In this episode, Dr. Eric Osansky explores a common question he receives from people with hyperthyroidism: Can I incorporate intermittent fasting? While fasting has been praised for benefits such as weight loss, blood sugar regulation, reduced inflammation, and improved metabolic health, Dr. Eric explains why those with hyperthyroidism and Graves’ disease need to approach fasting differently than the general population.

Dr. Eric reviews the most common fasting methods, including overnight fasting, 16:8 intermittent fasting, alternate-day fasting, water fasting, and fasting-mimicking diets. He explains how hyperthyroidism creates a catabolic state characterized by increased metabolism, muscle breakdown, and weight loss, making prolonged fasting potentially problematic for some people. He also discusses the important roles of adrenal health, cortisol balance, blood sugar regulation, insulin resistance, and stress when determining whether fasting is appropriate.

Throughout the episode, Dr. Eric emphasizes the importance of individualization. While fasting may offer benefits for certain people, especially those with stable thyroid levels and insulin resistance, it may be counterproductive for others who are actively hyperthyroid, losing weight, struggling with adrenal dysfunction, or experiencing significant symptoms. If you want a balanced, practical perspective on fasting and hyperthyroidism, you’ll get a lot out of this episode.

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