Anorexia really is a deadly condition. I see a lot of refeeding syndrome patients on the elderly care ward. Sadly, these are the ones who have dementia, swallowing difficulties due to prior strokes, cancer or depression that means they either can’t physically eat or don’t have the appetite or will to do so. Pretty much the only thing we can do is replenish vitamins and electrolytes intravenously. Young and healthy people can recover. But for older patients who stop eating, it can be a much more serious scenario.
@@garrysekelli6776 Getting tired of the same old argument from you people, can't you change it up a bit? Like aliens or lizard people or something? Frankly it's getting boring.
Anyway, for OP: Unfortunately I see a lot of the same working in the emergency department, most frequently among elderly or terminally ill but not always. It's a very difficult thing to treat. Working on the elderly care ward sounds very taxing, so you have my admiration and I hope you're doing well in the recent healthcare climate.
I am recovering from an eating disorder, binge eating disorder and looking at intermittent fasting looks a whole lot like an eating disorder behavior, some studies have shown that people who do intermittent fasting are more likely to binge eat...it sets up a cycle and it's hard as feck to recover...
Important to acknowledge he is attacking the branding of fasting, which today seems to be turning into a game of telephone which went from "skip breakfast or lunch every now and then" to "just stop eating for days!"
Funny. I'm in political science, and have heard from sociologists that the pattern that you describe is basically how social media is wrecking democracy. Selling clicks by outdoing the competition in ever-more outrageous stories. I never would've expected the same to occur in diets. But, in retrospect, it's INSANELY logical - since both are based on online clicks.
Which works wonders to fix insulin resistance. Just look at everything Jason Fung has said, IF+Keto got me out of Obesity. It works. But do what you works for you
@@KillerofGods it helps fix insulin resistance but if your are very resistant, and fast and then suddenly eat a high glycemic food like bananas and pound your pancreas again, it will most likely put you in some serious condition.
A concern for folks fasting to lose or control their weight is that many go and do this alone without consulting with their doctors. Reasons to avoid fasting include an underlying health problem including liver diseases, diabetes, etc. And yes, it is too often a start to eating disorders. And yes again, malnutrtion. Starving oneself can easily be counter productive, and can cause longterm health issues long after the severe calorie restrictions.
@@MrNicoJac it’s the simple “more is better” mentality. I see it in political, religious and cultural circles as well as dietary. It’s usually a race to the bottom that defeats the original goal.
I fasted for 7 days, I had no idea refeeding syndrome could be lethal. I had a little yogurt and some fruit to break the fast, however, I let that settle in for 3 hours or so before I proceeded to gorge myself on pizza, cookies ice cream, etc for the remainder of the day. I got sweats, fatigue, dizzy spells and ultimately fell hard asleep. Be extremely careful when reintroducing foods after a prolonged fast.
@@desmondkarauna7320 That first meal after 7+days is intense. I don't know if it has something to do with your gut microbiome, and it finally being stimulated by something, but that meal gets you borderline high sometimes 😂 I get pretty euphoric, and then I'm bombarded by random, really strong emotions for a while. It's beautiful, a little reward for taking the journey. 👍
Hey. I've been really struggling with a restrictive ed relapse this year, and it's just really helpful, I guess, to hear you talk through this stuff. Thank you, Doctor.
@@maschwab63 Really think that is any advice for someone with a restrictive ED? Don't get me wrong, I'm a IF keto guy, but I do two meals a day, add carbs to the first meal if I want, and do one or two cheat days every week if I lose TOO MUCH weight... I consistently lose 1 kg per week. Now, if someone has a problem with too much restriction, maybe they shouldn't be on any diet, or just go on the standard american diet until they've regained a healthy weight and then go for healthy quality food without restriction or intermittent fasting to maintain that weight.
The first time I heard about refeeding syndrome was around the search and rescue the caved boys in northern Thailand because there was a discussion that they should not be given too much amount of food immediately after the rescue.
KC is exhibiting symptoms of hyperbananemia, 'hyper' meaning high, 'banan' referring to the 23 bananas she consumed, and 'emia' meaning presence in blood
Trying to force health never does good my gf mom is dead set on eating a stupid amount of blueberries and supplements the other day one of her husbands friends was over he said he lost 73 pounds and instead of listening to him she just repeated her bullkrap about supplements and other UA-cam videos. He just shut up because why bother. I don’t think she wants to be healthy
You're dead on about people randomly suggesting/talking about fasting for literally no reason. I've sadly had to explain to several people that fasting like that can be extremely dangerous for diabetics on medication because of the risk of hypoglycemia (for context, I have diabetes). They generally don't like hearing it, though, because as you said, these people are often already healthy and young and believe there's no reason it could be a danger to /anyone/ because it's not dangerous to /them/
would it surprise you to learn treatment for diabetics before insulin was fat and protein diet. That is where the sugar disease name comes from. They can't have sugar anymore.
It doesn't sound like you are open to it but you should look into Dr. Jason Fung. He has helped many people cure their type 2 diabetes through fasting. Of course you need to be careful about refeeding and also giving yourself the salt it needs during the fast, but for most people it isn't dangerous.
I’m an adult with ARFID and was hospitalized for it earlier this year. The treatment centers around me are geared towards eating disorders like anorexia, bulimia, & BED. They successfully got my weight up but didn’t focus on the harmful behaviors I had surrounding food because they simply didn’t know how to. They tried their best but I ended up experiencing refeeding edema after being released. I typically eat the same foods everyday and their isn’t much nutritional variety, I phased back to this disordered diet and my body could not handle it. At the peak of being full of fluid I weighed about 117, after 5 days it subsided and I was 114. I couldn’t walk for more than 15 minutes without my legs ballooning up. Thankfully I’ve added multivitamins and supplements drinks (ensure) to my diet to prevent this from happening again. Loved hearing you cover this topic
I appreciate the fact that you discuss these issues without judgement. Perhaps because of the fact that you have found yourself suffering from some lifestyle related health problems yourself. It's really easy to get into the mindset that there is an easy fix to things like weight-loss. Combining that with internet research, it's probably really common for people to get wrapped up doing extremely risky/unhealthy things and thinking they are doing well for themselves. Anyway, thank you for the non-judgemental medical discussions. They are extremely interesting.
In my own experience, I've seen the "intermittent fasting" branding devolve into disordered eating and body image issues in male friends. Take care of your bodies, everyone, but love yourselves, too.
Yes! It disproportionate affects my male friends or boyfriends. The fasting becomes all they can think about and they won't even grab an ice cream as a treat or go out for wings one night. Gym culture has affected our male friends in the wrong ways. We want our friends to meet their goals and be healthy and active, but being surrounded by hardcore gym bros turns daily gym visits into an obsession that consumes even their casual relationships. Men can develop eating disorders too.
Yeah men are not at all immune to disordered eating, exercise addiction, or full on eating disorders. and fasting is possibly the most dangerous thing you can do for risk of eating disorders.
All safty guidelines are written in blood. Every page a tombstone, every point a limb or life lost. We all too often don't read the safety information of the things we use, or research proper safety for the activities we partake in. But we really should. Great stuff as always! Keep up the fantastic work! :)
Speaking as someone whos done multiple fasts, 1-2 days, 3-7 days in length, 21 days and a 43 day fast, all with electrolytes/vitamins, I'm glad for this video in terms of recognizing the potential dangers (both short term and long term) of fasting and the care you have taken in researching this topic, there are so many disorders that can arise from fasting without micronutrient supplemental, even the longest fast ever done (382 days, angus barberi was supplemented with nutritional yeast, technically giving him protein and breaking his 'fast'). As with any sort of lifestyle/diet/routine, there has to be balance and the more informed you become on a subject, the better you will be able to mitigate possible side effects.
I was shocked by how much the body changes over the years. I expected aging and breaking down certain things but developing allergies you never had before?The way you exercise stops working for maintaining/losing weight? For some reason your body stops absorbing certain things as it once did? It is fascinating from a big picture view.
Fascinating and frustrating! Not only am I getting older but now I'm taking meds that make it hard to lose that visceral fat. And the 'rona wrecked my workout routine and my gut flora so I've had to go back to square one for everything. 40 hit me like a freight train, LOL.
Body changes can be good or bad. I've been on a low carb diet for 3 years (per medical advice) and have been on a 7 day 16:8 fast for the last 6 months (also per medical advice) . I stopped for about 6 months (again per medical advice) but was suggested to go back on to get my triglycerides back into normal levels. When I was younger and ate like a bear ready for hibernating, fasting like this would have been hard as hell. But now, in my 40s, I find it relatively easy and I find my mind is sharper right near the end of my fast. Get the right medical advice for your body and don't just follow fads. Doubly so as you get older. One thing that has changed for me is when I eat something that is somewhat sweet, I always get sleepy afterwards because my body, likely having been on a low carb diet for so long,
1. Probably should get sick more so your body doesn't try attacking itself. (Me, too. I have the same issue. I can't seem to catch viruses though.) 2. You've lost muscle mass because you have lower levels of hormones that build muscle, especially over 40. This drops you resting metabolism. You have to lift to replenish your muscle mass. 3. Too vague to know. The very old tend to stop absorbing many nutrients shortly before death as part of frailty syndrome. But that's not common for normal aging before a final decline.
