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Why Women Shouldn't Intermittent Fast

  • sarahjanefehlberg
  • Aug 19, 2021
  • 3 min read

Updated: Apr 23


Let’s talk about intermittent fasting (IF). It’s everywhere—social media, podcasts, your coworker’s lunchtime chatter. The promise? Weight loss, mental clarity, and metabolic reset. But here’s the catch: most of the hype ignores a critical factor—women’s hormones. As a nutritionist who’s worked with hundreds of women, I’ve seen firsthand how IF can backfire, especially when used long-term. Let’s break down why this trend needs a rethink.


How Intermittent Fasting Supposedly Works

The theory sounds logical:

  1. You eat → Food breaks down into sugars that enter your bloodstream.

  2. Insulin steps in (produced by your pancreas) to shuttle sugar into cells for energy.

  3. Excess sugar? Insulin stores it as fat.

  4. Fast long enough, insulin drops → your body burns fat instead.

On paper, it’s a neat equation. But here’s the problem: your hormones don’t live on paper.


Why Women’s Bodies React Differently


1. Insulin Isn’t Just About Weight—It’s the Hormonal Conductor

Insulin is a “tier 1” hormone, meaning it directly interacts with estrogen, progesterone, cortisol, and thyroid hormones. When you disrupt insulin (say, by fasting until noon), you’re not just affecting blood sugar—you’re sending shockwaves through your entire endocrine system.

Real-life impact:

  • Breakfast-skipping after an overnight fast = blood sugar rollercoaster. That 3 PM crash? Blame cortisol and adrenaline scrambling to compensate.

  • Hormonal chaos: Irregular periods, worsened PMS, and thyroid imbalances often trace back to unstable insulin patterns.


2. The Research Is Flawed (and Mostly Male)

Most IF studies share three critical flaws:

  • Short-term focus: 8-week trials don’t reveal long-term risks like hormonal burnout.

  • Male-dominated: The landmark study showing IF’s “success”? Done on 34 men. Women’s menstrual cycles? Not factored in.

  • Animal models: Rat studies show fasting disrupts reproductive hormones—yet we extrapolate to humans.

The scary part: A 2020 study on juvenile rats found IF increased body fat and decreased muscle mass. If that’s happening in growing bodies, what’s it doing to women already juggling stress, perimenopause, or postpartum recovery?


The Cortisol Connection: Why Fasting Can Backfire

Picture this:

  • 7 AM: You wake up, skip breakfast, and grab coffee.

  • 9 AM: Cortisol (your stress hormone) spikes to compensate for low blood sugar.

  • Noon: You’re hangry, foggy, and craving carbs.

Long-term consequences:

  • Metabolic slowdown: Your body thinks it’s starving → clings to fat.

  • Adrenal fatigue: Cortisol overproduction → insomnia, anxiety, and burnout.

  • Thyroid sabotage: Low-calorie states signal your thyroid to downregulate, worsening fatigue and weight retention.


What the Studies Actually Show

  1. Reproductive Risks A 2013 study found fasting disrupts GnRH neurons—the “command center” for estrogen and progesterone (PLOS One). Translation: Mess with fasting, and you might mess with your period.

  2. Muscle Loss Juvenile rats on IF gained fat and lost muscle—hardly the “toned” look women are promised (Nutrients, 2020).

  3. Hormonal Trade-Offs Even in men, IF lowered testosterone and IGF-1 (key for muscle growth)—imagine the impact on women’s already delicate hormonal balance (PMC, 2016).

A Better Approach: Hormone-Friendly Nutrition

Instead of fasting, focus on:

  • Protein-rich breakfasts: Scrambled eggs with avocado stabilizes blood sugar better than fasting till noon.

  • Cycle-synced eating: More carbs during your luteal phase? Your progesterone needs it.

  • Stress-first mindset: No diet works if you’re running on cortisol and caffeine.


The Bottom Line

Intermittent fasting isn’t inherently evil—but it’s a short-term tool, not a lifestyle. For women, the risks (hormonal chaos, metabolic damage) often outweigh the rewards. Instead of jumping on trends, ask: What does my body need today?

Your hormones will thank you.


References & Further Reading

Always consult a healthcare provider before making dietary changes, especially if you have hormonal concerns.

How to Make This Work for You

  1. Track Symptoms: Use an app to log energy, mood, and menstrual changes.

  2. Prioritize Protein: Aim for 20-30g per meal to balance blood sugar.

  3. Ditch the Dogma: If fasting leaves you exhausted, stop. Your body knows best.


What’s your experience with fasting? Share in the comments—let’s talk real stories, not just theory.




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About Sarah Fehlberg

Sarah is located in Terrigal, NSW and has been a Personal Trainer for 20 years, after working one on one with clients for a long time, she realised there was a gap between their movement output and proper nutrition guidance in order to achieve client-specific goals. Through Nutritional Medicine support, Sarah teaches the importance of food as medicine and understands a range of tools are needed to guide you in order to be able to truly thrive.

©2020 Sarah Fehlberg Naturopathy

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