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‘My Friend Anne Frank’ tells the incredible story of how Anne’s best friend survived the Holocaust

(JTA) — One spring morning in 1934, two little girls followed their mothers to a corner grocery store in Amsterdam. The mothers, hearing each other speak German to their daughters, discovered they were both Jewish refugees who had recently fled Nazi Germany. The two girls peeked shyly at each other from behind their mothers’ skirts, one of them slight with dark, glossy hair, the other taller and fairer.

Those two girls were Anne Frank and Hannah Pick-Goslar. One was to become the most famous victim of the Holocaust, whose diary documented two years in hiding before the Nazis found her family and she perished at the Bergen-Belsen concentration camp at age 15. The other narrowly survived and made her way to pre-state Israel, eventually enjoying a new life that grew to include three children, 11 grandchildren and 33 great-grandchildren.

The day after their grocery store encounter, the girls recognized each other at the Sixth Montessori School in Amsterdam and became instant best friends. They could not predict that their final encounter would come 11 years later, against all odds, at Bergen-Belsen.

Pick-Goslar spent decades telling her story through interviews and lectures, but her recollections have only just been published for the first time in a memoir, “My Friend Anne Frank,” written with the help of journalist Dina Kraft. She did not live to see its publication on June 6: Pick-Goslar died in October, six months into writing the book and two weeks short of her 94th birthday, leaving Kraft to finish her account. 

Kraft spoke with the Jewish Telegraphic Agency about the life of Pick-Goslar, who lived out the future stolen from her dear friend.

The conversation with Kraft, a onetime JTA reporter, has been lightly edited for length and clarity.

JTA: What was it like to tell Pick-Goslar’s story together with her?

Kraft: It was a remarkable experience being able to work with her. We had these very intense interviews where I was asking her to really dig back into her memory. A lot of Holocaust survivors, a lot of survivors of trauma, tend to tell their story — not on autopilot, exactly — but they have a script. It’s perfectly understandable, it’s a tool of self-preservation. 

So I was asking her to dive deeper and look more intensely within, and that was not always easy. There were times we would finish the interview after a couple of hours and she would say, “I’m just exhausted, I need to lie down.” And I would say, “Me too,” because it was just exhausting — we were recounting very hard moments.

It got to the point where she would come in the morning and say, “I’m having bad dreams again,” and I would say, “Yeah, me too, I’m having bad dreams also.” Because it was so much of trying to step into her shoes and step into her mindset, and also reading very intensely — it was very much a research project too.

How did Pick-Goslar remember her childhood and friendship with Frank before the war?

She remembers life before the war as incredibly warm and loving. They were wrapped up in a supportive familial environment. Although both she and Anne were refugees from Germany, they came over very young — Anne was 4 and Hannah was 5.

Their parents had a hard time adapting, especially the mothers. Hannah’s mother was born and bred in Berlin, very much a creature of German culture. Her father was a high-ranking official in the Weimar government, so they lived very close to the Reichstag. On top of being horrified that they had just been kicked out of this country they viewed as home, Hannah’s family went back 1,000 years in Germany. So they were heartbroken about their country taking this terrible turn into darkness. 

But for Hannah and Anne, it was a very nice life.

What kind of person was Frank, according to her friend?

She was very spunky. She had lots to say and she exhausted the adults around her. She was always challenging them, asking difficult questions, prodding, restless and impatient. The girls loved to play Monopoly, but Anne would get restless and walk off, which is frustrating for a friend! They would push back furniture in the house and do gymnastics together. Later on, when the Germans invaded and they only had other Jewish girlfriends to play with, they formed a club to play ping pong and go for ice cream. 

Anne was such a know-it-all that Hannah’s mother had a phrase about her. She said, “God knows all, but Anne Frank knows better!” 

But Hannah really saw her as a regular kid — she was just her friend, Anne Frank. She was not an icon of any kind, and she seemed more ordinary than she seemed extraordinary. 

In July 1942, Pick-Goslar found her friend’s apartment empty. Like everyone else, she was told that the Franks escaped to Switzerland — not knowing they had actually gone into hiding nearby. What happened to Pick-Goslar while Frank went into hiding?

Hannah was deported a year after Anne went into hiding. In that year, she went back to school. The anti-Jewish laws meant that you couldn’t sit on benches, go to swimming pools, be on a tram, ride your bicycle — and you couldn’t go to school with non-Jewish children. 

So Hannah and Anne were both fortunate to be accepted to the Jewish Lyceum, considered one of the more prestigious Jewish schools in Amsterdam under German occupation. But in the fall of 1942, the deportations had already begun. So every day there was a different student and friend missing from class, and different teachers and administrators missing. They never knew whether it was because somebody went into hiding or because they had been deported. 

Another thing happened at this time. In October, when Hannah was 14 years old, her mother Ruth was pregnant. She was determined not to go to a hospital because there were rumors of people being deported directly from hospitals, so she gave birth at home with a Jewish doctor and Jewish midwife. The baby ended up being stillborn and Hannah’s mother died the next day.

As more and more Jews were deported, Hannah was protected for a while. Her family secured a pair of South American passports, and they were also on the so-called “Palestine list.” The idea was that eventually they would be part of a prisoner swap between the British and the Germans — German soldiers for “exchange Jews” who would be sent to Palestine, which was under the British mandate.

