Calorie restriction (CR) has long been known to extend lifespan and healthspan in animals.

But the benefits of CR may be due to one thing: intermittent fasting.
When calorie restricted, lab animals are typically fed once a day, and they're so hungry, they eat all of their food at once, fasting until their next feeding.

That means that the benefits may be due to fasting, not food restriction.
Fasting alone duplicates many of the metabolic effects of CR.

How long would a human need to fast to get these benefits?

Probably a minimum of 16-18 hours, with longer being better.
pubmed.ncbi.nlm.nih.gov/8238506/
Fasting for this length of time allows insulin levels to decline to low levels, allowing lipolysis, or burning of body fat.
The metabolic benefits of fasting are also seen merely by restricting carbohydrates altogether.

pubmed.ncbi.nlm.nih.gov/1590373/
A ketogenic (very low) carbohydrate diet extends lifespan and healthspan in mice.

One mechanism through which it does this is mTOR inhibition, the gold standard of lifespan extension.
cell.com/cell-metabolis…
So, either regular fasting or nearly complete restriction of carbohydrates can recapitulate the effects of caloric restriction, which extends lifespan.

A combination of fasting with a carb-restricted diet would likely be the most effective for longevity and health.

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More from @Mangan150

13 Apr
Insulin resistance is by far the most important cause of coronary artery disease.

Most other factors involved are related to insulin resistance.

Yet doctors just want to lower your cholesterol.

care.diabetesjournals.org/content/32/2/3…
To flesh this out, insulin resistance is responsible for 42% of heart attacks.

The other factors:

hypertension, 36%
HDL, 31%
BMI, 21%
LDL, 16%
triglycerides, 10%
fasting glucose, 9%

are all related to insulin resistance.

And smoking (9%) causes insulin resistance.
Even the last factor, family history at 9%, is related to insulin resistance.

Yet many people report that when they ask their doctor for a fasting insulin level, the reply is "I wouldn't even know what to do with that."
Read 5 tweets
13 Apr
New study: Neither high LDL-C nor HDL-C levels were significantly associated with future CV mortality in older adults aged ≥ 65 years.

High LDL-C levels do not seem to be a risk factor for CVD in elderly individuals.
The risk of mortality, MI, and stroke was high at low HDL-C levels in the Korean population, but extremely high HDL-C levels were not associated with an increased risk of mortality, MI, and stroke.
Read 4 tweets
5 Apr
Body composition, which is the relative proportion of muscle to body fat, rules health.

Metabolic syndrome and type 2 diabetes, are closely linked to body composition.

Thread 👇
526 apparently healthy adults were grouped in tertiles (equal thirds) of muscle/fat ratio (MFR), from highest to lowest.

Those with lowest MFR had 5.4 times the odds of metabolic syndrome. Image
Read 14 tweets
24 Mar
Why exercise is ineffective for weight loss

Thread 👇
Burning calories

Exercise doesn't burn as many calories as most people think.

A 5-mile run, which is a considerable amount of exercise, burns about 500 calories.

But that's only 400 more calories than if you just sat on your backside doing nothing.
You'd need to run ~35 miles to lose one pound of body fat, assuming you ate no more than if you hadn't run 35 miles.

Surely there must be a better way.
Read 10 tweets
17 Mar
Resistance training, aka strength training or lifting weights

Crucial for health and aging well.

Why?

Thread 👇
Resistance training builds muscle, and muscle is an underappreciated factor in health

"altered muscle metabolism plays a key role in the genesis, and therefore the prevention, of many common pathologic conditions and chronic diseases"

academic.oup.com/ajcn/article/8…
Aging is associated with loss of muscle.

Use it or lose it.

A large portion of the decline in cardiovascular fitness (VO2max) with age can be attributed to muscle loss. journals.physiology.org/doi/abs/10.115…
Read 17 tweets
16 Mar
High-dose aspirin for 2 weeks in type 2 diabetics dropped glucose from 190 to 92. All patients responded.

Indicates that inflammation is important in insulin resistance.

jci.org/articles/view/…
Circulating lipopolysaccharide-binding protein (LBP) as a marker of obesity-related insulin resistance

Could be the (or one) source of inflammation. LPS come from gut bacteria so could indicate leaky gut as the source.

nature.com/articles/ijo20…
Read 4 tweets

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