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Jewish teens, led by Ezra Beinart, are gathering on Zoom to meet prominent Palestinians

(JTA) — When Rep. Rashida Tlaib joined a Zoom with 40 teenagers, she soon found herself talking about the kinds of topics — academic and otherwise — that tend to take up their days. 

There was discussion of the stress of AP exams, embarrassing dads and social media memes. She showed them pictures on Instagram of her dog at the U.S. Capitol. Everyone was on a first-name basis. 

“My son is a [high school] junior,” she said, responding to a message in the Zoom chat from one of the teen participants. “Oh my God, the SAT — I was stressed out. I’m stressed because he’s stressed. He had to take all his AP exams and stuff.”

Tlaib got personal too — talking about her grandmother, with whom she last spoke on the Muslim holiday of Eid al-Fitr.  

But the conversation also turned to a question many of the teens had encountered at high school, camp, youth groups or elsewhere in their lives: Is anti-Zionism antisemitism?

As the only Palestinian-American in Congress — and perhaps the chamber’s most prominent anti-Zionist — Tlaib was in a unique position to answer. And the students on the call had a particular interest in the question as well: They were all Jewish.

The teens are all participants in a new initiative, launched last year, to expose young American Jews to Palestinian voices through video chats. Founded by Ezra Beinart, a junior at a Jewish day school in New York City, the project’s goal is to bring Palestinian perspectives to a demographic that, he says, sorely lacks them. 

“I live in a very Jewish community and most of the people around me are very educated on the Israeli perspective, but not as knowledgeable about the Palestinian side,” Beinart said in an interview. “And that’s why I decided to create the group to inform young Jews about the other side of the story, which I don’t think most Jewish students know much about.”

In her response to the question about antisemitism and anti-Zionism, Tlaib again turned to her grandmother, Muftieh, whom she refers to with the Arabic term “Sity” and whom she has portrayed as the face of Israel’s oppression of Palestinians. She said people were “weaponizing antisemitism” in order to chill criticism of Israel.

“My grandmother, literally solely based on the fact that she was born Palestinian, she just doesn’t have equality,” Tlaib told the teens. “Her life would be completely different if that wasn’t the case. And so, you know, for me criticizing that, if anything, is more chipping away at this form of government that does that to my Sity.”

Michigan House Rep. Rashida Tlaib speaks on stage at a concert in Detroit, July 16, 2022. (Aaron J. Thornton/Getty Images)

Beinart said he wants to increase opportunities for Jewish-Palestinian interaction. So he said he has reached out to “very Jewish” communities around the country, through chat groups and progressive synagogues, to get the word out. He started out with just a handful of teens, but his numbers are growing: His session with Tlaib drew 40 viewers. 

Such interest comes at a time of political flux in Israel, and as young Jewish adults in the United States view the country less favorably than their elders. A 2020 survey by the Pew Research Center found that Jews aged 18-30 were less emotionally attached to Israel than older generations, more skeptical of its efforts toward peace and likelier to support efforts to boycott it. In recent years, activist groups founded by young Jews have pushed institutions such as campus Hillels and the Conservative movement’s Camp Ramah network to be more inclusive of Palestinian or anti-Zionist perspectives.  

The initiative’s format has speakers introduce themselves for five minutes or so and then take questions, which Beinart selects, for another 30 minutes. It has held about half a dozen sessions with speakers like Ayman Mohyeldin, a journalist at MSNBC, and Amahl Bishara, a professor at Tufts University. Tlaib, a Michigan Democrat, is its most prominent guest so far. (Her office did not respond to multiple requests for an interview or for comment.)

Beinart wanted his peers to have their minds opened, as he said his was when he interned last summer at the Jerusalem Fund, a pro-Palestinian think tank and advocacy organization in Washington D.C. He noticed that a friend of his who worked there used “Palestine” as readily as he used “Israel,” and described to him how fraught traveling to the region was for her, whereas he took his ability to enter the country for granted.

