Ultimate Guide To Intermittent Fasting For Women

Ultimate Guide To Intermittent Fasting For Women

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Ultimate Guide To Intermittent Fasting For Women

Posted 2 years ago

Brian Stanton

Brian Stanton


Ari Magill, M.D.

Ari Magill, M.D.

Scientific Reviewer

Expert Approved

Around the world, both men and women have succeeded with intermittent fasting (IF). Both genders have experienced health benefits like weight loss, blood sugar improvements, and reduced cravings. 

But should women approach fasting differently than men?

In some cases, yes. But it depends on the situation and person in question.

This article is a guide to intermittent fasting for women, but men will find plenty of helpful info here too. 

What Is Intermittent Fasting?

Intermittent fasting is the practice of taking regular breaks from calories. Depending on the protocol, these breaks can span anywhere from 12 to 36 hours. 

From an evolutionary perspective, intermittent fasting is nothing new. Fasting helped our ancestors stay lean and metabolically flexible while they survived the harsh realities of Paleolithic life. 

When a hunt-and-gather session came up empty, early humans fasted. Simple as that. 

During these intermittent fasts, our ancestors entered a fat-burning state called ketosis. And in ketosis, they accessed stored body fat for energy. 

We still have that program today. When we fast, blood sugar and insulin levels fall, and we burn body fat as fuel.

Is Fasting Different for Women?

Both men and women have been fasting successfully since prehistoric times. Both genders have the same basic machinery to access stored body fat and make ketones to fuel the brain during times of scarcity. 

Women, however, should pay special attention to reproductive health while fasting. 

There isn’t much evidence that fasting impairs fertility in humans—(there is some in mice[*])—but we know that calorie restriction, nutrient deficiencies, and rapid weight loss can cause irregular periods and disrupt reproductive hormones.[*] If the fasting protocol is too aggressive, this could be an issue. 

Similarly, pregnant and nursing women should be careful with fasts longer than 12 or 13 hours. The potential for nutrient deficiency is too high.  

Intermittent Fasting Benefits

When you practice intermittent fasting, you shift your metabolism towards burning fat. This may have beneficial consequences for both men and women:

#1: Weight loss

Multiple studies have found that intermittent fasting may be effective for weight loss in both sexes.[*][*][*]  

Why? Because when you compress your feeding window, you eat fewer calories overall. Fewer snacks, less weight gain.  

#2: Blood sugar control

Nothing keeps blood sugar low like eating nothing. Because of this, fasting may be a promising therapy for type 2 diabetes.[*

One study, however, found that three weeks of alternate day fasting (36-hour fasts) negatively impacted blood sugar control in nonobese women.[*] Meanwhile, the nonobese men in the study benefited.  

#3: Heart health

Intermittent fasting may improve heart disease risk factors like LDL cholesterol, triglycerides, and blood pressure in both men and women.[*][*] Plus, any intervention that reverses obesity makes the heart happy. 

More research is needed, however, since results have been inconsistent across studies.[*]  

#4: Other fasting benefits

Here’s a rundown of other gender-blind fasting benefits: 

  • Longevity: Fasting activates an anti-aging cellular recycling program called autophagy.[*
  • Brain health: When you fast, you burn fat and make ketones that fuel the brain with clean, efficient energy. 
  • Lower inflammation: Fasting has been shown to reduce markers of chronic inflammation, the unnecessary immune activity linked to most modern diseases.[*
  • Potential cancer therapy: Clinical trials are underway to test if fasting improves the efficacy of cancer treatment.[*

Risks of Fasting and Who Shouldn’t Fast

Different people respond to intermittent fasting differently. General risks include:

  • Unpleasant hunger (some hunger is normal, but it shouldn’t be excruciating)
  • Headaches
  • Low energy
  • Irritability
  • Reduced focus
  • Fantasizing about double cheeseburgers 

These side effects are often temporary as the body adapts to using fat for energy. 

Intermittent fasting is likely safe for most people, but the following groups should avoid it:

  • Pregnant and nursing women
  • Those with a history of eating disorders
  • Underweight people
  • Women with fertility problems

Finally, though fasting may be therapeutic for diabetes, medical supervision is essential to prevent dangerous hypoglycemia (low blood sugar) from developing. 

What to Eat During Feeding Periods

The goal when feeding is to eat the most nutritious foods possible. This means choosing whole foods like meat, fish, vegetables, fruits, and nuts over refined foods like cereal, pasta, crackers, soda, Twinkies, and anything else that comes in a package. 

Don’t skimp on protein during meals. Getting enough protein (at least 100 grams per day for most people) will help you retain muscle mass while intermittent fasting. To maintain muscle, be sure to strength train too. 

You might also consider a Keto diet to hasten your fat adaptation. When your body becomes accustomed to carb deprivation, fasting gets easier.  

For women especially, it’s important to eat enough calories. Under-doing the calories can lead to hormonal imbalances, missed periods, a reduction in thyroid hormones, and other potentially negative consequences.[*

A good rule of thumb? Don’t stuff yourself during feeding windows, but eat your fill.  

Drinks and Supplements While Fasting 

All non-caloric beverages—coffee, tea, bone broth, lemon water, etc.—are fair game during a fast. These drinks curb hunger and occupy the taste buds while you tick down the seconds to mealtime. 

