Doctors Note Logo

Published on: 9/24/2026

What can I drink during an 18-hour fast?

During an 18-hour fast, water, plain sparkling water, black coffee, and unsweetened tea are generally safe because they contain little to no calories and typically will not break your fast. Black coffee and plain tea are usually fine without milk, sugar, cream, or sweeteners, while diet sodas, flavored waters, and drinks with even small amounts of calories may interfere with fasting benefits for some people. Electrolyte drinks without sugar can help with headaches, fatigue, or dizziness during longer fasts, though tolerance varies by person and health condition. There are several important factors to consider, including medications, blood sugar issues, pregnancy, and symptoms that signal you should stop fasting, so see below to understand more.

If fasting leaves you feeling lightheaded, nauseated, shaky, unusually weak, or your symptoms linger after you eat again, that is worth taking seriously rather than pushing through, since dehydration, low blood sugar, and underlying conditions can all look similar at first: a free, instant, online symptom check can help you sort out what is likely going on and what steps make sense next.

Last reviewed for medical accuracy: 09/24/2026

answer background

Explanation

What Can I Drink During an 18-Hour Fast?

Intermittent fasting—including the popular 18-hour fast—has gained attention for its potential health benefits. While you’re abstaining from calories, staying hydrated and supporting your body’s needs is crucial. Below, you’ll find an evidence-based guide to what you can drink during an 18-hour fast, how these choices support your progress, and the key benefits of an 18 hour fast.

Why Drinks Matter in an 18-Hour Fast

Even though you’re skipping meals, your body continues to burn calories, regulate temperature, and support brain function. Proper fluids:

• Keep you hydrated
• Help curb hunger pangs
• Maintain electrolyte balance
• Support detoxification and circulation

What You Can Drink

  1. Water (Still or Sparkling)

    • Zero calories; essential for hydration.
    • Aids digestion, helps maintain blood volume, and supports kidney function.
    • Tips: Add a slice of lemon or cucumber for mild flavor without significant calories.
  2. Black Coffee

    • Typically 0–5 calories per cup.
    • Contains caffeine, which may suppress appetite briefly and boost metabolism.
    • May enhance mental alertness and focus.
    • Drink in moderation (2–3 cups daily) to avoid jitters or sleep disruption.
  3. Unsweetened Tea (Green, Black, Herbal)

    • Zero calories when served plain.
    • Green tea delivers antioxidants (catechins) linked to fat oxidation.
    • Herbal teas (peppermint, chamomile) can soothe digestion and promote relaxation.
  4. Electrolyte-Enhanced Water (No Sugar)

    • Look for zero-calorie products or add a pinch of salt and a squeeze of lemon.
    • Helps replace sodium, potassium, and magnesium lost through sweat and urine.
    • Supports muscle function and prevents cramps.
  5. Sparkling Mineral Water

    • Zero calories; provides a fizzy alternative to plain water.
    • Naturally contains minerals (calcium, magnesium) that support bone and nerve health.
  6. Apple Cider Vinegar “Tonic”

    • 1–2 tsp in a glass of water (10–15 calories).
    • May help stabilize blood sugar and curb appetite.
    • Drink slowly and rinse your mouth afterward to protect tooth enamel.

Drinks to Avoid

• Any sugar-sweetened beverages (sodas, fruit juices)
• Milk or cream (adds calories and breaks fast)
• Protein powders or broths
• Alcohol (caloric and disrupts metabolic benefits)

Key Benefits of an 18-Hour Fast

Intermittent fasting research highlights multiple potential advantages. Here are some of the primary benefits of 18 hour fast:

  1. Improved Insulin Sensitivity
    • Fasting lowers circulating insulin and allows cells to reset their response.
    • May reduce risk of type 2 diabetes over time.

  2. Enhanced Fat Burning
    • After depleting glycogen stores (usually ~12 hours in), the body shifts to fat as fuel.
    • Promotes weight loss and reduction in visceral fat.

  3. Cellular “Housekeeping” (Autophagy)
    • Extended fasts trigger autophagy—your cells clear out damaged components.
    • Linked to improved longevity in animal studies.

  4. Reduced Inflammation
    • Lower levels of inflammatory markers (e.g., C-reactive protein).
    • May ease symptoms of arthritis and other inflammatory conditions.

  5. Mental Clarity and Focus
    • Ketone production during fasting can provide a steady energy source for the brain.
    • Many fasters report improved concentration and mood stability.

  6. Simplified Meal Planning
    • Fewer meals means less time spent cooking and planning.
    • Can support a sustainable, long-term eating routine.

Tips for a Successful 18-Hour Fast

• Stay Hydrated: Aim for 2–3 liters of water, adjusting for activity level and climate.
• Listen to Your Body: Mild hunger is normal. Severe dizziness or weakness is not.
• Ease In Gradually: If you’re new to fasting, start with 12–14 hours and build up.
• Maintain Electrolytes: Especially important if you exercise or live in a hot climate.
• Break Your Fast Wisely: Choose a balanced meal with protein, healthy fats, and fiber.

When to Pause or Modify Your Fast

Fasting isn’t for everyone. You may need to stop or adjust if you experience:
• Persistent dizziness, fainting, or severe headaches
• Extreme weakness or confusion
• Palpitations or irregular heartbeat
• Signs of dehydration (dark urine, rapid heartbeat)

If you notice any concerning symptoms, consider a free, online symptom check, using the doctor approved Ubie Symptom Checker. And always speak to a doctor about anything that could be life threatening or serious.

