Dr. Mindy Pelz on the Six Fasting Windows: From 12-Hour Intermittent Fasting to the 72-Hour Immune Reset

The Mel Robbins Podcastwith Dr. Mindy Pelz· · Episode aired September 18, 2023· 12 min read
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High-Level Overview

In this first half of a two-part masterclass, Mel Robbins sits down with Dr. Mindy Pelz, a best-selling author and fasting educator, to lay out the basics of fasting as a health tool. Mel admits she came in curious and confused: friends had been raving about skipping breakfast and eating from 11 a.m., and she wanted to know whether fasting is really different from dieting, whether it is healthy, and whether the headlines about fat loss, focus, mood and longevity hold up. Dr. Mindy's answer is an enthusiastic yes, and she spends the episode explaining the body's two energy systems, why switching between them matters, and the six fasting lengths she teaches, each tied to a different benefit.

The tone is high-energy and conversational. Mel plays the role of the delighted, slightly overwhelmed student, repeatedly pausing to restate the science in plain language, while Dr. Mindy mixes research claims, stories from her own perimenopause and from clients, and a strong conviction that fasting is the one health tool everyone can afford. The conversation moves from the why (her mission and the core biology) to the what (the six fasting windows) to a few practical questions about coffee, safety and belly fat, and it ends with a promise that part two will cover getting started and the different protocols for women.

Table of contents

The Discussion Explores:

  • What fasting is, in Dr. Mindy's words, and why she calls it a healing state rather than a diet
  • The two energy systems (sugar burner and fat burner) and the idea of metabolic switching
  • Why a free tool matters when healthy food and supplements cost money many people do not have
  • Dr. Mindy's own start with fasting at 43 and what it did for brain fog, energy and belly fat
  • The research she points to, including autophagy work, Ramadan studies and a 2019 New England Journal of Medicine review
  • How compressing an eating window without changing food helped one man lose weight and change his habits
  • The six fasting lengths (12 to 16, 17, 24, 36, 48 and 72 hours) and the benefit linked to each
  • Practical questions: coffee, when the clock starts, who should not fast, and how long before belly fat changes

Deep Dive into Main Ideas

Fasting as a Healing State, Not a Diet

Dr. Mindy opens with a simple definition: "Fasting is a healing state you put your body in that you can only get there by avoiding food for a certain period of time." When blood sugar drops, she says, the body triggers a series of healing responses, and she lists what she believes fasting can do: burn fat, sharpen the brain, curb hunger, improve sleep, ease chronic pain and slow aging. She calls it the most remarkable tool the body was built with.

The core distinction she wants listeners to hold on to is between what you eat and when you eat. A diet, she explains, manipulates the type and amount of food. A fasting protocol can leave food choices alone and simply changes the window of time in which eating happens. She cites a study suggesting that eating within eight to ten hours and fasting for the rest of the day can overturn poor metabolic health, even for someone whose diet is far from ideal. Mel repeats the point several times so it lands: this is not calorie restriction and not disordered eating, but timing.

Dr. Mindy also argues that fasting must be pulled out of diet culture. If it is seen as a diet, she says, people will treat it as a trend that they either did right or did wrong, rather than a lifestyle built around a rhythm the body is designed for.

Two Energy Systems and Metabolic Switching

The backbone of the episode is Dr. Mindy's model of two energy systems. When blood sugar goes up, the body runs on what she calls the sugar burner system. When blood sugar comes down, it can switch over to the fat burning system. She compares it to a car: "It's very much like a hybrid car." Moving between the two is called metabolic switching, and she says a healthy body should switch back and forth throughout the day.

People with poor metabolic health, in her view, stay stuck in the sugar burner state and never reach the fat burning side where the healing mechanisms happen. She notes that "We only have 12% of Americans that are metabolically fit," and presents fasting as the quickest door into that other state. She roots the idea in human history: early humans had no refrigerators or delivery apps, food was not a given, and the body needed a second fuel source that sharpened the mind, raised energy and strengthened the immune system so they could go find food. She calls this pattern feast famine cycling, and says modern convenience has let us throw away the second system.

That second fuel is the ketone. Dr. Mindy says "ketones are 50% of the fuel for your brain," so someone who never dips into fat burning is depriving the brain of half its fuel. She adds that ketones switch off the hunger hormone and raise GABA, a calming neurotransmitter, which is why people often report feeling calm and focused rather than frantic when they fast. She describes landing after a flight 18 or 19 hours into a fast and finding she was no longer hungry and felt a calm, pleasant feeling in her body.

