Fasting Q&A with Megan Ramos: Fasting With a Low BMI, Healing PCOS, Night Shifts, and More.
The Fasting Method Podcast
Megan Ramos Nutrition Inc
4.8 • 595 Ratings
🗓️ 8 April 2025
⏱️ 31 minutes
🧾️ Download transcript
Summary
Episode #199
In this Fasting Q&A episode, Megan Ramos answers some of your fasting questions:
- I've heard Dr Fung mention that he doesn't recommend fasting for people with a BMI under 20. My BMI is under 20. I've recently lowered my A1C from 6.2 to 5.5 but would like to lower it further or at least maintain it. Would IF or OMAD be OK to do? (Beth from North Carolina) [01:40]
- I have been doing some therapeutic fasting to address my PCOS and hopefully get my period back. Do you have any recommendations for a preconception plan for fasting and nutrition? Is there anything else I should be doing before TTC? How will I know when my body is healthy enough? [10:12]
- Can you wreck your thyroid by fasting too much? Or is this not true and you can heal it with fasting? Mine was subclinical hypo but returned to normal when I stopped fasting, without meds. I am back to ADF now because I love fasting so much! (Miggy from The Netherlands) [20:46]
- I've been on a night shift schedule at the hospital for the last 30 years working 7pm to 7am. I'd love to know the ins and outs of how to stay as healthy as possible on nights and the best way to fast with that schedule. (Suzy from South Carolina) [26:37]
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Chapters
00:00 Intro
01:40 Can I fast with a low BMI?
10:12 Healing PCOS and the Best Preconception Plan
20:46 Does Fasting Wreck Your Thyroid?
26:37 How Best to Eat and Fast for Night Shifts
Disclaimer
This podcast is for educational purposes only and is not a substitute for professional care by a doctor or other qualified medical professional. You should always speak with your physician or other healthcare professional before doing any fasting, changing your diet, taking or adjusting any medication or supplements, or adopting any treatment for a health problem. The use of any other products or services purchased by you as a result of this podcast does not create a healthcare provider-patient relationship between you and any of the experts affiliated with this podcast. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent any disease.
Transcript
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| 0:00.0 | Progesterone is an appetite driving hormone, where esteradial is an appetite suppressing hormone. |
| 0:06.7 | So by day three, our progesterone's down, our esterial is up. |
| 0:12.3 | We are hormonally programmed to be very effective at doing fasting. |
| 0:17.0 | We also emotionally feel better at this particular time, so there's less sort of emotional eating drivers. |
| 0:23.6 | And at this particular time, we're also the most insulin sensitive in our cycle as well. |
| 0:28.9 | So this is a great time to further enhance that or support that, especially if there are some insulin resistant issues going on. |
| 0:47.3 | Thank you. some insulin resistant issues going on. Hi everyone, it's Megan Ramos here with another episode of the Fasting Method podcast. Today I'm going to answer your questions. We're going to tackle topics such as why it's best to do extended fasting during |
| 0:56.3 | the first week of your cycle. Is it safe to fast when you have hypothyroidism? And what about |
| 1:04.4 | BMI? How much does that factor into whether or not you should be fasting? All right, so we're going to kick it off with that last one. |
| 1:13.6 | Beths from North Carolina says, |
| 1:16.6 | I've heard Dr. Fung mentioned that he does not recommend fasting for people with a body mass |
| 1:21.6 | index or BMI under 20. |
| 1:24.6 | My BMI is under 20. |
| 1:26.6 | I've recently lowered my hemoglobin A1c from 6.2 to 5.5%. But I would like to lower it further |
| 1:34.7 | or at least maintain it. Would I.F or OMAD, which is one meal a day, be okay to do? This is a really |
| 1:43.2 | great question. It's really important that individuals are not |
| 1:47.8 | malnourish when they are fasting so someone who generally has a lower bMI we assume they don't have |
| 1:57.6 | a ton of body fat not a lot that's going to sustain them when they're fasting. |
| 2:03.3 | But what we do know is that body mass index or BMI is not a really good measurement of anything. |
| 2:10.8 | So if you are on the lower side of your total weight, there's a few things that I would recommend |
| 2:17.4 | doing before you decide whether |
| 2:19.4 | or not you're going to start fasting. The first one is have a Dexa Body Composition Scan. Do you hold |
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