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Why Clinically Supervised Water Fasting Requires Blood Tests (And How This Accelerates Healing)


Supervised water fasting
Supervised water fasting


Why Clinically supervised water fasting Requires Blood Tests (And How This Accelerates Healing)


Most people are surprised when they learn that at Back to the Garden, we perform weekly blood tests during a supervised water fast.The first question is always the same:


“If I’m not eating… why do you need to draw blood?”


The answer is simple and profoundly medical:


During a therapeutic water fast, the body changes more in 7 days than in years of everyday life — and those changes must be monitored safely, precisely, and professionally.This clinical supervision not only keeps patients safe — it dramatically enhances the healing process, especially for chronic inflammation, metabolic disease, hypertension, autoimmune patterns, and thyroid disorders.


Below, I’ll explain what actually happens inside the body during a fast, which markers we monitor, and why clinical oversight is absolutely essential.



The Biochemical Shifts of supervised water fasting


When a person enters a water fast, metabolism undergoes several rapid transitions:

  • Glucose metabolism → fat metabolism

  • Inflammation → anti-inflammation

  • Toxin retention → toxin mobilization

  • Metabolic stress → deep cellular repair


These changes happen day by day, not slowly over months.That’s why weekly bloodwork is a cornerstone of safe, effective fasting.


During fasting, the body enters an accelerated phase of:

  • systemic anti-inflammation

  • lipolysis (deep fat breakdown)

  • therapeutic ketosis

  • hormonal recalibration

  • nervous system regulation

  • metabolic detoxification


These are powerful physiological processes — and only a trained clinical team should guide them.


What Blood Tests Reveal During a Water Fast


Each week, we analyze key markers that show how the healing process is progressing.


1. Electrolytes (sodium, potassium, chloride)

These values tell us how well the heart, muscles, and kidneys are conducting electrical impulses — crucial during fasting.


2. Kidney function (BUN and creatinine)

The kidneys filter metabolic by-products differently during fasting.Monitoring these markers shows us how well the body is adapting.


3. Uric acid

It is normal for uric acid to rise during fasting — and our clinical team knows exactly how to manage this shift safely.


4. Glucose and ketones

These values confirm whether the patient has entered safe, therapeutic ketosis.


5. Inflammatory markers (CRP and ESR)

Many patients see significant drops in inflammation within just days.


6. Liver enzymes

As toxins mobilize from fat stores, the liver increases its workload.Monitoring liver enzymes ensures this process remains safe.



The Weekly Phlebotomist: Precision, Safety, and Human Support


At Back to the Garden, a professional phlebotomist visits the center weekly to collect blood samples from our fasting patients.


This is not optional.It is a core component of responsible clinical management, ensuring:

  • safe progression

  • precise decision-making

  • individualized treatment

  • prevention of complications

  • ongoing evaluation

  • real human connection and support


With this information, the Frey doctors can determine:

  • whether the fast should continue

  • whether adjustments to hydration or rest are needed

  • how to manage symptoms

  • when to transition the patient to refeeding

  • how to customize the therapeutic plan


This is the difference between a risky at-home fast and a clinically supervised medical intervention.



Clinical Results We See Every Day


The improvements seen in lab work are matched by powerful clinical outcomes:

  • sharp reductions in inflammation

  • loss of visceral fat

  • improved blood pressure

  • glucose stabilization

  • reversal or improvement of chronic conditions

  • better thyroid function

  • pain reduction

  • improved digestion

  • increased energy

  • mental clarity


And what surprises many people is that these benefits often continue for weeks after the fast ends, especially when combined with a whole-food, plant-based lifestyle.



A Clinical Fast Is Not a Trend — It’s Medicine


A water fast is not something to try alone, based on a YouTube video or social-media trend.A clinical fast is:

  • medically supervised

  • structured

  • safe

  • lab-based

  • individualized

  • supported by an experienced team


This is the level of care that makes fasting not just effective, but transformative.



Start From Home: Anti-Inflammatory Recipes for Hormones & Gut Health


If you want to start supporting your health immediately, all my therapeutic plant-based recipes are inside the Back to the Garden App (only in Spanish)— designed for women seeking long-term healing.


  • 450+ whole-food recipes

  • meal plans for thyroid, gut, energy, weight

  • cooking classes

  • exclusive educational videos

  • personalized shopping lists


Download the Back to the Garden App on the App Store or Google Play.


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