attaches to blood vessel walls, blood components, and hemoglobin, impairing the normal function of chemicals, enzymes, and hormones and accelerating the aging process. Glycated molecules lose their efficacy, and high blood glucose directly contributes to cellular dysfunction and premature aging.

Upon glucose consumption, the pancreas produces [restricted term] to transfer glucose into the liver, muscles, and other tissues, effectively reducing blood glucose levels. In typical eating patterns where food—particularly carbohydrates and glucose—are consumed every few hours, the pancreas is continually stimulated to release [restricted term]. Since [restricted term] stays in the bloodstream for up to four hours, more prolonged than glucose itself, frequent intake perpetuates elevated [restricted term] levels.

Chronic High [restricted term] Causes [restricted term] Resistance, Needing More [restricted term] For Same Blood Sugar Control

Repeated, prolonged exposure to high [restricted term] causes the body to become desensitized—a common hormonal adaptation. The pancreas must then produce increasingly higher levels of [restricted term] to maintain blood sugar control, a phenomenon known as [restricted term] resistance.

This state allows individuals to have normal blood sugar and A1c results, masking underlying metabolic dysfunction while high background [restricted term] silently damages the body’s systems. Early detection of hyperinsulinemia via [restricted term] testing is crucial, as individuals often have many years of high [restricted term] and advancing coronary artery disease even before diabetes is diagnosed. By the time blood sugar control finally fails and diabetes is officially recognized, the opportunity for early intervention and prevention is lost.

Background [restricted term] Drives Visceral and Ectopic Fat Accumulation

Persistently high [restricted term] acts as a storage hormone, directing excess calories into fat storage, especially in visceral areas—the belly and around internal organs. This process results in the typical protruding stomach seen in those with high [restricted term] levels. Visceral fat, located deep within the abdominal cavity and surrounding organs, cannot be pinched like subcutaneous fat.

Metabolically, visceral fat is highly active. Unlike subcutaneous fat, it produces large amounts of inflammatory substances such as interleukin-6 and tumor necrosis factor, contributing to systemic inflammation. Laboratory markers like elevated CRP, interleukin-6, and tumor necrosis factor reveal the inflammatory state associated with excess vi ...

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Insulin Resistance: Frequent Glucose Intake, Eating Patterns, and Their Role in Visceral Fat and Metabolic Dysfunction

Additional Materials

Clarifications

  • Glycation is a chemical reaction where glucose molecules bind non-enzymatically to proteins, lipids, or nucleic acids. This process forms harmful compounds called advanced glycation end products (AGEs) that impair normal cellular functions. In blood vessels and hemoglobin, AGEs cause stiffness, inflammation, and reduced oxygen delivery. Over time, glycation contributes to tissue damage and chronic diseases like diabetes and cardiovascular problems.
  • [restricted term] is a hormone produced by the pancreas that helps cells absorb glucose from the blood for energy or storage. Glucose is quickly used or stored, so its blood levels drop rapidly after eating. [restricted term] remains longer in the bloodstream to ensure cells continue absorbing glucose and to regulate other metabolic processes. This longer presence helps maintain stable blood sugar levels between meals.
  • [restricted term] resistance occurs when cells in muscles, fat, and the liver respond poorly to [restricted term] and cannot easily absorb glucose from the bloodstream. This desensitization happens because constant high [restricted term] levels cause cells to reduce the number or effectiveness of [restricted term] receptors. As a result, glucose remains in the blood longer, prompting the pancreas to produce even more [restricted term]. Over time, this cycle impairs blood sugar regulation and increases the risk of metabolic diseases.
  • A1c measures average blood sugar over 2-3 months, reflecting long-term glucose control. Normal A1c can occur despite high [restricted term] levels because [restricted term] resistance initially keeps blood sugar normal by producing more [restricted term]. This compensatory high [restricted term] masks early metabolic dysfunction before blood sugar rises. Therefore, relying solely on A1c misses early [restricted term] resistance and related risks.
  • Hyperinsulinemia means having higher-than-normal levels of [restricted term] in the blood. It often occurs before blood sugar levels rise, signaling early metabolic stress. Detecting hyperinsulinemia allows intervention before diabetes or severe complications develop. It is measured through specific blood tests that assess [restricted term] concentration directly.
  • Visceral fat surrounds internal organs deep within the abdomen, while subcutaneous fat lies just beneath the skin. Visceral fat releases hormones and inflammatory molecules that disrupt metabolism and increase disease risk. It is linked to [restricted term] resistance, heart disease, and type 2 diabetes more than subcutaneous fat. Subcutaneous fat mainly serves as energy storage and insulation with fewer harmful effects.
  • Interleukin-6 (IL-6) and tumor necrosis factor (TNF) are signaling proteins called cytokines that regulate immune responses. When produced excessively by visceral fat, they promote chronic inflammation throughout the body. This inflammation can damage tissues and contribute to [restricted term] resistance and cardiovascular disease. Their presence in the bloodstream is a marker of metabolic stress and increased disease risk.
  • Ectopic fat refers to fat stored in organs not designed for fat storage, disrupting their normal function. In the liver, it can cause fatty liver disease, impairing metabolism and increasing diabetes risk. Fat in the pancreas affects [restricted term] production, worsening blood sugar control. Fat around coronary arteries promotes plaque buildup, raising heart disease risk.
  • CT scans detect fat around coronary arteries by measuring tissue density differences, as fat appears less dense than muscle or blood vessels. Specialized CT techniques, like coronary artery calcium scoring, identify calcified plaque linked to in ...

