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You can gain weight and feel fatigued with intermittent fasting if it is not executed correctly.


Name: Reena

Gender: Female

Age: 46

Profession: Teacher in London

Case History: Reena had lost about 10 kgs through intermittent fasting. However, over a period of time, her cravings started getting worse. Initially, she was able to sustain the weight loss with will power. After a while, her will power gave up and she slowly started to yield to her cravings and started gaining the weight back. Additionally, as she was a physical fitness teacher, she was expected to be active throughout the day. Her intermittent fasting regimen was also making her feel lethargic and fatigued throughout the day and by the end of the day she would feel completely drained out. Her BMI was 30. When she came to us, she was quite terrified as she did not have pleasant experiences in the past and would end up spending lots of money on different diet program but nothing yielding results. She wanted to lose weight, wanted to feel healthy and have a sustainable healthy lifestyle as well. She was diagnosed with significant insulin resistance and had been taking 1500 mg of metformin for 17 years to treat PCOS and get regular periods. She was unable to determine which foods would be best for her body. Her high insulin resistance and medications were hindering her opportunity to live a healthy lifestyle. She followed a restrictive diet and did the gym, which put her body negative protein balance, which could further harm her bones and overall fitness.

Approach by the best clinical diabetic nutritionist: It was important to help her get some quick wins by losing so that she started trusting our process. She wanted to continue to follow the same meal timings of her current regimen. So we followed a 3 meal strategy. We gave her a low-calorie, fiber-rich and dense protein meal which was simple to make for a working mother in the UK. Her first two meals included 80 per cent of her body’s protein requirements along with a perfect ratio of macronutrients to nourish her body. The 3rd meal was a meal that had maximum carbs. That was also a time that she would be taking her metformin and her body needs carbs to support her medication. She was not keen to take out metformin from her life as she had used it for the past 17 years to manage her PCOS. All the meals were given keeping in mind her time availability and family routine. It was made sure that she does not go in negative protein energy balance along with losing weight. She was provided with healthy quick options which were rich in protein when there was a shortage of time. Her diet was focused on decreasing insulin resistance so that her medication reduces which ultimately will help treat PCOS and lose some weight.


As a result, she lost 6.5 kgs in a span of 2 months in spite of a busy work schedule and without physical activity and with the social indulgences of Diwali and thanksgiving long weekends. As we helped her manage her overall calorie consumption in the week balancing feasting and regular daily routines, and she was also losing weight, for the first time in years, she was in a better head space and peaceful. She managed to work on her health even with her mood swings, eating out, and disturbed routine. She started feeling light. Her metabolism was boosted. Her hunger pangs and behaviour improved. She started to understand her body and its needs. She learned to manage to have different food over a period of time. Her interactions during follow-up with Deepika motivated her throughout her journey and made her confident.

Deepika Chalasani is a Clinical Nutritionist, Mind and Body Transformation Coach and co-founder of Fit4Life India, an integrated nutrition and wellness organization for Indians that provides complete solutions, addressing health and wellness challenges of individuals by working on their overall well-being. Deepika, best nutritionist in Hyderabad for weight loss and online dietician can be contacted via email or Mobile +91 9491011202

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