OMAD (One Meal a Day) Diet: What It Is, How It Works, and Whether It’s Right for You

What is the OMAD Diet?

The OMAD diet, short for "One Meal a Day," is a form of intermittent fasting where individuals eat just one meal within a one-hour window and fast for the remaining 23 hours. This approach is an extreme version of time-restricted eating, designed to simplify eating patterns while promoting weight loss, metabolic health, and potential longevity benefits.

Before considering the One Meal A Day (OMAD) diet, it's crucial to consult with your physician or a healthcare professional to determine if it's safe and appropriate for your individual health needs and medical history. 


How the OMAD Diet Works

OMAD operates on the principle of extended fasting, allowing the body to deplete glycogen stores and shift into fat-burning mode. The prolonged fasting period may enhance insulin sensitivity, reduce inflammation, and improve metabolic flexibility.

While there are no strict macronutrient guidelines, followers are encouraged to consume a nutrient-dense meal that includes protein, healthy fats, and fiber to sustain energy and satiety.


Potential Benefits of the OMAD Diet

  1. Weight Loss: By limiting calorie intake to a single meal, OMAD can lead to a natural caloric deficit, aiding in fat loss.

  2. Improved Insulin Sensitivity: Long fasting periods may help regulate blood sugar and reduce the risk of insulin resistance.

  3. Cognitive Benefits: Some research suggests fasting can enhance brain function, reduce brain fog, and promote mental clarity.

  4. Simplicity: With only one meal per day, meal planning becomes more straightforward, potentially reducing food-related stress.

  5. Autophagy Activation: Extended fasting periods may stimulate autophagy, a cellular repair process linked to longevity and disease prevention.


The Dangers & Drawbacks of OMAD

1. Nutrient Deficiency Risk

While OMAD may allow you to lose weight quickly, it's difficult to get all the nutrients you need in one sitting. Most health experts, including nutritionists and physicians, don’t recommend OMAD for long-term use because it's almost impossible to get adequate vitamins, minerals, and fiber in a single meal.

For high-achieving professionals already juggling stress, this could be particularly harmful—leaving you with fatigue, brain fog, and worse overall health. Over time, nutrient deficiencies can lead to immune dysfunction, digestive issues, and more severe long-term consequences, especially if you’re not prioritizing nutrient-dense foods in that one meal.

2. Blood Sugar & Energy Rollercoaster

For professionals dealing with high-stress environments, OMAD can cause significant fluctuations in blood sugar levels. The long fasting period followed by a single large meal can lead to spikes and crashes in blood sugar, leaving you with feelings of irritability, energy dips, and cravings.

For people managing chronic stress or conditions like metabolic syndrome or diabetes, this approach can exacerbate symptoms rather than alleviate them.

3. Decreased Metabolic Function

While OMAD can help you lose weight, it may do so at the cost of your metabolism. The extended fasting periods can slow your metabolic rate over time, as your body becomes accustomed to receiving fewer meals. This can make weight maintenance much more difficult in the long term.

Additionally, the lack of frequent meals can reduce muscle mass, especially if you're not consuming enough protein in that one meal.

4. Stress Hormone Disruption

As if the constant pressures of a high-stress career weren’t enough, OMAD can exacerbate your stress. Extended fasting is known to increase cortisol levels, your body’s primary stress hormone. Elevated cortisol is linked to poor sleep, weight gain, and increased anxiety—all of which you’re already likely dealing with as a high achiever.

High cortisol levels can also interfere with insulin sensitivity, raising the risk of metabolic disorders like diabetes or heart disease.

5. Social & Psychological Stress

Another issue with OMAD is its impact on social and psychological well-being. For busy professionals, meals often serve as social connections, offering moments of respite, bonding, or stress relief.

OMAD can isolate you from these experiences, particularly at work lunches, family gatherings, or social events. This adds another layer of stress and can further fuel burnout if you’re already struggling with emotional regulation.

6. Energy Crashes

While OMAD simplifies meal planning, it can also cause fatigue and dizziness, particularly during the fasting period. Some individuals report feeling lightheaded or irritable when their body adjusts to fasting for extended periods.

For professionals who are already running on high stress and caffeine, this could exacerbate feelings of burnout and mental exhaustion, further reducing productivity and mental clarity.

