Water Fast Coaching and Articles

Dr. Tallis Barker, D.Phil., Nat.Dip., NA.Dip., Naturopathic Water Fasting Consultant & Coach

Fasting Ketosis vs Keto Diets: Why They Are Not the Same

Ketosis is a cornerstone of water fasting—a natural metabolic state where the body switches from burning glucose to burning fat for fuel. But not all ketoses are equal. While dietary ketosis (like that achieved through a ketogenic diet) is now widely discussed, fasting-induced ketosis has distinct physiological and therapeutic effects that are often overlooked.

In this video, I explore how ketosis during water fasting differs from that triggered by diet. The blood chemistry, detox pathways, and liver responses are not the same—and understanding these differences is crucial if you’re fasting for deep detoxification, liver support, or therapeutic healing.

During a water fast, the body enters a more profound metabolic shift. Blood sugar levels fall significantly lower than on a keto diet, and ketone production increases more steeply. But the key difference is what these ketones do: in fasting, ketones act not only as fuel but also as powerful signalling molecules that trigger autophagy, anti-inflammatory responses, and cellular repair mechanisms. This is why therapeutic fasting can offer benefits far beyond weight loss or blood sugar control.

We’ll also look at the pivotal role of the liver in this process. In fasting ketosis, the liver becomes the primary site of both energy conversion and toxin elimination. Hormonal residues, old bile acids, and fat-stored pollutants are mobilised and processed here—making liver health central to the success of any fasting protocol.

Watch the video to understand:

  • Introduction (0:00)
  • What is ketosis, really? (0:54)
  • Physiology of ketosis – why does fasting ketosis reach deeper levels? (1:38)
  • What happens to blood glucose during a fast? (5:00)
  • How does this support detox and clarity? (6:44)
  • Why is the liver the real hero of fasting? (9:44)

Referenced article:
Seidelmann S. B. et al. (2018). Dietary carbohydrate intake and mortality: a prospective cohort study and meta-analysis. The Lancet Public Health, 3(9), e419–e428. A large cohort (15,428 people) showed both low (<40 %) and high (>70 %) carb diets linked to increased mortality, with lowest risk at 50–55 % carbohydrate—especially when carbs were replaced by plant-based fats and proteins .

If you want to explore safe, guided water fasting with a professional coach, learn more about our 1:1 Water Fast Coaching here.

Dr. Tallis Barker (D.Phil., Oxon; Nat.Dip.) is a leading water fasting expert and associate naturopath with over 15 years of experience guiding clients through extended water fasts. A former academic at Oxford and Harvard, he now supports people worldwide in reversing chronic conditions naturally through fasting.

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6 responses to “Fasting Ketosis vs Keto Diets: Why They Are Not the Same”

  1. Hi Dr. Tallis,
    Great bit of information, thanks.

    My question would be whether water fasting can detox and heal the liver too- say from NAFLD or toxic overload for example- or would the liver be too busy dealing with everything else being thrown its way during the fast?

    Thanks,
    Colm

    1. Hi Colm,
      Thanks for writing. Fasting definitely detoxes the liver, and I’ve seen numerous clients recover from NAFLD (non-alcoholic fatty liver disease) on extended fasts. The only question is whether and to what degree a compromised liver will be able to carry out both whole-body as well as liver detox without creating a lot of detox symptoms (eg. nausea) in the process.
      All the best,
      Tallis

  2. Thank you so much for this video Dr. Tallis. I came across your work last fall and was reminded of it again recently. You are a rare find! 🙂

    I wanted to know if you have any reference points for water fasting for sinus infections, particularly bacterial (as opposed to viral). If so, what have you found?

    Thank you for your thoughts!
    Christina

    1. Dr. Tallis Barker, D.Phil., Nat.Dip. Avatar
      Dr. Tallis Barker, D.Phil., Nat.Dip.

      Hi Christina,
      Thanks for writing, and glad you appreciate the website :-). In terms of sinus issues caused by bacterial infections, water fasting is usually quite reliable in healing them. It’s mainly a question of understanding the likely length of time required. For an acute case with no prior history, 7 days should fully heal the infection. For more chronic and recurring problems, it’s important to investigate the contributing factors concerning why someone has become vulnerable to a sinus infection in the first place. Without knowing these individual factors, the length of time required to heal the issue is likely to fall between 7 and 21 days.
      Hope this helps,
      Tallis

  3. Thank you so much for taking the time to clarify the difference between water fasting ketosis and dietary ketosis. 😊

    1. Dr. Tallis Barker, D.Phil., Nat.Dip. Avatar
      Dr. Tallis Barker, D.Phil., Nat.Dip.

      Hi Danielle,
      Glad you found the video helpful!
      Tallis

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