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Jewish institutions awaken to climate crisis, with hundreds pledging action

(JTA) — For a decade starting in 2002, Jennifer Laszlo Mizrahi devoted herself to pro-Israel advocacy. After that, the Jewish philanthropist and activist from Annapolis, Maryland, went all in to fight for disability rights, working in the field for the next decade. Now, Mizrahi is focused on climate change. 

“Let me put it this way: In 2021, we donated to one climate organization, and in 2022, we donated to 17 of them,” Mizrahi said, referring to the small charity fund she runs with her husband, tech entrepreneur Victor Mizrahi. This year, the couple made their largest climate-related donation yet, sending a group of nine climate reporters to Israel to meet tech startups working on ways to reduce greenhouse gas emissions. Mizrahi and her husband have also begun commercially investing in such startups. 

“I was hoping other people would solve it,” she said. “But the pace of the change is not nearly meeting the demand at the moment. I felt that even though I don’t know the subject, I’m just going to have to do it because I have kids and I don’t want this world to fall apart.”

Climate change has long ranked at or near the top of a list of issues concerning Jews in the United States, according to multiple surveys, and Jews have been heavily involved in the wider climate movement. But until recently, the issue had a marginal place on the agendas of Jewish communal organizations, which neglected climate even as the subject took on importance in the activism and policies of other religious communities and in the larger philanthropic world.

Mizrahi’s newfound emphasis on climate is an early example of a larger shift that is underway in Jewish philanthropy, a multibillion-dollar world made up of thousands of individual donors, charitable foundations and nonprofit organizations. 

“It’s the beginning of what will become a more widespread focus among Jewish groups,” said Rabbi Jennie Rosenn, the founder and CEO of the Jewish climate group Dayenu. “We’re seeing an awakening to this as a profoundly Jewish issue, and awakening to the role that the Jewish community has to play in addressing the climate crisis.”

Scientists say that decisions regarding carbon emissions made in the next few years will affect life on Earth for thousands of years to come. The most recent warning came in March, when leading global experts with the Intergovernmental Panel on Climate Change published a new report, stating that “there is a rapidly closing window of opportunity to secure a liveable and sustainable future for all.” 

The large Jewish populations living in the coastal United States are vulnerable to extreme storms, sea-level rise, severe heat and other weather disruptions — a situation dramatized in the recent Apple television series “Extrapolations,” in which a rabbi contends with rising sea waters infiltrating his Florida synagogue. Meanwhile, Israel is experiencing a slew of impacts from drought and floods to security threats tied regional climate-related instability. 

A flooded road after heavy rainfall in the central Israeli city of Lod, Jan. 16, 2022. (Yossi Aloni/Flash90)

Israeli officials visit the site where a road collapsed into a large sinkhole at Mineral Beach in the Dead Sea on December 7, 2017. Many facilities and beaches have been closed or shut down in recent years following the increase in sinkholes caused by ever-declining sea levels, as climate change strains the country’s water resources. (Mark Neyman/GPO)

The last few months have seen a flurry of new initiatives aimed at both greening Jewish institutions and directing collective action on climate. 

In December, for example, Rosenn’s group published a report calculating that endowments of Jewish organizations, from family foundations to local federations, are invested in the fossil fuel industry to the tune of at least $3 billion. The report launched an ongoing campaign called All Our Might that urges Jewish leaders to withdraw these investments and put the money toward clean energy instead.

Meanwhile, many of the most prominent Jewish organizations in the country — representing local federations, Hillel chapters, summer camps, community centers, day schools and nearly every religious denomination — had already joined a new green coalition organized by another Jewish environmental group and were preparing to unveil pledges to do more in the fight against climate change. 

The unveiling of the climate pledges happened in March, under the leadership of Adamah, a nonprofit created through the merger of two stalwarts of Jewish environmentalism, Hazon and the Pearlstone Center. 

“Climate and sustainability have not been on the list of priorities for the vast majority of Jewish organizations; this coalition and these climate action plans reflect a deep paradigm shift and culture change moving forward,” Adamah CEO Jakir Mandela said at the time. 

The commitments made by members of Adamah’s Jewish Climate Leadership Coalition include sending youth leaders to global climate summits, reducing emissions of buildings and vehicles and lobbying the federal government to pass climate policies. 

More than 300 congregations and nonprofits have joined. For Earth Day, Adamah announced a million-dollar fund offering interest-free loans and matching grants to Jewish groups for projects to reduce their greenhouse gas emissions. 

If any single event can be said to mark the debut of the climate issue as a top Jewish communal priority, it is probably the recent annual conference of the Jewish Funders Network, which took place in March in Phoenix, bringing together thousands of donors and charity executives. 

For the gathering’s first event, before the formal opening of the conference, a group of participants went on a field trip to downtown Phoenix to learn about the local effects of the climate crisis. Far more people signed up than organizers anticipated, and with about 55 passengers, the tour bus chartered for the occasion reached capacity. Mizrahi, who was among the participants, said the trip was helpful as a networking opportunity for like-minded philanthropists. 