Yeah, I’m 64 and in the last couple of years, I gained a lot of weight without changing anything. Now I’m low carbing and the next step is intermittent fasting. My allergies have changed, too. Some got better but I developed new ones. But I’ve always had an extreme cat allergy. Why can’t I grow out of that one?
I actually see a lot of this as a personal trainer. I had a client come to me on a "zero calorie" diet. She basically fasted for a few days and then ate a max of like 900 calories one day and then back to fasting. It was kinda scary.
How long did she last in the gym? I know for sure I can't do a third of my workout without a decent breakfast before (and time to digest it, duh). She's basically a car running on fumes.
Oh my! I used to be brilliant at fasting when I was a teen, as I was in an emotionally dysfunctional family setting, so I used anorexia to represent how unhappy I was. The lack of emotional support then made me use bulimia to release the stress. I remember having fasted for such a long time, then the stressful feeling made me need to do bulimia, so I started eating chocolate (let’s face it, nobody ever does bulimia with salad do they), and can you guess what happened!? After putting a little bit of chocolate in my mouth, had the most horrendous sensation come over my body, it was like all my veins were pulsating so hard with the most intense pain, then I felt loss of consciousness coming, I couldn’t stop it, and boom fell to the floor out cold. Oops.
You’re….. lucky to still be here. Refeeding syndrome is a killer!! I hope your relationship with food is more loving and healthy now💖 not ‘perfect’ but ‘functional’ I hope 💕 I’ve suffered from refeeding syndrome before too. I fasted for ages, then one night I was so hungry I just binged on lots of yummy food! An hour and a half later, I was in hyperthermia, felt like a knife was being stabbed into my skull, and I felt the consciousness slipping away. Next thing I knew I was on the floor in a pool of my own vomit 🤢 disgusting I know but…….. throwing up saved my life. It stopped the rest of the food’s sugars from being able to be absorbed and luckily I’m still here too. My grandmother thought I’d died at first, I felt SO GUILTY
as someone with chronic hypoglycemia (due to pcos) it's really scary when your sugar gets low and you don't realize it. it's even scarier when you don't have the opportunity to get anything to bring it back up, and you know you're gonna drop. please try to take care of yourself and keep signs of abnormal blood sugar in your mind
Had a 5 day fast in winter while working in a food warehouse full time, physical job, was not mentally in the right mind either. After 5 days decided to go to a shop, impulsively bought lots of sweets, ate them and started shivering and passed out (on a bed). Overall it was okay afterwards. Learnt that the time after the fast and how you're slowly introducing light foods over a period of time is way more important than the fast itself.
@@henrygobblesag1815 5 or more days of fasting requires extensive planning to reintroduce foods in your system as your body is in deep fasted state on that time. You have a more generous ways to break a fast on 1-3 days but can suffer a stomachache for a while though.
I’m a 40 yo male that was diagnosed with a hiatal hernia and 3 ulcers when I was 13 or 14. That mixed with other sicknesses in my life there have been times when I could not eat regularly, sometimes there were limited things I could eat, and some when I could not eat at all. I have always been over weight, and when these times would hit, I would notice when I could eat again, my stomach, (the actual stomach, not my belly) would shrink so it would take much less food to get me full. My weight would fluctuate, but I would stay in the same range. Around 10 years ago now, I decided my eating was getting to be to much so I shrank my stomach since I knew how. In those years I went from about 325 lbs down to between 195 and 205 lbs. when people would ask how I did it, I would tell them, but I also ALWAYS told them that I didn’t suggest what I did. I did check with doctors and got advice, but I knew instinctively that what I was doing would not be safe for everyone to do, and so I cautioned them not to do what I did without talking to their doctor. I love both of your channels and find every story interesting, my wife calls me a nerd because I mostly watch things that teach me something, (I watch my fair share of just entertainment too). I wanted to share my story with any who were willing to read all of this because this is something I hear about all the time, and it scares me to know people starve themselves to lose 5 or 10 lbs. thank you for your videos and I hope you continue to do so for a long time because you explain things in a way it’s easier to understand (like listening to Neil deGrasse Tyson talk about space), and you have helped me grasp medical topics that I apply to taking care of my elderly mother. Thank you so much and keep up the great work. I know I know tldr
My grandparents who starved during the portuguese fascist dictatorship of Salazar used to call refeeding syndrome as food wrongly _falling on top of the weakness_ .
@@JeninNH What do you need clarification, about the starvation about the Portuguese dictatorship from the 1940s to the 70s or the refeeding syndrome? There was starvation but people weren't dying on the streets, there was "just" a general subnutrition and scarce food production. Basically the country was isolated and poor, no external debt not much production too.
As a 19:5 faster (2-meal), it's definitely like walking a tight rope. You become super-sensitive to everything. Everything you eat has to be the right calorie balance or you risk the issues Chubbyemu goes over.. That said, I don't get sugar cravings and my sleep quality has been astounding.
Can you please share more about how you create a 19:5 schedule? And also how you ended up with that one? (cuz I'm guessing it wasn't the first version you tried, right?)
@@MrNicoJac I found that going to bed with an empty stomach has been hugely beneficial. I still eat 2K calories a day, mostly fat and protein, but I just stop eating at 3PM. As for the start time, that's more flexible.. but you'd be amazed what happens to your hunger when you get used to it so I usually dont get hungry in the morning til 9-10ish, waking up at 5 or 6.
@@DyceFreak Oh, that's interesting. I've noticed that I can postpone my hunger in the morning, but I basically cannot fall asleep on an empty stomach 😆
@@MrNicoJac Yea it's hard to put into words but for me it was like I was separating the hunger and empty stomach feelings so that they weren't always in sync. I've gotten used running on empty without serious hunger pangs or sugar cravings, but I am serious about refeeding though and eat a good amount of good quality meat, easily digested vegies and good fats from ghee/coconut oil/fresh olive oil and I am FULL as possible when I'm done.
@@MrNicoJac Start off doing a 12/12 and just slowly work your way up. Eat healthy and cut out sugar/junk carbs. Try to eat whole foods and not processed food.
I rem back in the late 70s "fasting" was called "crash dieting" and teen girls on afterschool specials were constantly doing it and fainting dramatically....
Thanks for all the information. You have really great way of laying things out in a way that the average joe can digest and use to exercise better/safer judgement in their decisions.
It's definitely important to watch nutrient levels. I managed to slowly develop anemia with no real change in my eating habits, over a 5-year period and finally got diagnosed earlier this year and put on iron supplements. And yes, the first thing I thought upon diagnosis was, "An-emia: A lack of blood in blood." XD
I have low iron too! They caught it before i had low blood in blood though. I don't eat a lot of iron rich foods so I'm wondering how often i need to take the supplements after the two months of taking them every second day to get the iron back to normal. I'm thinking maybe one week a month every second day for that week? I wonder. Doctors were just like "dude eat more iron rich food" but yeach
@@Barakon well the best quality animal liver you can find, I think chicken liver is worthy of being eaten certainly but I’d have to look it up to see how it compares nutritionally. Though as far as I know chickens are not ruminant (grass eating or grazing) animals but pastured is fine if you raise them yourself the more worms and animal foods that they eat and the less grains they eat the better. If you give them feed try to make sure the pellets or grain has no husks or meal (ground up) husks of grains as the husks contain anti-nutrients that can make the animals mineral deficient.
@@Sasha8pancakes I've heard of people feeding birds cornbread, but didn't think the husks would do worse than just not really provide anything to the animal.
As a T1D it’s definitely very interesting to hear the more in depth explanations on insulin as it pertains to this, but it’s also a good reminder to me, as someone with relatively disordered eating that I’m working on, that insulin isn’t the only thing I need to be worrying about :) thank you Dr. Chubbs!
i feel like you'd be fine if you don't have previous issues but eating 4000 calories of bananas in one sitting sounds like a great way to never be able to stomach bananas again
I tried intermittent fasting (the only eat 8 hours a day kind) for like a month and it left me feeling irritable and lightheaded on a daily basis. My body doesn't handle it well Currently, I'm on the nobody-stopped-by-on-Halloween-so-now-I-have-to-eat-the-three-bags-of-candy-I-bought-on-my-own diet. It's also not very good for my body
How you're eating leading up to the fast and then breaking the fast is as important as the fast itself. I do IF as well, and have been for a while. For my self, if I'm at a stage of getting lightheaded, I'm going to break my fast and just eat. Sticking to the fast for the sake of weight loss, at the expense of mental health isn't worth it.