Counterarguments

  • The relationship between frequent carbohydrate intake and [restricted term] resistance is complex and influenced by multiple factors, including total caloric intake, physical activity, genetics, and the type of carbohydrates consumed, not just frequency alone.
  • Not all carbohydrates have the same effect on [restricted term] and blood glucose; whole grains, fruits, and vegetables (which contain fiber) are metabolized differently than processed, fiberless carbohydrates.
  • Glycation and its harmful effects are primarily a concern in chronic hyperglycemia, as seen in poorly controlled diabetes, rather than in healthy individuals with normal glucose regulation.
  • [restricted term] resistance can develop in the absence of frequent carbohydrate intake, as seen in cases of obesity driven by excess fat consumption or sedentary lifestyle.
  • The assertion that [restricted term] resistance is always masked by normal blood sugar and A1c is not universally true; many individuals with [restricted term] resistance will eventually show elevated glucose or A1c before significant disease develops.
  • Early detection of hyperinsulinemia is not routinely recommended in clinical guidelines due to variability in [restricted term] assays and lack of standardized thresholds for intervention.
  • Visceral fat accumulation is influenced by multiple factors, including genetics, hormones, stress, and overall energy balance, not just [restricted term] levels.
  • The inflammatory role of visceral and ectopic fat is well-established, ...

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Most Replayed Moment: Insulin Is The Reason You're Gaining Fat! How To Lower It Now

Fasting: Protocols, Physiological Effects vs. Calorie Restriction, and Induction of Ketogenesis, Autophagy, and Cellular Repair

Fasting Preserves Muscle and Removes Visceral Fat Unlike Calorie Restriction

Pradip Jamnadas distinguishes the physiological effects of calorie restriction from those of fasting. When calories are simply reduced, the body perceives a sustained deficit and slows down metabolism, promoting the breakdown of both fat and muscle to conserve energy. This means muscle loss is significant alongside fat loss, as the body tries to utilize every available energy source.

In contrast, fasting triggers a different metabolic response. Once food intake stops, the body first utilizes glucose stored in muscles and liver in the form of glycogen. After about 12 hours of fasting, glycogen stores are depleted, prompting the body to switch to burning stored fat for fuel. The first fat to be mobilized is visceral fat, which is particularly inflammatory and harmful. This process not only targets the body’s most detrimental fat stores but also spares muscle tissue, preserving lean body mass. Skin retraction is improved, so after significant fat loss, there is less loose skin compared to calorie restriction, where muscle and subcutaneous loss can lead to flabbiness and skin laxity.

