{"id":528,"date":"2017-04-20T14:47:40","date_gmt":"2017-04-20T21:47:40","guid":{"rendered":"http:\/\/cholesterolcode.com\/?p=528"},"modified":"2019-04-01T08:02:47","modified_gmt":"2019-04-01T15:02:47","slug":"the-fasting-disaster","status":"publish","type":"post","link":"https:\/\/cholesterolcode.com\/the-fasting-disaster\/","title":{"rendered":"The Fasting Disaster"},"content":{"rendered":"<p><a href=\"http:\/\/cholesterolcode.com\/wp-content\/uploads\/2017\/04\/fasting_macros.png\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-532 size-full\" src=\"http:\/\/cholesterolcode.com\/wp-content\/uploads\/2017\/04\/fasting_macros.png\" alt=\"fasting_macros\" width=\"914\" height=\"208\" srcset=\"https:\/\/cholesterolcode.com\/wp-content\/uploads\/2017\/04\/fasting_macros.png 914w, https:\/\/cholesterolcode.com\/wp-content\/uploads\/2017\/04\/fasting_macros-300x68.png 300w, https:\/\/cholesterolcode.com\/wp-content\/uploads\/2017\/04\/fasting_macros-768x175.png 768w\" sizes=\"auto, (max-width: 914px) 100vw, 914px\" \/><\/a><\/p>\n[UPDATE 4-1-2019: This article still often comes up as though it is making a statement about fasting in some way &#8212; it is not. It is simply an experiment in fasting that that had dramatic results. And these results further emphasized the <a href=\"http:\/\/cholesterolcode.com\/wp-content\/uploads\/2016\/07\/dietary_fat_to_cholesterol_inversion-1.jpg\">Inversion Pattern<\/a> as well. My current opinion on fasting remains: <em>if you can do it comfortably, you probably should<\/em>.]\n<p>Fasting has been all the rage lately. Jimmy Moore and Jason Fung <a href=\"https:\/\/www.amazon.com\/Complete-Guide-Fasting-Intermittent-Alternate-Day\/dp\/1628600012\">released a book<\/a> on it that quickly shot up the New York Times Best Sellers list. In fact, it has been so popular that they <a href=\"http:\/\/www.fastingtalk.com\/\">launched a podcast<\/a> on it at the beginning of this year. Oh, I did I mention the episode\u00a0featuring Jason Fung and fasting is still the most downloaded of the <a href=\"http:\/\/2ketodudes.com\/\">2 Keto Dudes<\/a> podcast?<\/p>\n<p>Yet other high profile low carbers such as Dr. Stephen Phinney\u00a0are <a href=\"https:\/\/www.youtube.com\/watch?v=5AGiUFzldwk\">not part of the fan club<\/a>. My personal favorite article on the subject was <a href=\"http:\/\/www.tuitnutrition.com\/2016\/09\/not-so-fast.html\">Not So&#8230; Fast&#8230; (A Rant)<\/a> from the prolific Amy Berger.<\/p>\n<p>While on low carb myself, I&#8217;ve only ever intentionally fasted for 14 hours at a time, which was only done to meet the requirements of a blood draw. But while I don&#8217;t feel hungry when fasting, I don&#8217;t feel&#8230; <em>right<\/em>.<\/p>\n<p>To be sure, I&#8217;ve wondered if I\u00a0want to eat all the time so that I either maintain or gain weight, given I&#8217;m underweight right now. And therefore\u00a0my feeling odd when not eating is perhaps entirely\u00a0mental manifestation. Regardless, a fast of a few days probably wouldn&#8217;t be that bad anyway, right?<\/p>\n<h2>The\u00a0Experiment<\/h2>\n<p>The plan was pretty simple:<\/p>\n<ol>\n<li>I&#8217;d take a blood draw in the morning at the beginning of the fast.<\/li>\n<li>Fast for three days\u00a0while both supplementing and keeping electrolytes high, but otherwise drinking only water.<\/li>\n<li>Take a final blood draw for comparison on the morning 72 hours after the first blood draw. So in all, 86 hours will have passed since my last meal, making it a total of 3.5 days.