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Is the Fast 800 Bad for You? A Balanced Look at the Risks and Rewards

3 min read

The NHS recommends that very low-calorie diets should only be followed if advised and supervised by a GP. The Fast 800, a popular program developed by Dr. Michael Mosley, includes a very low-calorie phase, prompting many to question: is the Fast 800 bad for you?

Quick Summary

The Fast 800 diet, especially its intensive phase, presents risks like nutrient deficiencies, muscle loss, and metabolic slowdown, necessitating medical supervision for most people.

Key Points

  • Medical Supervision is Crucial: The intensive 800-calorie phase should only be undertaken with medical guidance, as recommended by health authorities like the NHS.

  • Risk of Nutrient Deficiencies: It is challenging to meet essential vitamin and mineral requirements on such a low-calorie intake, risking health issues like weakened bones and low energy.

  • Metabolic Slowdown: Severe calorie restriction can trigger metabolic adaptation, where the body slows its metabolism, making future weight management more difficult.

  • Unsuitable for Certain Groups: The diet is not safe for people with a history of eating disorders, Type 1 diabetes, pregnant women, and those with certain medical conditions.

  • Sustainability Depends on Phase: While the initial phase is temporary, the long-term success and safety depend on transitioning to the more sustainable 5:2 or Way of Life approaches.

  • Risk of Weight Regain: Without transitioning to sustainable habits, the initial rapid weight loss can be quickly regained, sometimes with additional weight.

In This Article

The Fast 800 diet is an umbrella term encompassing several approaches to weight loss and improved metabolic health, including a very low-calorie phase, intermittent fasting, and a maintenance phase. While the diet can be effective for rapid weight loss, particularly for individuals with obesity or type 2 diabetes, the intensive 800-calorie phase carries significant risks that make it unsuitable for the general population without strict medical supervision.

The High-Intensity Phase: Understanding the Very Fast 800

The term "Fast 800" is often associated with the most intensive part of the program, known as the Very Fast 800. This phase requires consuming only 800 calories per day for a limited period, typically up to 12 weeks. This severe calorie restriction can lead to several adverse health effects.

Potential Risks and Side Effects

This phase of the diet, if not properly managed, can cause a range of issues from mild side effects to more serious long-term consequences. The most common side effects include headaches, fatigue, nausea, and constipation, which often result from dehydration. Beyond these temporary issues, more significant health concerns arise:

  • Nutrient Deficiencies: It is extremely difficult to meet all essential nutritional requirements on just 800 calories per day, even with the emphasis on whole, Mediterranean-style foods. Potential deficiencies can include iron, calcium, Vitamin D, magnesium, and B vitamins, leading to consequences like fatigue, weakened bones, and a compromised immune system.
  • Metabolic Slowdown: In response to a drastic and prolonged calorie deficit, the body's metabolism can slow down as it enters a survival mode to conserve energy. This metabolic adaptation can make continued weight loss more difficult and increase the likelihood of rapid weight regain once normal eating resumes.
  • Muscle Loss: The body may begin to break down lean muscle tissue for energy during severe calorie restriction, which is detrimental to overall health and long-term metabolism. Prioritizing high-protein intake is crucial to minimize this risk.
  • Increased Risk of Gallstones: Rapid weight loss, a common outcome of very low-calorie diets, is linked to a higher risk of developing gallstones.
  • Negative Impact on Relationship with Food: The highly restrictive nature of this phase can foster a negative mindset around food, potentially leading to disordered eating patterns like binge-eating after the diet is over.

The Importance of Medical Supervision

Because of these risks, medical supervision is critical for anyone considering the Very Fast 800, and certain individuals should avoid it entirely. The diet is not recommended for:

  • People who are underweight or have a history of eating disorders
  • Children and teenagers under 18
  • Pregnant or breastfeeding women
  • Individuals with Type 1 diabetes
  • People with uncontrolled heart disease, hypertension, or kidney failure
  • Those on certain medications, particularly insulin or 'flozin' drugs

Long-Term Approaches: Is the Fast 800 Sustainable?

Beyond the initial rapid weight loss phase, the Fast 800 offers more sustainable approaches, such as the New 5:2 and the Way of Life. The New 5:2 involves two 800-calorie days per week, while the Way of Life focuses on a Mediterranean-style diet without strict calorie counting for maintenance. These methods are generally safer and more likely to result in long-term, sustained weight management. The potential danger lies in treating the intensive phase as a quick fix without transitioning to these healthier, long-term habits.

A Comparison: The Very Fast 800 vs. Sustainable Weight Loss

Feature Very Fast 800 (Intensive Phase) Moderate Calorie Deficit (Sustainable)
Speed of Weight Loss Rapid, but potentially unsustainable Gradual and easier to maintain
Safety & Risk Higher risk of deficiencies, metabolic slowdown, gallstones; requires medical supervision Lower risk; less severe side effects
Nutritional Intake Challenging to meet daily nutritional needs Easier to ensure adequate nutrient intake
Sustainability Not designed for long-term use; high risk of weight regain Focuses on habit change for lasting results
Impact on Metabolism Potential for metabolic slowdown Less impact on metabolic rate

Conclusion

So, is the Fast 800 bad for you? The answer is nuanced. The intensive Very Fast 800 phase is a potentially risky, short-term approach that must be undertaken with medical supervision, especially for individuals with underlying health conditions. It comes with risks of nutrient deficiencies, muscle loss, and metabolic slowdown. However, the program's foundation in a Mediterranean-style diet is healthy, and the more gradual phases are far more sustainable. Ultimately, the safety and effectiveness depend heavily on the specific approach taken and whether it is followed under appropriate medical guidance. For most people, a gradual, less restrictive approach is safer and more likely to lead to sustained weight loss. For more information on the side effects of intermittent fasting and calorie restriction, it is wise to consult authoritative medical sources.

Frequently Asked Questions

Common side effects, particularly during the intensive phase, include headaches, fatigue, nausea, dizziness, and constipation. These are often temporary but signal that the body is adjusting to extreme calorie restriction.

Yes, severe calorie restriction can cause metabolic slowdown, or metabolic adaptation, as your body tries to conserve energy. This can hinder long-term weight loss and contribute to regaining weight once the diet ends.

Yes, consuming only 800 calories per day makes it very difficult to obtain adequate vitamins, minerals, and other essential nutrients from food alone. Supplementation is often required, and deficiencies in iron, calcium, and B vitamins are common.

Individuals who are underweight, pregnant or breastfeeding, have a history of eating disorders, or have specific medical conditions like Type 1 diabetes, heart disease, or kidney problems should not follow the diet.

The rapid weight loss phase should only be followed for a short duration, typically up to 12 weeks, and only under medical supervision. Prolonged calorie restriction can increase health risks.

Yes, rapid weight loss is a known risk factor for developing gallstones. This is one of the more serious potential side effects of very low-calorie diets.

When calories are severely restricted, the body may break down muscle tissue for energy. The Fast 800 emphasizes sufficient protein intake to help mitigate this, but muscle loss remains a risk, especially without adequate exercise.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.