1. Trial fasting is a great way to practice managing hunger. This is an essential skill for anyone who wants to get in shape and stay healthy and fit.
2. More regular fasting isn't objectively better for losing body fat. While my IF experiments worked quite well, the intermittent fasting approach (bigger meals, less frequently) didn't produce better fat loss than a more conventional diet approach (smaller meals, more frequently) might have.
3. More regular fasting did make it easier to maintain a lower body fat percentage. Intermittent fasting isn't easy. However, I did find that using this approach made it easier for me to maintain a low body weight and a very low body fat percentage vs. more conventional diets.
4. Intermittent fasting can work but it's not for everyone, nor does it need to be. In the end, IF is just one approach, among many effective ones, for improving health, performance, and body composition.
Schroedinger, I'm asking seriously here--isn't it the case that by eating small, well-balanced (macro-nutritionally speaking) meals throughout the day at regular intervals (2-3.5 hours as I've read), you maintain a higher metabolism throughout the day?
No, that is pretty much a myth.
Part of Rubino's theory that non-obese type 2s can benefit from the surgery is based on his observation that post-operative diabetes remissions happen far more rapidly than could be accounted for by the weight loss that the surgery is designed to induce. He reasons that excess weight alone, in the form of visceral "belly" fat, is not enough to explain the origin of type 2 diabetes. Instead, he thinks that the disease's origin is in the gut, most likely the upper digestive tract, and that gastric bypass surgery somehow short-circuits the malfunctioning digestive process that leads to diabetes.
Recently Rubino has become more outspoken about removing the restriction that limits the surgery to obese patients, saying that it should become a more routine procedure that doctors should be free to offer their type 2 patients, especially those who have been unable to control the disease despite careful diet, regular exercise, and drugs. (source)
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