Why Dr. Mindy Is on a Mission

Dr. Mindy explains her passion with a story from the pandemic. Invited to speak to high school teachers about immunity, she talked about food and supplements, and then one teacher said the peanut butter with the right oils cost $8 more than the one with bad oils, money he did not have. Another said she got up at 4:30 a.m. and was so exhausted by 3 p.m. that the McDonald's drive-through was simply easier. Those comments convinced her that the world needs a health tool that works for everyone, from busy executives to people living paycheck to paycheck, and that fasting is that tool.

Her personal story adds weight. She first became interested through the autophagy research of Dr. Ohsumi, the Japanese scientist who won the Nobel Prize in 2016. At 43, noticing perimenopausal belly fat, brain fog, a 3 p.m. crash and focus problems, she tried going 13 hours without food. The first day was miserable, but she stuck with it, and within three or four days she noticed she was no longer crashing in the afternoon. She credits ketones with bringing her brain and energy back online and helping her keep her weight where she wanted it. Mel frames this as a revelation for perimenopausal women, and Dr. Mindy agrees that these women are suffering without answers and that a healing mechanism that already exists is the place to start.

She is also blunt about incentives: "who profits from fasting? Big pharma doesn't. Big food doesn't. Nobody profits from it." In her experience, any negative finding about fasting gets outsized media attention because the only winner is the person doing it.

The Research Behind It

Mel and Dr. Mindy point to several lines of evidence. Dr. Mindy says she spent a couple of years reading studies 20 to 30 hours a week, and that much of the fasting research came from people observing Ramadan, who go without food from sunrise to sunset for 30 days. She mentions that Hippocrates, often called the founder of modern medicine, spoke of removing food so the body can heal, to stress that this is an old practice rather than a new trend.

The study they both highlight is a 2019 New England Journal of Medicine review that Mel says looked at more than 85 studies. As Mel describes it, the review said intermittent fasting should be a first line of treatment for obesity, diabetes, cardiovascular disease, neurodegenerative brain conditions and cancer, and that it has anti-aging effects and nine cellular healing benefits. Dr. Mindy adds that it covered neurological conditions such as dementia and Alzheimer's, which she notes affects more women than men, as well as wound healing, and that it even offered a protocol. Her frustration is that it had a moment in the spotlight and then people stopped citing it.

Another study she highlights involved women recovering from breast cancer: fasting as little as 13 hours a day was associated, she says, with a 64% lower recurrence of breast cancer.

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How a Shorter Eating Window Changes Cravings: Todd's Story

Dr. Mindy tells the story of Todd, a man over 300 pounds who described himself as food addicted and was drinking about 12 sodas a day. Rather than asking him to give up soda, she asked why he wanted to be healthy (to stay alive for his wife and kids) and then had him keep all his usual food, buffalo wings and soda included, but compress it into a 12-hour eating window. In the first month, she says, he lost roughly 25 to 30 pounds without changing what he ate. After a year he had lost close to 120 pounds, had given up soda and was eating healthily, with the goal of feeling proud in his family's Christmas card photo.

She gives three reasons this works. First, blood sugar: a meal like a burger, fries and soda spikes blood sugar, the crash that follows brings new hunger, and a longer pause lets the body switch into a healing state where cravings stop. Ketones then reach the brain and switch off the hunger hormone. Second, the microbiome: fasting changes the diversity of gut bacteria, and she says some cravings come from organisms like Candida, a gut fungus that she says makes you crave sugar and carbohydrates. Third, his cells became less inflamed and could finally take in nutrition.

Keto Labels, Coffee and Where the Clock Starts

Mel asks about products labeled keto, worried that people will assume a keto candy bar is good for the brain. Dr. Mindy says the ketogenic diet has been commercialized, and her simple advice is: "Just eat nature's carbs." That means vegetables, fruit and foods that grow from the earth, rather than debating low carb versus high carb or trusting a lab-made product because it has fewer carbs. Her own route to ketones is fasting itself.

On coffee, the most common question she gets, the rule is that whatever you drink should not spike blood sugar. Black coffee is fine; sugar and creamer are not; a frappuccino does not count as fasting just because it contains coffee. Full fat cream, she says, typically will not raise blood sugar because fat stabilizes it, so Mel's coffee with full fat cream probably keeps her in the fasted state. The body usually starts switching into fat burning around eight hours after the last food, and for many people it takes about 12.

