Dr. Fung looks at the evidence on what high levels of insulin can do to ones health and what can be done to lower insulin naturally. Role of Hormones in Weight Loss - https://youtu.be/ZbnshVO4PRM12. [60]. Our dieting program is based on intermittent fasting and low carbohydrate/ketogenic consumption, and offered in partnership. So lets sum up the first few seconds of this video clip: 1:08: If you eat 500 calories less, your body can simply decide to burn 500 calories less, and you wont lose any body fat., My Response: This is another example of Dr. Fung sprinkling in the slightest amount of truth with a lot of fallacy. . . 2014, Impact of different protein sources in the glycemic and insulinemic ., An insulin index of foods: the insulin demand generated PubMed., Dietary protein impact on glycemic control during weight loss., A moderate-protein diet produces sustained weight loss PubMed., Dietary protein and exercise have additive effects on body PubMed., A reduced ratio of dietary carbohydrate to protein PubMed., Effects of dietary protein on the composition of weight NCBI NIH., Biologys response to dieting: the impetus for weight regain.. Im not sure how many more research studies we need to refute these claims as the evidence is quite overwhelming. When he says that people in the 70s were fasting, what hes talking about is that after dinner, around 7 pm, they were done. Almost 50% diabetes remission with fasting in this study - 50%!!! Dr. This allows time for your body to digest the foods, process the nutrients and burn the rest for energy to power your vital organs and muscles. People began noticing my progress during the COVID shutdown. My A1c is 6.0 and my total Cholesterol is 79 (I am on Atorvastatin by protocol). It can improve your blood sugars, blood pressure and metabolic health, lowering your risk of heart disease, stroke and cancer. Medications that actually work for type 2 diabetes, Grazing or fasting and why it matters for weight loss, How a thin person with diabetes reversed her type 2 diabetes, How to not get hungry: Fasting and ghrelin, Why type 2 diabetes is a reversible dietary disease. [23], On the surface, it appears some of the claims are substantiated. I was becoming defeated. Jason Fung: My single best weight loss tip Diet Doctor. 4 Nov. 2018, What is Insulin Resistance? Dr. Jason Fung is an expert on the topic of fasting. Metabolic changes after licorice consumption: A systematic review . 15 Jan. 2018. Never mind that they added weight because they binge ate and consumed massive amounts of carbs AND fats in most cases. After all, green tea and licorice led to a loss of body weight in clinical trials (albeit very small) and ginger has been demonstrated to reduce appetite and improve digestion. If you are predominantly feeding, you will gain weight. [110][111]. How exactly do you as a doctor help patients reverse their type 2 diabetes? Insulin is a fat-storing hormone. Insulin Resistance - https://youtu.be/dimP7IdM2Og11. Its not going to make a massive difference. Total = 150-265 kcal/d TEF. Whether our heart beats faster or slower is tightly controlled by hormones. Get into the Kidney Disease Solution, an all-in-one guide for . Is this a good lifestyle/program/diet to lose weight after kidney transplant? By the end of last year my weight was still 245 lbs. My shirts went from XXL to L. As my fasting practice matured, I started doing weekly fasts anywhere from 36-60 hours. Seeing many diabetic patients with kidney complications, he has taken special interest in obesity and diabetes.He has pioneered the use of therapeutic fasting regimens for weight loss and type 2 diabetes control, with great success, at his Intensive Dietary Management clinic in Toronto. How fasting affects your physiology and hormones, Why fasting is more effective than calorie counting. [44] In fact, people with low thyroid hormone may experience reductions in BMR of up to 25%. They were eating ice cream. https://www.dietdoctor.com/intermittent-fasting/guides. Although sometimes called a fad, low carb diets have actually more science Zeenah Z.2021-08-31T02:53:08-04:00Fasting, Featured|. Although Dr. Fung established this clinic, patients are seen by his team of medical doctors, registered nutritionist, and naturopathic doctors who implement Dr. Fung's low carbohydrate, high/healthy fat, and intermittent fasting program. So, heres my best single tip for weight loss. [63] However, as you might recall, since dietary carbohydrate is not stored as fat, on a low carb, higher fat diet, you will have greater rates of fat oxidation, but also greater rates of fat storage. Thats where we can help. The Obesity Code's answer for correcting this is an approach that Dr. Fung started using with patients in his medical practice several years ago. [40] Its a bizarre way to frame his argument, but I digress. How do you repair low metabolism after a low-calorie diet? Large gaps where no