<\/li>\n<\/ol>\n<h2>Execution<\/h2>\n<p><strong>Day One<\/strong>:\u00a0I was surprised to find I wasn&#8217;t hungry at all. This seemed to back up my theory that if I had already made the commitment to myself to forgo eating, my brain wouldn&#8217;t send me subconscious &#8220;shouldn&#8217;t we be eating?&#8221; signals.<\/p>\n<p>As happens with me when I&#8217;ve lowered my total calories for an experiment (but while still being keto), I feel run down and puny. I have\u00a0an overall feeling\u00a0of lower energy. I also feel a little dispirited in this state, but its hard to tell how much of that is annoyance of that phase of the experiment\u00a0vs it being an actual physical response.<\/p>\n<p>However, that not-feeling-right sensation I mentioned above?&#8230; I was certainly getting that signal. But I had hoped I&#8217;d only feel it on the first day.<\/p>\n<p><strong>Day Two<\/strong>: I still wasn&#8217;t feeling hungry. And while I did continue to feel low in energy, it wasn&#8217;t notably better or worse.<\/p>\n<p>However, the\u00a0not-feeling-right sensation was definitely much, much higher. It was like nothing I&#8217;ve experienced before this point. In my imagination it was as though my body\u00a0found a red phone line and called some special center of my brain to say, &#8220;ABORT! ABORT!&#8221; No physical pain, no odd changes in the senses, nothing other than a feeling&#8230; a feeling this was terribly wrong.<\/p>\n<p>By the evening I decided to go ahead and cut the experiment short. I&#8217;d take my blood on the morning of Day Three as opposed to Day Four. Heck, at least it was a 2.5 day fast in the Data Can. I just knew I&#8217;d feel annoyed if my numbers had hardly changed. (Just writing that last sentence makes me laugh out loud now&#8230;)<\/p>\n<h2>General Bloodwork<\/h2>\n<p>In every blood draw now, I get a slate of general panels\u00a0like a CMP and CBC. The latter is known as a\u00a0Complete Blood Count and has 14 markers. These numbers always been in range&#8230; until this time.<\/p>\n<table style=\"border-collapse: collapse; width: 260pt;\" border=\"0\" width=\"348\" cellspacing=\"0\" cellpadding=\"0\">\n<colgroup>\n<col style=\"width: 65pt;\" span=\"4\" width=\"87\" \/> <\/colgroup>\n<tbody>\n<tr style=\"height: 16.0pt;\">\n<td style=\"height: 16.0pt; width: 65pt;\" width=\"87\" height=\"21\"><\/td>\n<td style=\"width: 65pt;\" width=\"87\">Ref Range<\/td>\n<td class=\"xl66\" style=\"width: 65pt;\" align=\"right\" width=\"87\">3\/21\/17<\/td>\n<td class=\"xl65\" style=\"width: 65pt;\" align=\"right\" width=\"87\">3\/23\/17<\/td>\n<\/tr>\n<tr style=\"height: 16.0pt;\">\n<td style=\"height: 16.0pt;\" height=\"21\">RBC<\/td>\n<td>4.10-5.70<\/td>\n<td align=\"right\">5.02<\/td>\n<td class=\"xl63\" align=\"right\"><strong><span style=\"color: #ff0000;\">5.85<\/span><\/strong><\/td>\n<\/tr>\n<tr style=\"height: 16.0pt;\">\n<td style=\"height: 16.0pt;\" height=\"21\">Hemoglobin<\/td>\n<td>13.0-17.0<\/td>\n<td align=\"right\">15.3<\/td>\n<td class=\"xl64\" align=\"right\"><strong><span style=\"color: #ff0000;\">18.1<\/span><\/strong><\/td>\n<\/tr>\n<tr style=\"height: 16.0pt;\">\n<td style=\"height: 16.0pt;\" height=\"21\">Hematocrit<\/td>\n<td>37.0-49.0<\/td>\n<td align=\"right\">44.6<\/td>\n<td class=\"xl64\" align=\"right\"><strong><span style=\"color: #ff0000;\">52<\/span><\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>All of these markers have to do with red blood cells and their functionality, which I won&#8217;t cover here. What I really wanted to see is if I had fallen off on my electrolytes, which would explain both the run down feeling and my general sense of malaise.