VSED: The Benefits of Fasting for Ending Life

Even under hospice with excellent palliative care, some spend their last months in uncontrollable suffering. What can be done in places in the United States that outlaw physician-assisted dying? Voluntarily stopping eating and drinking offers a legal way to have control over the end of your life.

The first video in this three-part series was How to Die a Good Death (https://nutritionfacts.org/video/how-to-die-a-good-death). The next one is VSED: The Downsides of Fasting for Ending Life (https://nutritionfacts.org/video/VSED-the-downsides-of-fasting-for-ending-life).

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-Michael Greger, MD FACLM

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88 Risposte a “VSED: The Benefits of Fasting for Ending Life”

  1. My great granny dis this. She had a stroke and one side was smaller as the muscle had atrophied. She had decided that it was enough, and went on her own terms. I say good on her. She was stuck in a nursing home and her lovely huspand Pat had died a decade earlier, so that was that. I think this is a good video and this process IS a valid way out.

  2. Since losing more people and entering my mid 20s, I feel like the childish rose colored glasses have been ripped off. Death feels more tangible than it did before. I think being more open to topics like this may help me feel less fear.

  3. My mom survived in a hospice for 36 days after stopping eating and 8 days after stopping drinking. She had aphasia for 3.5 years before dying of brain and colon cancer though so she wasn’t saying much.

  4. My aunt did this after she had a stroke that left her paralyzed on one side. Loved ones asked if she could be given IV fluids and nutrition. But she only wanted palliative care, and the hospice nurses honored that. She was ready to go. 💛

  5. I remember reading about a roman senator or someone, who had gotten a disease and decided to end his life by stop eating and drinking. After harsh fasting of few days the illness went away. His decision to end his life had actually cured the disease he was ending his life for.
    But once he had gotten to that point he had already made up his mind and didn't start eating again. And died within few days.

  6. This seems like a better way to die. I often contemplate suicide when my pain got too intense but i think i’m a bit vain & don’t wanna die ugly. I was diagnosed w/ tongue cancer 9yrs ago & been in remission since i switch to starch based no oil diet. Should it come time i need to choose to end things, this would be a choice. Thank you Dr Gregor

  7. Heartfelt thanks for addressing this difficult topic. My mother and my lifelong best friend both chose this method to end their terminal illnesses with the least possible suffering for themselves and their loved ones.

  8. Awesome! Thank you! For those wondering, I have done a 14-day water-only fast and can tell you that not eating was easy and enjoyable. I wasn't trying to die, so I kept drinking water. I had heard not drinking water would make dying miserable and I am glad to hear that it does not.

  9. I've heard there is a difference in peacefulness (not just length of time) when withholding just food and not water. Does anyone have details on this?

  10. Thank you for this critical information. It’s sad that many will put themselves and others in painful longevity bc of fear and denial of life’s full circle.

    I had heard however that dying from dehydration was painful 🤔 but apparently not so

  11. Legal documents – If you want to stop food and/or water in the event that you are unconscious and not going to recover, there is a legal document you can sign now (before you are unconscious from say a car accident, etc.) It goes by different names in different states (eg living will, advance directive, physicians directive). To be honored, it must satisfy very specific requirements, so if you want one, go ask an estate planning lawyer for one. It's a form document, so it shouldn't be too expensive (that said, lawyers charge by the amount of time things take, so the longer or more often you talk to him, the more it costs. So, keep on task when talking with your lawyer).

  12. An interesting, but unexpected topic from someone who wrote a book titled "How not to die"! Quite interesting though! I'm wondering if it's still considered suicide!

  13. Around this time last year I attempted VSED. Trapped in an abusive situation in the middle of nowhere with no income, no transportation, limited nutrition, no family, no help from the government, and friends dropping like flies because they'd rather not witness the predicament I was in.

    At some point in the process I needed to get out of bed, and the low blood pressure instantly made me pass out. It's only by luck that I didn't hit my head on the way down. But when I came to I KNEW that I had to live, and to do that I knewI had to create a life that was worth living for.

    I doubled down on a super clean WFPB diet, started working through a lot of the childhood trauma that had gotten me to that point, lost 60+ pounds, resolved my psoriasis and joint pain, and have worked on transforming my relationships. This past Tuesday, I walked 16 miles in order to catch the bus into town, and in Friday I started running for fun, which are words I've literally never spoken before in my life. 😅

    I realized that my grandmother's premature death at age 59 to diabetes-related complications had made me expect that I would be dead by 60, and that's the expiration date I was living for in all of the decisions I made. Now I'm living like I'll still be here at 160, and trying to create the life and the world that will make that worthwhile.

  14. Very different from all other videos by DG. I have mixed feelings. I like that it gives you several days to possibly change your mind.