food is ingested drops insulin. Now some of you might ask, Ok, maybe his claims arent completely accurate, but if it helps people lose weight and get healthy, what is the harm?, The harm is that singling out foods, macronutrients, or hormones as good or bad can create disordered eating patterns in some people. The methodologies that Dr. Fung promotes for weight loss and type 2 diabetes treatment can be effective. Controlling insulin requires a change in our diet, which is composed of two factors how high the insulin levels are after meals, and how long they persist. Dr. Fung gives us a comprehensive review of what causes fatty liver disease, how it affects insulin resistance and, what we can do to reduce fatty liver. Jason Fung: To Lose Weight, You MUST control Insulin YouTube. 9 Dec. 2017. 2020. I now take the time to educate them and recommend yourwebsiteandbooks. but my glucose was in the mid-200s. Finally. Copyright 2022 The Fasting Method. We comply with the HONcode standard for trustworthy health information. Our Type 1 guide should be helpful for you! If you give insulin to a random group of people, will they gain fat? Im happy and proud again. They were not eating kale. Share this article with a friend More articles you might enjoy MORE BLOGS How Doctors Lose Weight How do doctors lose weight? Dr. Fung receives money for treating patients with kidney disease in hospital for general internal medicine and obesity medicine. ", Complications of diabetes a disease affecting all organs, How to renew your body: Fasting and autophagy, Longer fasting regimens 24 hours or more, Short fasting regimens less than 24 hours. He receives consulting fees from Pique Tea. He's a world-leading expert on intermittent fasting and low carb, especially for treating people with type 2 diabetes. Participants in the high-dose group gained, on average, approximately 9.8 pounds (4.5 kilograms) more than participants in the standard group. Metabolic adaptation is not observed after 8 weeks PubMed NIH. 1 Oct. 2019. When we eat, insulin goes up, signaling the body to store some food energy as body fat. This is where people neglect the concept of daily or even weekly energy balance. That way, they dont freak out if they have a higher carb meal as they realize they can adjust their overall intake accordingly. On the contrary, experts who study energy balance frequently point out that the body tries to compensate for changes in energy intake (CI) by adjusting energy expenditure. Hormones can increase energy expenditure (adrenalin). [83] If insulin was truly the cause of obesity, we would expect to see high protein diets also be deleterious for fat loss and insulin sensitivity, but we actually see the opposite. Dr. Fung about what you need to do to start fasting. Why is counting calories useless? Disco was sweeping the nation. Again, its not that simple. EA refers to purposeful movement while NEAT refers to non-purposeful movement such as fidgeting, posture, unintentional pacing, etc. Do you recommend going in and out of ketosis? If you were comparing 2 diets equal in calories (lets say 1800 kcal/d), but one diet spread the calories out over 4 meals, and the other did it in a single meal, sure you would have more insulin responses in the 4 meal diet; however, each individual insulin response would be smaller whereas the large single meal would likely be a massive insulin response. Is obesity mainly caused by the fat storing hormone insulin? This article wont be a debunking of those books. I bought a Fitbit and count calories to ensure I am putting in as much as I am burning. While the books sold very well, they certainly have not been embraced by academics and experts. As we discussed before, fat balance is the balance between the amount of fat stored vs. the amount of fat burned. This is unsurprising since he does not understand the components of the energy balance equation since he has previously stated that the only two components of TDEE are BMR and exercise. When we dont eat, then insulin goes down, signaling the body to burn this stored energy (body fat). But if you keep eating every hour or couple hours, insulin never has a chance to drop and your blood sugar remains high, thereby promoting obesity. 