“It made it much more tangible to have friends explain how Israel’s actions affect them in everyday life,” he said. “It’s different from just reading about it or seeing a video.”

If Beinart’s name is familiar, it’s because his father is Peter Beinart, the writer who was once an outspoken advocate for an independent Palestinian state alongside Israel, and now is a prominent Jewish voice supporting a single, binational Israeli-Palestinian state. The elder Beinart declined to comment for this article, as the initiative is his son’s project rather than his. But for a decade, Peter Beinart has been making the case that American Jews need to spend more time listening to Palestinian voices. 

Resistance to hearing from Palestinians, the elder Beinart wrote in 2013 in the New York Review of Books, “make[s] the organized American Jewish community a closed intellectual space, isolated from the experiences and perspectives of roughly half the people under Israeli control. And the result is that American Jewish leaders, even those who harbor no animosity toward Palestinians, know little about the reality of their lives.”

Ezra acknowledges his father’s influence, albeit reluctantly. The first speaker in the series was Issa Amro, a Palestinian activist Ezra met when he accompanied Peter on a West Bank tour.

 “Yeah, obviously, but I’m going my own way with it,” Ezra Beinart said, asked about his father’s influence. “I’m connecting Israel-Palestine to what I see going on with my peers, my friends.”

In the Zoom session, Tlaib intuited Ezra’s ambivalence about bringing his father into the conversation, so she trod carefully when she quoted the elder Beinart to make a point.

“Ezra, your dad said something once — I know you don’t want me to mention your dad, you’re like my son,” she said. But she then brought up a quote by Peter Beinart to explain why she had chosen, despite considerable backlash, to host an event in the U.S. Capitol commemorating the Nakba, the word meaning “catastrophe” which Palestinians use to describe their displacement during and after Israel’s 1948 War of Independence. 

Peter Beinart’s quote was, “When you tell a people to forget its past, you are not proposing peace, you are proposing extinction.”

Tlaib said, “I used [Beinart’s quote] today when I got interviewed because I love this, but when Peter says it, it’s like okay, look at this is, this is a Jewish American man speaking up about the importance of understanding history.” 

After the meeting, Ezra Beinart told the Jewish Telegraphic Agency that he chose questions that reflected the narrative Jewish youth were exposed to in their communities. In addition to discussing anti-Zionism and antisemitism, one question was, “What is your response to those who believe that using the word ‘occupation’ is harmful?” (Avoiding accurate terminology inhibits the advance of peace and human rights, Tlaib said.)

“Jewish people, when they think about Palestinians, they think of terror, most of them,” Beinart said. “So that’s something they should hear about from Palestinians.”

Teaneck, the northern New Jersey suburb that would qualify as a “very Jewish” community by nearly any standard, is where one of the participants, Liora Pelavin, 15, lives. Her mother, who is a rabbi, saw a post about Beinart’s Zoom meetings on Facebook and thought her daughter might be interested.

“Hearing from Palestinians really humanizes them,” Pelavin, who attended a Jewish day school through eighth grade and now goes to a public high school, said in an interview.  “It makes me learn and also realize that they all have different opinions, too.”

Yehuda Kurtzer, the president of the Shalom Hartman Institute of North America, an organization whose programs include facilitating dialogue between American Jews, Israelis and Palestinians, said any interaction would be welcome.

However, he was concerned that most of the Palestinians Ezra Beinart had selected were political or advocacy leaders, instead of ordinary Palestinians who might be better suited to explain everyday realities to high school students.

“There’s probably a version of a way to do this like Encounter,” a long-running program that brings American Jews to the West Bank for dialogue with Palestinians, “where you are hearing from people and learn their stories, and you are free to come to the political conclusions you want,” Kurtzer said. “But you  humanize their experience. That’s one way of doing any of this work. There’s another way to do this work, which is, ‘I want to influence the politics of your own community.’”

