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Crossfire

Should I time my fasting to the phase of my menstrual cycle?

What the experts say

Mindy Hetzer PelzD.C. · chiropractor, author and fasting educator

Yes, by calendar day, and the length should change a lot: 13 to 72 hours in the low-hormone windows, capped around 15 hours at ovulation, and none at all in the second half. Three weeks later she softened it: cycle phase became one input among four, alongside stress load, sleep and season of life, with her own settled window at 12 to 13 hours

What it rests onA hormone mechanism argument: sex hormones are lowest on days 1 to 10 and again on days 16 to 19, so fasting meets no hormonal interference and the low-insulin state suits rising estrogen; progesterone in the luteal phase needs low cortisol and available glucose, and fasting supplies neither. Her cited evidence is a calorie-restriction and cortisol study in women, a mouse stem-cell study, a Jenny Craig-funded 14:10 trial in adults with obesity, a phytoestrogen review, and a Salk magazine feature. None of them tests cycle-phase timing. She names her own basis as clinical observation across thousands of women. The later softening (pel-flex) is a first-person account of having stopped fasting for almost a year under sustained stress and resumed without a target: 'the question shifts from did I hit my window today to what does my body actually need today'. She explicitly does not recant the tool: 'Not because I'd changed my mind about it. Not because the research had shifted.'

Source: drmindypelz.com ↗
Stacy T. SimsPhD · exercise physiologist and nutrition scientist

No longer, in her own domain. Decide by readiness, not the calendar. Cycle awareness stays; cycle prescription goes

What it rests onA dated first-person revision by the researcher who popularised phase-based training: 'I was one of the first to start talking about this, about 7-8 years ago', and the replacement rule 'Train by readiness, not the calendar. If energy, sleep, and HRV look good, great, go for it. If not, modify intensity or focus on technique and recovery.' She keeps the awareness explicitly: 'Cycle awareness is still powerful; it's part of understanding your physiology. But it should guide you, not confine you.'

Source: drstacysims.com ↗

Overview

Four gaps matter here, and missing any of them misrepresents someone. First, the subject: Sims withdrew a prescription about training by cycle phase, not about fasting by cycle phase. She has a separate and firm position against fasting for active women, but her dated withdrawal is not about fasting, and presenting it as though it were would misquote her.

Second, audience: Sims writes for women who train deliberately, and scopes her fasting objection to the intersection of training stress and low energy availability. Pelz writes for a general female reader, weighted toward midlife and perimenopause, with no training load assumed.

Third, cycle status: Pelz's framework depends on a predictable cycle, and her own answer for women without one is unsettled, having been an internal-signal rule in Nov 2025 and a lunar-calendar rule in May 2026. Fourth, the counterweight is narrower than it looks: the peer-reviewed case against prescribing by cycle phase (Colenso-Semple, D'Souza, Elliott-Sale and Phillips, Frontiers in Sports and Active Living, 2023, concluding that building resistance-training prescriptions on cyclical hormonal changes is not an evidence-based approach) is about training, not fasting, and no published statement on cycle-phase fasting from anyone else was found.

Where they agree

More than the headline suggests, and it should be shown. Both hold that fasting research built on men does not transfer to women unexamined. Both hold that a woman whose period has stopped from under-fuelling or stress should eat rather than fast (Sims on low energy availability and Pelz on amenorrhea agree almost word for word).

Both have publicly moved from a calendar rule toward a readiness rule, Sims on 14 Oct 2025 and Pelz on 21 May 2026, and neither cites the other. And both currently practise and endorse roughly the same window: Sims accepts 12 to 13 hours and calls it time-restricted eating rather than fasting, and Pelz reports her own settled window at 12 to 13 hours. The live disagreement is not about that window. It is about everything above it, and about whether the calendar or the body sets it.

What would settle it

A trial of cycle-phase-timed fasting against a fixed window in regularly cycling women, with cycle phase verified by hormone assay rather than by counting days, and endpoints on the things both sides claim: reproductive hormones, sleep, cycle regularity, adherence and body composition. It does not exist.

Pelz's own citation list is the evidence that it does not, and she has separately said in print that the trials exclude perimenopausal women outright. Absent that study, this dispute cannot resolve on mechanism, because both sides have one.

Practice does not pick a winner here

You do, and your call is dated, kept, and yours to change. Follow the people you already trust and what they publish turns into a short daily practice.

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