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.

Episoder(229)

Bitesize: TRE & Plating

Bitesize: TRE & Plating

Episode #108 In this Bitesize episode, Nadia talks about her favourite topic - TRE - and she also shares her ‘Plating’ strategy. 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 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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Hot Topic: Resources and Benefits Membership in the TFM Community Offers

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Bitesize: Is ADF Fasting Better?

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29 Sep 202312min

Hot Topic: Why Desire Is Not Enough on Its Own

Hot Topic: Why Desire Is Not Enough on Its Own

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26 Sep 202339min

Bitesize: A Meal Is a Meal Is a Meal

Bitesize: A Meal Is a Meal Is a Meal

Episode #104                                                                                        In this Bitesize episode, Terri addresses a topic she has been asked numerous times recently--"What should I do if I have a hard time stopping once I start eating?"  Though there are physiological and practical things to consider ("Have I eaten enough?" or, "Am I eating things that drive my hunger?"), Terri encourages listeners to work on their mindset about what makes a meal as well as sticking to only eating meals.  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 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.

22 Sep 20239min

Fasting Q&A: Eating and Fasting Patterns for Kids, Fasting After Weight-Loss Surgery, Bloating, and More

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Episode #103 In this Fasting Q&A episode, Nadia answers some of your fasting questions: 1. I have two preschool aged children and I really want to set them up for life with a healthy relationship with food. Obviously, I don’t think we should fast children but  I have noticed that their lives revolve around their mealtimes and snacks. Is TRE something that would benefit them? At what age should we implement this? [03:21] 2. I have 12 and 16-year-old girls. There are so many body image influences out there. I am concerned if they see me doing extended fast that they will not understand why I am doing it or that they might develop an eating disorder. [13:16] 3. My daughter is 13 years old, tall, slender and active/a multi-sport athlete with no weight-related concerns. She started her period about 6 months ago and luckily it’s been pretty regular and she’s managing it very well. The only hormonal issue I’m noticing so far is that she’s struggling pretty badly with acne on her face and upper back. I just want her to be happy and healthy and to fuel her body appropriately, especially during all these hormonal changes her body is going through. [22:42]  4. My wife says she can't fast with me because she had weight loss surgery (about two years ago). She would like to do low carb/keto-ish/fasting with me but says she can't eat enough in a meal to last her 5 or 6 hours. Is there a protocol for fasting with a smaller stomach or it is not recommended? [30:07]  5. When I fast for 36 hours (which up to now has been my longest fasting period) I gain five pounds during the day when I start eating again. I feel bloated and very unwell. I suspect it is water retention as it goes away on the next day. Is this normal? [35:20] 6. My question relates to a previous episode where Nadia mentioned that the smell of food can cause an insulin response. As someone who has insulin resistance and happens to be a professional chef, that news was alarming! Is this actually the case, or did I hear that wrong? [38:34] 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 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.

19 Sep 202344min

Bitesize: Eating Windows

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Episode #102                                                                                                     In this week's Bitesize episode, Megan Ramos discusses the difference between eating windows and meals, and how you can optimize your results in the long-term by distinguishing the two 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 Follow Us on Instagram: @fastingmethod 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.

15 Sep 202310min

Fasting Q&A: Fasting Post Menopause, Gallstones, Root Vegetables, Dementia, And More

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12 Sep 202330min

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