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/

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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

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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)

Fasting Q&A: Fruit Teas, Treats After Meals, Fasting During Menopause, Self-Sabotage, and Post-Menopausal Bleeding

Fasting Q&A: Fruit Teas, Treats After Meals, Fasting During Menopause, Self-Sabotage, and Post-Menopausal Bleeding

Episode #68 In this Fasting Q&A episode, Terri and Nadia answer your fasting questions: 1. If fruit tea is "herbal", such as mango-passionfruit herbal tea, will it break a fast? Will the sweet flavors alone spike insulin and break a fast? [02:38] 2. I am working on improving my food choices. To be fair, I make healthy choices when I go to the grocery store and when I make food. The problem is that I have a habit of having a “treat” or reward after a meal or whenever I am struggling or when I want to celebrate something. I think these are keeping me from making progress. [07:38] 3. During the holidays, I have gained 13lbs back. I have been trying to get back to IF and it’s been very difficult. I think I am now menopausal as I haven’t had a period or spotting for almost one year. I’m wondering if that’s playing a role here? [13:04]  4. I am getting close to my goal weight. What I don’t understand is why as I get close, I seem to self-sabotage. Why would I do this? It is so frustrating that I am the only thing getting in my way. What should I do? [21:19]  5. I am 51 and have been in menopause for 2 and a half years now. I recently started fasting and I got my period last month. Is this from fasting? Can fasting reverse menopause? [32:28] 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.

28 Feb 202340min

Hot Topic: Therapeutic Fasting vs Lifestyle Approach

Hot Topic: Therapeutic Fasting vs Lifestyle Approach

Episode #67                                                                                                                   In this episode, Megan and Terri discuss an important distinction for everyone to understand—the difference between therapeutic fasting and a general fasting lifestyle approach. They discuss how this can feel confusing or misleading to folks newer to the fasting community. And bring in clinical examples of how many people achieve their health goals. They also help differentiate the healing process that takes place during therapeutic fasting and the longer-term effects of making fasting a regular part of your lifestyle.   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.

21 Feb 202342min

Fasting Q&A: Brain Health, “Wrecked” Metabolism, Exercise, Hirsutism, and More

Fasting Q&A: Brain Health, “Wrecked” Metabolism, Exercise, Hirsutism, and More

Episode #66 In this Fasting Q&A episode, Megan and Nadia answer your fasting questions: 1. Does fasting help with brain health or is diet more important? [02:03] 2. Does fasting “wreck” your metabolism? [04:37] 3. Can you exercise while fasting and would it help speed up weight loss? [12:03]  4. Are there benefits of fasting for someone who has optimal biomarkers and is at their ideal weight? If so, what does that look like? [15:37]  5. Can fasting help you recovery from mycotoxin issues? [20:01] 6. I've made great progress with weight loss and other hormonal markers related to my PCOS since I began fasting, but my facial hair hasn't improved at all. Does the hirsutism go away with hormone stabilization or should I get laser hair removal? [22:04] 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.

14 Feb 202325min

Hot Topic: Valentine’s Day

Hot Topic: Valentine’s Day

Episode #65 In this episode, Megan, Terri, and Nadia, discuss the upcoming, chocolate-laden Valentine’s Day and how to deal with those temptations, as well as some strategies to prepare for a meal out and what to look out for at restaurants. Tune it to find out what Megan and her husband are doing this year, what Nadia is planning with her girls, and what Terri has to share about love language.  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.

7 Feb 202334min

Expert Guest: Eve Mayer

Expert Guest: Eve Mayer

Episode #64  In this episode, Megan is joined by Eve Mayer, co-author of their New York Times Bestseller, Life in the Fasting Lane.   Tune into join them for a catch-up and discussion of the highs and lows of the COVID-19 lockdown and where they are with their fasting and lifestyle today. Links: You can find the video series that follows Eve’s supervised 10-day fast here: https://www.youtube.com/playlist?list=PLB5si9g1joQfif8I31rPux1jlTlDEU_8n 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.

31 Jan 202339min

Hot Topic: Our Relationship With Food

Hot Topic: Our Relationship With Food

Episode #63 In this episode, Terri and Nadia discuss our relationship with food:  Emotional eating Food as nutrition Why different people have different relationships with food Fasting and food avoidance ‘Breaking up’ with problematic foods Choosing foods that best support you and making that part of your identity Fasting Q&A Terri and Nadia also answer two listener questions:  1. How do I lose that last 10 pounds and then maintain it? Fasting is easy but losing those last 10 pounds is not! I don’t want to keep yoyoing.. [29:04] 2. I was diagnosed with early menopause aged 39 (now 43). I would like to understand what happens with women’s hormones when they are menopausal and what about that profile makes losing weight difficult. Will fasting help? [33:09]    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.

24 Jan 202339min

Hot Topic: Motivation

Hot Topic: Motivation

Episode #62                                                                                                In this episode Megan and Terri discuss "motivation" and some of the ways people tend to over-rely on feeling motivated before doing something. They also discuss the value in finding your WHY--your reasons that doing something that may feel difficult or complicated is worth it to you despite the challenge.       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.

17 Jan 202334min

Fasting Q&A: Post-Partum Fasting, Potatoes and Vinegar, Kids' Eating Frequency, and More.

Fasting Q&A: Post-Partum Fasting, Potatoes and Vinegar, Kids' Eating Frequency, and More.

Episode #61        In this Fasting Q&A episode, Megan and Nadia answer your fasting questions: 1. My baby is now 6 months old, happy and healthy and I’m still struggling to get back into fasting. Is it possible there are still fluctuating hormones at play here with lack of consistent sleep or do I need to give myself a bit more grace and start from the very beginning? [01:51] 2. I heard you say that putting vinegar on potatoes sometimes cuts the carb load. What type of vinegar should I use and how much? [08:04] 3. How much I should be eating on days I am not fasting? [14:08]  4. When you’re new to fasting, what is the best way to start? [20:32]  5. What is the best eating frequency for kids? I have a toddler & 2 kiddos in elementary school. Our pediatrician & family/friends communicate that they should all be having 3 meals + 2 snacks each day. Is this healthy? When do you transition away from snacks? [21:51] 6. For weight loss, you previously mentioned that 16/8 isn't enough. I'd like to try 24 hours/OMAD for a month and if I'm still not losing weight then I'll move to 36 hours and so on. Please give me some insights about what I need to do or not do in order to successfully fast for longer than 16/8. [32:37]  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.

10 Jan 202337min

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