    In general, I think it is harmful to end life prematurely. Lots of people, including young and healthy individuals, go through periods of time where they no longer want to live, but then go on to make many happy experiences after making it through. If a grandmother chooses to end her life through VSED, could that possibly influence her granddaughter who just had her first heartbreak? I know from experience that other people's suicides can be a heavy blow to someone struggling with depression, grief, or intense sadness.

  15. Ironic but some early stage Cancers, probably becomes less in the body by fasting, explained by some YouTube videos. Anyway, we all have to go sometime, somewhere and peacefully is the best way.

  16. In other words you are saying Just Give Up! – What if the diagnosis is Wrong? Not eating would be causing you More Harm. No. I feel people must do what makes them Happy. If they wish to eat a bunch of last meals then perhaps they will find they aren't dying after all. You are tellig people to Just Get Depressed before you kick the bucket. Not good dude.

  17. My wife suffered from fibromyalgia and chronic fatigue and severe depression. She overdosed on her prescription pills October 19th, and died on October 22nd.

  18. My mother became non responsive and I agreed to place her in hospice where she had no food or water. Our last communication was squeezing each other’s hands. Then that stopped. She died after 11 days in hospice.

    I believe she would still be with me today had I known about plant-based eating before her last illness.

    Thank you for this information.

  19. I am reminded of the story of the “simple life” advocate and homesteader Scott Nearing. At the age of 100, and sensing his loss of physical and mental capacity, he decided that he would plan his own death so he simply stopped eating. According to his wife, Helen, his death was peaceful.

  20. Проще в вену ввести препараты и умереть быстро, ещё лучше: наглотаться снотворного и чтобы действительно любящий вас человек, ввел вам препарат – естественно, для этого процесса следует уйти без гаджетов в лес.

  21. Просто перестаньте рожать, твари вы чертовы, прекратите рожать ❗❗ я не хочу никого убивать и думать как убить себя

  22. this is the way.
    VSED is my plan for when the time comes, i am just over 40 and the world is going down the drain, we all need to consider this decision in the new few years if there is going to be a future for the humans.

  23. Terminal animals in the wild do this. I once rescued a clearly unwell wild hedgehog, I even took it to the vet who administered antibiotics and treated its fleas, but it absolutely refused all coaxing to eat or drink, it just curled up in its box in my garage, peacefully went “into itself”, and died 2 days later.

  24. Anyone who has ever done a deathbed vigil for a loved one, including a companion animal, knows that ceasing to eat and drink is a natural progression of the last stage of death. It isn't fraught, and should be discussed as an active method of end-of-life care more frankly. Thanks for posting.

  25. So I'm guessing that Dr. Gregor isn't going to make fasting a big part of the new, "How not to Age." Suits me, I never liked fasting. Just strange that so many experts do point to fasting as a major element to longevity, but Dr. Gregor rarely hits on it. I guess we only have about a month more to wait and see his view.

  26. How does the police decide if they had voluntarily given up food or the family relatives stopped feeding despite the want/desire to eat/drink?
    There must be some legal procedure involved?

  27. My father fasted after learning he had cancer of the esophagus and had only 6 months to live. He died about 3 months later. This is after trying to get doctors to listen for 2 years, instead of telling him nothing was wrong and to go home.

  28. I'm grateful for this video. A decade ago I was a young 19 year old CNA working in long term care. My favorite resident, was a great lady. Very pleasant, polite, enjoyable to be with. Her health took a turn, and being in her 90s, her family opted for VSED. I HATED going to work those days, knowing what was inevitable, and wondering if this was like assisted suicide, and why would her kids want this, and hope that this woman could bounce back. She didn't. I mourned her death a long time. Was it peaceful? Yes, I guess compared to other deaths. But it was emotionally hard for me and has caused me emotional pain still thinking about it these past 10 years. I just felt like her loving family, who rarely visited, should have wanted to prolong her life and spend all the time with her possible. But such was not so….

  29. Thank you for helping us understand a more peaceful transition in hospice. I cared for my father in hospice in our home in 2000, and none of this was ever discussed with us.

  30. That seems so damn painful, actively killing yourself for days …

    I guess if the alternative is worse, what are you supposed to do?

  31. Such an important topic. It’s very hard though for people with dementia and other neurological conditions where you have to be able to be cognitively able to make a decision to end your life and as Dr Greger states it may take time away from spending with your loved ones when the disease progresses quite slowly and you want to spend as much time as possible with your loved ones but don’t want to spend your last few months or years in a facility because you can no longer live without support. Currently caring for a family member now who is not able to make decisions is heartbreaking watching them ‘live’ in a way I know they would not want. I also watch other dementia residents every day and see some very confronting things and often think if these people could have ended their life before they got to this stage if they would have.

  32. Genesis 49:33 '' When Jacob had finished giving instructions to his sons, he drew his feet up into the bed, breathed his last and was gathered to his people.''

