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Intermittent Fasting to Improve Health, Cognition & Longevity | Dr. Satchin Panda

In this episode my guest is Satchin Panda, PhD, professor and director of the Regulatory Biology Laboratories at the Salk Institute for Biological Studies. We discuss his lab’s discovery that time-restricted eating (TRE), also known as intermittent fasting, has beneficial effects on metabolic health and longevity. Dr. Panda explains how TRE, and longer fasts as well, can positively impact obesity, diabetes, cardiovascular health, age-related chronic diseases and improve mood and cognitive performance. He also describes how the timing of eating, light exposure and exercise that roughly 50% of people engage in negatively affects their health, and he explains how simple adjustments to these factors can improve their subjective sense of wellbeing and biomarkers of cardiovascular function, glucose regulation and metabolism. We discuss how our circadian behaviors, which include patterns of eating, sleeping and socializing, have an enormous impact on our biology, mood and health, and how confining calorie consumption to a semi-regular daily window can enhance physical health, mental health and longevity. Thank you to our sponsors AG1 (Athletic Greens): https://athleticgreens.com/huberman HVMN: https://hvmn.com/huberman Eight Sleep: https://eightsleep.com/huberman Thesis: https://takethesis.com/huberman Momentous: https://www.livemomentous.com/huberman InsideTracker: https://www.insidetracker.com/huberman Social & Website Instagram: https://www.instagram.com/hubermanlab Twitter: https://twitter.com/hubermanlab Facebook: https://www.facebook.com/hubermanlab LinkedIn: https://www.linkedin.com/in/andrew-huberman Website: https://hubermanlab.com Newsletter: https://hubermanlab.com/neural-network Dr. Satchin Panda Salk Institute: https://www.salk.edu/scientist/satchidananda-panda Panda Lab: https://panda.salk.edu Publications: https://panda.salk.edu/publications Support Dr. Panda’s Research: https://panda.salk.edu/giving Twitter: https://twitter.com/SatchinPanda Instagram: https://www.instagram.com/satchin.panda Other Resources My Circadian Clock app: https://mycircadianclock.org Ontime Health app: https://getontimehealth.com Articles Revival of light signalling in the postmortem mouse and human retina: https://go.nature.com/3ZWnGro Circadian alignment of early onset caloric restriction promotes longevity in male C57BL/6J mice: https://bit.ly/3ywruE3 Time-restricted eating with or without low-carbohydrate diet reduces visceral fat and improves metabolic syndrome: A randomized trial: http://bit.ly/3LeBdqg Embers of society: Firelight talk among the Ju/’hoansi Bushmen: https://bit.ly/3l65LzK Circadian Entrainment to the Natural Light-Dark Cycle across Seasons and the Weekend: http://bit.ly/3LhsWlm Feasibility of time-restricted eating and impacts on cardiometabolic health in 24-h shift workers: The Healthy Heroes randomized control trial: http://bit.ly/3FeR1FC Access to Electric Light Is Associated with Shorter Sleep Duration in a Traditionally Hunter-Gatherer Community: https://bit.ly/3LivSyj Daily Eating Patterns and Their Impact on Health and Disease: https://bit.ly/3YGIHW6 Books The Circadian Code: https://amzn.to/3FixpAv The Circadian Diabetes Code: https://amzn.to/3FiU7Zm Timestamps 00:00:00 Dr. Satchin Panda 00:03:02 Sponsors: HVMN, Eight Sleep, Thesis, Momentous 00:07:24 Time-Restricted Eating (TRE), Calorie Restriction (CR) & Health 00:14:38 Mealtimes & Circadian Clock 00:21:34 Circadian Rhythm, Meal Anticipation, Digestion 00:25:28 Breaking a Fast, Burning Fat 00:32:49 Sponsor: AG1 (Athletic Greens) 00:34:04 CR, Time Restricted Eating, Circadian Rhythm & Longevity 00:47:20 Gender, Hormones & CR; Relative Energy Deficient in Sports (REDS) 00:52:40 Physical Activity, Nutrition & Feeding Window 00:59:04 Nutrition Timing, Quality & Quantity; Low- Carbohydrate Diet 01:03:00 Caffeine, Nighttime Socialization, Fire, Breakfast 01:15:07 Sponsor: InsideTracker 01:16:20 Circadian Rhythm, “Night Owls” & Genetics 01:26:37 Morning vs. Nighttime Discussions, “Me Time” 01:30:08 Light Sensitivity & “Night Owls”; Puberty, Melatonin 01:36:05 Shift Workers, Health & Disease 01:45:43 Artificial Lights, Young Adults & Sleep, Metabolic Dysfunction 01:50:59 Firefighters, Sleep & TRE; Cardiovascular Health, Blood Glucose 02:05:18 Shift Workers & Sleep; Alcohol & Caffeine 02:09:15 12- Hour Feeding Window for Adults & Children, Sleep 02:22:10 Meal Timing 02:25:20 “Complete Fast”, Longer Fasts, Physical Health & Mental Health 02:28:12 “Fat Fasting”, Blood Glucose & Insulin 02:31:57 Fasting, Metformin, Rapamycin & Longevity; Human Applicability? 02:39:14 Circadian Rhythm & Metabolism 02:41:36 Ontime Health App, Circadian Clock App 02:46:17 Zero-Cost Support, Spotify & Apple Reviews, YouTube Feedback, Sponsors, Momentous, Social Media, Neural Network Newsletter Disclaimer: https://hubermanlab.com/disclaimer