I do 18/6 (so two meals) and I'm fine, but I do it in a semi-keto style way, meaning that the second meal is almost no-carbs so it doesn't spike my insulin. If I do have a carb rich second meal, I do experience exactly the same as you, and there would be now way I would go 18 hours without eating when feeling hypoglycemia kick in.
@@Shabbymannen Yes. I do it semi keto as well. Pretty much gave up things like rice white bread, pasta and other simple carbs. Been great for shedding fat.
@@AvoidTheCadaver For real. I used to be pretty fit and have a good metabolism, used to be about 80-90 kg. Then I got some bad eating habits and got hooked on energy drinks.. then the pandemic hit. Boom, I was 118 kg. With keto I lose about a kilo per week, I'm at 97 kg now. I can have some carbs in my first meal if I want, and a cheat meal and a coke about once a week, and still lose that kilo. It sure works!
Thanks for talking about all sides of the issue. It's really frustrating when people only say the good side or the bad side like everything is black and white. It's super frustrating and doesn't give the whole picture. I started keto to help my PTSD because I had absolutely awful night terrors and nothing was helping, it was a last ditch effort. It has actually helped a lot and the frequency of my night terrors dropped from almost nightly down to maybe once a month. I started it years ago and people would get really upset with me saying I was going to kill myself. It's not for everyone but it works for me and helps me manage my mental disabilities. I don't get why people think we all have to do the same thing or everything is one size fits all.
Thanks for the more detailed look here at cases you present on the main channel. I'll never be a doctor, but I'll always be curious about medicine, and this channel is great food for thought.
I’ve been a type 1 diabetic since 1970. Most days I eat one meal a day, occasionally two, and for the past year I’ve been nearly carnivore. My hemoglobin A1c has gone down from its usual 6.3% or so to around 4.9% for most of the past year. I’m still a bit overweight (lost 40 lbs. in the past year) but I’m not tempted to fast for longer than 23 hours or so. My doctor is okay with this: much of it is on his advice. My Mom had to take care of relatives who nearly starved during WW2, and she was instructed on how to avoid refeeding syndrome.
Yes YES, let people learn more internal medicine - I love this, I love the production quality, I love the narrative, thank you so much for this - keep posting dem gems Doc
I really enjoy this type of video. Don't get me wrong, I also love the Chubbyemu videos but they're a bit more analytical where as here you gave some more personal experiences and opinions.
The further I progress in med school the more interesting your videos become. Can't wait til next year's pathology course where I'm totally gonna binge chubbyemu and hemereview with my study group. Thanks for the awesome content!
I REALLY love these deeper dives! Not having the suspenseful music is more relaxing for nighttime listening when I'm winding down, and these feel like a light refresher for study topics I maybe haven't revisited in a while. Thanks so much!! 😁 10/10 definitely recommending to others
Clear and thorough discussion of a multi-faceted, complex topic; excellent analogies and examples help to clarify ideas. Well done, Dr Bernard; thx so much!
I have siblings who were in their mid 20s in 2001. it was in popular magazines where they picked it up. ideas like that are time-independent, if it has "phased out," it will come back
Why am I only now finding this channel! I’ve been watching chubby emu video’s for a year and am excited about the deeper context analyses I can find here:)
👏👏👏 Excellent presentation! Thank you for taking the time to take complex medicine topics and breaking them down for the layman! BTW, my grandfather served in the US Army Air Corps in the Pacific during WWII. On one island, they rescued American POW's. The Japanese had chained these prisoners to cave walls and they hadn't been fed in several months. Some were dead still chained. They sucked on the cave walls for water. My grandfather said that they carried these men down to the beach and set up cots for them. They were given orders that if any soldier or sailor gives any of their rations to these rescued POW's, you would be shot on sight. He said that a bomber landed and it was filled with watermelons. These melons were cut open and everyone was assigned a POW to feed watermelon juice by the spoonful. They could not eat the meat of the melon, per orders. Next, another bomber landed and these starved men were given water downed cream of mushroom soup. Finally, a Red Cross ship came and these men were carried aboard. My grandfather said it was the only time in his four years, two months, twelve days, he ever saw fresh fruit.
My nutritionist was very worried about refeeding syndrome: i have an eating disorder, subsequent to a roux en y. I'm deficient in all micro and macro nutrients. Everything you said is spot on. Chubbyemu, your videos remind me that I need to eat to build muscle, and just to not feel cold with the thermostat at 76F to 78F.
Your channels are brilliant. It's a surprise I didn't discover your wonderful work before, given my interests and other, less popular recommendations on UA-cam. Greatly appreciate your work.
This video really resonated with me. As a heavier person trying to take the riens on losing weight hearing all the anecdotes about IF really can screw up how it's supposed to work
I'm the opposite. I'm actually trying to gain weight from what was a far underweight scenario. (you wouldn't think 130lbs for a 5'6" male is unhealthy, but I tell you at 150lb right now, that 20lb makes a huge difference). I used to get colds every single year but since I gained the weight... I think since I hit 145lb one and a half years ago, I haven't gotten a cold or flu at all. Not during winter, and not even while I have ashma. Point I'm trying to make is, don't deliberately try to lose too much weight and do not take social media or the accepted norms for weight as any sort of fact. About 7 years ago I was borderline anorexic. This is when I was 116-ish pounds. Very unhealthy, I got sick every time I went out in mildly cold weather. In no small part due to my ashma but largely because I was borderline anorexic, without realizing it for about ten years. I didn't even realize it until one year, when they weighed me as part of an ashma check up and the nurse commented that if I was just a little lighter I'd be considered anorexic. There are a lot of considerations to be made when either gaining or losing weight because it affects your body is a big way. If you don't lose your weight in a safe and coordinated way you'll do serious harm to yourself. If you're serious about losing a lot of weight then talk with a nutritionist and a doctor, or at least a nutritionist. Together, they'll be able to guide you to do it safely.
I didn't eat for 14 days because of medical issues. To get back to health without triggering refeeding syndrome i started the first day by eating vegtable broth, second day bone and vegtable broth, third day fiberous breads with butter and salmon plus bone broth. If you ever go a long time without eating speak to a doctor that knows how to get you back to health without triggering refeeding syndrome.
There's nothing extreme about fasting for multiple days. Humans used to do it all the time during times of scarcity. Only nowadays where everyone is endlessly gorging all the time it sounds extreme and a "fad". Fasting isn't going away anywhere. There are massive benefits especially for prolonged fasting. Being stupid after doing a long fast doesn't mean fasting is bad.
In the UK, the majority of referring syndrome is actually managed by dietitians. We identify it, request prescriptions and personally manage the calorie increase to prevent it from occurring! Not sure if it’s different in the US, it sounds like medics manage it mostly :-)
No one manages it here. I’ve been trying to find help and the medics send you to the emergency room and the emergency room sends you back to your doctor and dietitians usually also say see the doctor. It’s insane…
Great video. I hope people see this video, and learn how to save themselves from harm from fasting/ starving methods for weight loss/weight management.
Thanks for posting this video. As an RN, I totally agree with these fad diets. There is nothing new under the sun. Seems lots of variations of the Atkinson diet. The grapefruit and egg diet, the cabbage soup diet. The no carb diets, and no fat diets, all have been around before. Fat and carbs are essential for your body. I had a young female patient that was told by a friend, use your regular insulin, then go jogging before breakfast to lose fat faster. NO! Her Mom found her crawling up the stars to the backdoor, unable to stand due to extreme hypoglycemia. She could have died if her mom had not found her. Another patient was told during a P90-X class, she could not drink water. She nearly passed out. Glad she called to the office. She questioned the exercise instructor and he became angry that she questioned his intellect and she was out of line. She walked away and found a legitimate instructor. And there are those that think because they lost weight, that they are qualified to tell others what to do. Check with your doctor before you start an exercise program, to be safe. When you find an exercise teacher, if they neglect to ask about your physical and medical needs, walk away. Check for credentials. Be careful. Take care. Great posting Doctor Bernard. Forward this as is applicable to those you care about. Check out Chubby Emu if you have not already, it is awesome too.
