During periods without food, such as an overnight fast or intentional intermittent fasting, your body doesn't simply shut down. Instead, it is a master of adaptation, shifting its energy production through a carefully orchestrated sequence of metabolic events. This process ensures a continuous energy supply to all cells, especially the brain.
The Fed and Post-Absorptive States
After consuming a meal, your body enters the fed state, using the ingested food for energy. Any excess carbohydrates are converted to glucose and stored as glycogen in your liver and muscles. The insulin hormone is high during this period, signaling cells to absorb glucose for immediate energy or storage.
Once digestion is complete, roughly 4 to 18 hours after your last meal, you enter the post-absorptive state. As blood glucose levels begin to drop, your pancreas releases glucagon, which signals the liver to convert its stored glycogen back into glucose. This liver glycogen is the primary source of blood glucose during this phase and can last for up to 24 hours. This process is called glycogenolysis.
Tapping into Energy Reserves
Once the liver's glycogen stores are significantly depleted, the body transitions to long-term fuel sources. This is when the body begins to mobilize its fat and, to a lesser extent, protein stores.
The Role of Ketosis and Gluconeogenesis
Around 18-24 hours into a fast, the body initiates two major processes to maintain energy. The first is gluconeogenesis, where the liver creates new glucose from non-carbohydrate sources, primarily amino acids derived from breaking down body proteins. The second and more significant is ketogenesis, which is the breakdown of stored triglycerides in fat tissue (lipolysis) into fatty acids and glycerol.
- Fatty Acid Conversion: The liver converts these fatty acids into ketone bodies (acetoacetate, β-hydroxybutyrate, and acetone).
- Brain Fuel: Unlike fatty acids, ketones can cross the blood-brain barrier and serve as a crucial energy source for the brain when glucose is scarce. The brain adapts to get up to 70% of its energy needs from ketones during prolonged fasting.
- Muscle Preservation: By using ketones for energy, the body reduces its reliance on protein breakdown for gluconeogenesis, thus preserving muscle mass.
The Stages of Fasting
The metabolic changes your body undergoes during fasting can be broken down into progressive stages:
- Stage 1 (0-4 hours): Absorption of nutrients from the last meal. Glucose is the primary fuel source. Insulin levels are high, and energy is stored as glycogen and fat.
- Stage 2 (4-18 hours): The body taps into its liver glycogen stores to release glucose and maintain stable blood sugar levels. Insulin levels fall, and glucagon rises.
- Stage 3 (18-48 hours): Liver glycogen is depleted. The body initiates gluconeogenesis and increases lipolysis to convert fat into fatty acids and ketones.
- Stage 4 (48+ hours): The body enters a state of deep ketosis, relying heavily on ketones for energy. Protein breakdown for glucose synthesis is minimized as the body adapts to fat-derived fuel.
Comparing Fuel Sources
| Feature | Glucose (Carbohydrates) | Ketones (Fats) | Protein (Amino Acids) |
|---|---|---|---|
| Availability | Immediately available from food; stored as glycogen. | Mobilized from abundant fat stores during fasting. | Can be broken down for glucose, but is a less preferred fuel source. |
| Energy Density | Less dense, but quick energy source. | More energy-dense, providing sustained fuel. | Energy yield varies; used for other vital functions. |
| Brain Use | Primary fuel source; essential for normal function. | Alternative fuel source during prolonged fasting. | Cannot directly fuel the brain; provides glucose via gluconeogenesis. |
| Metabolic State | Fed and post-absorptive states. | Ketosis, triggered by low insulin. | Used during gluconeogenesis, especially during the initial phase of glycogen depletion. |
Conclusion
When you don't eat, your body is engineered to run on its energy reserves. This remarkable metabolic flexibility ensures survival during times of food scarcity. The body first uses glucose from the last meal, then burns through liver glycogen. As fasting continues, it shifts to burning stored fat and producing ketones to power the brain and other tissues, all while working to preserve muscle mass. This is a natural, adaptive process that can be triggered by fasting and low-carb diets.
For more detailed information on the physiology of fasting, refer to the NCBI Bookshelf.