Jonathan Kessler — a former senior official at the American Israel Public Affairs Committee who now leads Heart of a Nation, a group that facilitates dialogue among Jewish American, Palestinian and Israeli teens — said he was aware of Beinart’s initiative, and that it is an example of how Gen Z may be better able to break down barriers than their elders.

“A generation that does not think of gender and sexuality in binary terms is uniquely well positioned to approach a conflict, which has for too long been defined in a binary way,” Kessler said.

Yousef Munayyer, a Palestinian political scientist who has spoken to Beinart’s group, said it was particularly important for Palestinian speakers to reach Jewish teens.

“Within the Jewish community, particularly in the organized Jewish community, there may be a lot of pro-Israel perspectives represented and not a whole lot of Palestinian perspectives represented,” he said. “I’m always inspired when I speak to younger people about this issue who have an interest in learning more.”

For Tlaib, it was also a forum where she had expressed views that she hasn’t otherwise voiced publicly — saying that she felt conflicted about evacuating Israeli settlers because they had lived in the West Bank for so long.

“Just the idea around taking families that — that’s been their home — it’s just completely uprooting, forcibly displacing,” Tlaib said. “It’s something I struggle with because, like, we’re doing it all over again, right? This happened during the Nakba.”

Beinart said he and others on the call, including Pelavin, were moved by her sentiments.

“A lot of the Jewish community thinks like, ‘Palestinians hate us, and don’t think we’re people too,’” Pelavin said. “I think that’s so wrong, and being on these calls has just confirmed that for me.”

Ezra Beinart favors a single binational state — Tlaib is the only elected lawmaker who also takes that position —  and Pelavin said her views on Israel trended left. But while much of the organized American Jewish community has historically bristled at criticism of Israel, neither teen said that they were made to feel like a pariah in their Jewish milieus. 

“They think it’s cool that I do these types of things, but I think a lot of their goal is to just stay away from this topic around me, because they don’t really want to get into an argument about it,” Pelavin said of her peers.

And Beinart said holding a minority viewpoint hasn’t been a problem for him, either. “The kids in my school know who I am,” Ezra Beinart said. “No one’s mean to me. There are kids who share my views — a few, but not many.”

Despite the weighty subject matter, the conversation had an informal, friendly feel. Tlaib also wanted to learn more about the participants, but when she asked what colleges they were planning to attend, no one spoke up — until she noticed answers to her question piling up in the Zoom chat.

“Oh look there — you guys looove the chat!” she said. She then attempted to get her dog to hop on screen, but settled for showing the teens photos. 

Ezra Beinart said he was fine with Tlaib’s cooing and kvelling about the college plans.

“I’m not going to pretend that this is a group of well-educated adults,” he said. “This is a group of kids who don’t know about this stuff as well. And that’s why that’s why I’m doing it — it’s not supposed to be for people who are experts, right?”


The post Jewish teens, led by Ezra Beinart, are gathering on Zoom to meet prominent Palestinians appeared first on Jewish Telegraphic Agency.

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Why NBA Teams Start Defending Before Half Court

Image Source: Infographic by author

An NBA defender who meets a ball handler near the opposite baseline is trying to interfere with the possession before the offense gets organized. The immediate reward need not be a steal. Making a guard change direction, protect the ball, or find another receiver can interrupt the route into a play. But pressure has several possible results, and slowing that first journey does not necessarily slow the whole game.

In Logan Murdock’s November 2025 report on full-court defense, Phoenix Suns guard Jordan Goodwin described his aim: “Try to make them take at least six seconds off the clock.” That was his target, not a measured average. Indiana Pacers coach Rick Carlisle described another purpose: getting opponents to play faster than they prefer. Both approaches interfere with timing, though one delays the setup while the other hurries decisions.

The shot clock helps explain the difference. In a normal NBA possession following a made basket, the offense has 24 seconds, with the countdown starting when the inbound pass is legally touched on the court. It must also advance out of the backcourt within eight seconds. Crossing half court does not start a fresh shot clock. Time spent getting there leaves less time to create a shot. A defensive deflection that stays inbounds does not restart the countdown.