'Can you have a normal blood sugar and still be insulin resistant? Its crucial to understand that fat can be stored in adipose cells without increases in insulin because of dietary fat, which is stored in adipose cells. (but I would say I carried it well). As we already stated, the body does have elaborate compensatory mechanisms in place, and whole-body physiology is messy. Theres nothing wrong with that that is simply its job. [19] Green tea may or may not reduce body weight by a clinically unimportant amount, and no green tea extracts have demonstrated consistent appetite-suppressing effects. How Kevin Hall tried to kill the insulin hypothesis with pure spin, How Gino reversed his type 2 diabetes by doing the opposite, Reversing type 2 diabetes: Sunny and Cherie, Why the first law of thermodynamics is utterly irrelevant, How to fix your broken metabolism by doing the exact opposite, The Biggest Loser FAIL and that ketogenic study success. Diet Doctor Podcast #35 with Ben Bikman, PhD. Im not saying it doesnt matter, but its 5% of your daily calorie intake. He is confusing a tool with a physiological process. By myhealthbuildersdb / December 22, 2021. I hope you will post back with updates on your progress. Im a 57-year-old internist in Concord, Massachusetts. Fat: 500 kcal x 0-0.03 = 0-15 kcal/d What if there was a more effective treatment alternative for obesity and type 2 diabetes, that is both simple and free? The Asians were loving their white rice. https://www.dietdoctor.com/low-carb/gain-weight, https://www.dietdoctor.com/diabetes/type-1, https://www.dietdoctor.com/intermittent-fasting/guides, https://www.dietdoctor.com/low-carb/kidney-health, https://www.dietdoctor.com/low-carb/get-started, https://pubmed.ncbi.nlm.nih.gov/19560716/. They arent evidence-based, and they just happen to have diametrically opposing diets for which they advocate. The Obesity Code Lecture 1 - https://youtu.be/YpllomiDMX0Join this channel to get access to perks:https://www.youtube.com/channel/UCoyL4iGArWn5Hu0V_sAhK2w/join#jasonfung #drjasonfung #fasting #fastingbenefits #weightlosstips #intermittentfasting #drfung #fung #calories #weightlosstips #caloriesincaloriesout #weightloss #nutrition #diet #healthTime Stamps0:00 Intro0:31 What is Fasting?1:47 Who should Fast?3:01 When to Fast?4:01 Why Fast?5:18 How to Fast?7:00 Beginner Fasting Protocol7:56 Fasting Tips There are really only two ways that insulin increases. IF zealots will likely strawman my argument and point out the large numbers of people who have lost fat and improved their insulin sensitivity, and possibly even cured their diabetes using an IF approach. I occasionally have pancreatitis flare ups. Rigid dietary control, flexible dietary control, and intuitive eating . 23 Jan. 2017. Listen to Books & Original. Just this week I consulted with two doctors (GP and Nephrologist) I am connected to and while they are both great individuals, they don't seem to understand what I am looking for. While we already discussed that all calories are the same because calories are simply a unit of measurement, all sources of calories are not the same, and CICO does not assume they are the same. This sort of behavior upsets me since Dr. Fung refused to attack the substance of Dr. Freedhoffs argument and instead attempted to ruin his life. Glad to see Dr. Fung mention that traditional societies were high carb and still not obese. What should you eat or not eat? Keep in mind that this is just BMR, one component of TDEE. As such, we rely on hormones to precisely and tightly regulate body fat. 2019, Non-exercise activity thermogenesis (NEAT): a PubMed., The Failure of the Calorie Theory of Obesity | Online Fasting Method ., Sugar and Obesity Fructose 3 | Online Fasting Method for .. Maybe not an outright malicious lie, but much of what we believe in medicine can be traced back to word-of-mouth teachings without a scientific basis. [61] Not only did this study show that fat loss slightly favored the low-fat group, but the study also demonstrated that the low fat group had total daily insulin levels that were ~47% lower than the low carb group. [67] Dr. Fung has also claimed that insulin makes you hungry. 'How to eat: fast and break-fastHyperinsulinemia and cancerFasting and diseases of excessive growthAre trouble sleeping and anger common while fasting?Medications that actually work for type 2 diabetesGrazing or fasting and why it matters for weight loss"Life. Think of it like this, if we compare 2 diets equal in protein and calories but either high or low in carbohydrates or fats we get the following results: High Fat Low Carb Diet: High fat stored but high fat burned. He founded The Fasting Method (TheFastingMethod.com) to provide evidence-based advice for weight loss and managing blood sugars, focusing on low carbohydrate diets and intermittent fasting. https://www.dietdoctor.com/low-carb/gain-weight. Yvonne used to see all those pictures of people who'd lost so much weight, but sometimes didn't really believe they were real. Understanding and treating type 2 diabetes Dr. Jason Fung. [58] Now consider that if we truly want to test whether or not its calories or insulin that are the primary drivers of obesity, we have to compare diets that are equal in calories but differ in insulin response. This is like saying that its useless to keep a budget. I'm just wondering if I can get to my ideal weight with this. 1:22: Thermodynamics assumes that your basal metabolic rate remains absolutely rock stable. He also goes on to say, cutting 500 calories per day, which has been the standard advice, is very unsuccessful because