After 12 Hours of Fasting, the Body Depletes Glycogen, Then Uses Stored Fat For Fuel

Jamnadas describes that after the glycogen is exhausted around the 12-hour mark, fat breakdown begins in earnest. The body produces ketones as a result, moving fat out of storage and utilizing it as the primary energy source.

Choose Fasting Protocols Based On Health Goals and Starting Point

Fasting protocols vary according to the individual’s health status and objectives. For those aiming to reduce visceral fat and improve metabolic health, a basic intermittent fasting protocol is recommended. This starts with a 12-12 pattern: twelve hours of fasting, consuming only non-caloric liquids such as water, black tea, green tea, or black coffee, and twelve hours of eating. This initial phase typically lasts two to three weeks.

More intensive regimens include the 18-6 protocol, where the fasting window expands to 18 hours and the eating window is six hours, still permitting only calorie-free beverages during fasting. This method accelerates visceral fat loss due to prolonged fasting periods and is maintained to achieve targeted fat reduction.

For obese patients with diabetes requiring dramatic metabolic improvements, weekly 48-hour fasts or three-day fasts every nine days are used, sometimes in conjunction with one meal a day (OMAD). Jamnadas cites cases of supervised fasts extending up to 72 days, during which water, black coffee, black tea, electrolytes, and occasionally MCT oil for hunger are consumed. Such approaches can result in diabetes reversal, normalized blood pressure, and substantial fat loss—up to 55-60 pounds—with remarkable skin retraction and improvements in joint and skin health. Even longer supervised fasts have led to the loss of massive body weight without the adverse skin and muscle effects seen with calorie restriction.

Fasting Produces Ketones, a Cleaner and More Efficient Fuel Than Glucose, With Cognitive and Physical Benefits

During fasting, once fat metabolism begins, the liver converts fatty acids into ketones—a superior alternative fuel to glucose. This shift depends on low [restricted term] levels, which enable fats to be liberated from stores. Ketone metabolism is cleaner than glucose, producing less oxidative stress and fewer reactive oxygen species (ROS), thereby reducing cellular damage.

Ketones act not only as fuel but as signaling molecules, inducing brain-derived neurotrophic factor (BDNF) production. This growth factor enhances cognition, stimulates the growth of new brain cells, sharpens reflexes, and improves vision. This evolutionary adaptation ensures heightened performance during periods without food, improving the likelihood of survival and resource acquisition.

Fasting Boosts Stem Cell Mobilization and [restricted term] For Tissue Repair and Muscle Growth

Fasting stimulates the bone marrow to release pluripotent stem cells, which can become various cell types, including muscle and skin cells. This aids in tissue repair and regeneration after the fast. Of particular note are endothelial progenitor cells, which repair the lining of blood vessels—a process enhanced by intermittent fasting and time-restricted f ...

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Fasting: Protocols, Physiological Effects vs. Calorie Restriction, and Induction of Ketogenesis, Autophagy, and Cellular Repair