Andrew HubermanhostSatchin Pandaguest
Mar 13, 20232h 49mWatch on YouTube ↗

CHAPTERS

  1. 0:00 – 14:38

    Introduction, Definitions: Intermittent Fasting vs. Time‑Restricted Eating

    Huberman introduces Dr. Satchin Panda and frames the discussion around circadian rhythms, fasting, and health. Panda defines intermittent fasting as an umbrella term rooted in classic calorie restriction paradigms (daily CR, alternate‑day fasting, 5:2, periodic fasts) and distinguishes it from time‑restricted feeding/eating (TRF/TRE), where total daily calories can remain constant but eating is limited to a daily window.

    • Circadian rhythms govern gene expression, metabolism, mood, sleep, and cognition.
    • Intermittent fasting historically comes from caloric restriction studies in rodents and humans (daily CR, alternate‑day, 5:2, periodic multi‑day fasts).
    • TRE is operationally defined as confining all caloric intake (food and caloric drinks) to a consistent 8–12‑hour window each 24‑hour period.
    • Most popular media now use “intermittent fasting” to loosely refer to TRE, causing confusion.
    • In animal TRE experiments, calories are not reduced; timing is the main manipulated variable.
  2. 14:38 – 25:28

    Circadian Clocks, Meal Timing, and Anticipation

    Panda explains experiments showing that feeding time can reset circadian clocks in the liver and other tissues independent of the master SCN clock in the brain. Consistent meal timing allows organs to anticipate food—up‑regulating enzymes, hormones, and motility—whereas variable timing creates metabolic ‘jet lag.’

    • Classic work by Ueli Schibler and others showed that daytime feeding in nocturnal mice shifts the liver clock away from the SCN.
    • Light is the dominant zeitgeber for the SCN, but food timing is the dominant zeitgeber for many peripheral clocks.
    • Internal clocks anticipate wake time by raising heart rate, blood pressure, and temperature; similarly, digestive organs anticipate meals.
    • Day‑to‑day shifts of 2–3 hours in first/last meal time cause a mismatch between anticipation and actual intake, impairing digestion and leading to ‘food hangover.’
    • A rule of thumb from jet lag research: roughly one day of adjustment per hour of phase shift applies analogously to meal‑time shifts.
  3. 25:28 – 34:04

    What Breaks a Fast? Fed vs. Fasted and Mouse Metabolism

    They dissect what it means to be ‘fasted’ beyond the colloquial notion of not eating. Panda uses mouse indirect calorimetry data to show how quickly small amounts of food switch the body from fat to carbohydrate oxidation, highlighting that even tiny snacks biochemically break a fast, even if overall calories are low.

