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The 72-hour autophagy fast!

Updated: Mar 27

Fasting has been an integral part of human culture for centuries, often rooted in religious and spiritual practices. In recent years, the 72-hour fast has garnered attention for its potential health benefits, particularly in promoting autophagy—a cellular process associated with various health improvements.

Immune System
Autophagy process. Image source: Britannica

This article delves into the physiological changes during a 72-hour fast, its rising popularity, benefits, preparation strategies, experiences during the fast, associated risks, and other pertinent information.


The growing interest in 72-hour fasting has been propelled by recent health and longevity trends as individuals seek methods to improve health and extend lifespan. Supporting scientific research has highlighted the benefits of fasting, particularly its role in autophagy and metabolic regulation.



Physiological Changes During a 72-Hour Fast


  1. Glycogen Depletion and Ketosis: Initially, the body utilizes glycogen stores for energy. Once depleted, typically within 24 hours, the body transitions to breaking down fatty acids into ketones, entering a state known as ketosis. This metabolic switch provides an alternative energy source for the brain and other tissues.

  2. Autophagy Activation: Prolonged fasting stimulates autophagy, a process where cells degrade and recycle damaged components, maintaining cellular integrity and function. Autophagy plays a crucial role in removing dysfunctional proteins and organelles, thereby supporting cellular health.

  3. Hormonal Adjustments: Fasting influences hormone levels, including increased norepinephrine, which can enhance metabolic rate, and reduced insulin levels, promoting fat breakdown. These hormonal changes contribute to the metabolic adaptations observed during extended fasting periods.



Potential Benefits of a 72-Hour Fast


  • Enhanced Autophagy: By promoting the removal of damaged cellular components, autophagy may reduce the risk of chronic diseases such as cancer, neurodegenerative disorders, and infections.

  • Improved Insulin Sensitivity: Extended fasting can enhance the body's responsiveness to insulin, aiding in better blood sugar control and potentially reducing the risk of type 2 diabetes. Healthline

  • Reduced Inflammation: Fasting has been shown to decrease markers of inflammation, which are linked to various chronic conditions, including cardiovascular disease and autoimmune disorders.

  • Cardiovascular Health: Some studies suggest that fasting may lead to improvements in blood pressure, cholesterol levels, and other cardiovascular risk factors. Healthline

  • Cognitive Benefits: Individuals often report enhanced mental clarity and focus during fasting periods, possibly due to stable blood sugar levels and the neuroprotective effects of ketones.


“It is not until you stay away from food for 3 to 5 days that you get to see the benefits of autophagy."

- Dr. Patricia Cook, author of Autophagy: Learn How To Activate Autophagy Safely Through Intermittent Fasting, Exercise and Diet.



Preparation for a 72-Hour Fast


  • Gradual Progression: Begin with shorter fasting periods, such as intermittent fasting or 24-hour fasts, to acclimate the body to extended periods without food.

  • Nutrient-Dense Diet: Consume a balanced diet rich in vitamins and minerals leading up to the fast to ensure adequate nutrient stores.

  • Hydration: Maintain proper hydration before and during the fast to support bodily functions and mitigate potential side effects.

  • Medical Consultation: Consult with a healthcare professional, especially for individuals with underlying health conditions or those taking medications, to assess the appropriateness of extended fasting.



What to expect during the fast:


  • Hunger Pangs: Initial feelings of hunger typically subside as the body adapts to fasting.

  • Energy Fluctuations: Some may feel fatigued or experience bursts of energy due to hormonal changes.

  • Mental Clarity: Many report improved focus and cognitive function during fasting periods.

  • Physical Sensations: Possible lightheadedness or dizziness, emphasizing the importance of adequate hydration and rest.



Maintaining Electrolyte Balance


Electrolyte balance is crucial during a prolonged fast to prevent symptoms like dizziness, fatigue, muscle cramps, and irregular heartbeats. Since fasting reduces dietary intake of essential minerals like sodium, potassium, magnesium, and calcium, maintaining proper hydration with electrolyte supplementation is recommended.

Drinking water with added sea salt or electrolyte powders can help replenish sodium levels, while consuming potassium- and magnesium-rich sources like mineral water. Some individuals opt for homemade electrolyte solutions using a mix of water, Himalayan salt, and a potassium source. It is important to listen to the body and adjust electrolyte intake accordingly, as imbalances can lead to serious complications.

If symptoms of severe deficiency occur—such as heart palpitations, confusion, or extreme weakness—ending the fast or seeking medical advice is advisable.



Risks and Considerations


  • Nutrient Deficiencies: Extended fasting without proper preparation can lead to deficiencies in essential vitamins and minerals.

  • Electrolyte Imbalance: Prolonged fasting may disrupt electrolyte levels, potentially causing complications such as heart arrhythmias.

  • Hypoglycemia: Individuals, particularly those with diabetes, may experience dangerously low blood sugar levels.

  • Muscle Loss: Extended fasting can result in the loss of lean muscle mass, especially if not combined with resistance training.

  • Eating Disorders: Fasting may trigger or exacerbate disordered eating patterns in susceptible individuals.



A 72-hour fast can initiate significant physiological changes, including the activation of autophagy, and may offer various health benefits. However, it is essential to approach extended fasting with caution, ensuring proper preparation and/or medical supervision. As research continues to evolve, individuals should weigh the potential benefits against the risks and consider personal health circumstances before undertaking such fasting protocols.

Information throughout this website has been gathered from a wide variety of sources (websites, books, articles and studies). Some suggestions may conflict with other interpretations of diets and food groups.

The accuracy of any content throughout has not been independently verified and should serve only as an educational guide.

Food lists are predominately common or generic and do not represent every option available.

Always seek professional healthcare advice when required.

Suggested diets or actions are not intended to treat, cure or prevent any diseases.

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