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From The Diary Of A CEO with Steven Bartlett

Water Fasting Scientist: Surprising Link Between Fasting & Cancer! Fasting Completely Resets Your Gut Microbiome!

1:22:20
September 1, 2025
The Diary Of A CEO with Steven Bartlett
https://feeds.megaphone.fm/thediaryofaceo

The ancient reset: why going without can be the most radical act of care

There is a distinct choreography to stepping away from food: an initial anxiety, an odd clarity, and then a slow recalibration of body systems that modern medicine is only beginning to map. Dr. Alan Goldhammer has spent decades watching that choreography play out in people who come to his clinic desperate, curious, or skeptical. What he describes is not a fad but a disciplined intervention—medically supervised water-only fasting—deployed as a clinical tool to mobilize visceral fat, lower blood pressure, and allow the body to repair itself without the constant metabolic noise of modern eating.

Rest as a therapeutic act

Fasting in Goldhammer’s model is more than not eating. It requires rest and monitoring because the physiological pivot from sugar to fat forces the body to repurpose energy systems. After about 24 hours of fasting, glycogen stores are depleted, and the brain begins burning ketone bodies—chiefly beta-hydroxybutyrate—rather than glucose. That metabolic switch brings predictable effects: reduced insulin resistance, higher levels of brain-derived neurotrophic factor, and activation of autophagy, the cellular housekeeping system that clears senescent cells and molecular debris.

Why visceral fat matters

Not all fat is equal. The stubborn, inflammatory fat that surrounds organs—visceral adipose tissue—acts like an endocrine organ, producing inflammatory molecules tied to heart disease, diabetes, and even certain cancers. Goldhammer explains that fasting preferentially mobilizes visceral fat, delivering therapeutic benefit faster than many diet-only or exercise-only approaches. The result can be dramatic reductions in blood pressure, measurable decreases in visceral fat on body-composition scans, and fewer medications for people who were once dependent on lifelong prescriptions.

Autophagy, detoxification and the microbiome reboot

Autophagy is a term that entered mainstream conversation because it sounds like a biological reset button. During extended fasts the body appears to increase its autophagic activity, clearing damaged cells and pruning dysfunctional tissue. Simultaneously, fasting changes the gut ecosystem: total microbial load drops, and the post-fast refeeding window becomes a critical opportunity to re-seed beneficial species. For certain gastrointestinal and autoimmune conditions, this microbial reboot—paired with reduced visceral inflammation—can translate into meaningful symptom relief.

How it works in practice

At a clinical center, water fasting is rigorous. Patients drink purified water only, rest, and are monitored twice daily with labs and symptom checks. Refeeding is as carefully planned as the fast itself: Goldhammer recommends a day of fresh juices per week of fasting, followed by gradual introduction of raw produce, steamed vegetables, and ultimately a whole-plant, no salt-oil-sugar diet. The purpose is twofold: to avoid dangerous electrolyte shifts and to reinforce dietary patterns that sustain the health gains.

Who benefits and how much

People arrive with diverse motivations—hypertension, diabetes, autoimmune disease, weight loss, or a desire for preventive recalibration. Studies from Goldhammer’s clinic show a consistent signal: patients with high blood pressure often normalize without medication after a one-to-two-week fast, and many maintain improvements a year later if they adopt healthier diets. Healthy people show benefits too—modest reductions in cholesterol, visceral fat, and metabolic markers—so short, periodic fasts can serve as preventive maintenance.

Risks, mechanics and the social dimension

Fasting is not risk-free. Orthostatic hypotension, electrolyte imbalance, and refeeding syndrome are real concerns that justify medical supervision, especially for multi-week fasts. The psychological arc is equally striking: people report enhanced willpower, recalibrated taste preferences, and a loosening of learned helplessness around food. Goldhammer describes fasting as a hormetic stressor—mild and controlled stress that provokes repair—similar in some of its molecular effects to exercise, but deployed as a concentrated intervention.

The social test

Perhaps the hardest part of the intervention is the return to a society optimized for excess. The food environment is engineered with salt, oil, and sugar to hijack satiety cues and reward circuits. The sustained benefits of a clinical fast depend on behavioral change: the person must resist processed foods and prefer whole plant-based options if lasting improvement is the goal. The clinic teaches this, but the social friction—meals with friends, convenience, advertising—remains the long-term obstacle.

Beyond the physiology: habit, meaning and agency

What makes extended fasting compelling is not merely the molecular change but the psychological revelation that human biology is adaptable and that diet and deliberate abstention can create radically different trajectories of health. For many patients, the fast becomes a moment of regained agency: they discover they can tolerate discomfort, recalibrate cravings, and choose a new baseline for daily living.

Reflective closing

In an age of quick fixes and permanent pharmacological management, a structured return to voluntary deprivation reads like rebellion and remedy in equal measure. That tension—between the body’s evolved capacity to repair itself when given space and the modern economy’s incentives to feed us continuously—lands at the center of a larger question about what it means to steward a long, functional life. The procedure is austere; the potential payoff is a different relationship to food, medicine, and risk—one that asks whether the most radical act of self-care might sometimes be simply to stop.

Insights

  • Resting during therapeutic fasting minimizes muscle loss and helps the body prioritize fat mobilization.
  • Limit meals to an eight-hour window or 12-hour nightly fast to reduce overall caloric intake.
  • When planning an extended fast, obtain a medical evaluation and baseline labs for kidney and liver function.
  • Refeed slowly: start with juices, advance to raw produce, then steamed and starchy vegetables.
  • Use fasting as a behavioral reset—taste neuroadaptation makes whole plant foods more appealing afterward.

Timecodes

00:01 Opening claims: fasting benefits and visceral fat
02:37 Dr. Goldhammer's background and clinical research
04:04 Definition of therapeutic fasting and role of rest
05:07 Physiological sequence: glycogen, ketosis, and brain fuel
12:05 Autophagy, exercise parallels, and inflammation
20:09 Water fasting protocols, distilled water, and candidacy
23:02 Clinical outcomes: hypertension and follow-up
29:57 Insulin resistance, microbiome reboot, and cancer case reports
41:11 Refeeding strategy and stepwise dietary restoration
45:38 Preventive fasting recommendations and frequency
58:12 Safety limits, maximum durations, and risks
01:14:30 Upcoming large-scale longitudinal fasting study

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