Additional Materials

Clarifications

  • Calorie restriction involves consistently eating fewer calories than usual, causing the body to lower its metabolic rate to conserve energy. This slowdown leads to the breakdown of both fat and muscle for fuel. Fasting, however, creates distinct metabolic phases, initially using glycogen stores before shifting to fat burning without reducing metabolism. This shift preserves muscle and targets harmful fat more effectively than calorie restriction.
  • Glycogen is a stored form of glucose, primarily found in the liver and muscles. It acts as a quick-release energy reserve that the body taps into when blood sugar levels drop. During fasting or intense activity, glycogen is broken down into glucose to fuel cells. This storage system helps maintain stable energy supply between meals or during short-term energy demands.
  • Visceral fat is the fat stored deep inside the abdomen, surrounding internal organs like the liver and intestines. It is more metabolically active and linked to higher risks of heart disease, diabetes, and inflammation. Subcutaneous fat lies just beneath the skin and is less harmful, serving as energy storage and insulation. Visceral fat is harder to see but more dangerous to health than subcutaneous fat.
  • Ketones are molecules produced by the liver from fatty acids when glucose is scarce. During fasting, low [restricted term] levels signal fat cells to release fatty acids into the bloodstream. The liver converts these fatty acids into ketones, which serve as an alternative energy source for the brain and muscles. This process is called ketogenesis and helps maintain energy supply when carbohydrate intake is limited.
  • Brain-derived neurotrophic factor (BDNF) is a protein that supports the survival and growth of neurons in the brain. It plays a key role in learning, memory, and higher thinking by promoting the formation of new synapses. Low levels of BDNF are linked to depression, cognitive decline, and neurodegenerative diseases. Increasing BDNF through activities like fasting, exercise, or certain diets can enhance brain health and function.
  • Pluripotent stem cells can develop into almost any cell type in the body, enabling broad tissue repair and regeneration. Endothelial progenitor cells are a specific type of stem cell that specialize in repairing and forming the inner lining of blood vessels. These cells help maintain vascular health and improve blood flow. Their activation during fasting supports cardiovascular repair and overall tissue rejuvenation.
  • Autophagy is a cellular cleanup process that removes damaged proteins and organelles to maintain cell health. Mitophagy is a specific type of autophagy targeting damaged mitochondria, preventing dysfunction and promoting energy efficiency. This recycling supports cell survival during stress and helps prevent diseases linked to cellular damage. Efficient autophagy and mitophagy are crucial for longevity and metabolic balance.
  • Reactive oxygen species (ROS) are unstable molecules that contain oxygen and can react with cellular components like DNA, proteins, and lipids. Oxidative stress occurs when there is an imbalance between ROS production and the body's ability to neutralize them with antioxidants. Excessive ROS cause cellular damage by altering molecular structures and impairing normal cell function. This damage contributes to aging and various diseases by disrupting cellular integrity and signaling.
  • Metabolic flexibility is the body's ability to efficiently switch between burning carbohydrates and fats for energy depending on availability. Humans evolved to alternate between fed states (using glucose) and fasting states (using fat and ketones), optimizing energy use and survival. Continuous ketosis or constant feeding disrupts this balance, limiting the body's adaptability and potentially impairing metabolic health. Maintaining metabolic flexibility supports better energy regulation, [restricted term] sensitivity, and overall resilience.
  • Fasting protocols define specific daily time windows for eating and fasting to optimize metabolic benefits. The 12-12 protocol means fasting for 12 hours and eating during the other 12, often overnight, making it easy to start. The 18-6 protocol extends fasting to 18 hours, allowing only a 6-hour eating window, which requires skipping meals like breakfast or dinner. OMAD (One Meal A Day) involves eating all daily calories in a single meal, creating a 23-hour fasting period, demanding careful meal planning to meet nutritional needs.
  • [restricted term] (GH) levels rise significantly during fasting, promoting fat breakdown and preserving muscle mass. GH stimulates protein synthesis and inhibits pr ...

Counterarguments

  • The claim that fasting preserves muscle better than calorie restriction is debated; some studies show that both approaches can lead to muscle loss if protein intake and resistance training are not maintained.
  • Extended fasts (e.g., 48 hours or more) can carry risks such as electrolyte imbalances, nutrient deficiencies, and may not be safe or appropriate for everyone, especially without medical supervision.
  • The assertion that fasting leads to superior skin retraction and less loose skin compared to calorie restriction lacks robust clinical evidence and may vary significantly between individuals.
  • The idea that fasting is universally superior for metabolic health or diabetes reversal is not supported by all clinical guidelines; some individuals may respond better to other dietary interventions.
  • The safety and efficacy of extremely prolonged fasts (e.g., 72 days) are not well-established in large, controlled studies, and such practices are not recommended by most medical organizations.
  • The cognitive and physical benefits attributed to ketones during fasting are still under investigation, and not all research supports the claim that ketones are a universally superior fuel to glucose.
  • The benefits of autophagy and stem cell mobilization from fasting are primarily demonstrated in animal studies; human d ...

