Fasting Q&A with Dr Jason Fung: Fasting and Gout, Creatine, TOFIs, Hypothyroidism, and More

Fasting Q&A with Dr Jason Fung: Fasting and Gout, Creatine, TOFIs, Hypothyroidism, and More

Episode #208

In this Fasting Q&A episode, hosted by Coach Lisa Chance, Dr. Jason Fung answers questions from the TFM Community:

  1. Do you think healthy individuals should take a daily multivitamin? [04:40]
  2. I am a 300-pound male and usually have about 20g of protein a day when I fat fast. If I have more, I can’t stick with it. I’ve found that before I do a 66 (two per week), I need about 140-200g of protein the day before in order to complete the fast. In other words, doing a fat fast right before my fast doesn’t hold me and I binge. Is there anything wrong with doing this? [05:50]
  3. What is the best way to extend a fast when someone has a history of gout? [11:40]
  4. What is your opinion on Dr. Roy Taylor's work about the pancreas not really being burned out but clogged with fat so the beta cells cannot function properly? [12:51]
  5. If someone has a high LP(a) of over 200, but their Trigs:HDL ratio is 1:1, then don’t worry, but what about plasmapheresis for Lp(a)? [14:19]
  6. Will younger people respond quicker to IF than older people? [15:45]
  7. I’ve read the science behind creatine and the many benefits to your muscles (I weight train) and your brain, and recently purchased a high quality brand. Creatine doesn’t contain protein, it’s a naturally occurring compound made from amino acids arginine, glycine, and methionine, so will it prevent autophagy? [17:15]
  8. If instead of adding MCT oil to the morning coffee we would take an omega pill instead, which of these might have less of an insulin release? [19:49]
  9. TFM’s Book Club is reading Dr. Christopher Palmer's “Brain Energy” this month. He covers the metabolic theory of mental health, specifically with regards to mitochondrial health and optimal brain-energy metabolism impacting our prefrontal cortex function. Can you talk about this ‘hidden in plain sight’ mental metabolic disorder of the brain, showing the progressive degeneration of the prefrontal cortex seen so rampant in our culture today? [21:21]
  10. What kind of fasting protocol can be done for someone considered to be a TOFI and doesn’t want to lose too much weight? [25:34]
  11. There’s some conflicting research on how keto and fasting affects T3 levels. For individuals with low T3 production, do you recommend a specific keto or fasting approach and are there any important considerations? [27:26]

LINKS

Dr. Fung’s Livestream on YouTube (April 30, 2025)

https://www.youtube.com/live/bZCS-trzJWM?si=BzzR0EgHpwiSZU5A

Dr. Fung’s Medium article (free to access for TFM Community members)

The (Lack of) Benefits of Supplements

https://drjasonfung.medium.com/the-lack-of-benefits-of-supplements-65bc09eb9774

Low carbohydrate and psychoeducational programs show promise for the treatment of ultra-processed food addiction. Jen Unwin et al

https://pubmed.ncbi.nlm.nih.gov/36245868/

Yale Food Addiction Scale

https://sites.lsa.umich.edu/fastlab/yale-food-addiction-scale/

Sign up TODAY for the Optimize Your Weight (Fat) Loss Workshop with Heather Shuker, CRNP.

Starts July 15th. 10% Discount with code PODCAST10

https://www.thefastingmethod.com/masterclasses-and-live-workshops-2025/#Optimize

Please note that you need to be a member of the TFM Community to submit questions to the Q&A webinars with Dr. Fung but you can submit questions to our regular Q&A episodes here: https://bit.ly/TFMPodcastQs

Transcripts of all episodes are available on the Podcast page at www.thefastingmethod.com

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Summary Timestamps

00:00 Intro

04:40 Multivitamins

05:50 Too Much Protein?

11:40 Fasting with Gout

12:51 Fatty Pancreas

14:19 Lp(a) and Plasmapheresis

15:45 Age Response to IF

17:15 Creatine and Autophagy

19:49 MCT Oil/Omega 3 and Insulin Realease

21:21 Mitochondrial Health

25:34 Fasting for TOFIs

27:26 Keto and Fasting for Thyroid Health

Disclaimer

This podcast is for educational purposes only and is not a substitute for professional care by a doctor or other qualified medical professional. You should always speak with your physician or other healthcare professional before doing any fasting, changing your diet, taking or adjusting any medication or supplements, or adopting any treatment for a health problem. The use of any other products or services purchased by you as a result of this podcast does not create a healthcare provider-patient relationship between you and any of the experts affiliated with this podcast. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent any disease.