if you dont change the hormonal system in your body, different foods contain different hormonal instructions, your body could simply decide to burn 500 calories less, and you will not lose body fat.. That said, its important to point out what Im NOT saying in this article. These are automatically regulated, and so is our weight. Physician success story Dr. Esther Kawira. All the while, I was advocating for calories in/calories out (CICO) with my patients. I'm a 57-year-old internist in Concord, Massachusetts. There is virtually no obesity. Even a short walk will help lower blood sugar. Dr. Jason Fung reveals his best weight loss tip and three hacks to follow it. Eat before you go to bed. One of the studies in the meta-analysis examined a very low carb (~30g/d) ketogenic diet versus a very high carb (>300g/d) diet. The reasons he provides for WHY they are effective are misleading, not supported by evidence, and simply used to drive his narrative. Unfortunately, most nutritional authorities tell you the exact opposite. [Continue], Copyright 2023 Biolayne Technologies LLC. Dr. Fung is a co-owner in the Diet Doctor company. [47][48]. /*# sourceMappingURL=footnotes.min.css.map */ Our intermittent fasting guides should be helpful for you! You see, to get the desired results, research studies have used approximately 2000mg ginger extract, 1500-2500mg licorice extract, and EGCG (the bioactive component of Green Tea) at dosages of approximately 100-460mg/day. Protein co-ingestion strongly increases postprandial insulin . 10 Mar. And in what ways could it be beneficial? In terms of the foods, this is not a low-calorie diet. I was embarrassed that here I was a physician, providing poor advice to patients. I should point out that its interesting to note that he submarines his argument by pointing out that calories can be stored or burned for energy, given that he previously claimed that the concept of calories is useless. [39] If the concept of calories was useless, why does it matter at all? Dr. Fung is a nephrologist, a specialist in the treatment of kidney disease. [35] Thus, you can express TDEE as TDEE = BMR + TEF + PA (EA + NEAT). Additionally, I have had problems with Dr. Fungs marketing at times. Four Weeks of Time-Restricted Feeding Combined with Resistance . 17 Apr. While BMR is a significant component of your TDEE, the two are not the same thing. 2020. Jason Fung 28-Day Fasting Tea Challenge Facebook., Ginger Green Fasting Tea | Fasting Tea Formulated With Dr. Jason ., Ginger Green Fasting Tea | Fasting Tea Formulated With Dr. Jason .. If we deliberately restrict caloric intake, then our total energy expenditure will decrease. calories and insulin and gut bacteria and hgh all play rolls dont they? Ive read a lot about nutrition and diet trends. Come closer. [30][31] For that to be 4x as effective, that means the standard treatment would only yield 0.3kg of weight loss if they did 50% the effort. If thats the case, then perhaps they need to re-think the effectiveness of their standard treatment. Dr. Jason Fung is someone who has repeatedly gotten on my radar over the last five years. It certainly does. Dr. Jason Fung Also published on idmprogram.com. For the last 6 weeks I have been wearing a cgm and have seen some very interesting data coming from that. 2016. What is it like running the very popular YouTube channel Keto Connect? I have been looking everywhere for a scientifically-sound recommendation for a daily amount of a HEALTHY dietary fat intake, either in grams or ounces. Two years into my marriage, and before any kids, I became polyureic and checked my blood sugar, it was 300+. [68] The evidence for this is extremely thin and in opposition to the human outcome data. Obesity Energetics: Body Weight Regulation and the PubMed NIH. 11 Feb. 2017. Whether the calories we eat are burned as energy or stored as body fat is also tightly controlled by hormones. In addition to his erroneous claims, Dr. Fungs reluctance to debate bothers me. thanks doc fung. Theyre the same, just as each second on a clock is the same. My Response: As I have already demonstrated in PAINFUL detail, there is no evidence to support this claim that Dr. Fung is making. In the majority of cases dialysis and kidney transplant are the only options for those in the advanced stage of the disease. Dr. Fung's fasting course part 1: A brief introduction to intermittent fasting. [76][77][78] How could this be? The book reviews are all done by a primary reviewer and a secondary reviewer, all of whom have at least a masters degree or higher (several of them also conduct reviews for scientific journals). This means that there are many factors that cause weight gain Zeenah Z.2021-08-03T10:25:15-04:00Featured, Health and Nutrition, How To Lose Weight|. And those hormonal signals go up or down according to our diet. [89] Now, that may sound scary, but Dr. Fungs description makes it seem like as soon as you