The clock starts "the moment that the last piece of food goes in your mouth," including drinks like evening wine; water is allowed. Sleep counts. Mel walks through an example: finish eating at 9 p.m., and by about 5 a.m. you have switched metabolic states; hold off eating until somewhere between 9 a.m. and noon to complete a 12 to 15 or 16 hour intermittent fast.

The Six Fasting Windows

Dr. Mindy lays out six fasting lengths, each tied to a benefit she describes:

  • Intermittent fasting, 12 to 16 hours. Glucose and inflammation come down, and growth hormone kicks in. She describes inflammation as the aches, stiffness, swelling and congested thinking people feel, and says growth hormone, which she says we stop getting after 30, helps burn fat and slow aging. This is the starting point she recommends for everyone.
  • Autophagy, 17 hours. Cells turn inward and clear out parts that no longer work, repair mitochondria and, she says, kill rogue cells such as cancer cells. Many people in her community use it after an indulgent vacation as a detox without supplements. She links it to a rise in hormones such as estrogen and higher libido, and to fighting off a cold, arguing that viruses have no energy system of their own and cannot replicate in a cell in autophagy.
  • Gut reset, 24 hours. Citing a study out of MIT, she says intestinal stem cells are produced at 24 hours, helping repair a leaky gut, clear bad bacteria and change the gut environment, which she recommends for people who have taken repeated antibiotics, eaten poorly for a long time or are constipated.
  • Fat burner, 36 hours. She describes a study in which 36 hours without food followed by 12 hours of eating, repeated over 30 days, led to a significant change in belly fat specifically. She says a single 36-hour fast is sometimes enough to unstick someone's weight, but stresses you do not start here; you train up from 12 hours the way you would train for a marathon.
  • Dopamine reset, 48 hours. She cites a study showing 48 hours without food improved how dopamine is made and opened up more dopamine receptor sites, and lowered anxiety. With dopamine for motivation and ketone-driven GABA for calm, she describes the result as feeling calm and motivated, and says people in her community report higher happiness for weeks after one 48-hour fast. Mel adds that anyone on antidepressants, anxiety or ADHD medication should talk to their doctor.
  • Immune reset, 72 hours. Based on the work of Walter Longo at USC, who studied people going through chemotherapy, she says fasting around 72 hours reboots the immune system, producing stem cells and new white blood cells. She says people now report repairs to chronic injuries and brain neurons as well.

She emphasizes that "fasting gets easier the more you do it," and that people who love how they feel at 15 hours often want to go longer. She calls the overall approach a fasting lifestyle, and Mel compares it to the body's other natural cycles, like sleep and circadian rhythm.

Safety, Belly Fat and Brain Fog

Dr. Mindy is clear about who should not fast or should be careful. It is not for pregnant women. Nursing women should keep fasts under 15 hours, because she says fasting can trigger a detox reaction that sends toxins into breast milk. And it is not for people with eating disorders or food challenges that the fasted state might trigger. For pre-diabetes, diabetes and cardiovascular disease she calls it incredible, but urges people to bring their doctor along, noting that she keeps the science on her YouTube channel so doctors can work with their patients.

Mel's million-dollar question is which protocol melts belly fat. Dr. Mindy's answer is to start with intermittent fasting, consistently at 12 to 15 hours, and "Give it 90 days." For brain fog, which she describes as swelling of the brain, most people will see improvement with as little as 12 hours, and longer fasts lower inflammation further and produce more ketones that she says help repair injured parts of the brain. The episode closes with a preview of part two: how to start, three hacks to make it easier, and why women need a different protocol than men because of their hormone cycles.


Conclusion

This episode is a lively introduction to fasting as Dr. Mindy Pelz teaches it: the body has two fuel systems, modern eating keeps most people stuck on sugar, and simply leaving longer gaps between meals lets the body switch to burning fat, make ketones and turn on repair processes. Her six windows give listeners a ladder, from a 12 to 16 hour daily fast that anyone can start tonight by counting sleep, up to longer fasts she ties to autophagy, gut repair, fat loss, dopamine and immune renewal. The big takeaways are that timing matters as much as food choice, that fasting is free and gets easier with practice, that you train up rather than jump into long fasts, and that pregnant or nursing women, people with eating disorders and anyone on medication or with a health condition should take care and involve their doctor. For the protocols built around women's hormones and the practical how-to, the conversation continues in part two.


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