Rabbi Shmuly Yanklowitz, the founder of the activist group Arizona Jews for Justice, took the group to a local church where immigration officers drop off asylum seekers, so that conference attendees could hear about how environmental disasters drive cross-border migration. The trip continued with a visit to a downtown homeless encampment known as the Zone, where participants were invited to imagine the challenge of spending the summer season outside, with temperatures sometimes reaching 120 degrees. The conversation eventually turned to the issue of water scarcity across the state.

“We wanted to expose them to how the existential threats posed by climate change are not long term, but are already here,” Yanklowitz said. “People down in the Zone are dying every summer from heat exhaustion and dehydration.”

Based on his debrief with the group afterward, Yanklowitz feels the trip left an impact on participants. 

“I didn’t hear anyone say, ‘Oh, I’m changing my commitments.’ But I did get the sense that climate change was kind of abstract for many people, and that now it really hit home,” Yanklowitz said.

The rest of the conference featured multiple talks and gatherings dedicated to climate, including on the main stage, and an announcement that Birthright, which offers free trips to Israel for young Jews, was increasing its own climate activism with the help of a new donation. 

In an interview, Ellen Bronfman Hauptman and Stephen Bronfman, children of Birthright founder Charles Bronfman, said their $9 million gift is meant to honor their father on the occasion of his 90th birthday, while also bringing Birthright more in line with the values of a new generation that is environmentally-minded. 

Birthright organizers will use the funding to develop programming focused on climate that could, for example, expose participants to Israel’s clean tech scene. The money is also intended to help Birthright lower its own carbon footprint, potentially by switching to electric buses or adding more vegetarian meals. 

The Bronfmans hope that Birthright’s significant purchasing power in Israeli tourism will nudge the industry toward more ecologically sustainable practices. 

“To me, Birthright is like Walmart — everyone wants to do business with them,” Stephen Bronfman said. “They have the power to dictate terms to their service providers and affect the supply chain.” 

The widespread interest in climate mobilization among Jewish groups comes after years in which the issue languished outside the mainstream. Rosenn, the head of Dayenu, who has attended about 15 conferences of the Jewish Funder Network, noticed a change this year. 

“There used to be half a dozen people at a breakfast before the program talking about climate. And it wasn’t even climate, necessarily — it was the environment writ large,” she said. 

The Jewish world is, in many ways, still lagging behind the larger climate movement. Divesting endowment funds from the fossil fuel industry, for example, is seen as a bold step among Jewish groups even though at least 1,590 institutions representing nearly $41 trillion in assets have already publicly committed to doing so, according to a website tracking such pledges. About a third of the groups on the list are defined as faith-based organizations, but only three are Jewish: Kolot Chayeinu, a congregation in Park Slope, Brooklyn; the Reform movement’s pension system; and the American Jewish World Service, a global justice group. 

Rabbi Laura Bellows, now Dayenu’s director of spiritual activism and education, waves matzah as she encourages major financial organizations to divest from fossil fuels at a rally in Washington, D.C., April 20, 2022. (Bora Chung | Survival Media Agency / Courtesy of Dayenu)

Adamah’s own climate plan doesn’t include a pledge to divest but only a promise that it will investigate the option of doing so for its endowment and employee retirement funds. Instead, the plan touts the group’s education and advocacy efforts, and focuses on reducing emissions at its retreat centers. 

Adamah’s chief climate officer, Risa Alyson Cooper, acknowledged that Jewish community institutions have been “largely absent” from the divestment movement and said her group regards divestment as one of several required tools for addressing the climate crisis.

She said the Jewish community hit a milestone when 12 of the 20 founding members of Adamah’s climate coalition said in their climate plans that they would consider amending their financial practices. That was significant, she said, in light of the organizations’ complex and deliberate governing structures, which can make executing such changes onerous.  

“While the Jewish community may have lagged behind in years past, we are catching up quickly,” Cooper said. 

Such a shift would mark not only a milestone for Jewish climate activism but also a departure from how the Jewish community has historically done philanthropy, said Rabbi Rachel Kahn-Troster, executive vice president of the Interfaith Center on Corporate Responsibility. 

She said wielding financial holdings for social impact has been a hallmark of advocacy by Christian groups. Last year, the Presbyterian Church (U.S.A.) opted to divest from fossil fuels in light of the climate crisis.

The Jewish community, meanwhile, has tended to act primarily through charitable donations. One of the reasons for the difference, she said, is that the Jewish community is much less centralized with communal assets spread across many endowments, making the actions of any single group relatively less impactful. 

“Adamah had done some really important work to change individual behavior and grow people’s connections to the environment, but the bigger piece of bold collective action to fight the climate crisis was missing,” Kahn-Troster said. “The overall community is late to respond to the urgency of the problem. But I do think that the work of these organizations is very significant, so I’m excited to see it.”

Kahn-Troster’s historical view is informed by the legacy of her father, Rabbi Lawrence Troster, an environmental activist who had pushed for communal Jewish action on climate, and by the passion for climate justice displayed by her 15-year-old, Liora Pelavin, a member of the Jewish Youth Climate Movement, an arm of Adamah. 

“Finding a meaningful Jewish space to do grassroots-level climate advocacy that many young people are demanding has been really important to Liora,” Kahn-Troster said. 


The post Jewish institutions awaken to climate crisis, with hundreds pledging action 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.

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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.

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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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