The first day: your body uses up sugar from the liver
Your quick reserve lasts about a day. It is glycogen - sugar bundled up in your liver and muscles. Liver glycogen goes first, within a day without food, and faster if you walked a lot and felt cold that day. Muscle glycogen does not enter the shared pool: a muscle can use its own glycogen only for itself and cannot release it into the blood.
Water goes along with the sugar: every gram of glycogen holds about three grams of water. That is why the scale shows a pleasing number in the first few days that has nothing to do with fat. This water will return with your first meal.
Daily weight loss relative to the first day: water goes first, then steady fat use remains
Then comes the real challenge: how to fuel the brain. It uses about a fifth of all resting energy, runs almost entirely on glucose, and cannot switch to fat - fatty acids barely cross the blood-brain barrier.
Switching to fat: how your body saves muscle
For the first two or three days, the liver makes glucose from whatever it can, including amino acids - meaning from muscle. If this continued, a person would break herself down in just weeks. So the liver starts up a second workshop: it turns fat into ketone bodies, a fuel that can enter the brain. After about a couple of weeks, ketones cover about two-thirds of its needs, and muscle breakdown slows noticeably.
This much brain energy comes from ketones made from fat during prolonged starvation
What happens during a long lack of food is known from Ancel Keys's Minnesota experiment: in 1944-1945, thirty-six volunteers lived for six months on roughly half their usual rations. Their bodies did not just lose weight - they turned down the volume on everything that could be muted.
They felt cold in a warm room, moved slowly, lost interest in people, and talked mostly about food: collecting recipes and studying menus for hours. Their personalities had not changed: on starvation rations, the brain narrowed its focus to one task. They recovered slowly: even after months of normal eating, many still could not get enough to eat.
Why does weight drop quickly in the first days without food?
How does the body try to preserve muscle during prolonged starvation?
Sources
- A. Keys et al., "The Biology of Human Starvation" (1950) - Minnesota experiment
- G. F. Cahill Jr., "Fuel Metabolism in Starvation," Annual Review of Nutrition (2006) - switch to ketones. Timelines are approximate: they depend on activity and what you ate beforehand
Next in the “Famine” series
2 articles in full on the site, 2 more in the app