As someone who struggles with this, i completely understand the binge/refeeding eating style. When I was really bad, I'd throw it up after. But that only was a week because i quickly became too exhausted and also i have no tonsils or adenoids and it'd come out my nose- anyways!! It's such an addictive lifestyle to get into, with the feeling of hunger being equated to a good thing It's just sick how many people prey on this sort of thing I eventually got it all in reign again, with doing it healthy and re-entering into eating well
Intermittent fasting is a life changer in my experience, felt healthy and not like I was eating like a "fad" diet, managed to get from 165kg to now 80kg, now I eat healthier and don't have the same appetite as I used to. Was way easier than I ever thought, it took a few weeks to adjust to 16-8/18-6 but after that it became completely habit. I think it works best for habitual snackers, if you find yourself eating randomly and throughout the day setting a window where you can eat managed this really really well. It doesn't even have to be strict, but just making yourself aware of the time of your eating is (in my experience) a really good way to force your brain into thinking about your calorie intake.
@Nothen Can you elaborate on the 16-8/18-6 part? Do you start with 16-8 and build up to 18-6? Also, what worked best for you? Skipping dinner or breakfast? I'm in college and have found that I can't really do intermittent fasting, because my mood and concentration just dips too hard. But now I'm sorta having fast-light days and normal days, and I'm losing weight in a sort of staircase-steps. As long as it keeps me sane and functional and heading in the right direction, I'll take it! 😂👍🏼
intermittent fasting has helped me a ton with GI problems like GERD and IBS. it helped more than any medication i’ve ever taken for it and i think i’ll do it for the rest of my life as long as it’s healthy for me to do so
I agree with you that refeeding is a LOT more common than people might think. I work in the biochemistry labs at my hospital and there are always multiple patients with signs of refeeding syndrome on their bloodwork. They're a very diverse group too, you see cases coming from all over the hospital. It certainly does seem like it complicates matters for the clinicians, especially when it's in the renal patients whose electrolytes are already out of whack and hard to manage
Well, I fasted a month, but I was overweight and took vitamins but without a doctor, that was stupid, but I was lucky and it went well. Lost 20 kg / 44 lbs in that month. And I started my first day eating again with 3 leafs of spinach. No Joke. And slowly worked my way back up. After that I started eating again, but healthy. No added sugar and no produced carbohydrates at all. And over the next 2-3 months I lost another 30 kg / 66 lbs. Then I was at the point where, if I lost anymore weight I would be underweight. So I started eating "normally" again. And I stayed at this weight for 2 years. Then corona hit, and i gained some of that weight again. But now I know how dangerous that was. And I would never do it again without a doctor. Best plan of action is just to cut added sugar and produced carbohydrates (like pasta) out of your diet if you want to loose weight. Try meat with vegetables. Who could have known that eating healthy is healthy. 🙃
When i was in the hospital for my ED they took my blood either once or twice per day for almost TWO WEEKS LMAO. They nearly ran out of spots- taken from my arms, hands, and above my elbow once which hurt badddddd but they really had to make sure i didnt get refeeding syndrome while uh, well, refeeding me
I'm 63 very fit and been doing a 18-6 intermittent fasting for almost 3mth, I eat only at 12 noon and at 5pm energy dense and rich in macro nutrients (avocado, wild salmon, eggs, lots of organic green vegetables, buckwheat, turkey and nuts etc) all unprocessed and organic, gave up all dairy, I also excercise and plenty of good sleep...I cannot recognise my old self my health is 100% better and no pain or inflammation, I strongly recommend intermittent fasting.
Doctors are not certified nutritionalists. I have never met a single Doctor in my life that was an expert on preventive care, diet, nutrition or women's health. Just know the answer is in what you eat.
To treat hypoglycemia, have the patient consume 1 oz coconut oil per day, I. E. Bulletproof coffee for breakfast. 1 oz coconut oil, 1 oz butter, 8-10 oz coffee, blend. Breakfast substitute. Coconut oil contains MCT (Medium Chain Triglycerides). Absorbed quickly and liver converts to Ketones. Your body will start to use the Ketones without have to go into Ketosis / Hypoglycemia. After a week or two they should be able to tolerate reduced carb intake.
Hey chubby, can you do a video on why African American men don’t react well to ace inhibitors and may benefit better from a longer calcium channel blocker? I know it’s kind of cardio question but you seem to be the SME lol, I work in a clinic as a army medic and my provider told me to find out for my own knowledge as a kind of homework.
The first sign when I have low blood sugar I start having difficulty in reading. It's really annoying cause I'll have an episode a few hours after eating a pretty big meal.
Fasting for 3 days or so regenerates everything, the mitochondria revives and renews itself and every cell. The brain makes new neurons during prolonged fasting. The brain's preferred energy is from keytosis not just from glucose.
You're over here talking about a BMI of 14 and 705 of ideal bodyweight. I'm over here feeling skinny and lean at a BMI of 28.5 and 123% of my "ideal" bodyweight. I can be obese by BMI and be healthy because I have le epic muskels!💪😎
This made me realize I am SO lucky I survived my E.D. I had NO IDEA how much danger I was in... I had no idea how much I hurt my body... I had no idea ... I am so gratefu; I'm alive right now
Thanks for this. I've been wondering how I should start eating again after fasting. (Diets didn't work. Exercise made me bigger instead of helping) So I appreciate this video. My doctor is extremely unhelpful, but so was the last one. I've given up on them. I have problems they refuse to address. I don't want to be obese. It's not me and it makes me depressed.
As a lifelong type 1 diabetic, I can 110% confirm hyperglycemia is "more preferable" than hypoglycemia. I've been in 2 diabetic comas from extreme hypoglycemic episodes, never from hyperglycemic episodes (even upwards of 600 mg/dL) And yes I'm very well aware of the dangers of hyperglycemia (hello, lifelong T1D), but I'd prefer a slight elevation to my blood sugar than a lower one if either event had to occur.
yeah I got told by bloodwork that something was wrong with my liver and I got told I needed more Vitamin E, but the multivitamins for some reason had 10 times the amount of vitamin E I needed in a day. I switched to oneaday instead as a way to make sure I'm not getting deficient in vitamins.
🍌🍌🍌
🍌
🍌banbana🍌
🍌anamorphic lens🍌: Heme Review goes cinematic!
Certified banana person
Your skin looks much better now. How do you account for that?
Anorexia really is a deadly condition. I see a lot of refeeding syndrome patients on the elderly care ward. Sadly, these are the ones who have dementia, swallowing difficulties due to prior strokes, cancer or depression that means they either can’t physically eat or don’t have the appetite or will to do so. Pretty much the only thing we can do is replenish vitamins and electrolytes intravenously. Young and healthy people can recover. But for older patients who stop eating, it can be a much more serious scenario.
That's how they get free covid death statistics.
It’s so scary because in order to recover, you have to make decisions using a brain that is ill with said illness. Horrifying.
@@garrysekelli6776 Getting tired of the same old argument from you people, can't you change it up a bit? Like aliens or lizard people or something? Frankly it's getting boring.
Anyway, for OP: Unfortunately I see a lot of the same working in the emergency department, most frequently among elderly or terminally ill but not always. It's a very difficult thing to treat. Working on the elderly care ward sounds very taxing, so you have my admiration and I hope you're doing well in the recent healthcare climate.
I am recovering from an eating disorder, binge eating disorder and looking at intermittent fasting looks a whole lot like an eating disorder behavior, some studies have shown that people who do intermittent fasting are more likely to binge eat...it sets up a cycle and it's hard as feck to recover...
Important to acknowledge he is attacking the branding of fasting, which today seems to be turning into a game of telephone which went from "skip breakfast or lunch every now and then" to "just stop eating for days!"
Funny.
I'm in political science, and have heard from sociologists that the pattern that you describe is basically how social media is wrecking democracy.
Selling clicks by outdoing the competition in ever-more outrageous stories.
I never would've expected the same to occur in diets.
But, in retrospect, it's INSANELY logical - since both are based on online clicks.
Which works wonders to fix insulin resistance.
Just look at everything Jason Fung has said, IF+Keto got me out of Obesity. It works.
But do what you works for you
@@KillerofGods it helps fix insulin resistance but if your are very resistant, and fast and then suddenly eat a high glycemic food like bananas and pound your pancreas again, it will most likely put you in some serious condition.
A concern for folks fasting to lose or control their weight is that many go and do this alone without consulting with their doctors. Reasons to avoid fasting include an underlying health problem including liver diseases, diabetes, etc. And yes, it is too often a start to eating disorders. And yes again, malnutrtion. Starving oneself can easily be counter productive, and can cause longterm health issues long after the severe calorie restrictions.
@@MrNicoJac it’s the simple “more is better” mentality. I see it in political, religious and cultural circles as well as dietary. It’s usually a race to the bottom that defeats the original goal.
I fasted for 7 days, I had no idea refeeding syndrome could be lethal. I had a little yogurt and some fruit to break the fast, however, I let that settle in for 3 hours or so before I proceeded to gorge myself on pizza, cookies ice cream, etc for the remainder of the day. I got sweats, fatigue, dizzy spells and ultimately fell hard asleep. Be extremely careful when reintroducing foods after a prolonged fast.
