Women are more sensitive to prolonged fasting. Stacy Sims keeps repeating "women are not small men": long fasts (especially fasted high-intensity training in the morning) raise cortisol and perturb the HPA axis, thyroid, and sex hormones, potentially affecting cycle regularity and recovery. Women of reproductive age, those trying to conceive, and perimenopausal women are better served by gentle early TRE (12–14 h overnight fast) than 16 h+ or ADF — especially avoid stacking aggressive fasting in the premenstrual phase or high-volume weeks.
Myth 1: "Fasting triggers autophagy, so it's anti-aging" — the human dose and timing window are unknown; don't prescribe from animal data.
Myth 2: "Skip dinner and you'll slim down" — exceed your calories inside the window and the scale won't budge.
Myth 3: "Longer fasts are always better" — past the point of diminishing returns, what you lose is muscle and metabolic rate.