The Michael Mosley diet plan, encompassing both the 5:2 diet (also known as The Fast Diet) and The 8-Week Blood Sugar Diet, has gained significant popularity as a weight-loss approach. These diets, popularized by British journalist and doctor Michael Mosley, center around intermittent fasting principles and low-carbohydrate, Mediterranean-style eating.
Introduction to the Michael Mosley Diet Plans
Dr. Michael Mosley is the author of The 8-Week Blood Sugar Diet and the coauthor, with Mimi Spencer, of the #1 New York Times bestseller The FastDiet, which has been published in over thirty-two languages around the world. He is also coauthor, with Peta Bee, of FastExercise and wrote the foreword for The FastDiet Cookbook by Mimi Spencer and Dr. Sarah Schenker.
The 5:2 diet, or The Fast Diet, involves eating normally for five days of the week and drastically restricting calories on the other two. Mosley tried this "intermittent fasting" diet when his doctor showed him that though he was only a few pounds overweight, his cholesterol was high and his blood sugar was headed in the wrong direction. The other five days, according to the plan, dieters can eat whatever they want, including cheeseburgers and croissants, in a guilt-free way.
Following the success of the 5:2 diet, Michael Mosley's follow-up weight loss plan, The 8-Week Blood Sugar Diet, has once again grabbed the headlines. The diet is aimed at those wishing to lose weight, especially if you carry excess abdominal fat, as well as those with blood sugar issues, including pre-diabetes and type 2 diabetes.
The 5:2 Diet: Intermittent Fasting
The 5:2 diet is an intermittent fasting regimen in which calorie intake is limited to 500-600 calories per day, two times per week. It’s called the 5:2 diet because five days of the week are routine eating days, while the other two restrict calories to 500-600 per day. Because there are no requirements about which foods to eat, but rather when you should eat them, this diet is more of a lifestyle.
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How the 5:2 Diet Works
For five days per week, you eat normally and don’t have to think about restricting calories. On the other two days, you reduce your calorie intake to a quarter of your daily needs, which is about 500 calories per day for females and 600 for males. You can choose whichever two days of the week you prefer, as long as there is at least one non-fasting day in between them. One common way of planning the week is to fast on Mondays and Thursdays, with two or three small meals, then eat normally for the rest of the week.
During your fast days, you can eat, but not very much. Women get 500 calories per day; men get 600. That’s far less than what’s usually recommended. Depending on age, gender, and how active you are, you could need three or four times as many calories.
Foods to Eat on Fasting Days
The Fast Diet encourages you to eat lean protein, vegetables, and fruit on fasting days, usually as two small meals plus a few snacks.
Here are a few examples of foods that may be suitable for fast days:
- A generous portion of vegetables
- Natural yogurt with berries
- Boiled or baked eggs
- Grilled fish or lean meat
- Cauliflower rice
- Soups (for example, miso, tomato, cauliflower, or vegetable)
- Low calorie cup soups
- Black coffee
- Tea
- Still or sparkling water
A typical 500-calorie fasting day might include oatmeal with fresh blueberries for breakfast, a tangerine for a snack, and a chicken and vegetable stir-fry for dinner. You will drink lots of water and may also have calorie-free beverages such as tea, coffee (no milk or sugar), and club soda.
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Foods to Eat on Non-Fasting Days
On your 5 "off days," you can eat anything. Surprisingly, the research team that studied the diet found that people didn’t gorge themselves on off days. The Fast Diet strongly discourages drinking alcohol on fasting days and suggests that if you drink on your "off days," you drink only in moderation. And once you reach your weight loss goal, 1 day of fasting per week is recommended for maintenance.
Potential Benefits of the 5:2 Diet
There are very few studies on the 5:2 diet specifically. However, recent studies on intermittent fasting in general show impressive health benefits. One important benefit is that intermittent fasting seems to be easier to follow than continuous calorie restriction, at least for some people.
Also, many studies have shown that different types of intermittent fasting may significantly reduce insulin levels. One 2011 study showed that the 5:2 diet caused weight loss similar to regular calorie restriction. Additionally, the diet was very effective at reducing insulin levels and improving insulin sensitivity.
Several studies have looked into the health effects of modified alternate-day fasting, which is very similar to the 5:2 diet (ultimately, it’s a 4:3 diet). One 2013 randomized controlled study in both moderate-weight and overweight individuals showed major improvements in the group doing 4:3 fasting, compared to the control group that ate as usual. After 12 weeks, the fasting group had:
- Reduced body weight by more than 11 pounds (5 kg).
- Reduced fat mass by 7.7 pounds (3.5 kg), with no change in muscle mass.
- Reduced blood levels of triglycerides by 20%.
- Increased LDL particle size, which is a good thing.
