Who should avoid extended fasting?

Published: October 26, 2025
Updated: October 26, 2025

Extended fasting involves certain risks for specific groups of people because of their different physical requirements. A pregnant woman requires a continuous source of nutrients with which to nourish a developing fetus. This makes fasting potentially dangerous. There are also dangers of electrolyte imbalance in individuals with chronic diseases, like kidney disease, during a prolonged fast.

Health conditions greatly modify the safety parameters of fasting. Insulin-dependent diabetics may experience serious alterations in blood sugars without appropriate monitoring. Those who have a history of eating disorders may exhibit unhealthy behaviors. Always obtain professional medical clearance prior to attempting fasts of over 24 hours.

Metabolic Conditions

  • Type 1 diabetes: Insulin regulation risks
  • Kidney disease: Electrolyte imbalance danger
  • Liver disorders: Impaired detoxification capacity
  • Thyroid issues: Metabolic rate complications

Special Populations

  • Pregnant/nursing women: Nutrient transfer needs
  • Children/teens: Growth development requirements
  • Elderly: Muscle preservation concerns
  • Underweight individuals: Energy reserve limitations
Condition-Specific Fasting Alternatives
ConditionDiabetesAvoid Fasts Longer Than12 hoursSafer Approach
12/12 with glucose monitoring
ConditionPregnancyAvoid Fasts Longer ThanAvoid all fastingSafer Approach
Nutrient-dense eating schedule
ConditionEating disordersAvoid Fasts Longer ThanAvoid all fastingSafer Approach
Structured meal timing therapy
ConditionKidney diseaseAvoid Fasts Longer Than14 hoursSafer Approach
14/10 with electrolyte management
Individual medical guidance required for implementation

Medications can pose significant risks during extended fasting, particularly due to their interaction with food. For instance, blood pressure medications can cause a dangerous reduction in blood pressure, and diuretics can aggravate the already increased excretion of electrolytes. Always consult your doctor about adjusting the timing of your medications and never change their dosage without medical supervision.

There are safer alternatives for high-risk individuals. Time-restricted eating (for example, 12/12) can give benefits without the prolonged deprivation of fasting. Focus on nutrient density in the diet during the eating times instead of protracted fasting. Regular medical supervision is necessary to implement dietary changes safely in individuals at high risk.

Read the full article: 8 Most Effective Fasting Methods Explained

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