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Most Replayed Moment: Insulin Is The Reason You're Gaining Fat! How To Lower It Now

Optimal Exercise: Hiit & Resistance Training Outperform Excessive Aerobics For Heart Health, Considering Gender & Fasting Timing

Excessive Aerobic Activity Raises Inflammation and Coronary Risk, Challenging the Belief That More Cardio Is Always Beneficial

Excessive Aerobic Activity Increases Inflammation and Coronary Artery Disease Risk Compared To Shorter, Intense Workouts

Pradip Jamnadas observes that people who perform excessive aerobic activity—such as cycling 100 miles a day, running on treadmills for two hours, or regularly engaging in marathon training—actually experience more inflammation in their bodies and develop greater coronary artery disease than those who engage in short sprints, resistance exercises, or HIIT (High-Intensity Interval Training). This challenges the belief that more cardio is always beneficial for heart health.

Rate-Limiting Step In Repairing Metabolic Damage From Excessive Exercise Is Production of Antioxidants Like Glutathione and Superoxide Dismutase, Meaning Prolonged Exercise Overwhelms Body’s Ability to Manage Oxidative Stress

Jamnadas explains that excessive exercise generates a surge of reactive oxygen species. The rate-limiting step in repairing the resulting metabolic damage is the body’s ability to produce antioxidants, specifically glutathione and superoxide dismutase. When the exercise load surpasses the body’s capacity to produce these chemicals, oxidative stress accumulates, contributing to inflammation and cardiovascular disease.

Balanced Exercise Blends Cardio, Resistance, and Hiit to Boost Heart Health and Metabolism

Limit Aerobic Activity To 15-20 Minutes to Ensure Cardiovascular Endurance Without Excessive Inflammation and Oxidative Damage

Jamnadas recommends including aerobic training for cardiovascular endurance by running or cycling—but for a limited duration, just 15 to 20 minutes per session. This provides the necessary endurance benefits without causing excessive inflammation or oxidative damage.

Resistance Exercises Using Body Weight

He finds that simple resistance exercises, often using one's own body weight—such as floor exercises, planks, leg lifts, and similar movements—work best and are sufficient for most people.

Interval Training Features 30-45 Seconds of Intense Effort and Rest

Jamnadas advocates for HIIT, where the approach involves exercising intensely for 30 to 45 seconds, then resting completely for a similar amount of time. This structure allows the body to address the reactive oxygen species produced during the intense bursts of activity, promoting metabolic recovery and minimizing damage.

Women's Exercise Responses During Fasting Differ Due to Hormonal Sensitivity and Hypothalamic Regulation

Fasted Aerobic Exercise Can Deplete Glucose in Women, Triggering Reproductive Shutdown as the Hypothalamus Prioritizes Pregnancy Defense

Steven Bartlett references Dr. Stacey Sims’ research, noting that women are more hormonally sensitive to fasting and glucose depletion. Prolonged fasted aerobic exercise can drop women’s blood glucose, prompting the hypothalamus to conserve resources for potential pregnancy and sometimes causing menstrual cycle disruption.

Jamnadas agrees that having women run for extended periods (e.g., 40 minutes) while fasting risks excessive glucose depletion and potential muscle breakdown due to the body's protective response.

Women Can Safely Perform Resistance and High-Intensity Interval Training While Fasting Without Muscle Breakdown

According to Jamnadas, most women—including those on fasting programs—can handle resistance and HIIT while fasted without muscle breakdown or glucose-related issues, unless they are pregnant or seeking pregnancy. He observes that women perform just as well as men in fasted HIIT routines and resistance training, both of which emphasize intense muscle work and rest.

Exercise Type, Not Gender, Key in Fasted Hiit and Resistance Training Performance

Jamnadas stresses that exercise type—rather than gender—is the primary determinant of safe and effec ...

