#59–Jason Fung, M.D: Fasting as an antidote to obesity, insulin resistance, T2D, & metabolic illness
Summary

The Peter Atia Drive podcast episode features an interview with Dr. Jason Fung, a nephrologist known for his work on fasting and treating metabolic disease. The discussion covers a range of topics, including evidence-based medicine, insulin resistance, hyperinsulinemia, dietary restriction, and fasting. The speaker emphasizes the limitations of evidence-based medicine and the importance of considering the risk of not doing something. The speaker also discusses the importance of monitoring urinary albumin excretion to detect early signs of kidney damage and the metabolic syndrome.

The speaker proposes a new paradigm of insulin resistance as an overflow problem, where the cell is already too full of glucose and cannot take in any more. The speaker argues that the conventional approach of treating type 2 diabetes with insulin has been incorrect because it only covers up the problem of excess glucose in the body, rather than treating the underlying problem. The speaker also discusses the relationship between hyperinsulinemia and diseases of excessive growth, such as cardiovascular disease and cancer.

The podcast also discusses the benefits of fasting, time-restricted feeding, and dietary restriction in reducing diseases related to excessive growth. The speaker emphasizes the importance of when to eat as well as what to eat, and how fasting can be an effective tool for patients to escape the gravitational pull of a poor diet. The podcast also discusses the benefits of intermittent fasting for patients with diabetes.

The speaker recommends individualized protocols based on the severity of the patient's condition, their age, and their willingness to fast. They caution against being too prescriptive and emphasize the importance of adjusting protocols based on patient response. The podcast also discusses the benefits of fasting for diabetic foot ulcers and managing electrolytes and muscle loss during longer fasts. The speaker recommends taking phosphatidylserine and GABA to calm the adrenal glands and reduce sympathetic tone.

Overall, the podcast provides valuable insights into insulin resistance, hyperinsulinemia, and fasting as potential treatments for metabolic disease and type 2 diabetes. The speaker emphasizes the importance of individualized protocols and caution against being too prescriptive. The podcast also highlights the limitations of evidence-based medicine and the need to change the paradigm of medicine to address the root causes of chronic diseases.