Lancaster Physician Fall 2019 - 28

L A N C A S T E R M E D I C A L S O C I E T Y.O R G

Healthy Communities

and fat metabolism. Weight loss success
also depends on many other important
factors, such as nutrition, exercise, behavior
modification, and more.
Intermittent fasting is not recommended
after bariatric surgery, since dietary intake is
already surgically restricted. Especially for
bariatric patients, a prolonged fast increases
the risk of hypoglycemia, dehydration,
poor caloric intake, nausea, vomiting,
hypotension, and syncope. Surgical patients
are instructed to eat small, frequent, protein-based meals at regular intervals. The
goal is to develop sustained, life-long habits
for the purpose of long-term healthy weight
management.
Conclusion
Without quality research to support
intermittent fasting, it is difficult to make
a definitive recommendation for or against
this practice. As with any weight loss regimen, time-restricted dieting should be
implemented under clinical supervision.

BASIC TENETS
INCLUDE:
* Maintain a healthy diet,
consisting of a variety of whole
and fresh foods, with limited
saturated fats, sugars, refined
grains, and processed foods
* Adhere to portion control
* Do not snack between meals,
to allow your body to burn fat
* Maintain an active lifestyle,
including a combination of
cardiovascular and muscle
building activity
* Avoid snacking or eating
at night

LANCASTER

28

PHYSICIAN

Obesity medicine specialists are trained in
all aspects of healthy weight management,
regardless of the duration of time restriction.
Fat-burning physiology aside, fasting
can be effective simply for its behavioral
benefits. For example, in avoiding snacks
between a healthy dinner (7:00 pm) and
breakfast (7:00 am), with eight solid hours
of sleep overnight, patients would keep to
a 12:12 schedule. While not intermittent
fasting, this 12:12 method would be an
effective strategy for eliminating a nighttime
junk food habit.
Sticking to the plan, whatever the plan,
is the most important (and hardest) part
of any weight loss program. Intermittent
fasting is a plan, like many others, that
shows promise in helping patients lose
weight. It can be said that the best diet is
the one to which the patient can adhere.



Lancaster Physician Fall 2019

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