Since they don’t contain calories, vitamins and minerals won’t meaningfully disrupt your fast—so feel free to supplement. Pay special attention to electrolytes like sodium and potassium because you excrete these minerals at higher rates during a fast.[*

Picking a Fasting Schedule for Women

When deciding on your ideal fasting schedule, here are your basic options:

  • 12/12 or overnight fasting. Example: End dinner at 8 PM, start breakfast at 8 AM. 
  • 16/8 or Leangains. Example: End dinner at 8 PM, have your next bite at noon.
  • OMAD (One meal a day). Example: Eat all your calories in one sitting, preferably while the sun is shining to support restful sleep. 
  • 5:2. Example: Fast Tuesday and Friday every week, eat normally the other 5 days. 
  • ADF (Alternate day fasting). Fast every other day. 

Longer fasts, as you might imagine, carry a greater risk of severe calorie restriction. Because of this, women should start with shorter fasts (like 12/12) and work their way up slowly. 

Women should be especially careful with longer regimens like ADF. As a form of calorie restriction, ADF could impair fertility. Plus, it may impair the female glucose regulation system.[*

This doesn’t mean some women won’t thrive on longer fasts, but most women will likely do better on shorter programs. Compared to men, there seem to be more negative consequences when women restrict calories. 

If you’re a woman experimenting with intermittent fasting, make it a thorough experiment. 

Pay attention to your energy levels, mood, sleep, and other subjective metrics—and work with a doctor to monitor any relevant bloodwork. 

Maybe a 12 hour fast is your sweet spot. Maybe 14. Maybe 16. Tinker around and find what works best for you. 

And remember, it’s not a competition to see how long you can fast. It’s an exploration to optimize your wellbeing.  

Finally, check out the Carb Manager app for easy IF tracking and a custom intermittent fasting program. It has everything you need to succeed on your fasting journey, and it’s there for you whenever you’re ready.

Comments 17

  • SpectacularAvocado303115

    SpectacularAvocado303115 9 months ago

    Hi all, I want to try IF with low carb and not keto... Is that possible? Will it be effective ? I will start with fasting from 12 till 12 noon. As I don't eat early breakfast anyways

    • Ambler007

      Ambler007 a year ago

      I have been doing 16:8 IF, I have two coffees every morning, one with stevia, sugar free creamer and collegan in it. And another one with stevia. Sugar free creamer and MCT oil in it and they do NOT kick me out of ketosis!

      • Michelle

        Michelle a year ago

        MCT oil doesn’t knock you out??

      • Janeta

        Janeta a year ago

        What creamers do you use?

    • ExcellentAvocado836506

      ExcellentAvocado836506 2 years ago

      How do i get all my fats, pros, carbs and cals in such a short time or do i decrease all.

      • Keni

        Keni 2 years ago

        I am never hungry in the morning. I’ve been like that since childhood. Never wanted anything until between 10 am and noon depending on when I ate dinner. I have a slow metabolism and slow digestion. Staying true to myself is my best plan. Unfortunately my husband loves breakfast and will eat within minutes of rolling out of bed. Oh well!

        • FantasticRadish672004

          FantasticRadish672004 6 months ago

          I'm with you. Growing up, no one in my family

        • SpectacularAvocado303115

          SpectacularAvocado303115 9 months ago

          Me too.. my morning coffe gets me going till noon..I first feel hungry around 12-1 pm. That is breakfast for me ..but I stay up late and crave sweets, cookies, chocolate, pies ..that is my curse

        • BlithesomeKale636372

          BlithesomeKale636372 a year ago

          My husband is the same way and will reach for cookies when he rolls out of bed. He’s one of those that was very thin when he was younger. Now he is just normal size. Not fair!

      • Glee Workman

        Glee Workman 2 years ago

        So I joined a fasting and it just disappeared, so where do I fine it ?

        • Karen

          Karen 2 years ago

          I have not considered fasting before but intend to make it part of my new plan.

          • AmazingRadish208380

            AmazingRadish208380 2 years ago

            If I'm IF 15/9 is this ok ?? I have 2 questions please. shouldn't i take my mct oil capsule during this time(15) or in my 9 hrs ? Also coffee in the morning with my whipping cream and stevia should be taken after my 15 hrs. Or can I have that during IF or again in my 9 hrs??thanks

            • MarvellousArugula417497

              MarvellousArugula417497 a year ago

              Try and bump up to 16:8 it's worth it

            • New life

              New life 2 years ago

              Mct are you thin already? No reason to eat fat just to eat fat. Unless you are keto for seizures

            • Suecoffee

              Suecoffee 2 years ago

              This very helpful. My biggest downfall is cream in my coffee and I love to drink a lot of coffee. How is your progress going? Is weight loss happening? Thank you for sharing

            • EvaElisabeth

              EvaElisabeth 2 years ago

              I found just shifting my fasting window to 11am till 7pm worked better form me than the 12to8.

            • RemarkableAvocado835969

              RemarkableAvocado835969 2 years ago

              Hi! I’m no expert, but I started IF about 2 weeks ago & researched some answers. 15/9 is fine to do. Women benefit with shorter fasts and the trick is to find what works for you. It’s suggested to begin IF at a smaller fasting period and then increase that time between eating according to what you feel most comfortable. Coffee… now that was my biggest question too b/c I have a difficult time with handling just black. Studies show that even zero calorie artificial sweaters can have a negative impact on ketosis level. Some people are affected and some people are fine. I have also read that it’s ok to have up to 50 calories from creamers & MCT oil without affecting insulin levels and ketosis levels. You can either check for ketones 30 minutes after drinking coffee with artificial sweeteners, mct and cream OR play it safe and drink AFTER your fasting window. Safest bet is to drink your coffee black. MCT oil will not throw you out of ketosis. I have 6 oz black coffee with one teaspoon MCT oil every morning & stay in ketosis fine. I’ll check my ketones with a urinalysis strip. Hope this answer helps & Best of Luck!