  33. like always, Greger has the best of intentions, but I find that sharing this information deters the much-needed healthcare system reform for the right to die. Starve and dehydrate oneself for days instead of reforming the laws so that we can get the drugs when they are warranted?

  34. This is a great video! Information that should be available to everyone. I don’t understand why there is no share button on this video.

  35. This was my Dad, when he couldn't get himself sitting up by himself. Prostate cancer metastasized to his bones. We let him choose…

  36. 2 deaths. My neighbor texted me on 7/18 that she had been diagnosed with pancreatic, stage 4. We texted twice. On 7/29 I texted a third time to see if she was up for a visit. Her daughter answered saying her mother had died the night before, 10 days after diagnosis. She was vegan and a nutrition nut. I have a hunch she chose this way: to stop consuming and end it all quickly.

    Mom passed away 2 months ago at 103½. She ate less for each meal in the last month, but more frequently, so she was eating about the same calories. She was quite petite but always had a big appetite. She was joking around with me and had a meal 2 hours before she passed: quietly, peacefully, no end-of-life narcotics, in my arms. She just went to sleep and her heart stopped beating. Vegetarian for the last 20 years: 2 eggs/wk and sparing cheese a couple of times/mo, otherwise whole foods plant based nutritious diet].

  37. Thank you for this video…I have been enormously stressed re dying…this gave me absolute relief…you are right it did empower me
    (Colon cx)… the right to die cocktail terrified me..I did not find that consoling but VSED did…thank you thank you!!

  38. My grandma was suffering dementia after strokes and in a locked facility, basically living her nightmare. She had put in her will that she did not want life extending care and had stopped eating and drinking. Well she made my cousin her healthcare poa and the facility called him and guilted him into consenting to a feeding tube. “You don’t want your grandma to die of starvation, do you?!” All so they could keep her bed filled longer and keep collecting her money. I think she lived about another 8 months or so before passing peacefully in her sleep. I wish she had been allowed to go naturally per her wishes. Be careful who you give your poa to and make sure they understand your wishes and are prepared to follow them.

  39. That is sugar coating it. I know 3 people that died that way in excruciating pain first. Two changed their mind and wanted to eat but couldn’t digest. It was horrible to witness. One had severe convulsions. No thank you this is all unscientific case studies or testimonials. They all wound up dying years earlier due to slowly starving to death. All three took over a month to die.

  40. I didn't know about VSED – what a precious option to those suffering needlessly, especially in societies that encourage them to fight through endless pain and antiquated medical processes. This can indeed be a dignified blessing to many, and even for their families – and all on their own terms.

  41. My 91 year old mother did exactly that , no food, no water for about a week before she passed. She had no co- morbidity, mentally sharp. She was not dying, just made the conscious choice to leave.

  42. Brave thing to touch this topic, however, the commenters here sound like they never felt the pain of hunger, not to say thirst which is not far from being unable to breathe.

  43. What about the guilt one would suffer when they want to live on, but feel as a burden. Or worse, preasure from family , financial concerns, or society. This takes us to a dark place.

  44. Thank you so much doctor for sharing the knowledge in this subject🙏🏼🙏🏼🙏🏼. Mom had the worst course of dying take 3 long years, terrible and devastating 3 years. To see her suffering was an other horrible pain for us her daughters. A dignified life journey must end in peace and dignity. 🕊🕊🕊

  45. Hi! Is konjac flour allowed in a whole-food plant-based diet? I have not heard of it in the videos. It would be good to make a separate video about it. I use it to thicken stews. Thanks!

  46. After failing to make any progress on my first college English assignments, I felt incapable of succeeding in life at all and decided to commit suicide by not eating. I think this method is a great choice because you have plenty of time to decide that it is the wrong choice.

  47. Absolutely brilliant teaching. People need to talk about such things. Long story short, I took care of my mom in law who had what The Queen had, a form of bone cancer. She was already on dialysis. We were driving and she said "ToniLynn, what am I going to do if the pain becomes unbearable? I worry". I pulled the car over. Right then it was time to talk. I said "Well Mom, Dr. Seek told us you'd live only a week or two without dialysis. You would just call in hospice and come off of dialysis." Oh! What a change in her mood! And despite memory loss (she was only 61) she never brought it up again. I happened to pull over in front of a convenient store/shop. She said I'll get us us some us some goodies (junk), becauseshe didn'tcare much about the kidney diet right then! #empowerment Two years later, that's how she ended it. I miss her. One year later, my gorgeous blond, green eyed husband, her favourite son, died of a prescription drug overdose. That was waaay worse in every way. He was 42. Twelve years into my second marriage and living in England, everything is ok, although I care for my mum in law who has Alzheimer's Disease🎉🎉🎉🎉
    I still have my sense of humour and my tablet here which writes in British English. 😂😂😂😂😂

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