reduce your calorie intake, your body immediately adjusts to compensate. We can get fat because weve given our body the hormonal signal to gain body fat. more than where I would like to be. Are all calories created equally regardless of whether they come from a low-carb, low-fat or a vegan diet? [75] While intermittent fasting (IF) aka time restricted feeding (TRF) can be a useful tool for fat loss, it does not appear to be superior to normal calorie restriction for fat loss, and similar improvements are also observed for measures of insulin sensitivity like HbA1c, though more research is needed (it should be noted that these results hold true even with protocols such as alternate day fasting). The reality is that he has made a far more insane statement previously. He is also the scientific editor of the Journal of Insulin Resistance and the managing director of the nonprofit organization Public Health Collaboration (Canada), an international group dedicated to promoting sound nutritional information. An open letter to Dr. Fung from a doctor who adopted fasting and changed his life By Jason Fung, MD "It would not be dramatic for me to say your books saved my life and showed me a better way to live. Research shows that to create significant metabolic adaptation, it requires weeks or months at a deficit, and only in the case of the Biggest Loser study where participants were in SEVERE deficits of thousands of calories every day do we see almost a 500 calorie metabolic adaptation after 30 WEEKS OF SEVERE RESTRICTION. You cant fast your entire life since that would result in death. During fasting, you burn body fat for energy. Why is blood glucose elevated when fasting? If insulin increased hunger, wed expect to see people eat more on higher carb diets than lower carb diets, but in a recent highly controlled study, the exact opposite was observed. There are several people who I have spoken with who Dr. Fung attempted to get fired from their jobs or get them kicked out of grad school, but these folks wish to remain anonymous. As I said, this isnt what I go out looking for. In fact, of the fat that winds up in adipose tissue, over 98% of it comes from dietary fat, and less than 2% comes from dietary carbohydrates. Im riding a bike again and walking daily. At some point, you must eat food. Dr. Fung's fasting course part 2: How do you maximize fat burning? "Can teenagers fast? [9] This prompted obesity researcher Dr. Yoni Freedhoff to fire back at Dr. Fung on Twitter and explain why his fat-shaming was wrong. Dr. Fung is also onTwitter, Facebook, Instagram, LinkedIn and YouTube. Professor Ben Bikman has studied these questions in his lab for years and he is one of the foremost authorities on the subject. Ginger consumption enhances the thermic effect of NCBI NIH. 24 Apr. I usually eat eitherOMAD (one meal a day)or TMAD (two meals a day). Obesity Energetics: Body Weight Regulation and the NCBI NIH. 11 Feb. 2017, Set points, settling points and some alternative models NCBI NIH.. Take a look at some old high school yearbooks from the 1970s. Within 5 months, I was at my ideal weight. Contrary to Dr. Fungs strawman argument, its clear that leading energy balance researchers acknowledge that these are not independent variables. 2017. Accuracy of Apple Watch Measurements for Heart Rate and Energy . 19 Mar. OMAD is not too difficult for me. Body fatness is a critical determinant of species survival. 2:44: Its not the total number of calories thats important. Either: I believe the key to long-lasting weight control is to control the main hormone responsible, which is insulin. Dr. Ted Naiman answers this question. Every single physiologic process is a tight orchestration of hormonal signals. Dr. Fung's fasting course part 2: How do you maximize fat burning? You may need medicine in addition to fasting and low carb to help bring those numbers down from dangerous levels. So, the main problem of obesity is not necessarily the calories we eat, but how our bodies use them. Dr. Fung drinks tea daily. And the industry is filled with vile, repugnant charlatans who are willing to make any claim so long as it makes them money and builds their following. My friend is a weight-loss surgeon and has tried to sell me on gastric bypass. I cant tell you the number of people who have come to me from Fung or other people with similar views who tried so hard to cut carbs or fast as long as possible because they believed that was the only way to lose weight. High Carb Low Fat Diet: Low fat stored but low fat burned. Hormones can tell us we are hungry (ghrelin). Ginger, for example, has been demonstrated to help with appetite control, increase the thermic effect of food (minimal effect & the total area under the curve was not different from control), and digestion. I am not saying that hormones do not matter for weight loss. Effects of Time-Restricted Eating on Weight Loss and Other . 1 Nov. 2020.