Defensive pressure also needs careful interpretation in basketball betting. An NBA matchup on the Bovada website cannot be reduced to whether one team presses: the combined score depends on how often both sides get the ball and what they do with their chances. A defender delaying the first pass into an offense can leave less time for a good attempt. A turnover followed by a quick basket has a different effect.

Those possibilities make defensive intensity an incomplete description of a scoring outlook. A team can force its opponent to work harder while creating quick attacking chances for itself. It can also concede an easy chance when pressure fails. Understanding the tactic means separating its purpose from its outcome, rather than treating an aggressive defender as evidence that the game must produce fewer points.

Pressure does not always mean a trap

One defender following the ball is different from two defenders closing around it. The first can contest the dribbler while teammates remain with their own assignments. A trap commits another player to the ball, so teammates elsewhere must cover the passing options and protect the basket.

A stopped dribble changes the contest. Once a player voluntarily picks up the ball, he cannot simply start dribbling again. He can still pivot, pass, or shoot, but moving away from pressure with another dribble is no longer an option. A defender can therefore restrict movement without taking possession. This is also why a guard’s choice to keep the dribble alive deserves attention: it preserves a way to move while searching for a pass.

Watch where the ball goes next. A trap can succeed by forcing an awkward pass that another defender intercepts. The players surrounding the ball do not have to be the ones who take it away. Reaching for a steal also differs from keeping the ball handler contained; abandoning position can give the guard a route past the pressure.

The offense has answers. In the Murdock report referenced earlier, Golden State guard Brandin Podziemski described using his body to shield the ball against smaller defenders and quickness to get beyond longer opponents. Beating the first defender can leave that player trailing, creating a temporary advantage farther upcourt. The remaining defenders then have to respond to an attack before their teammate has time to recover.

Three possible outcomes of early pressure: delayed setup, hurried decisions, or an attacking advantage when pressure is beaten

The work before a highlight

Former NBA guard Keith Bogans gives a defender’s perspective in his conversation with Vernon Maxwell. Discussing Jaden McDaniels, Bogans says that seeing a defender pick up a superstar across the court gets him excited in the way a dunk or crossover excites other viewers.

*

His reaction focuses on the challenge being accepted. The scorer has someone to deal with before reaching a preferred attacking position. Bogans also describes the recognition that such defensive work receives from teammates and coaches, even when it attracts little attention elsewhere.

The assignment does not end when the scorer passes. The defender still needs to follow the play and be ready for the ball to return. Early pressure can force a star to give up the ball without removing him from the possession. Watching the next pass shows whether the defense has actually disrupted the attack or merely moved it.

When defense creates offense

Indiana scored 19 points off turnovers in Finals Game 6 against Oklahoma City on June 19, 2025. The figure does not isolate full-court pressure.

A change of possession ends one team’s opportunity and begins another’s. The team winning the ball can attack immediately or organize its offense, depending on the space and defenders ahead. Pressure therefore cannot be assessed only by the time an opponent spends bringing the ball forward.

Look beyond the pickup point. Does the offense arrive late but still organized? Does it make a hurried pass? Does the ball handler escape and make the remaining defenders cover extra ground? The first defender can use up time without winning the ball. If the guard gets past him, watch whether the other defenders can stop the drive without leaving someone open.

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In ex-Knick Michael Sweetney, Jewish friends mourn a beloved coach ‘who knew exactly how to show up’

Tamir Goodman stuck out like a sore thumb, a yarmulke-wearing redhead at a practice for a showcase of Greater Washington’s top high school talent. The year was 2000, and Goodman, an Orthodox Jewish hoops prodigy, had already been on the cover of Sports Illustrated. What he did not have at that practice was a friend.

But when the all-star team’s coach had players pair up for shooting practice, one teammate approached Goodman: the 6-foot-8, Georgetown-bound power forward Michael Sweetney.