You also undid your entire fast lol
@@darcipeeps I’m doing wonderful, thank you for your concern. 😌 I hope you took something from my mistake and don’t make the same one. 👍
hey next time drink electrolyte mix (snake juice) during the fast
I'm currently on a 9 day fast 7days in a look forward to a smoothie and soup and take it slow it get out of the fast
@@desmondkarauna7320 That first meal after 7+days is intense. I don't know if it has something to do with your gut microbiome, and it finally being stimulated by something, but that meal gets you borderline high sometimes 😂 I get pretty euphoric, and then I'm bombarded by random, really strong emotions for a while. It's beautiful, a little reward for taking the journey. 👍
i don’t think you should ever eat 23 bananas in the same sitting
Sounds like a porn stars Diet
Think Freelee the Banana Girl
Else you’ll be shitting
And who has 23 bananas lying around the kitchen, anyway?
Check out Doug Graham what I eat in a day
Surprise Heme Review is the _best_ Heme Review!
What about when Alex Jones mentioned en cephal opathies back in 2013 and noone noticed?
Hey. I've been really struggling with a restrictive ed relapse this year, and it's just really helpful, I guess, to hear you talk through this stuff. Thank you, Doctor.
You got this! You are deserving of love and nourishment
EDs are hell, as someone who's going through it too, yeah it was really helpful to hear
One large meal a day, 20+ hour fast.
@@maschwab63 Really think that is any advice for someone with a restrictive ED? Don't get me wrong, I'm a IF keto guy, but I do two meals a day, add carbs to the first meal if I want, and do one or two cheat days every week if I lose TOO MUCH weight... I consistently lose 1 kg per week. Now, if someone has a problem with too much restriction, maybe they shouldn't be on any diet, or just go on the standard american diet until they've regained a healthy weight and then go for healthy quality food without restriction or intermittent fasting to maintain that weight.
I hope You are doing well still,OP❤
The first time I heard about refeeding syndrome was around the search and rescue the caved boys in northern Thailand because there was a discussion that they should not be given too much amount of food immediately after the rescue.
KC is exhibiting symptoms of hyperbananemia, 'hyper' meaning high, 'banan' referring to the 23 bananas she consumed, and 'emia' meaning presence in blood
hyperkalemia
A true fan.
Lmao
@@TurbopropPuppy yeah probably since bananas are known for high potassium approx 400 mg
Trying to force health never does good my gf mom is dead set on eating a stupid amount of blueberries and supplements the other day one of her husbands friends was over he said he lost 73 pounds and instead of listening to him she just repeated her bullkrap about supplements and other UA-cam videos. He just shut up because why bother. I don’t think she wants to be healthy
the mitochondria is the powerhouse of the cell
Epstein didn’t kill himself
You're dead on about people randomly suggesting/talking about fasting for literally no reason. I've sadly had to explain to several people that fasting like that can be extremely dangerous for diabetics on medication because of the risk of hypoglycemia (for context, I have diabetes). They generally don't like hearing it, though, because as you said, these people are often already healthy and young and believe there's no reason it could be a danger to /anyone/ because it's not dangerous to /them/
would it surprise you to learn treatment for diabetics before insulin was fat and protein diet. That is where the sugar disease name comes from. They can't have sugar anymore.
It doesn't sound like you are open to it but you should look into Dr. Jason Fung. He has helped many people cure their type 2 diabetes through fasting.
Of course you need to be careful about refeeding and also giving yourself the salt it needs during the fast, but for most people it isn't dangerous.
@@mgntstr stop with the carnivore nonsense
I’m an adult with ARFID and was hospitalized for it earlier this year. The treatment centers around me are geared towards eating disorders like anorexia, bulimia, & BED. They successfully got my weight up but didn’t focus on the harmful behaviors I had surrounding food because they simply didn’t know how to. They tried their best but I ended up experiencing refeeding edema after being released. I typically eat the same foods everyday and their isn’t much nutritional variety, I phased back to this disordered diet and my body could not handle it. At the peak of being full of fluid I weighed about 117, after 5 days it subsided and I was 114. I couldn’t walk for more than 15 minutes without my legs ballooning up. Thankfully I’ve added multivitamins and supplements drinks (ensure) to my diet to prevent this from happening again. Loved hearing you cover this topic
I appreciate the fact that you discuss these issues without judgement. Perhaps because of the fact that you have found yourself suffering from some lifestyle related health problems yourself. It's really easy to get into the mindset that there is an easy fix to things like weight-loss. Combining that with internet research, it's probably really common for people to get wrapped up doing extremely risky/unhealthy things and thinking they are doing well for themselves. Anyway, thank you for the non-judgemental medical discussions. They are extremely interesting.
In my own experience, I've seen the "intermittent fasting" branding devolve into disordered eating and body image issues in male friends. Take care of your bodies, everyone, but love yourselves, too.
the whole "fitness" industry is just masking eating disorders.
@@darklight6921 that kinda just sounds like an excuse for be unfit bro not gonna lie
All the fitness industry has ever told me is to hit my macros
Yes! It disproportionate affects my male friends or boyfriends. The fasting becomes all they can think about and they won't even grab an ice cream as a treat or go out for wings one night. Gym culture has affected our male friends in the wrong ways. We want our friends to meet their goals and be healthy and active, but being surrounded by hardcore gym bros turns daily gym visits into an obsession that consumes even their casual relationships. Men can develop eating disorders too.
Yeah men are not at all immune to disordered eating, exercise addiction, or full on eating disorders. and fasting is possibly the most dangerous thing you can do for risk of eating disorders.
@@AgentK83now it’s all CICO max protein nothing else
The large white stripes in the x ray in the thumbnail image? Those are bananas
All safty guidelines are written in blood. Every page a tombstone, every point a limb or life lost. We all too often don't read the safety information of the things we use, or research proper safety for the activities we partake in. But we really should.
Great stuff as always! Keep up the fantastic work! :)
Speaking as someone whos done multiple fasts, 1-2 days, 3-7 days in length, 21 days and a 43 day fast, all with electrolytes/vitamins, I'm glad for this video in terms of recognizing the potential dangers (both short term and long term) of fasting and the care you have taken in researching this topic, there are so many disorders that can arise from fasting without micronutrient supplemental, even the longest fast ever done (382 days, angus barberi was supplemented with nutritional yeast, technically giving him protein and breaking his 'fast').
As with any sort of lifestyle/diet/routine, there has to be balance and the more informed you become on a subject, the better you will be able to mitigate possible side effects.
I was shocked by how much the body changes over the years. I expected aging and breaking down certain things but developing allergies you never had before?The way you exercise stops working for maintaining/losing weight? For some reason your body stops absorbing certain things as it once did?
It is fascinating from a big picture view.
Fascinating and frustrating! Not only am I getting older but now I'm taking meds that make it hard to lose that visceral fat. And the 'rona wrecked my workout routine and my gut flora so I've had to go back to square one for everything. 40 hit me like a freight train, LOL.
Body changes can be good or bad.
I've been on a low carb diet for 3 years (per medical advice) and have been on a 7 day 16:8 fast for the last 6 months (also per medical advice) . I stopped for about 6 months (again per medical advice) but was suggested to go back on to get my triglycerides back into normal levels.
When I was younger and ate like a bear ready for hibernating, fasting like this would have been hard as hell. But now, in my 40s, I find it relatively easy and I find my mind is sharper right near the end of my fast.
Get the right medical advice for your body and don't just follow fads. Doubly so as you get older.
One thing that has changed for me is when I eat something that is somewhat sweet, I always get sleepy afterwards because my body, likely having been on a low carb diet for so long,
1. Probably should get sick more so your body doesn't try attacking itself. (Me, too. I have the same issue. I can't seem to catch viruses though.)
2. You've lost muscle mass because you have lower levels of hormones that build muscle, especially over 40. This drops you resting metabolism. You have to lift to replenish your muscle mass.
3. Too vague to know. The very old tend to stop absorbing many nutrients shortly before death as part of frailty syndrome. But that's not common for normal aging before a final decline.
Yup. Last year I developed a mild lactose intolerance. I can't have milk, yoghurt, ice cream or latte outside anymore.
Yeah, I’m 64 and in the last couple of years, I gained a lot of weight without changing anything. Now I’m low carbing and the next step is intermittent fasting.
My allergies have changed, too. Some got better but I developed new ones. But I’ve always had an extreme cat allergy. Why can’t I grow out of that one?
I actually see a lot of this as a personal trainer. I had a client come to me on a "zero calorie" diet. She basically fasted for a few days and then ate a max of like 900 calories one day and then back to fasting. It was kinda scary.
Hopefully she'll listen to her trainer and get some calories in! Can't exercise on no energy.
