medication adjustment must be discussed with the diabetes team before making any dietary changes Individuals with a history of eating disorders (such as anorexia nervosa, bulimia nervosa, or binge eating disorder) structured fasting can reinforce harmful behaviours and thought patterns Those who are underweight or malnourished further restriction is clinically contraindicated People on certain medications , including warfarin (which requires consistent vitamin K intake rather than specific meal timing), lithium (which is sensitive to changes in hydration and sodium intake fasting can alter both), and some immunosuppressants where consistent dosing relative to food intake is important People with chronic kidney disease (CKD) protein and fluid requirements need careful management
All of this is what allows GLP-1 receptor agonists to help treat type 2 diabetes
High-fat, greasy, fried, and heavily processed foods are more likely to cause nausea or digestive discomfort
Monitor energy levels subjectively on a 1 to 10 scale
However, in terms of release date, as well as both efficacy and side effects, it tends to fall mid-way between the two