- Reduced levels of C-reactive protein (CRP), an important marker of inflammation.
- Decreased levels of leptin by up to 40%.
A 2014 review found that modified alternate-day fasting led to a weight loss of 3-8% over the course of 3-24 weeks. In the same study, participants lost 4-7% of their waist circumference, meaning that they lost a lot of belly fat. Intermittent fasting causes a much smaller reduction in muscle mass when compared to weight loss with conventional calorie restriction.
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Who Should Avoid the 5:2 Diet
Although intermittent fasting is very safe for healthy, well-nourished people, it does not suit everyone. Some people should avoid dietary restrictions and fasting completely. These include:
- Individuals with a history of eating disorders.
- Individuals who often experience drops in blood sugar levels.
- Pregnant people, nursing people, teenagers, children, and individuals with type 1 diabetes.
- People who are malnourished, underweight, or have known nutrient deficiencies.
- People who are trying to conceive or have fertility issues.
Furthermore, intermittent fasting may not be as beneficial for some females as it may be for males. Some females of reproductive age have reported that their menstrual periods stopped while they were following this type of eating pattern.
Potential Downsides of the 5:2 Diet
The academy also notes that "any variation of fasting may make a person irritable, cause daytime sleepiness/sleeplessness at night, and can even lead to dehydration."
It also may be tough to stick with in the long term. But trying it out to see if it suits you is a worthy plan.
The 8-Week Blood Sugar Diet: A Low-Carb Approach
For those with type 2 diabetes, because stage one of the plan involves a very low-calorie diet, it may put your condition in to remission. You do this by following a moderately low-carb, Mediterranean-style diet, with lean protein sources and vegetables.
The aim of this stage of the diet is to normalise liver and pancreas fat and promote regular insulin response and blood glucose management.
Key Principles of The 8-Week Blood Sugar Diet
- Low-Carb, Mediterranean Style: The diet emphasizes reducing carbohydrate intake while focusing on whole, unprocessed foods characteristic of a Mediterranean diet.
- Lean Protein: Prioritizing lean protein sources helps maintain muscle mass and supports metabolism.
- Vegetables: A wide variety of non-starchy vegetables are encouraged for their nutrient density and fiber content.
- Healthy Fats: Incorporating healthy fats, such as those found in olive oil, avocados, and nuts, is essential for overall health and satiety.
- Time-Restricted Eating: The plan encourages time-restricted eating to enhance the benefits of an overnight fast.
What to Eat on The 8-Week Blood Sugar Diet
- Cut right down on sugar, sugary treats, drinks and desserts: No more than once or twice a week and preferably less.
- Minimise or avoid the starchy “white stuff” bread, pasta, potatoes, rice: Be wary of “brown” alternatives: the extra fibre can be negligible. Brown rice is OK, but some wholemeal breads have added sugar.
- Avoid most breakfast cereals: They are usually full of sugar, even the ones that contain bran.
- Avoid snacking if possible find healthy snacks if you must: Nuts are a great source of protein and fibre. Try to avoid salted or sweetened nuts, which can be moreish.
- Start the day with eggs: Boiled, poached, scrambled or as an omelette - they’ll keep you fuller for longer than cereal or toast.
- Full-fat yoghurt is also good: Add berries, like blackberries, strawberries or blueberries, for flavour.
- Eat more healthy fats and oils: Along with oily fish (salmon, tuna, mackerel), consume more olive oil. A splash makes vegetables taste better and improves the absorption of vitamins.
- Have high-quality proteins: Oily fish, prawns, chicken, turkey, pork, beef and, of course, eggs.
- Other protein-rich foods: soya, edamame beans, Quorn, hummus.
- Fibre is good: the Mediterranean low carb diet does not mean no carbs at all. Not only is this very hard to achieve, but can be detrimental. (We recommend no alcohol for the first month of the diet: this helps the liver kick back into function and to reduce insulin resistance.
- Dairy products are back in: Recent research has found that these do not cause diabetes. They are a good source of calcium and protein. They also help you feel fuller for longer. Eat in moderation as they are fairly high in calories. A scattering of grated cheese can be used on baked vegetables to add flavour.
- Healthy fats & oils are back in too: Eating fat does not automatically clog the blood vessels in the way that poring oil down the drain will eventually block the drain. Although oil or butter is high in calories, it is very slowly digested and surprisingly does not significantly increase your blood sugar. It makes vegetables taste better and can improve the absorption of certain vitamins and the essential vitamins A, D, E & K are only found in certain fats & oils. Avoid foods containing trans-fats (usually processed foods). Use oils such as olive oil, rapeseed oil or coconut oil.
- Nuts are also included: They provide a good source of protein, minerals & vitamins, contain healthy fats and have a high fibre content. You nibble them, chuck them in salad or stews.