<\/p>\n<table width=\"392\">\n<tbody>\n<tr>\n<td width=\"131\"><\/td>\n<td width=\"87\">Ref Range<\/td>\n<td width=\"87\">3\/21\/17<\/td>\n<td width=\"87\">3\/23\/17<\/td>\n<\/tr>\n<tr>\n<td>Sodium, Serum<\/td>\n<td>134-144<\/td>\n<td>137<\/td>\n<td>136<\/td>\n<\/tr>\n<tr>\n<td>Potassium, Serum<\/td>\n<td>3.5-5.2<\/td>\n<td>5.1<\/td>\n<td><strong><span style=\"color: #ff0000;\">5.8<\/span><\/strong><\/td>\n<\/tr>\n<tr>\n<td>Calcium, Serum<\/td>\n<td>8.7-10.2<\/td>\n<td>9.6<\/td>\n<td><span style=\"color: #ff0000;\"><strong>10.5<\/strong><\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Interesting &#8212; instead of being under, I was over on K and Ca.<\/p>\n<h2>Cholesterol<\/h2>\n<p>Of course the big one is the lipid profile. And if you follow me, you already know what I&#8217;d predict\u00a0after fasting for the very first time given the Inversion Pattern &#8211;&gt; a record increase in LDL cholesterol.<\/p>\n<p>So what happened? I hope you&#8217;re sitting down for this&#8230;.<\/p>\n<table width=\"519\">\n<tbody>\n<tr>\n<td width=\"171\"><\/td>\n<td width=\"87\">Ref Range<\/td>\n<td width=\"87\">3\/21\/17<\/td>\n<td width=\"87\">3\/23\/17<\/td>\n<td width=\"87\">Difference<\/td>\n<\/tr>\n<tr>\n<td>Cholesterol, Total<\/td>\n<td>100-199<\/td>\n<td>371<\/td>\n<td><span style=\"color: #ff0000;\"><strong>479<\/strong><\/span><\/td>\n<td><span style=\"color: #ff0000;\"><strong>+108<\/strong><\/span><\/td>\n<\/tr>\n<tr>\n<td>HDL-C<\/td>\n<td>&gt;39<\/td>\n<td>72<\/td>\n<td>70<\/td>\n<td>-2<\/td>\n<\/tr>\n<tr>\n<td>LDL-C<\/td>\n<td>0-99<\/td>\n<td>284<\/td>\n<td><span style=\"color: #ff0000;\"><strong>368<\/strong><\/span><\/td>\n<td><span style=\"color: #ff0000;\"><strong>+84<\/strong><\/span><\/td>\n<\/tr>\n<tr>\n<td>LDL-P<\/td>\n<td>&lt;1000<\/td>\n<td>2068<\/td>\n<td><span style=\"color: #ff0000;\"><strong>3348<\/strong><\/span><\/td>\n<td><span style=\"color: #ff0000;\"><strong>+1280<\/strong><\/span><\/td>\n<\/tr>\n<tr>\n<td>Small LDL-P<\/td>\n<td>&lt;=527<\/td>\n<td>&lt;90<\/td>\n<td><span style=\"color: #ff0000;\"><strong>546<\/strong><\/span><\/td>\n<td><span style=\"color: #ff0000;\"><strong>+546<\/strong><\/span><\/td>\n<\/tr>\n<tr>\n<td>Triglycerides<\/td>\n<td>0-149<\/td>\n<td>76<\/td>\n<td><span style=\"color: #ff0000;\"><strong>205<\/strong><\/span><\/td>\n<td><span style=\"color: #ff0000;\"><strong>+129<\/strong><\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Indeed it <strong><em>was<\/em><\/strong> a record!<\/p>\n<p>Let&#8217;s unpack a few things:<\/p>\n<ul>\n<li>Like the <a href=\"http:\/\/cholesterolcode.com\/infographic-of-prediction-experiment\/\">Extreme Drop Experiment<\/a> from last year, this one had a heavy shift in dietary energy, as in<em>\u00a0a sudden drop off<\/em>. And likewise this huge degree of change\u00a0broke the Inversion Pattern with LDL-P, while still demonstrating its general direction (lower fat = higher cholesterol).\n<ul>\n<li>Given the pattern up to this point, we&#8217;d have expected LDL-P to land around 2200, but it instead landed much further upward at 3348. This is strikingly consistent with with the drop experiment that likewise overshot in the other direction (from 2597 to 1487 in three days!).<\/li>\n<li>Yet LDL-C would be expected to land around 355 +\/- 22 and sure enough it landed at\u00a0368.<\/li>\n<\/ul>\n<\/li>\n<li>While I don&#8217;t like doing these huge shift experiments, I am glad they continue to reinforce the general mechanics of the Inversion Pattern and further establish its nature.