The only person I know that subscribes to the idea of total fasting is my dad. So, I would agree that it is really a marginal action, but not an action that never happens. Even though muslims do break their fast, I think this idea of total fasting stems from religion in most cases. I don't see how anyone could realistically believe that it is a good and worthwile means to lose weight. The negative side affects are just to substantial. I can say that it definitely did work for my dad, but of course going 30 days without food would cause weight loss. I would dissagree wholeheartedly if he told me it was a healthy way to lose weight, though.
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Not necessarily religion. In 90's the fasting was the most prescribed ways to loose weight, until more prominent research came out with the benefits of controlled diet as opposed to abstinence.