- Aim for variety and to eat plenty of green and non starchy vegetables.
- Soups are surprisingly satiating, cheap & practical. You can take them to work for lunch, keep portions in the freezer and they are more slowly digested.
- Use grated cauliflower instead of rice or mash it instead of potato. Much lower calorie & fewer carbs.
- Beware hidden calories in drinks. Alcohol is surprisingly high calorie and avoid if possible.
Potential Benefits of The 8-Week Blood Sugar Diet
The Mediterranean-style low carb diet approach, which we recommend in The Blood Sugar Diet, is a low sugar diet, low in starchy, easily digestible carbs, but packed full of disease-fighting vitamins and flavonoids. There is extensive evidence for the benefit of the Mediterranean style low carb diet, including cutting your risk of heart disease and diabetes. It has even been found to reduce risk the risk of breast cancer, compared with those on a low-fat diet.
Potential Downsides of The 8-Week Blood Sugar Diet
During this first stage, you may experience side effects - the most common are headaches, constipation or tiredness. This is typically due to dehydration, so the plan encourages you to increase your intake of calorie-free liquids to 2-3 litres per day.
If you choose not to use a meal replacement product during this initial stage, micronutrient intake may be low and a vitamin and mineral supplement may be needed to support your nutrient intake. Meal replacement products, such as shakes, are designed to help stave off hunger so if you do elect to follow the 'real food' version of the plan, you may also be challenged with hunger pains.
Sample Recipes
- Lamb-Stuffed Bell Peppers: Halve the bell pepper and remove the seeds. Brush the skin with the oil and place skin side up on a baking tray. Preheat the oven to 425°F. Place the eggplant in a roasting dish skin side down. Meanwhile, heat the remaining oil in a pan, add the onion, cumin, paprika, and cinnamon and cook over medium heat for 8 minutes. Add the lamb, pine nuts, and tomato puree and cook for 8 minutes more. Remove the eggplant from the oven and divide the lamb mixture evenly between each half. Return to the oven and bake 10 minutes more.
- Mozzarella-Mushroom Steaks: Season 2 portobello mushrooms and place under the broiler for 2 minutes. Heat half a can of baked beans in a pan, add a splash of Worcestershire sauce, and melt in a handful of grated mozzarella. Season the steaks with a pinch of steak seasoning and allow to reach room temperature. Place a skillet over high heat and add the butter and oil. Add the steaks to the hot pan and, keeping the heat high, cook 3 minutes on one side for medium or 2 minutes for rare. Pour in the reduced stock, crème fraîche, and peppercorns. Stir well and cook for 1 minute more.
General Considerations for Both Diets
Consulting a Healthcare Professional
The Fast Diet says that you shouldn’t fast if you’re pregnant or underweight, or if you have a history of eating disorders or diabetes, and that you should check with your doctor first if you take medication. The diet also isn't recommended for kids, teens, frail seniors, or anyone who isn't feeling well or has a fever.
If you have diabetes, this is absolutely not the weight loss plan for you. It could be dangerous, especially if you take medicine, and lower your blood sugar into unsafe -- even deadly -- territory. Talk to your doctor first before trying a fasting diet. This approach could put extra stress on your body.
Please note: if you're considering attempting any form of diet, please consult your GP first to ensure you can do so without risk to your health.
Long-Term Sustainability
It doesn't recommend the diet because "it is not a realistic long-term solution.”
It also may be tough to stick with in the long term. But trying it out to see if it suits you is a worthy plan.
Avoiding Clichés and Misconceptions
One reason experts tell people not to cut way back on calories is that it can slow your metabolism, making it even harder to lose weight. But studies show that fasting from time to time can be an effective strategy for weight loss. In addition, cutting calories on a couple of days instead of every day may help preserve muscle, so you lose mostly fat.
Mosley’s team found that people don’t overindulge on the non-fasting days. Other research suggests they may be right. But it’s ultimately up to you to make sure you don’t sabotage your weight loss efforts on the “off” days.
Forget the idea that cholesterol turns into damaging cholesterol in your arteries and blood…Eggs have been reinstated as a healthy & filling source of protein.
Eating fat does not automatically clog the blood vessels in the way that poring oil down the drain will eventually block the drain. Although oil or butter is high in calories, it is very slowly digested and surprisingly does not significantly increase your blood sugar.
Exercise
Exercise reduces appetite. It is good for general cardiovascular fitness and strength, but is a hard way to lose weight. If you find it hard to exercise, simply moving more has significant health benefits and can increase your metabolic rate.
Adapting Your Diet
You may crave carbs at first, but most people find this settles within a matter of days. As your insulin resistance drops so does your appetite. You can adapt your usual diet and make healthy swaps, but it may also be helpful to try some new recipes to make sure you get a good nutritional balance.