“He’s like, “Hey, I’ll be your shooting partner,” Goodman, 44, recalled by phone Thursday. “And from that moment, we just never left each other.”

Sweetney, who went on to play for the New York Knicks, later said he had never met a Jewish person before that day. But when he died Wednesday of complications from a heart attack, he had not only one Jewish friend mourning his passing, but hundreds.

Mike Sweetney, left, with Tamir Goodman on a trip to Israel in 2019. Courtesy of Tamir Goodman

Orthodox Jewish New Yorkers, who got to know Sweetney through his years teaching basketball at their schools, summer camps, synagogues and even birthday parties, remembered him in tributes Thursday as a humble mentor, a model of courage and a loyal friend in times of Jewish vulnerability.

Those early shooting sessions with Goodman, it turned out, had planted the seed for Sweetney’s post-NBA basketball endeavors, including a four-year stint at Yeshiva University, where he served as an assistant during the men’s team’s famous 50-game win streak.

“The world lost a giant today,” Elliot Steinmetz, Yeshiva’s head coach, wrote Thursday on X. “I lost a close friend. The basketball world lost a beloved star. Our Jewish community lost an ally and someone who knew exactly how to show up.”

Sweetney, who was 43, is survived by his wife, India, and three children.

A perfect matchup

Sweetney brought undeniable but understated starpower to the basketball-obsessed Orthodox community. That community’s embrace also helped Sweetney find purpose after his playing career and reignite his love for the game.

After starring at Georgetown, Sweetney was selected ninth by the Knicks in the 2003 NBA Draft — eight picks after LeBron James. But Sweetney’s career in the league lasted just four years, derailed by struggles with weight and depression that followed his father’s sudden death. (He later revealed he had contemplated suicide as a rookie.) He played another decade for pro teams in China and Latin America before washing out of the sport.

Sensing that his friend was in a bad place, Goodman invited Sweetney to Israel in 2019 to help with a basketball camp he had started.

“I told him a lot of good things happen when you come to Israel,” Goodman said. During the visit, Sweetney opened up about the challenges he had been experiencing. Goodman suggested he go into coaching, and soon connected him with Steinmetz — a Knicks die-hard — who offered him a job.

“When Tamir called me about him, initially, I’m like, ‘Oh, cool, I get to talk to Mike Sweetney, that’ll be fun,’” Steinmetz said Thursday in an interview. “Once I spoke to him the first time, I’m like, ‘That’s just such a nice guy.”

A Yeshiva League staple

Sweetney’s entry into the world of Orthodox Jewish basketball, initiated by Goodman, helped facilitate his turnaround, transforming a point of professional failure into a source of inspiration for others.

A classic back-to-the-basket player in his day, Sweetney relished working with the Yeshiva forwards, who delighted in trying their post moves on a former NBA lottery pick.

“All the bigs’ favorite part of practice was going up against Mike,” recalled Gabriel Leifer, a team captain during Yeshiva’s win streak.

Sweetney was getting something out of the work, too. Those who worked with him up close could see his passion for the sport — which had become a dark place for him — coming back to life.

Sweetney signs autographs on Yeshiva’s home court. Courtesy of Elliot Steinmetz

Harold Katz, a coach who occasionally helped with the Yeshiva program, said that despite his NBA pedigree, Sweetney had no pretenses when it came to learning the school’s motion offense. Instead, he seemed to enjoy it. “He would always say it’s fun — like playing this way is fun.” Katz remembered. “He’d say, ‘I wish I played in this.’”

Sweetney told the New York Post in 2019 that the Jewish world had helped him find stability after basketball.

“I’m comfortable here. I’m treated well here. It’s been amazing,” he said at the time. “To be happy and be at peace, I would’ve been shocked. I wouldn’t have thought it was possible.”

The coaching roles — at Yeshiva and at Ramaz, an Orthodox high school where he coached the girls’ team — also helped Sweetney book speaking engagements and countless youth basketball clinics. He also became an advocate for Black-Jewish relations.