    • Indirect calorimetry (O₂ in/CO₂ out) yields RER, indicating whether the body is burning primarily carbs (RER≈1) or fat (RER≈0.7).
    • In mice, 12–14 hours of no food shifts them mostly to fat oxidation; a small 100–200 mg nibble rapidly raises RER, signaling a switch back toward carbohydrate use.
    • ‘Breaking a fast’ can be defined biochemically (shifting fuel use and hormonal milieu), not just by any arbitrary calorie threshold.
    • Body fat vs. dietary fat must be distinguished: low‑carb diets increase fat oxidation but much of that can be *dietary* fat, not necessarily body fat.
    • Short, small ‘breaks’ in a fasting period (sugar in coffee, tiny snacks) likely interrupt fasting physiology; how quickly one returns to a fasted state depends on intake amount and activity.
  4. 34:04 – 47:20

    Caloric Restriction vs. TRE: Longevity Insights from Mouse Studies

    Panda reviews Joe Takahashi’s Science paper showing that caloric restriction extends lifespan, but aligning restricted calories to the animal’s active phase and consolidating meals yields additional lifespan gains. Timing, not just calories, matters—and common human RCTs often miss this by using small timing changes in already restricted eaters.

    • Classic CR mice eat their reduced ration within 2–4 hours (effectively 1‑meal‑a‑day TRE + 20–40% calorie cut).
    • Smart cages allowed Takahashi’s group to spread CR calories into small meals across 24 hours (no extended fasting) or to consolidate them into the active (night) or rest (day) phase.
    • Ad lib mice had baseline lifespan; CR spread over 24 hours extended lifespan ~10%.
    • CR confined to *wrong* phase (day for nocturnal mice) extended lifespan ~20%; CR confined to *right* phase (night) extended lifespan ~35%.
    • Body weight and composition did not differ meaningfully among CR groups, and standard biomarkers (glucose, cholesterol, etc.) could not fully predict longevity differences, suggesting undiscovered longevity markers.
    • A prominent human TRE RCT showing “no extra benefit” vs. CR alone only compressed eating from ~10 to 8 hours in already-restricted eaters, so a null result on weight is unsurprising and does not invalidate timing effects on other health domains.
  5. 47:20 – 1:03:00

    Safe TRE Windows, RED‑S, and Sex Differences

    They discuss risks of very short eating windows, especially in active people and women. Panda introduces RED‑S and argues that for long‑term health, most should aim for 8–10 (and often up to 12) hours rather than extreme 4‑hour windows or OMAD, particularly when exercise volume is high.

    • Relative Energy Deficiency in Sport (RED‑S) is common (~40% of athletes) in both sexes but is particularly visible in women (amenorrhea, low bone density).
    • RED‑S affects the hypothalamic–pituitary–gonadal and hypothalamic–pituitary–adrenal axes, impacting sex hormones, stress hormones, mood, and bone.
    • Symptoms include menstrual loss, stress fractures, anxiety, depression, and bipolar‑like features.
    • Very short TRE windows cause many people to under‑eat unintentionally (gastric volume limits, satiety), especially when simultaneously ‘eating clean’ and training hard.
    • Panda suggests 8–10 hours as a lower bound for most, and up to 12 hours when training or physically active, to reduce RED‑S risk.
    • Swiss data using the MyCircadianClock app showed that a 12‑hour window, without changing food quality, produced weight loss comparable to a nutrition‑counseling group that improved diet quality—hinting that timing alone has meaningful impact.
  6. 1:03:00 – 1:16:20

    Caffeine, Breakfast, Firelight, and Evening Socialization

    Panda links the evolution of human evening behavior to firelight and explains how modern evening social media and screens are the new ‘fireside chats.’ He traces the history of coffee from nighttime politics to morning prayers in Istanbul and suggests that breakfast partly arose to buffer coffee’s gastric side effects.

    • Controlled use of fire let humans extend waking into the evening without turning it into more ‘work’ time.
    • Evenings around the fire were culturally distinct: storytelling, politics, matchmaking, dancing, and philosophy—our first ‘social media.’
    • Modern evenings still function as ‘me time’ for self‑expression and entertainment, often via screens, food, alcohol, and caffeine.
    • Early coffeehouses in Istanbul were evening political hubs; Sufi orders used coffee at night for singing/dancing.
    • Morning coffee culture emerged when believers used coffee to stay awake for early prayers, but strong Turkish coffee caused heartburn, leading people to eat something first—seeding the modern notion of breakfast.
    • For people prone to acid reflux or anxiety/panic, black coffee on an empty stomach can trigger symptoms; eating first or delaying caffeine may help.
  7. 1:16:20 – 1:36:05

    Night Owls, Teenagers, Light Sensitivity, and Sleep Timing

    They challenge the strong genetic determinism of ‘night owl’ vs. ‘morning lark’ labels by showing how light, schedules, and social context shape sleep timing. Field studies in electricity‑free cultures and camping experiments indicate humans naturally cluster around similar sleep times once artificial light and late obligations are removed.