That's not a diet, that's an eating disorder
How long did she last in the gym? I know for sure I can't do a third of my workout without a decent breakfast before (and time to digest it, duh). She's basically a car running on fumes.
@@questgivercyradis8462 Yeah she's doing better now
@@lyravain6304 At first not well. Once she started eating more she saw a lot more progress.
Oh my! I used to be brilliant at fasting when I was a teen, as I was in an emotionally dysfunctional family setting, so I used anorexia to represent how unhappy I was. The lack of emotional support then made me use bulimia to release the stress. I remember having fasted for such a long time, then the stressful feeling made me need to do bulimia, so I started eating chocolate (let’s face it, nobody ever does bulimia with salad do they), and can you guess what happened!? After putting a little bit of chocolate in my mouth, had the most horrendous sensation come over my body, it was like all my veins were pulsating so hard with the most intense pain, then I felt loss of consciousness coming, I couldn’t stop it, and boom fell to the floor out cold. Oops.
You’re….. lucky to still be here. Refeeding syndrome is a killer!! I hope your relationship with food is more loving and healthy now💖 not ‘perfect’ but ‘functional’ I hope 💕 I’ve suffered from refeeding syndrome before too. I fasted for ages, then one night I was so hungry I just binged on lots of yummy food! An hour and a half later, I was in hyperthermia, felt like a knife was being stabbed into my skull, and I felt the consciousness slipping away. Next thing I knew I was on the floor in a pool of my own vomit 🤢 disgusting I know but…….. throwing up saved my life. It stopped the rest of the food’s sugars from being able to be absorbed and luckily I’m still here too. My grandmother thought I’d died at first, I felt SO GUILTY
@@mommywithnokidssshope you are doing better now
I’m a student nurse and love both your channels. Thank you!
as someone with chronic hypoglycemia (due to pcos) it's really scary when your sugar gets low and you don't realize it. it's even scarier when you don't have the opportunity to get anything to bring it back up, and you know you're gonna drop. please try to take care of yourself and keep signs of abnormal blood sugar in your mind
Had a 5 day fast in winter while working in a food warehouse full time, physical job, was not mentally in the right mind either. After 5 days decided to go to a shop, impulsively bought lots of sweets, ate them and started shivering and passed out (on a bed). Overall it was okay afterwards. Learnt that the time after the fast and how you're slowly introducing light foods over a period of time is way more important than the fast itself.
How is it more important? Just curious. Broke my last fast which a bunch of pizza. Was only 40 hours though
@@henrygobblesag1815 5 or more days of fasting requires extensive planning to reintroduce foods in your system as your body is in deep fasted state on that time. You have a more generous ways to break a fast on 1-3 days but can suffer a stomachache for a while though.
@@henrygobblesag1815 40 hours is not a long fast really.
I’m a 40 yo male that was diagnosed with a hiatal hernia and 3 ulcers when I was 13 or 14. That mixed with other sicknesses in my life there have been times when I could not eat regularly, sometimes there were limited things I could eat, and some when I could not eat at all. I have always been over weight, and when these times would hit, I would notice when I could eat again, my stomach, (the actual stomach, not my belly) would shrink so it would take much less food to get me full. My weight would fluctuate, but I would stay in the same range. Around 10 years ago now, I decided my eating was getting to be to much so I shrank my stomach since I knew how. In those years I went from about 325 lbs down to between 195 and 205 lbs. when people would ask how I did it, I would tell them, but I also ALWAYS told them that I didn’t suggest what I did. I did check with doctors and got advice, but I knew instinctively that what I was doing would not be safe for everyone to do, and so I cautioned them not to do what I did without talking to their doctor. I love both of your channels and find every story interesting, my wife calls me a nerd because I mostly watch things that teach me something, (I watch my fair share of just entertainment too). I wanted to share my story with any who were willing to read all of this because this is something I hear about all the time, and it scares me to know people starve themselves to lose 5 or 10 lbs. thank you for your videos and I hope you continue to do so for a long time because you explain things in a way it’s easier to understand (like listening to Neil deGrasse Tyson talk about space), and you have helped me grasp medical topics that I apply to taking care of my elderly mother. Thank you so much and keep up the great work. I know I know tldr
Shill degrasse lie-son
My grandparents who starved during the portuguese fascist dictatorship of Salazar used to call refeeding syndrome as food wrongly _falling on top of the weakness_ .
Can you please explain this more?
@@JeninNH What do you need clarification, about the starvation about the Portuguese dictatorship from the 1940s to the 70s or the refeeding syndrome?
There was starvation but people weren't dying on the streets, there was "just" a general subnutrition and scarce food production. Basically the country was isolated and poor, no external debt not much production too.
@@Humongous_Pig_Benis I just don't understand your comment. It doesn't make much sense.
@@JeninNH I asked you what you needed clarification, so now I can only reply Whatever...
As a 19:5 faster (2-meal), it's definitely like walking a tight rope. You become super-sensitive to everything. Everything you eat has to be the right calorie balance or you risk the issues Chubbyemu goes over.. That said, I don't get sugar cravings and my sleep quality has been astounding.
Can you please share more about how you create a 19:5 schedule?
And also how you ended up with that one? (cuz I'm guessing it wasn't the first version you tried, right?)
@@MrNicoJac I found that going to bed with an empty stomach has been hugely beneficial. I still eat 2K calories a day, mostly fat and protein, but I just stop eating at 3PM. As for the start time, that's more flexible.. but you'd be amazed what happens to your hunger when you get used to it so I usually dont get hungry in the morning til 9-10ish, waking up at 5 or 6.
@@DyceFreak
Oh, that's interesting.
I've noticed that I can postpone my hunger in the morning, but I basically cannot fall asleep on an empty stomach 😆
@@MrNicoJac Yea it's hard to put into words but for me it was like I was separating the hunger and empty stomach feelings so that they weren't always in sync. I've gotten used running on empty without serious hunger pangs or sugar cravings, but I am serious about refeeding though and eat a good amount of good quality meat, easily digested vegies and good fats from ghee/coconut oil/fresh olive oil and I am FULL as possible when I'm done.
@@MrNicoJac Start off doing a 12/12 and just slowly work your way up.
Eat healthy and cut out sugar/junk carbs.
Try to eat whole foods and not processed food.
Thank you doc,
Keep doing what you do, you are truly motivating especially as I am currently studying for my biochem. degree.
I rem back in the late 70s "fasting" was called "crash dieting" and teen girls on afterschool specials were constantly doing it and fainting dramatically....
Thanks for all the information. You have really great way of laying things out in a way that the average joe can digest and use to exercise better/safer judgement in their decisions.
It's definitely important to watch nutrient levels. I managed to slowly develop anemia with no real change in my eating habits, over a 5-year period and finally got diagnosed earlier this year and put on iron supplements. And yes, the first thing I thought upon diagnosis was, "An-emia: A lack of blood in blood." XD
I have low iron too! They caught it before i had low blood in blood though. I don't eat a lot of iron rich foods so I'm wondering how often i need to take the supplements after the two months of taking them every second day to get the iron back to normal.
I'm thinking maybe one week a month every second day for that week? I wonder.
Doctors were just like "dude eat more iron rich food" but yeach
@@therabbithat grass fed beef liver
@@Sasha8pancakes grass fed chicken hearts too?
@@Barakon well the best quality animal liver you can find, I think chicken liver is worthy of being eaten certainly but I’d have to look it up to see how it compares nutritionally. Though as far as I know chickens are not ruminant (grass eating or grazing) animals but pastured is fine if you raise them yourself the more worms and animal foods that they eat and the less grains they eat the better. If you give them feed try to make sure the pellets or grain has no husks or meal (ground up) husks of grains as the husks contain anti-nutrients that can make the animals mineral deficient.
@@Sasha8pancakes I've heard of people feeding birds cornbread, but didn't think the husks would do worse than just not really provide anything to the animal.
As a T1D it’s definitely very interesting to hear the more in depth explanations on insulin as it pertains to this, but it’s also a good reminder to me, as someone with relatively disordered eating that I’m working on, that insulin isn’t the only thing I need to be worrying about :) thank you Dr. Chubbs!
23 bananas seems like it'd cause problems normally, let alone after a fast. I don't know about too much potassium issues, but that's a lot of sugar.
Exactly what I was thinking! You'd feel terrible eating 23 bananas when not fasted at all!
"Sugar" 😂😂
@@v-sig2389 What?
i feel like you'd be fine if you don't have previous issues but eating 4000 calories of bananas in one sitting sounds like a great way to never be able to stomach bananas again
@@jauume 2300 calories
I tried intermittent fasting (the only eat 8 hours a day kind) for like a month and it left me feeling irritable and lightheaded on a daily basis. My body doesn't handle it well
Currently, I'm on the nobody-stopped-by-on-Halloween-so-now-I-have-to-eat-the-three-bags-of-candy-I-bought-on-my-own diet. It's also not very good for my body
How you're eating leading up to the fast and then breaking the fast is as important as the fast itself.