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Optimal Exercise: Hiit & Resistance Training Outperform Excessive Aerobics For Heart Health, Considering Gender & Fasting Timing

Additional Materials

Clarifications

  • Reactive oxygen species (ROS) are unstable molecules containing oxygen that can damage cells by reacting with DNA, proteins, and lipids. This damage disrupts normal cellular functions and contributes to inflammation and aging. The body uses antioxidants to neutralize ROS and prevent harm. Excessive exercise increases ROS production beyond the body's antioxidant capacity, leading to metabolic damage.
  • Glutathione and superoxide dismutase are natural antioxidants produced by the body to neutralize harmful molecules called reactive oxygen species (ROS). These ROS are byproducts of normal metabolism and increase during intense exercise, causing cellular damage if not controlled. Glutathione helps recycle other antioxidants and detoxifies harmful substances, while superoxide dismutase converts superoxide radicals into less harmful molecules. Together, they protect cells from oxidative stress, supporting overall health and recovery.
  • Oxidative stress occurs when harmful molecules called reactive oxygen species (ROS) overwhelm the body's antioxidant defenses. These ROS can damage cells, proteins, and DNA, triggering inflammation as the body tries to repair the damage. Chronic inflammation from ongoing oxidative stress can harm blood vessels and promote plaque buildup, increasing cardiovascular disease risk. Maintaining a balance between ROS and antioxidants is crucial for heart health.
  • Anabolic effects refer to processes that build up muscle tissue by synthesizing proteins and increasing muscle mass. Catabolic effects involve breaking down muscle tissue, often to release energy or repair damage. [restricted term] promotes anabolic activity, supporting muscle growth and repair. Excessive stress or lack of nutrients can trigger catabolic processes, leading to muscle loss.
  • The hypothalamus is a brain region that controls many bodily functions, including reproductive hormones. It monitors energy availability and can reduce reproductive hormone signals when glucose is low to conserve energy. This response helps protect fertility by preventing pregnancy during times of metabolic stress. Low glucose triggers the hypothalamus to prioritize survival over reproduction.
  • Women have more sensitive hormonal systems due to fluctuations in estrogen and progesterone, which regulate reproductive functions. Fasting lowers blood glucose, triggering the hypothalamus to conserve energy for potential pregnancy by reducing reproductive hormone signals. This metabolic shift can disrupt menstrual cycles and reduce fertility temporarily. Men have more stable hormone levels, so fasting impacts their metabolism and reproduction less directly.
  • Fasted aerobic exercise lowers blood glucose, signaling energy scarcity to the hypothalamus. The hypothalamus responds by reducing reproductive hormone signals to conserve energy for vital functions. This hormonal shift can disrupt menstrual cycles and suppress ovulation. It is an evolutionary adaptation to protect potential pregnancy during times of energy deficit.
  • [restricted term] levels naturally rise during fasting as the body shifts to preserve muscle and burn fat. This peak typically occurs in the late afternoon or early evening after several hours without food. Exercising near this peak enhances muscle growth and repair by leveraging the hormone’s anabolic effects. Timing workouts before breaking a fast maximizes these benefits while minimizing muscle breakdown.
  • High-Intensity Interval Training (HIIT) alternates short bursts of maximum effort with recovery periods, enhancing cardiovascular and metabolic efficiency. It improves aerobic and anae ...

Counterarguments

  • While excessive aerobic exercise can increase inflammation in some individuals, moderate to high volumes of aerobic activity have been consistently associated with reduced cardiovascular disease risk and improved longevity in large epidemiological studies.
  • The majority of research supports that regular aerobic exercise, even at higher volumes, generally lowers systemic inflammation markers and improves endothelial function, rather than increasing cardiovascular risk.
  • The body's antioxidant systems can adapt and upregulate in response to regular aerobic training, potentially mitigating the oxidative stress from exercise over time.
  • Recommendations to limit aerobic activity to 15-20 minutes per session may not provide sufficient cardiovascular benefits for all populations, especially those training for endurance events or seeking substantial improvements in aerobic capacity.
  • Resistance training and HIIT are beneficial, but aerobic exercise remains a cornerstone of public health guidelines for reducing all-cause mortality and improving metabolic health.
  • The assertion that women are at significant risk of reproductive shutdown from fasted aerobic exercise is not universally supported; many women tolerate fasted aerobic training without adverse effects, though individual responses vary.
  • Some evidence suggests that combining aerobic, resistance, and HIIT modalities yields the best ...

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