    • In indigenous groups without electricity (e.g., Argentine Tobas), people go to bed ~3–3.5 hours after sunset with minimal variability (15–30 minutes), and there is no clear night‑owl subgroup.
    • Camping studies by Ken Wright show self‑described night owls shift to earlier bedtimes (~9–10:30pm) and maintain earlier circadian timing for weeks after returning home.
    • Some families with familial advanced sleep phase syndrome have true genetic variants in clock genes (e.g., PER2) that cause very early sleep; these represent exceptions, not the majority.
    • Individual sensitivity to evening light (ipRGC/blue‑light sensitivity) varies by up to ~1 log unit; highly sensitive people’s clocks are easily delayed by light.
    • Teenagers become more light‑sensitive post‑puberty, drift later, and still need ~9 hours of sleep, making early school start times and nighttime device use a perfect storm for chronic sleep debt.
    • Going to sleep earlier (under dim light) often makes the same number of hours feel more restorative than sleeping later into the morning.
  8. 1:36:05 – 1:50:59

    Shift Work, Health Risks, and Why It’s Under‑Studied

    Panda frames shift work as a widespread but neglected health issue. He defines it operationally, explains how even sporadic late nights mimic shift work physiology, and points out that shift workers are often excluded from clinical trials, leaving a knowledge gap in how to help them.

    • Operational definition (varies by country): staying awake and working ≥2 hours between ~10pm and 5am, enough to shift clocks and cause 2–3 days of circadian misalignment.
    • Roughly 20% of working adults are formal shift workers (nurses, doctors, firefighters, truck drivers, bakers, service workers); many more live ‘shift‑like’ due to nightlife, devices, or new parenthood.
    • When including students, new mothers, gig workers, and irregular schedules, Panda estimates ~50% of adults live some version of a shift‑work lifestyle.
    • Shift work is associated with higher rates of hypertension, diabetes, gastrointestinal disorders, inflammation, cancers, and some dementias.
    • Ironically, shift workers are frequently an exclusion criterion in clinical trials of drugs and lifestyle interventions, so evidence on what helps them is scarce (~<50 interventional trials vs. hundreds of thousands total on ClinicalTrials.gov).
    • Just five nights of restricted, shifted sleep can make a healthy person’s blood glucose look pre‑diabetic; one night of dim light can impair next‑morning glucose regulation.
  9. 1:50:59 – 2:09:15

    Firefighter Study: TRE Under Extreme Circadian Stress

    Panda describes a randomized trial in full‑time firefighters doing 24‑hour shifts. The primary question was feasibility: can these workers adopt a 10‑hour eating window? Secondarily, the study looked at cardiometabolic outcomes, revealing specific improvements in blood pressure, lipids, and glucose, even without significant weight change.

    • 70% of US full‑time firefighters do 24‑hour shifts (8am–8am), often on/off cycles with multiple days off; some departments use 48‑hour shifts.
    • All participants received Mediterranean diet counseling; ~half were randomized to also confine eating to a self‑chosen 10‑hour window (same window on duty and off).
    • Researchers embedded themselves in busy fire stations to understand culture and constraints; during a 24‑hour shift, staff were awakened repeatedly by alarms, even if not dispatched.
    • Most TRE firefighters started eating between 8–11am, 2–3 hours after waking, and finished within 10 hours; most adhered ≥5 days/week.
    • Overall weight and body composition changes did not differ much—partly because ~⅓ began metabolically healthy and firefighters are physically active (running ~8–9 miles per shift).
    • In those with high blood pressure, TRE led to clinically meaningful reductions in systolic and diastolic BP, comparable to antihypertensive drugs.
    • VLDL particle number/size shifted favorably in the TRE group, reducing atherogenic risk.
    • Those with elevated glucose improved glycemic control; importantly, TRE also significantly reduced alcohol intake in the TRE group but not controls.
  10. 2:09:15 – 2:25:20

    Mealtime Consistency, Kids, and How Much We Actually Snack

    Using the MyCircadianClock app, Panda’s team quantified real‑world eating patterns, revealing that most people eat far more frequently and across a longer span than they realize. This creates a huge opportunity: simply shrinking the eating window to 10–12 hours can be a powerful, low‑willpower intervention for adults and children.

