The Ultimate Guide to Autophagy: What It Is and How It Impacts Health

While autophagy is a regular bodily process involving the clearing out of old cells, you’ve likely never heard of it. The term only recently gained popularity with the rise of fasting-type diets, with proponents claiming the process could help you lose weight and create younger, healthier cells.
What Is Autophagy?
“Essentially, a membrane forms around material within the cells that has been marked for disposal,” explains Roberta Gottlieb, MD, a professor of cardiology and biomedical sciences at Cedars-Sinai in Los Angeles. “It encases that material in a membrane and then delivers it to the lysosome, which is full of digestive enzymes that can break down the cargo.”
Autophagy happens during periods of fasting, which can occur naturally during sleep, as it is a time without food.
3 Potential Benefits of Autophagy
Research into these benefits is still in the very early stages, and further work is needed to understand the impacts of autophagy on health.
1. Longevity
“As we age, the autophagy machinery starts to decrease in abundance and functionality,” Gottlieb explains. “It’s harder to turn it on, and it doesn’t work as well overall. So, it’s been suggested that being able to restore that machinery or maintain autophagy throughout life would diminish the rate of aging or increase our health span.”
2. Weight Loss
“As a result, autophagy may decrease hunger and indirectly contribute to weight loss,” says Kennedy. Methods meant to induce autophagy, such as caloric restriction, may also contribute to weight loss, but this is not always the most sustainable and healthy way to lose weight.
3. Chronic Disease Prevention
- Metabolic diseases like diabetes
- Certain cancers
- Neurodegenerative disorders like Parkinson’s disease and Alzheimer’s disease
Because of these findings, scientists are researching whether autophagy induction is a useful tool in preventing or treating these chronic diseases.
Diets That Promote Autophagy
Autophagy can also be affected by what and how we eat, Kennedy says. “For example, evidence suggests that fasting and eating a low-carbohydrate diet may stimulate an increase in autophagy,” she notes.
“Eating a very low-carbohydrate, high-fat diet like the ketogenic diet can increase autophagy as the body switches from burning carbohydrates to burning fat for its main source of energy,” Kennedy says.
Signs and Symptoms of Autophagy
Side Effects of Autophagy
The Takeaway
- Autophagy means “self-eating,” and it describes the process by which the body cleans out and recycles damaged cells. It happens naturally while we are sleeping and during periods of fasting.
- Research suggests that inducing autophagy through intermittent fasting may have some health benefits, such as longevity, weight loss, and chronic disease prevention.
- More evidence is needed to support specific diets to induce autophagy.
- While autophagy is helpful in some cases, excessive autophagy may contribute to cardiovascular issues or the growth of certain cancerous cells.
FAQ
Resources We Trust
- Cleveland Clinic: Autophagy
- Rutgers Health Rutgers Cancer Institute: Exploring Autophagy as a Therapeutic Strategy Against Frequent Mutations in Non-Small Cell Lung Cancer
- National Cancer Institute: Autophagy
- Johns Hopkins Medicine: Intermittent Fasting: What Is It, and How Does It Work?
- StatPearls: Ketogenic Diet
- Liu S et al. Autophagy: Regulator of Cell Death. Cell Death & Disease. October 4, 2023.
- Autophagy. National Cancer Institute.
- Cytosol. ScienceDirect. 2022.
- Shabkhizan R et al. The Beneficial and Adverse Effects of Autophagic Response to Caloric Restriction and Fasting. Advances in Nutrition. July 30, 2023.
- Aman Y et al. Autophagy in Healthy Aging and Disease. Nature Aging. August 12, 2021.
- Yin Z et al. Intermittent Time-Restricted Feeding Promotes Longevity Through Circadian Autophagy. Autophagy. February 4, 2022.
- Sadeghi A et al. Crosstalk Between Autophagy and Insulin Resistance: Evidence From Different Tissues. European Journal of Medical Research. October 25, 2023.
- Wu N et al. Autophagy in Aging-Related Diseases and Cancer: Principles, Regulatory Mechanisms and Therapeutic Potential. Ageing Research Reviews. September 2024.
- Song D et al. Beneficial Effects of Intermittent Fasting: A Narrative Review. Journal of Yeungnam Medical Science. April 4, 2022.
- McGaugh E et al. A Review of the Ketogenic Diet and Lifestyle. Missouri Medicine. January–February 2022.
- Watanabe M et al. Scientific Evidence Underlying Contraindications to the Ketogenic Diet: An Update. Obesity Reviews. July 10, 2020.
- Jiang B et al. The Role of Autophagy in Cardiovascular Disease: Cross-Interference of Signaling Pathways and Underlying Therapeutic Targets. Frontiers in Cardiovascular Medicine. March 29, 2023.
- Ahmadi-Dehlaghi F et al. Autophagy: A Challengeable Paradox in Cancer Treatment. Cancer Medicine. May 2023.

Maya Feller, MS, RD, CDN
Medical Reviewer
Maya Feller, MS, RD, CDN, is the founder and lead dietitian at Maya Feller Nutrition. In her practice, her team provides medical nutrition therapy and nutrition coaching for hormone and metabolic health, cardiovascular disease, diabetes, mood disorders, developmental disabilities, disordered eating, and more.
Feller believes in providing inclusive nutrition education from an anti-bias, patient-centered, culturally humble approach to help people make informed food choices. May shares her approachable, food-based solutions with millions of people on her new YouTube channel as the host of Where Wellbeing Meets Flavor, which includes cooking demos, exclusive interviews, and Q&As; in her on-demand master classes and courses, regular speaking engagements, writing, and social platform posts; and as a national nutrition expert on Good Morning America.
Feller is also on the advisory board for Shape and Parents; has been on the Today show and Tamron Hall; and has appeared in The New York Times, Mindbodygreen, Food Network, Martha Stewart, Real Simple, Good Housekeeping, Cooking Light, Eating Well, Prevention, Glamour, Self, and other publications.
She is the author of Eating From Our Roots: 80+ Healthy Home-Cooked Favorites From Cultures Around the World and The Southern Comfort Food Cookbook.

Ashley Welch
Author
Ashley Welch has more than a decade of experience in both breaking news and long-form storytelling. She is passionate about getting to the crux of the latest scientific studies and sharing important information in an easy-to-digest way to better inform decision-making. She has written about health, science, and wellness for a variety of outlets, including Scientific American Mind, Healthline, New York Family, Oprah.com, and WebMD.
She served as the health editor for CBSNews.com for several years as a reporter, writer, and editor of daily health news articles and features. As a former staff member at Everyday Health, she covered a wide range of chronic conditions and diseases.
Welch holds a bachelor's degree from Fordham University and a master's degree from the Craig Newmark Graduate School of Journalism at the City University of New York, where she studied health and science reporting. She enjoys yoga and is an aspiring runner.