<\/li>\n<li>Once again <em>Small<\/em> LDL-P pops up in a low dietary energy context.<\/li>\n<\/ul>\n<h2>Final Thoughts<\/h2>\n<ul>\n<li>While the experience wasn&#8217;t great, the data from this experiment was golden! As predicted, the Inversion Pattern kicked in and\u00a0demonstrated just how fast cholesterol can rise while fasting, particularly for a hyper-responder like myself. I guess that last bit doesn&#8217;t actually sound like good news, but don&#8217;t worry, the blood test taken just 4 days later (not shown) had my Total and LDL cholesterol drop down near where they were on 3\/21.<\/li>\n<li>I already didn&#8217;t enjoy fasting for even a half day before this experiment&#8230; now I&#8217;m very sure I don&#8217;t want to fast for longer either. This might be something I&#8217;d consider if I weighed\u00a0more, but probably not. The incredibly alarming feeling I experienced was something I&#8217;d prefer to leave in the past.<\/li>\n<\/ul>\n<hr \/>\n<p><strong><em>[UPDATE]<\/em><\/strong><\/p>\n<p>Hat tip to <a href=\"https:\/\/twitter.com\/drjamesdinic\">James DiNicolantonio<\/a>\u00a0who pointed out my <a href=\"https:\/\/twitter.com\/i\/web\/status\/810999551830192132\">Uric Acid likely had likely risen<\/a> and I sure enough it proved to be true:<\/p>\n<table width=\"422\">\n<tbody>\n<tr>\n<td width=\"124\"><\/td>\n<td width=\"124\">Ref Range<\/td>\n<td width=\"87\">3\/21\/17<\/td>\n<td width=\"87\">3\/23\/17<\/td>\n<\/tr>\n<tr>\n<td>Uric Acid, Serum<\/td>\n<td>3.7-8.6<\/td>\n<td>5.8<\/td>\n<td>8.2<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>I run a script that captures every marker outside its reference range and (unfortunately) mostly\u00a0noticed those that did. Technically, Uric Acid was still inside, but obviously moving upward fast. Would it have gone above range had I been fasting another day? Alas, I&#8217;m now unwilling to find out anyway.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[UPDATE 4-1-2019: This article still often comes up as though it is making a statement about fasting in some way &#8212; it is not. It is simply an experiment in fasting that that had dramatic results. And these results further emphasized the Inversion Pattern as well. My current opinion on fasting remains: if you can &hellip; <\/p>\n<p><a class=\"more-link btn\" href=\"https:\/\/cholesterolcode.com\/the-fasting-disaster\/\">Continue reading<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[8,7],"tags":[],"class_list":["post-528","post","type-post","status-publish","format-standard","hentry","category-cholesterol","category-experiments","item-wrap"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p9EmAp-8w","_links":{"self":[{"href":"https:\/\/cholesterolcode.com\/wp-json\/wp\/v2\/posts\/528","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cholesterolcode.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cholesterolcode.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cholesterolcode.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cholesterolcode.com\/wp-json\/wp\/v2\/comments?post=528"}],"version-history":[{"count":0,"href":"https:\/\/cholesterolcode.com\/wp-json\/wp\/v2\/posts\/528\/revisions"}],"wp:attachment":[{"href":"https:\/\/cholesterolcode.com\/wp-json\/wp\/v2\/media?parent=528"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cholesterolcode.com\/wp-json\/wp\/v2\/categories?post=528"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cholesterolcode.com\/wp-json\/wp\/v2\/tags?post=528"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}