    • In an early study, 156 non‑shift‑working adults logged every ingestive event with photos for 3 weeks using the MyCircadianClock app.
    • Median eating frequency was 7 times/day; 10% of participants ate ~12 times/day.
    • About 50% of adults had an eating span of ~14 hours 45 minutes—essentially 15 hours—i.e., only a 9‑hour nightly fasting period.
    • Only ~10% of people naturally ate within 12 hours in this dataset, contradicting the ‘three meals in 12 hours’ assumption.
    • First and last bite times drifted significantly day to day, further blurring circadian signals.
    • Pediatric sleep guidance implies children should finish eating at least 1–2 hours before bed and not eat immediately upon waking, naturally yielding an ~12‑hour eating window.
    • Panda recommends 12‑hour windows as a safe, broadly applicable target (from ~age 5 to 100), adjusting narrower windows cautiously based on age, activity, and health.
  11. 2:25:20 – 2:39:14

    Longer Fasts, Low‑Carb and ‘Fat Fasting,’ and Fasting‑Mimicking Drugs

    They broaden the discussion to multi‑day fasting, low‑carb ‘fat fasting,’ and pharmacologic mimics like metformin, berberine, and rapamycin. Panda is cautiously open but emphasizes unresolved questions about long‑term effects, circadian timing of these interventions, and the dangers of over‑simplifying glucose spikes as uniformly bad.

    • Complete fasts and low‑calorie fasting‑mimicking diets (e.g., 4–5 days) have been used in European clinics for weight loss, cardiometabolic improvements, and possibly mood disorders, under medical supervision with electrolyte and micronutrient support.
    • Case reports suggest potential benefits for treatment‑resistant depression, but rigorous controlled studies are sparse.
    • ‘Fat fasting’ (very high fat, very low carb intake during ‘fasts’) keeps blood glucose low but chronically under‑stimulates pancreatic beta cells; long‑term effects on islet mass and function are unknown.
    • Insulin and IGF‑1 are not purely ‘bad’; they are essential for muscle protein synthesis, tissue repair, and normal physiology.
    • Metformin and berberine activate AMPK and partially mimic fasting; rapamycin reduces mTOR signaling, another fasting hallmark.
    • Panda notes that metformin and rapamycin’s apparent benefits in mice may depend partly on misaligned, ad lib feeding schedules; giving them in a perfectly aligned TRE context might produce different outcomes.
    • A study from Katja Lamia’s lab shows metformin’s glucose‑lowering effect in mice depends strongly on time of day it is given, suggesting circadian timing matters for these drugs.
    • Huberman’s personal experience with berberine illustrates that taking it without sufficient carbohydrate intake can cause profound hypoglycemia and side effects.
  12. 2:39:14 – 2:49:06

    Tools, Apps, and Closing Thoughts on Circadian Health

    Panda and Huberman close by underscoring that circadian alignment is a foundational health lever. They highlight research tools like MyCircadianClock and a new consumer‑facing OnTime Health app that integrate sleep, food, and activity timing, and reiterate that scientific understanding will continue to evolve, but timing‑based interventions are already actionable.

    • Almost all major metabolic regulators (e.g., nuclear hormone receptors) are under circadian control; conversely, metabolism helps set circadian patterns—‘circadian is metabolism and metabolism is circadian.’
    • Panda emphasizes that we’re always in a ‘dark age’ of science—what seems best now will be updated in a decade, so humility and adaptability are key.
    • MyCircadianClock app is a research tool that logs meal timing, sleep, activity to support circadian studies; participants can contribute anonymized data.
    • The OnTime Health app distills circadian findings into 5–6 timing‑based levers (sleep, eat, light, move, etc.) for the public.
    • Huberman highlights the rarity and value of labs like Panda’s that integrate mechanistic animal work with directly translatable human trials.
    • Both stress that aligning light, sleep, food, and activity with internal clocks is a potent, low‑cost intervention for health, cognition, and possibly longevity.

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