“It starts off that, ‘Oh my God, there’s this big NBA guy who’s at all the YU games,’” Steinmetz said, “but then people start talking to him and they fall in love with his personality because he’s just such a warm, caring guy.”

Driving to and from Yeshiva games over the years, Steinmetz and Sweetney grew close — a friendship that held even after the latter left Yeshiva in 2023 to work in the mental health arena.

The true testament to the kind of person Sweetney was, Steinmetz said, came after they stopped working together, on Oct. 7, 2023. Steinmetz was in Israel at the time; the first text message he received as the attacks were unfolding, he said, was from Sweetney.

“He’s like, ‘Please confirm for me that you’re okay,’” Steinmetz said. “Two days later: ‘Hey, did you get home yet?’ He just cared. He wasn’t checking a box — he cared.”

If you are in crisis, please call, text or chat with the Suicide and Crisis Lifeline at 988, or contact the Crisis Text Line by texting TALK to 741741.

The post In ex-Knick Michael Sweetney, Jewish friends mourn a beloved coach ‘who knew exactly how to show up’ appeared first on The Forward.

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Sacred fasting meets Ozempic

Millions of people worldwide – as many as 1 in 8 adults in the U.S. – are on GLP-1 medication, such as Ozempic, Mounjaro, Wegovy and Zepbound, for treating diabetes or for weight loss.

These drugs are adding a medical twist to religious observances that involve fasting, such as the Jewish holiday of Yom Kippur, which will be observed from sundown on Sunday until nightfall on Monday. Traditionally, fasting on Yom Kippur means forgoing food and water for about 25 hours, which can strongly affect a person’s metabolism.

Other religious traditions include different types of fasts. For example, Muslims who fast during Ramadan neither eat nor drink from dawn to sunset, but they break their fast each night. Christian and Hindu traditions also include dry fasts as well as partial fasts, such as Lent and Navratri, in which people avoid certain foods.

As a specialist in obesity medicine, I work with many patients who take GLP-1 drugs. Most people can safely fast for Yom Kippur or other religious or cultural observances. But depending on their circumstances, they may need to plan ahead, take certain precautions and be clear on when it’s medically advised that they break their fast.

Common GLP-1 side effects and fasting

GLP-1 drugs such as Ozempic, Mounjaro, Wegovy and Zepbound mimic a natural gut hormone– glucagon-like peptide 1 – that lowers your blood sugar by triggering insulin release when your blood sugar is high. These drugs also slow how quickly food passes through the stomach, which reduces appetite to aid in weight loss.

GLP-1s have some common side effects that can occur in anyone taking them, including nausea, vomiting, dizziness, constipation and dehydration. Fasting may exacerbate them, especially in people who are prone to an upset stomach. GLP-1 side effects are also more common when a patient is increasing their dose, which usually happens monthly as tolerated until they reach their full dosage.

That’s why, if you’re planning to fast for Yom Kippur, it’s best to avoid starting a new GLP-1 medication or increasing the dose of your medication sooner than two weeks or so before the holiday.

GLP-1 drugs work by simulating a gut hormone produced in the body, spurring the release of insulin and slowing down digestion.

Timing your dose

If you take GLP-1 drugs as weekly injections, which is the most common way of dosing these medications, you should stick to your schedule even if you plan to fast. These drugs stay in your system during the entire week, so moving or skipping that weekly dose right before fasting can interfere with their effects on blood sugar or weight loss.

If your weekly injection falls on Yom Kippur, you can generally go ahead and administer it as scheduled. Some patients do report increased nausea on their injection day – if that happens to you, you may wish to delay the injection until after the fast, if you’ve cleared it with your doctor.

Patients who inject GLP-1 drugs daily may need to adjust the timing. For patients taking these medications for diabetes treatment, it may make sense to do the injection right before the meal that breaks the fast or to hold off until after the fast. This helps reduce the risk of stomach side effects, which can occur when these medications are taken on an empty stomach.