7. Disordered Eating Risks

OMAD could lead to an unhealthy relationship with food, especially for those prone to restrictive eating patterns. The extreme restriction of eating only once a day can trigger or worsen disordered eating habits, such as binge eating during the eating window or food obsession.

For anyone with a history of eating disorders, OMAD is not recommended without professional guidance.

8. Digestive Discomfort

Consuming a large meal in one sitting can overwhelm your digestive system. This can result in bloating, discomfort, indigestion, or even more severe gastrointestinal issues. Since the digestive system is designed to process food in smaller, more frequent meals, OMAD puts additional strain on your body’s natural processes.

For those already managing digestive issues or dealing with chronic stress-related gut problems, OMAD could make these symptoms worse rather than improving them.

9. Not Suitable for Everyone

OMAD is not recommended for everyone. Athletes, pregnant women, people with diabetes, and those with a history of eating disorders should approach OMAD with extreme caution, if at all. The intense fasting periods and restrictive nature of OMAD may disrupt hormone levels, energy needs, and metabolic processes, leading to health complications.

If you’re managing any of these conditions, it’s critical to consult with a healthcare provider before attempting OMAD.


Who Might Benefit from the OMAD Diet?

Despite these drawbacks, OMAD can be effective for certain individuals who are highly disciplined, relatively healthy, and looking for a short-term approach to weight loss or fat loss. It may also be useful for people with specific health conditions like epilepsy, where fasting has shown therapeutic benefits.

Those who might benefit from OMAD:

  • Individuals looking for an efficient way to manage weight without counting calories.

  • Busy professionals who prefer a structured eating window to simplify meal planning.

  • Those seeking metabolic health improvements, such as better insulin sensitivity.

  • People who have successfully adapted to intermittent fasting and want a more extreme approach.

However, for most high-achieving professionals dealing with chronic stress and health issues, OMAD isn’t recommended due to the above-mentioned risks.


Who Might Struggle with the OMAD Diet?

  • High-performance athletes requiring frequent fuel for muscle recovery.

  • Individuals with high stress levels or adrenal fatigue, as prolonged fasting can increase cortisol levels.

  • Those with a history of binge eating or disordered eating behaviors.

  • Anyone with medical conditions requiring regular nutrient intake.


Practical Tips for Following the OMAD Diet

  • Prioritize Nutrient Density: Include lean proteins, healthy fats, and fiber-rich vegetables to sustain energy and satiety.

  • Hydrate Well: Drink plenty of water, herbal tea, or black coffee to stay hydrated and support digestion.

  • Ease Into OMAD: Start with shorter fasting periods (e.g., 16:8 or 18:6) before committing to a 23-hour fast.

  • Listen to Your Body: If you feel excessively fatigued or unwell, adjust your approach or seek professional guidance.

  • Consider Meal Timing: Eating earlier in the day may support better digestion and metabolic function compared to late-night meals.


Final Thoughts

The OMAD diet is a highly restrictive yet potentially effective approach for weight loss and metabolic health. However, it’s not suitable for everyone, particularly those with high stress levels, existing health conditions, or demanding physical activity requirements. If you’re considering OMAD, it’s essential to ensure that your single meal is nutritionally adequate to meet your daily needs.

If you're looking for a sustainable, long-term approach to nutrition and health that aligns with your lifestyle and goals, my coaching services can help. As a nutrition coach specializing in stress management and burnout recovery, I help busy professionals optimize their health without extreme restrictions. Let’s find the best nutrition strategy for you—one that supports your energy, well-being, and longevity. Reach out to learn more!

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Article References

The sources cited in the article:

  1. verywell health. “The OMAD Diet: Everything You Need to Know.” verywell health: The OMAD Diet

  2. healthline. “One Meal a Day: Benefits, Risks, and More.” healthline - One Meal a Day: Benefits, Risks, and More

  3. WebMD. “Is Eating One Meal a Day Safe?” WebMD - Is Eating One Meal a Day Safe?

Michelle Porter

About the Author

Michelle Porter is a health and wellness coach specializing in chronic stress management and burnout recovery for high-achieving professionals. Through personalized strategies and evidence-based practices, she helps clients reclaim their energy, focus, and joy to excel in work and life. For more insights, visit michelleporterfit.com.

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