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Fasting Q&A: Working From Home, Keto/High-Fat Diet, Maintenance Protocols, and Bacon

Fasting Q&A: Working From Home, Keto/High-Fat Diet, Maintenance Protocols, and Bacon

Episode #012 In this Fasting Q&A episode, Megan and Nadia answer your fasting questions: 1. How to break the habit of eating when fasting, especially when working at home near the fridge and while the rest of family is eating as normal. [03:04] 2. Is ketosis needed for fasting? And is eating lots of fat needed? [11:30] 3. Does bacon break a fast and stop autophagy? [22:45]  4. Which fasting protocol does Megan and Nadia follow to remain healthy and lean? [31:39]  Have questions you want us to answer? Please email them to: podcast@thefastingmethod.com Learn More About Our Community: https://www.thefastingmethod.com Join our FREE Facebook Group: https://bit.ly/TFMNetwork Watch Us On YouTube: https://bit.ly/TFMYouTube

1 Helmi 202243min

Hot Topic: Extended Fasting

Hot Topic: Extended Fasting

Episode #11    In today’s episode, Megan and Nadia tackle the topic of Extended Fasting. Are Extended Fasts better than Intermittent Fasting? When did we recommend EFs in the clinic vs IFs? How often should someone do an EF and how do you build that fasting muscle?  Listen in to Megan and Nadia’s top tips for Extended Fasting strategies. Learn More About Our Community: https://www.thefastingmethod.com Join our FREE Facebook Group: https://bit.ly/TFMNetwork Watch Us On YouTube: https://bit.ly/TFMYouTube

25 Tammi 202244min

Fasting Q&A: Coffee Creamers, Pregnancy and Breastfeeding, Mental Health, and Sweeteners

Fasting Q&A: Coffee Creamers, Pregnancy and Breastfeeding, Mental Health, and Sweeteners

Episode #10 In this Fasting Q&A episode, Megan and Nadia answer your fasting questions: 1. Is unsweetened almond/coconut creamer in coffee enough to break a fast or interfere with fat-burning mode during a 36 to 42 hour fast? Or does it depend on the amount used? [00:58] 2. Hi guys! I’m so happy about your new podcast I’m a big fan of your program! I was wondering if you have more information about fasting for nursing moms or even pregnancy. Is it safe? Would it effect milk production? [03:46] 3. What are the benefits seen with fasting and mental health? I feel mentally well when I’m fasting compared to eating frequently and poorly. What science can I tell myself regarding this topic? [07:19]  4. What do you think about chewing xylitol gum to improve fasting breath? Does xylitol trigger insulin? Please rank honey, maple syrup and xylitol for use during my 10-6 eating window days. [14:40]  Links Bitten Jonsson’s website: https://www.bittensaddiction.com/en/ Dr Georgia Ede’s website: https://www.diagnosisdiet.com Have questions you want us to answer? Please email them to: podcast@thefastingmethod.com Learn More About Our Community: https://www.thefastingmethod.com Join our FREE Facebook Group: https://bit.ly/TFMNetwork Watch Us On YouTube: https://bit.ly/TFMYouTube

18 Tammi 202229min

Fasting Q&A: Flavored Coffee, Feeling Cold, Menstruation, and Switching Up Your Fasts

Fasting Q&A: Flavored Coffee, Feeling Cold, Menstruation, and Switching Up Your Fasts

Episode #9 In this Fasting Q&A episode, Megan and Nadia answer your fasting questions: 1. I find that drinking black regular/unflavoured coffee is hard (on my stomach as well as well as on my stamina!!!) but I find it easier to drink black flavored coffee so that I don't have to add milk to it which would be my preference. By flavored, I mean the beans are flavoured (the company says that even their flavored coffees have only 5 calories in a cup of coffee). I do not add flavored syrups. Is it OK to drink flavored coffee or does it break my fast? [01:36] 2. Fasting during menstrual cycle? [22:45] 3. Feeling so cold during a fast that it stops you continuing. [14:18]  4. Since I’m not losing weight on the 16:8 fasts after two months, I want to start 24 hours of fasting. What will happen in, let’s say a year, when I hopefully lose weight and get off some meds and go back to just 16:8. Will I regain the weight and will 24 hours of fasting be a lifetime thing?  [33:49]  Have questions you want us to answer? Please email them to: podcast@thefastingmethod.com Learn More About Our Community: https://www.thefastingmethod.com Join our FREE Facebook Group: https://bit.ly/TFMNetwork Watch Us On YouTube: https://bit.ly/TFMYouTube Follow Us on Instagram: @fastingmethod

