Chattanooga Times Free Press

Talk to your doctor before trying diet

- Dr. Elizabeth Ko Elizabeth Ko, M.D., is an internist and primary care physician at UCLA Health.

DEAR DOCTOR: I’m reading a lot about a fasting-mimicking diet, which is supposed to help you live longer. I wonder whether this diet might be worth trying.

DEAR READER: The approach you’re referring to falls into an ever-expanding category of dieting known as intermitte­nt fasting. It has its roots in research that has found a correlatio­n between periodic fasting and increased longevity, as well as positive health outcomes.

A number of studies have found that intermitte­nt fasting can bestow a range of metabolic benefits. These include a reduction in body fat and overall body weight, lower blood pressure, improved blood lipid levels and improved regulation of blood sugar. Several methodolog­ies fall under the intermitte­nt fasting umbrella, including 24-hour fasts, alternate-day fasting, restricted calorie diets and time-restricted diets, which allow eating only during certain hours of the day. The downside of this approach to eating is that it is quite restrictiv­e and can be difficult to adhere to. In addition, there is concern that intermitte­nt fasting, which

entails a certain amount of deprivatio­n, can lead to bingeing and other extreme eating behavior.

When it comes to the fasting-mimicking diet, the food restrictio­ns kick in for just five days out of the month. That is, the diet mimics a fast without requiring daily deprivatio­n. During those five days, calories are limited to about 800 per day. The nutrient profile of the diet is typically high in fat, low in protein, with carbohydra­tes falling somewhere in the middle. Some versions of this approach, which are more extreme, allocate nutrients in accordance with the high-fat ketogenic diet. In this approach, 80 percent of daily calories come from fat, with the rest divided equally between carbohydra­tes and protein.

As for whether this particular approach is one you should try, that’s a discussion you should have with either a dietitian or your family physician. While the benefits of this approach to diet are appealing, it requires both discipline and consistenc­y for optimal results.

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