Pick-Goslar survived to have three children, 11 grandchildren and 33 great-grandchildren. (Eric Sultan/The Lonka Project)

So for a while, Pick-Goslar’s family believed they might be spared. How did she end up at the Bergen-Belsen concentration camp in northern Germany?

By the end, the Germans rounded up all the remaining Jews from Amsterdam, including those who had special stamps in their passports. By June 1943, Hannah’s family was in one of the final roundups of Jews in Amsterdam.

First they went to Westerbork, a transit camp in Holland on the border with Germany. It was basically a holding purgatory, and from there people were deported either to Auschwitz or Sobibor — in which they were almost certainly killed — or if they were luckier, to Theresienstadt or Bergen-Belsen, which were concentration camps but not death camps. Eventually, after several months in Westerbork, Hannah’s family was deported to Bergen-Belsen.

It was bearable in the first few months and they were still fed, though not much. But by February of 1945, the Russians were approaching in the east and the Germans were trying to move people from outer concentration camps into Germany. So Bergen-Belsen swelled to many times its size and became incredibly overcrowded. There was less and less food and water, and typhus started raging through the camp.

How did Pick-Goslar and Frank find each other again at Bergen-Belsen?

Around this time, a tent camp was erected across from Hannah’s part of the camp. People saw other women speaking different languages — Hungarian, Polish, Greek, and eventually Dutch as well. They were emaciated and skeletal. 

The Germans forbade going out to talk at the fence and filled it with straw, so that people wouldn’t see each other anymore. But the women found a way to communicate, and word got to Hannah that Anne Frank was on the other side of the fence. Of course, she didn’t believe it, because the Frank family had left the impression that they were in Switzerland. But she decided to go find out for herself, even though it was extremely dangerous — you’d be shot if you went to the fence.

She crept up quietly and said, “Hallo, anybody there?” Then she heard a voice from across the fence, and by chance it was Auguste van Pels, one of the people who was in hiding with Anne’s family. She said almost casually, “Oh, you must be here for Anne,” and she brought Anne from the tent.

What were their last memories together?

Anne was coming from Auschwitz, so she was a broken shadow of her former self. She was freezing, starving and wailing that she was all alone in the world. She assumed that both of her parents were dead at this point. She didn’t know that just a week or two before, her father had been liberated from Auschwitz. 

Imagine two girls on opposite sides of this fence — two very loved, coddled girls, who did not know deprivation, but now were completely in the throes of the worst days of the war, completely dehumanized and mistreated. There they were on opposite sides of this fence, best friends, sobbing. 

Anne begged Hannah to bring her some food and Hannah said yes immediately, without knowing how she would get it. She said that she would come back in a couple of nights. And there was this amazing moment of female solidarity: The women in her barrack were so moved by the story of this reunion, they wanted to help — so from under a pillow here, hidden in a suitcase there, they gathered the little they had to give and put everything into a sock.

Out went Hannah again, a night or two later, to the fence. When she threw the sock over, she suddenly heard footsteps and then a scream — Anne had just lost the package to a fellow prisoner who took it out of her hands. She was distraught and couldn’t stop crying, but Hannah said, “Just stop crying, I’ll come back again with food.” 

So she went back a few days later again with more food collected from her barrack. This time they triangulated better and Anne caught the package. That turned out to be the last time they ever met.

How did Hannah remember the end of the war?

At the very end of the war, the Germans forced everybody who could still walk at Bergen-Belsen onto a couple of different trains. These trains were meant to go to Theresienstadt, where they would be killed.

Hannah was put on a train with her little sister Gabi, whom she was trying to keep alive. It was a harrowing 13-day ride throughout the eastern German countryside. The people were very sick and starving, with no food or water for the journey. There was one especially awful moment when the man next to Hannah tried to spill his bowl of diarrhea outside the door of the train, but instead it splashed all over her. 

She was so ill with typhus that she eventually passed out around day 13. When she woke up, people were already off the train. She asked what was going on, and someone said, “Don’t you know? We were liberated by the Russians.”

What did Pick-Goslar make of the tremendous legacy left by Frank’s diary? Did she feel that her friend was correctly understood?

For her, reading the diary was a revelation. She felt like she was sort of reunited with this old friend, which was a very powerful feeling, but also very sad. She saw a girl developing into a young woman whom she would still like to know. She was very grateful that Anne’s diary had been recovered, that so many people got to know her story, and that her diary became a gateway to learning more about the Holocaust. 

I think she was a little upset by the sanitized version of Anne Frank. She spoke often about the famous passage in her diary, which is repeated and painted on walls and put on postcards: “In spite of everything, I still believe that people are really good at heart.” Hannah said that if Anne had survived the hell of Auschwitz and Bergen-Belsen, she did not think she would stand by that statement anymore. I think she was concerned about some level of oversimplification. 

She was very gratified that Anne’s voice never died and still lives on through her words, but she also wanted people to have a richer and more contextual understanding of the slaughter of millions of people that was the Holocaust.


The post ‘My Friend Anne Frank’ tells the incredible story of how Anne’s best friend survived the Holocaust 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.

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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