11 Tammi 202245min

Hot Topic: New Year Recovery Plan

Hot Topic: New Year Recovery Plan

Episode #8  In today's episode, Megan and Nadia share their go-to strategies for recovering from holiday off-plan eating.  Find out why fat fasting is the perfect way to set yourself up for success in 2022 and borrow from the gym mindset for getting back up to speed after the holidays. And of course, don't forget the electrolytes. Learn More About Our Community: https://www.thefastingmethod.com Join our FREE Facebook Group: https://bit.ly/TFMNetwork Watch Us On YouTube: https://bit.ly/TFMYouTube Follow Us on Instagram: @fastingmethod

4 Tammi 202251min

Fasting Q&A: Sugar, Alcohol, and Common Issues with Fasting

Fasting Q&A: Sugar, Alcohol, and Common Issues with Fasting

Episode #007 In this Fasting Q&A episode, Megan and Nadia answer your fasting questions: 1. Is it true that you shouldn’t eat sugar and fat at the same time? Is it bad for you? [01:14] 2. Alcohol during the holidays: should you, shouldn’t you? [08:20] 3. Should you fast if you’re feeling sick this holiday season? [17:56]  4. Diarrhea when breaking a fast? [25:35]  5. Does fasting cause binge eating? [34:08]  Have questions you want us to answer? Please email them to: podcast@thefastingmethod.com Learn More About Our Community: https://www.thefastingmethod.com Join our FREE Facebook Group: https://bit.ly/TFMNetwork Watch Us On YouTube: https://bit.ly/TFMYouTube Follow Us on Instagram: @fastingmethod

21 Joulu 202146min

Expert Guest: Megan Ramos

Expert Guest: Megan Ramos

Episode #6 In this episode, Nadia "turns the table" on Megan and we find out how she and Dr. Jason Fung started IDM, when The Fasting Method program went online, and what the future holds for TFM. Megan shares her own health journey from diabetes, PCOS, fatty liver, and an almost 80-pound weight loss as Dr. Fung's first IDM "patient" in 2012. The Aetiology of Obesity lecture series by Dr Jason Fung: Part 1: https://youtu.be/N0Lw0rtRq3s Part 2: https://youtu.be/_bFc3qVOBJA Part 3: https://youtu.be/O45Z8gcSA3I Part 4: https://youtu.be/irQNg0-OSBg Part 5: https://youtu.be/YTc8kS5mDa8 Part 6: https://youtu.be/UPO52VaQXyY Learn More About Our Community: https://www.thefastingmethod.com Join our FREE Facebook Group: https://bit.ly/TFMNetwork Watch Us On YouTube: https://bit.ly/TFMYouTube Follow Us on Instagram: @fastingmethod

14 Joulu 202151min

Fasting Q&A: Ending an Extended Fast, OMAD, Keto and Low-Carb, and More

Fasting Q&A: Ending an Extended Fast, OMAD, Keto and Low-Carb, and More

Episode #005 In this Fasting Q&A episode, Megan and Nadia answer your fasting questions: 1. When should you end an extended fast? [00:30] 2. I am starting a 30:16 cycle and hope to move onto a 3x42. I have about 10 pounds more to lose. I feel very satisfied with one meal a day and 800 calories, but I am concerned that I might damage my metabolism if I go very long on OMAD (one meal a day). Is that something that is OK or should I make sure I get more calories 3 or 4 days a week? [09:08] 3. When doing one-meal-a-day, how much should you eat and/or how long should you eat? [17:50] 4. When it is said, “Intermittent fasting is not about diet,” why are we told to do keto or low-carbohydrate diets? [24:56] Have questions you want us to answer? Please email them to podcast@thefastingmethod.com Blog post by Jason Fung, MD:  The #1 Rule of Fasting https://blog.thefastingmethod.com/1-rule-fasting/ Learn More About Our Community: https://www.thefastingmethod.com Join our FREE Facebook Group: https://bit.ly/TFMNetwork Watch Us On YouTube: https://bit.ly/TFMYouTube Follow Us on Instagram: @fastingmethod

7 Joulu 202133min

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