Conflicting fasting advice can make it difficult to know whether intermittent fasting is actually appropriate for you—and the answer is often more nuanced than a simple yes or no.
Episode #272
🎙️ Coach Terri Lance is joined by Megan Ramos to look at five situations that frequently raise questions about intermittent fasting: women and hormonal changes, people who are lean but metabolically unhealthy, stress and cortisol, concerns about muscle and bone health, and the use of GLP-1 medications.
Megan explains why broad rules such as "women shouldn't fast" or "fasting is bad when you're stressed" miss important context. Health history, body composition, life stage, current stress and the way fasting is applied all matter.
Terri and Megan also discuss why someone can appear lean while still having significant metabolic dysfunction, how fasting can be adapted during periods of stress, and what people using GLP-1 medications may need to consider around appetite, protein and lean mass.
👉 What you'll learn
• Why fasting advice often needs more nuance than a simple yes or no
• What women should consider across different hormonal stages
• Why perimenopause and menopause don't automatically rule out fasting
• How someone can be lean while still having metabolic syndrome
• Why body composition matters more than scale weight alone
• How the type and severity of stress can change the fasting approach
• What fasting means for muscle and bone health
• What to consider when fasting while using a GLP-1 medication
• Why different circumstances may call for modifying rather than abandoning fasting
📝 Read the Transcript
You can read the transcript and explore more episodes of The Fasting Method Podcast here:
https://www.thefastingmethod.com/podcasts/
⚙️ Go Deeper With the Intermittent Fasting Masterclass
Megan's Intermittent Fasting Masterclass starts August 31 and is designed for people who are new to fasting as well as those who have been fasting for a while but aren't getting the results they expected.
Across four weeks, you'll get 14 recorded lessons, four live Q&A sessions with Megan, concise lesson summaries and one month of access to The Fasting Method Community for non-members.
The Masterclass covers what fasting actually is, what you can have during a fast, how to approach eating days, how to navigate social situations and how to adapt the principles to your own fasting journey.
Learn more and join:
https://www.thefastingmethod.com/intermittent-fasting-masterclass-summer-2026/
📣 Connect With Us
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Join our free Facebook group: https://bit.ly/TFMNetwork
🤝 Join The Fasting Method Community
Build your fasting knowledge, learn from experienced coaches and connect with people who understand the journey:
https://www.thefastingmethod.com/community/
⏱️ Timestamps
00:00 Fasting while using GLP-1 medications
00:13 Terri introduces the Intermittent Fasting Masterclass
01:47 Who is intermittent fasting really for?
02:32 Why fasting advice has become so confusing
05:47 Women and fasting across different life stages
13:20 Can lean people with metabolic issues fast?
16:56 Fasting, stress responses and resilience
20:13 Stress, cortisol and when to modify fasting
24:01 Fasting, muscle mass and bone health
26:18 Fasting while taking GLP-1 medications
29:06 Megan introduces the Intermittent Fasting Masterclass
32:06 Who should share this episode
⚠️ Disclaimer
This podcast is for educational purposes only, and it is not to substitute for professional care by a doctor or other qualified medical professional. You should always speak with your physician or other healthcare professionals before doing any fasting, changing your diet in any way, taking or adjusting any medications or supplements, or adopting any treatment plan 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. Any 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.