Who Should Be Cautious

• Pregnant or breastfeeding women
• Children and adolescents
• People with a history of eating disorders
• Those on certain medications (insulin, blood pressure drugs)
• Anyone with chronic health conditions without prior medical advice

How to Break Your Fast

  1. Start Small: A light snack or small meal reduces digestive stress.
  2. Focus on Nutrient Density: Include lean protein, vegetables, and healthy fats.
  3. Avoid Sugar Spikes: Skip refined carbs and sweets immediately after fasting.
  4. Rehydrate: Include water, herbal tea, or broth to restore fluids and electrolytes.

Putting It All Together

An 18-hour fast can be a powerful tool for health and weight management when done thoughtfully. Drinking the right beverages—water, black coffee, tea, and zero-calorie electrolyte drinks—helps you stay hydrated, supports metabolic benefits, and makes fasting more comfortable. Remember the key benefits of 18 hour fast, including improved insulin sensitivity, fat burning, and mental clarity, and follow best practices for a positive experience.

If you’re new to fasting, start slowly and pay attention to your body’s signals. Should you experience any worrying symptoms, try a free, online symptom check, using the doctor approved Ubie Symptom Checker. And always speak to a doctor about anything that could be life threatening or serious.

(References)

  • * Alexander RE. Eleven myths of dentoalveolar surgery. J Am Dent Assoc. 1998 Sep;129(9):1271-9. doi: 10.14219/jada.archive.1998.0424. PMID: 9766108.

  • * Brady M, Kinn S, Stuart P. Preoperative fasting for adults to prevent perioperative complications. Cochrane Database Syst Rev. 2003;(4):CD004423. doi: 10.1002/14651858.CD004423. PMID: 14584013.

  • * Falconer R, Skouras C, Carter T, Greenway L, Paisley AM. Preoperative fasting: current practice and areas for improvement. Updates Surg. 2014 Mar;66(1):31-9. doi: 10.1007/s13304-013-0242-z. Epub 2013 Dec 18. PMID: 24346767.

  • * Benozzi SF, Unger G, Campion A, Pennacchiotti GL. Fasting conditions: Influence of water intake on clinical chemistry analytes. Biochem Med (Zagreb). 2018 Feb 15;28(1):010702. doi: 10.11613/BM.2018.010702. Epub 2017 Nov 24. PMID: 29187795; PMCID: PMC5701773.

  • * Kuang A, Erlund I, Herder C, Westerhuis JA, Tuomilehto J, Cornelis MC. Lipidomic Response to Coffee Consumption. Nutrients. 2018 Dec 1;10(12). doi: 10.3390/nu10121851. Epub 2018 Dec 1. PMID: 30513727; PMCID: PMC6315510.

  • * Andersson H, Frykholm P. Kortare preoperativ fasta för barn bör övervägas - Europeisk rekommendation om en timmes fasta för klar dryck. Lakartidningen. 2019 Feb 12;116. Epub 2019 Feb 12. PMID: 31192375.

  • * Leal ML, Maciel ELN, Cade NV. Factors associated with tuberculosis in a population of diabetics: A case-control study. Cien Saude Colet. 2018 Feb 11;24(9):3247-3256. doi: 10.1590/1413-81232018249.30392017. Epub 2019 Sep 9. PMID: 31508745.

  • * Xue M, Liu Y, Xu H, Zhou Z, Ma Y, Sun T, Liu M, Zhang H, Liang H. Propolis modulates the gut microbiota and improves the intestinal mucosal barrier function in diabetic rats. Biomed Pharmacother. 2019 Oct;118:109393. doi: 10.1016/j.biopha.2019.109393. Epub 2019 Sep 2. PMID: 31545258.

  • * Okamura T, Hashimoto Y, Hamaguchi M, Obora A, Kojima T, Fukui M. The visceral adiposity index is a predictor of incident nonalcoholic fatty liver disease: A population-based longitudinal study. Clin Res Hepatol Gastroenterol. 2020 Jun;44(3):375-383. doi: 10.1016/j.clinre.2019.04.002. Epub 2020 May 17. PMID: 32434704.

  • * Márton P, Bátai LK, Takács T, Csulak E, Kiss AR, Kopper B, Szabó LE, Balla D, Petrov I, Lázár L, Vágó H, Merkely B, Sydó N. Exercise with fasting or isotonic drink? A randomized controlled trial in youth elite basketball players. J Int Soc Sports Nutr. 2025 Dec;22(1):2528533. doi: 10.1080/15502783.2025.2528533. Epub 2025 Jul 8. PMID: 40627440; PMCID: PMC12239237.

Thinking about asking ChatGPT?Ask me instead

Tell your friends about us.

We would love to help them too.

smily Shiba-inu looking

For First Time Users

What is Ubie’s Doctor’s Note?

We provide a database of explanations from real doctors on a range of medical topics. Get started by exploring our library of questions and topics you want to learn more about.

Was this page helpful?

Purpose and positioning of servicesUbie Doctor's Note is a service for informational purposes. The provision of information by physicians, medical professionals, etc. is not a medical treatment. If medical treatment is required, please consult your doctor or medical institution. We strive to provide reliable and accurate information, but we do not guarantee the completeness of the content. If you find any errors in the information, please contact us.