23 February, 2026
alternatives-to-intermittent-fasting-what-doctors-recommend-for-sustainable-health

February 19, 2026 — 5:00am

In the ever-evolving landscape of weight loss trends, intermittent fasting has emerged as a popular method, promising quick results with minimal effort. However, recent findings suggest that this approach may not be the panacea many hoped for. A major Cochrane review analyzed data from 22 randomized clinical trials involving nearly 2,000 adults worldwide, including Australia, and concluded that intermittent fasting offers no significant advantage over other diets or even doing nothing at all.

The review scrutinized various fasting methods, such as the 5:2 method, alternate-day fasting, and time-restricted eating. Despite the popularity of these regimes, the evidence indicates that they may not be more effective for weight loss than traditional dieting. This revelation prompts a reevaluation of the promises associated with intermittent fasting and highlights the need for a more personalized approach to health and weight management.

Understanding Health Beyond Weight Loss

As the allure of rapid weight loss continues to captivate, experts caution against equating weight loss with improved health. Dr. Fiona Willer, a lecturer in nutrition and dietetics at Queensland University of Technology, emphasizes the distinction between these goals, stating, “It’s of critical importance to understand that ‘health’ and ‘weight loss’ are not the same goal. Often the means people use to achieve weight loss actively undermine health.”

Professor Luigi Fontana, scientific director at the Charles Perkins Centre RPA Clinic, University of Sydney, concurs, warning of the long-term health implications of extreme diets. He notes that while such diets might result in weight loss, they can disrupt the gut microbiome and lead to deficiencies that compromise overall health.

The Importance of Personalized Diets

One size does not fit all when it comes to dieting, a sentiment echoed by Dr. Rachael Taylor, director of the Edgar Diabetes and Obesity Research Centre at the University of Otago. She advises that the best diet is one tailored to the individual, focusing on unprocessed, ‘real’ food.

Dr. Clare Collins AO, a professor in nutrition and dietetics at the University of Newcastle, recommends seeking personalized advice from a general practitioner (GP). A comprehensive health screening can provide a foundation for a tailored approach to weight loss, potentially uncovering other health issues in the process.

Exercise: A Non-Negotiable Component

While dieting can lead to initial weight loss, maintaining that loss often requires regular exercise. Professor Fontana stresses the importance of exercise in preserving muscle mass and maintaining metabolic rate. He suggests incorporating weightlifting and endurance sessions into weekly routines to enhance the effectiveness of any diet.

Supporting this view, Dr. Melyssa Roy, a public health physician and senior lecturer at the Otago Medical School, highlights the critical role of physical activity. Her research underscores that exercise is essential for health promotion and muscle preservation during energy deficits.

Awareness of Hidden Kilojoules

Dr. Clare Collins notes that many people struggle with weight loss due to a lack of awareness about the energy content of foods. Understanding the nutritional makeup of what we consume is crucial for making informed dietary choices and avoiding hidden kilojoules that can derail weight loss efforts.

As the conversation around weight loss continues to evolve, these expert insights emphasize the importance of a holistic, individualized approach to health. While intermittent fasting may work for some, it is not a universal solution. Instead, a combination of personalized diet, regular exercise, and nutritional awareness offers a more sustainable path to achieving health goals.

In conclusion, as new diet trends emerge, it is essential to critically evaluate their promises and consult healthcare professionals to ensure that weight loss efforts do not come at the expense of overall health. The journey to better health is as much about the methods employed as it is about the outcomes achieved.