More recently, many patients have switched to oral GLP-1 medications. These pills must generally be taken on an empty stomach with a small amount of water, at a set time before taking any other drugs or any food or beverages.

Because fasting for Yom Kippur includes abstaining from drinking, taking the pill as directed may involve breaking the fast. That means you’ll need to decide in advance whether to take the medicine before the fast begins, after the fast ends or on an alternative schedule. It’s best to avoid simply skipping the daily dose scheduled for Yom Kippur and taking a double dose after the fast.

Skipping the dose won’t be harmful if you’re taking the medication for weight loss. But if you have diabetes, skipping it could dangerously elevate your blood sugar. And doubling the dose later could lead to serious side effects, such as pancreatitis, an inflammation of the pancreas that can lead to hospitalization.

Diabetes versus weight loss

If you’re using GLP-1 medications solely for weight management, fasting for 25 hours should not pose serious issues beyond stomach upset. In rare cases, though, combining these drugs with fasting can stress the pancreas enough to cause pancreatitis.

Fasting on GLP-1s carries the biggest risks for diabetic patients. That’s because GLP-1 medications are often used alongside other drugs that work primarily by lowering blood sugar, which raises patients’ overall risk of a blood sugar crash.

The greatest concern is in patients taking a GLP-1 medication together with insulin or drugs that stimulate insulin production, such as sulfonylureas. The GLP-1 medication itself may not cause a drop in blood sugar. But because it suppresses appetite and lowers glucose levels, these other medications can magnify the risk of low blood sugar during a prolonged fast.

If that’s your situation, talk to your doctor about whether you can adjust the timing, dose and type of insulin you take and reduce your dose of sulfonylurea in order to fast safely.

In general, people who have Type 1 diabetes or poorly controlled diabetes are strongly advised not to fast – as are people who:

  • Experience frequent or severe drops in blood sugar.
  • Have hypoglycemia unawareness – an absence of warning signs for high blood sugar.
  • Are managing diabetes during pregnancy.
  • Have severe kidney disease with a high risk of dehydration.
  • Experience severe gastrointestinal side effects from GLP-1 medications.
Not overeating along with drinking plenty of water beforehand is helpful for anyone fasting – but crucial for people on GLP-1 medications.

From prefast prep to the post-holiday meal

Regardless of what GLP-1 medication you take and for what indication, if you plan to fast you’ll need to do some pregaming, monitor how your fast is going and be mindful of how you break it.

  • First, if you are unsure about anything, talk to the clinician who is monitoring your GLP-1 drug treatment so you can decide together whether fasting is safe for you and whether your situation requires any special precautions.
  • Before fasting, it’s important to eat a normal meal that includes protein and to avoid both overeating and undereating. Overeating is never recommended when on GLP-1 medications, and undereating can set you up for more side effects during the fast. Although GLP-1 therapy can substantially reduce appetite, patients should avoid skipping the prefast meal entirely.
  • GLP-1 medications don’t just decrease appetite – they can also suppress the body’s natural thirst signals. So before your fast begins, aim to stay hydrated to prevent getting dehydrated while fasting.
  • If you are diabetic, make sure you fast under close guidance from your doctor – and make sure you are checking your blood sugar during fasting. Using a glucose monitor is a good idea, particularly if you are taking insulin or other glucose-lowering medications. The goal is for your blood sugar to remain within your usual daily nonfasting range.
  • Be ready to break your fast right away if you start feeling dizzy, confused, faint, nauseated or acutely ill, or if your blood sugar dips too low or spikes too high. These symptoms are dangerous and need to be addressed immediately. Stash a rapid source of carbohydrates – even just some glucose tablets or a few hard candies – within reach so you can access them quickly if needed.
  • Finally, plan a gentle, balanced meal to break the fast rather than an unusually large meal, which may provoke nausea, abdominal pain, reflux or vomiting. It’s generally best to avoid higher-fat foods, too, since they can slow down digestion.The Conversation

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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