I do IF as well, and have been for a while. For my self, if I'm at a stage of getting lightheaded, I'm going to break my fast and just eat. Sticking to the fast for the sake of weight loss, at the expense of mental health isn't worth it.
I do 18/6 (so two meals) and I'm fine, but I do it in a semi-keto style way, meaning that the second meal is almost no-carbs so it doesn't spike my insulin. If I do have a carb rich second meal, I do experience exactly the same as you, and there would be now way I would go 18 hours without eating when feeling hypoglycemia kick in.
@@Shabbymannen
Yes. I do it semi keto as well. Pretty much gave up things like rice white bread, pasta and other simple carbs.
Been great for shedding fat.
@@AvoidTheCadaver For real. I used to be pretty fit and have a good metabolism, used to be about 80-90 kg. Then I got some bad eating habits and got hooked on energy drinks.. then the pandemic hit. Boom, I was 118 kg. With keto I lose about a kilo per week, I'm at 97 kg now. I can have some carbs in my first meal if I want, and a cheat meal and a coke about once a week, and still lose that kilo. It sure works!
Yeah my life got way better when i started making myself eat breakfast.!
When I look around Walmart, not enough people are fasting.
Thanks Lord Emu :')
Thanks for talking about all sides of the issue. It's really frustrating when people only say the good side or the bad side like everything is black and white. It's super frustrating and doesn't give the whole picture.
I started keto to help my PTSD because I had absolutely awful night terrors and nothing was helping, it was a last ditch effort. It has actually helped a lot and the frequency of my night terrors dropped from almost nightly down to maybe once a month. I started it years ago and people would get really upset with me saying I was going to kill myself. It's not for everyone but it works for me and helps me manage my mental disabilities. I don't get why people think we all have to do the same thing or everything is one size fits all.
Thanks for the more detailed look here at cases you present on the main channel. I'll never be a doctor, but I'll always be curious about medicine, and this channel is great food for thought.
I’ve been a type 1 diabetic since 1970. Most days I eat one meal a day, occasionally two, and for the past year I’ve been nearly carnivore. My hemoglobin A1c has gone down from its usual 6.3% or so to around 4.9% for most of the past year. I’m still a bit overweight (lost 40 lbs. in the past year) but I’m not tempted to fast for longer than 23 hours or so.
My doctor is okay with this: much of it is on his advice.
My Mom had to take care of relatives who nearly starved during WW2, and she was instructed on how to avoid refeeding syndrome.
Yes YES, let people learn more internal medicine - I love this, I love the production quality, I love the narrative, thank you so much for this - keep posting dem gems Doc
I really enjoy this type of video. Don't get me wrong, I also love the Chubbyemu videos but they're a bit more analytical where as here you gave some more personal experiences and opinions.
Its safer to slowly extend the fasting time rather than doing a long fast when your body isnt used to it.
The way of Breaking the fast is just as important as the fast...especially when you're on the longer fasts.
I've been watching a lot of gem cutting videos and every time CE says "fasting" I hear it as "faceting" and get confused for a second.
The further I progress in med school the more interesting your videos become. Can't wait til next year's pathology course where I'm totally gonna binge chubbyemu and hemereview with my study group. Thanks for the awesome content!
Thanks
thank you!
I REALLY love these deeper dives! Not having the suspenseful music is more relaxing for nighttime listening when I'm winding down, and these feel like a light refresher for study topics I maybe haven't revisited in a while. Thanks so much!! 😁 10/10 definitely recommending to others
Not gonna lie I actually like this more in depth video compared to the normal chubby Emu video. Good work definitely glad I'm subbed here too.
Clear and thorough discussion of a multi-faceted, complex topic; excellent analogies and examples help to clarify ideas. Well done, Dr Bernard; thx so much!
💖💖💖🙏!!
The 1 dislike is the 24th banana that couldn't be featured in this video😔
Oh I didn't know the multiple small meals a day thing was that outdated
I have siblings who were in their mid 20s in 2001. it was in popular magazines where they picked it up. ideas like that are time-independent, if it has "phased out," it will come back
Why am I only now finding this channel! I’ve been watching chubby emu video’s for a year and am excited about the deeper context analyses I can find here:)
Very off-topic, but what sailing painting is that behind you? I really dig it
I dont know the name of it, will need to find it, but it is a new addition to my backdrop and house now
It's the uss constitution off of Portland Maine.
Yes, this space makes a nice setting for the episode.
That caught my eye too
💖💖💖!!
👏👏👏 Excellent presentation! Thank you for taking the time to take complex medicine topics and breaking them down for the layman!
BTW, my grandfather served in the US Army Air Corps in the Pacific during WWII. On one island, they rescued American POW's. The Japanese had chained these prisoners to cave walls and they hadn't been fed in several months. Some were dead still chained. They sucked on the cave walls for water. My grandfather said that they carried these men down to the beach and set up cots for them. They were given orders that if any soldier or sailor gives any of their rations to these rescued POW's, you would be shot on sight. He said that a bomber landed and it was filled with watermelons. These melons were cut open and everyone was assigned a POW to feed watermelon juice by the spoonful. They could not eat the meat of the melon, per orders. Next, another bomber landed and these starved men were given water downed cream of mushroom soup. Finally, a Red Cross ship came and these men were carried aboard. My grandfather said it was the only time in his four years, two months, twelve days, he ever saw fresh fruit.
What a valuable and informative story. Thank you for sharing a part of your grandfather’s legacy with us.
My nutritionist was very worried about refeeding syndrome: i have an eating disorder, subsequent to a roux en y. I'm deficient in all micro and macro nutrients. Everything you said is spot on. Chubbyemu, your videos remind me that I need to eat to build muscle, and just to not feel cold with the thermostat at 76F to 78F.
Your channels are brilliant. It's a surprise I didn't discover your wonderful work before, given my interests and other, less popular recommendations on UA-cam. Greatly appreciate your work.
This video really resonated with me. As a heavier person trying to take the riens on losing weight hearing all the anecdotes about IF really can screw up how it's supposed to work
I'm the opposite. I'm actually trying to gain weight from what was a far underweight scenario. (you wouldn't think 130lbs for a 5'6" male is unhealthy, but I tell you at 150lb right now, that 20lb makes a huge difference). I used to get colds every single year but since I gained the weight... I think since I hit 145lb one and a half years ago, I haven't gotten a cold or flu at all. Not during winter, and not even while I have ashma.
Point I'm trying to make is, don't deliberately try to lose too much weight and do not take social media or the accepted norms for weight as any sort of fact. About 7 years ago I was borderline anorexic. This is when I was 116-ish pounds. Very unhealthy, I got sick every time I went out in mildly cold weather. In no small part due to my ashma but largely because I was borderline anorexic, without realizing it for about ten years. I didn't even realize it until one year, when they weighed me as part of an ashma check up and the nurse commented that if I was just a little lighter I'd be considered anorexic. There are a lot of considerations to be made when either gaining or losing weight because it affects your body is a big way. If you don't lose your weight in a safe and coordinated way you'll do serious harm to yourself. If you're serious about losing a lot of weight then talk with a nutritionist and a doctor, or at least a nutritionist. Together, they'll be able to guide you to do it safely.
I didn't eat for 14 days because of medical issues. To get back to health without triggering refeeding syndrome i started the first day by eating vegtable broth, second day bone and vegtable broth, third day fiberous breads with butter and salmon plus bone broth. If you ever go a long time without eating speak to a doctor that knows how to get you back to health without triggering refeeding syndrome.
There's nothing extreme about fasting for multiple days. Humans used to do it all the time during times of scarcity. Only nowadays where everyone is endlessly gorging all the time it sounds extreme and a "fad". Fasting isn't going away anywhere. There are massive benefits especially for prolonged fasting. Being stupid after doing a long fast doesn't mean fasting is bad.
At what point in the video did he EVER insinuate that fasting is bad?
In the UK, the majority of referring syndrome is actually managed by dietitians. We identify it, request prescriptions and personally manage the calorie increase to prevent it from occurring! Not sure if it’s different in the US, it sounds like medics manage it mostly :-)
No one manages it here. I’ve been trying to find help and the medics send you to the emergency room and the emergency room sends you back to your doctor and dietitians usually also say see the doctor. It’s insane…
thank you for the cinema aspect ratio it’s very kind to my longer phone screen
Great video. I hope people see this video, and learn how to save themselves from harm from fasting/ starving methods for weight loss/weight management.
As an anorexic person that is attempting recovery, yeah it's hell
you got this 🫱🏻🫲🏽💪🏽
Just heard about this from a video where david blaine talks about his stunts, perfect timing!
Thanks for posting this video. As an RN, I totally agree with these fad diets. There is nothing new under the sun. Seems lots of variations of the Atkinson diet. The grapefruit and egg diet, the cabbage soup diet. The no carb diets, and no fat diets, all have been around before. Fat and carbs are essential for your body. I had a young female patient that was told by a friend, use your regular insulin, then go jogging before breakfast to lose fat faster. NO! Her Mom found her crawling up the stars to the backdoor, unable to stand due to extreme hypoglycemia. She could have died if her mom had not found her. Another patient was told during a P90-X class, she could not drink water. She nearly passed out. Glad she called to the office. She questioned the exercise instructor and he became angry that she questioned his intellect and she was out of line. She walked away and found a legitimate instructor. And there are those that think because they lost weight, that they are qualified to tell others what to do. Check with your doctor before you start an exercise program, to be safe. When you find an exercise teacher, if they neglect to ask about your physical and medical needs, walk away. Check for credentials. Be careful. Take care. Great posting Doctor Bernard. Forward this as is applicable to those you care about. Check out Chubby Emu if you have not already, it is awesome too.
As someone who struggles with this, i completely understand the binge/refeeding eating style. When I was really bad, I'd throw it up after. But that only was a week because i quickly became too exhausted and also i have no tonsils or adenoids and it'd come out my nose- anyways!! It's such an addictive lifestyle to get into, with the feeling of hunger being equated to a good thing
It's just sick how many people prey on this sort of thing
I eventually got it all in reign again, with doing it healthy and re-entering into eating well
Intermittent fasting is a life changer in my experience, felt healthy and not like I was eating like a "fad" diet, managed to get from 165kg to now 80kg, now I eat healthier and don't have the same appetite as I used to. Was way easier than I ever thought, it took a few weeks to adjust to 16-8/18-6 but after that it became completely habit. I think it works best for habitual snackers, if you find yourself eating randomly and throughout the day setting a window where you can eat managed this really really well. It doesn't even have to be strict, but just making yourself aware of the time of your eating is (in my experience) a really good way to force your brain into thinking about your calorie intake.
thanks for sharing your experience! IF can be an excellent tool for the right person at the right time!
@Nothen
Can you elaborate on the 16-8/18-6 part?
Do you start with 16-8 and build up to 18-6?
Also, what worked best for you?
Skipping dinner or breakfast?
I'm in college and have found that I can't really do intermittent fasting, because my mood and concentration just dips too hard.
But now I'm sorta having fast-light days and normal days, and I'm losing weight in a sort of staircase-steps.
As long as it keeps me sane and functional and heading in the right direction, I'll take it! 😂👍🏼
intermittent fasting has helped me a ton with GI problems like GERD and IBS. it helped more than any medication i’ve ever taken for it and i think i’ll do it for the rest of my life as long as it’s healthy for me to do so
I agree with you that refeeding is a LOT more common than people might think. I work in the biochemistry labs at my hospital and there are always multiple patients with signs of refeeding syndrome on their bloodwork. They're a very diverse group too, you see cases coming from all over the hospital. It certainly does seem like it complicates matters for the clinicians, especially when it's in the renal patients whose electrolytes are already out of whack and hard to manage
Can't wait to watch this after my shift
These videos are amazingly high quality
Great video. 👍❤️ Keep the knowledge coming.
Well, I fasted a month, but I was overweight and took vitamins but without a doctor, that was stupid, but I was lucky and it went well.
Lost 20 kg / 44 lbs in that month.
And I started my first day eating again with 3 leafs of spinach. No Joke. And slowly worked my way back up.
After that I started eating again, but healthy. No added sugar and no produced carbohydrates at all.
And over the next 2-3 months I lost another 30 kg / 66 lbs.
Then I was at the point where, if I lost anymore weight I would be underweight.
So I started eating "normally" again. And I stayed at this weight for 2 years.
Then corona hit, and i gained some of that weight again.
But now I know how dangerous that was. And I would never do it again without a doctor.
Best plan of action is just to cut added sugar and produced carbohydrates (like pasta) out of your diet if you want to loose weight.
Try meat with vegetables.
Who could have known that eating healthy is healthy. 🙃
while the specifics may change with time as new fads come, there is definite staying power in a socially acceptable way to tell people to eat less
When i was in the hospital for my ED they took my blood either once or twice per day for almost TWO WEEKS LMAO. They nearly ran out of spots- taken from my arms, hands, and above my elbow once which hurt badddddd but they really had to make sure i didnt get refeeding syndrome while uh, well, refeeding me
Me too haha soo many needles
I'm 63 very fit and been doing a 18-6 intermittent fasting for almost 3mth, I eat only at 12 noon and at 5pm energy dense and rich in macro nutrients (avocado, wild salmon, eggs, lots of organic green vegetables, buckwheat, turkey and nuts etc) all unprocessed and organic, gave up all dairy, I also excercise and plenty of good sleep...I cannot recognise my old self my health is 100% better and no pain or inflammation, I strongly recommend intermittent fasting.
Doctors are not certified nutritionalists. I have never met a single Doctor in my life that was an expert on preventive care, diet, nutrition or women's health. Just know the answer is in what you eat.
2:20 People that open bananas like that are people who open the shower without avoiding the first squirt or run in shoes without socks.
To treat hypoglycemia, have the patient consume 1 oz coconut oil per day, I. E. Bulletproof coffee for breakfast. 1 oz coconut oil, 1 oz butter, 8-10 oz coffee, blend. Breakfast substitute. Coconut oil contains MCT (Medium Chain Triglycerides). Absorbed quickly and liver converts to Ketones. Your body will start to use the Ketones without have to go into Ketosis / Hypoglycemia. After a week or two they should be able to tolerate reduced carb intake.
If you don't know not to eat 23 bananas after a 7-day fast, you are bananas.
I love Heme Review, thank you dr bernard.
At this point, one person who watched this video does not know that -emia means 'presence in blood'... =)
Always a great explanation with definitions. You need to do them more often.
Hey chubby, can you do a video on why African American men don’t react well to ace inhibitors and may benefit better from a longer calcium channel blocker? I know it’s kind of cardio question but you seem to be the SME lol, I work in a clinic as a army medic and my provider told me to find out for my own knowledge as a kind of homework.
I never thought I would hear a licensed MD call someone a normie. Sometimes life surprises me and I smile.
You should see his Twitter 😳
@@brady1123 still more qualified than me xD
The first sign when I have low blood sugar I start having difficulty in reading.
It's really annoying cause I'll have an episode a few hours after eating a pretty big meal.
Fasting for 3 days or so regenerates everything, the mitochondria revives and renews itself and every cell. The brain makes new neurons during prolonged fasting. The brain's preferred energy is from keytosis not just from glucose.
Why do I love you and your channel so much.
You're over here talking about a BMI of 14 and 705 of ideal bodyweight. I'm over here feeling skinny and lean at a BMI of 28.5 and 123% of my "ideal" bodyweight. I can be obese by BMI and be healthy because I have le epic muskels!💪😎
This made me realize I am SO lucky I survived my E.D. I had NO IDEA how much danger I was in... I had no idea how much I hurt my body... I had no idea ... I am so gratefu; I'm alive right now
This guy so smart always learn something cuz he's got the facts
I love the more in depth discussions
Thanks for this. I've been wondering how I should start eating again after fasting. (Diets didn't work. Exercise made me bigger instead of helping) So I appreciate this video. My doctor is extremely unhelpful, but so was the last one. I've given up on them. I have problems they refuse to address. I don't want to be obese. It's not me and it makes me depressed.
The fact that these man has helped me more than my actual doctor
Yay Bonus Heme
As a lifelong type 1 diabetic, I can 110% confirm hyperglycemia is "more preferable" than hypoglycemia. I've been in 2 diabetic comas from extreme hypoglycemic episodes, never from hyperglycemic episodes (even upwards of 600 mg/dL)
And yes I'm very well aware of the dangers of hyperglycemia (hello, lifelong T1D), but I'd prefer a slight elevation to my blood sugar than a lower one if either event had to occur.
Appreciate the details here.
I've been intermittent fasting due to grief/depression since before I was aware of the trend. No appetite. Definitely lost weight.
It’s funny that after 7 days of no food the first thing she thinks is “man you know what I need, 23 bananas!!!”.
Probably thought she needed the potasium from them not thinking of thr massive amounts of sugar
The video has a filmly(the colors) look to it. I dig it.
17:51 That sushi you ate from the gas station definitely make you lost a lot of weight
yeah I got told by bloodwork that something was wrong with my liver and I got told I needed more Vitamin E, but the multivitamins for some reason had 10 times the amount of vitamin E I needed in a day. I switched to oneaday instead as a way to make sure I'm not getting deficient in vitamins.