In the UK, 1/4 people are considered overweight or obese. National Health Service (NHS) employees are no exception with ½ workers affected. There are myriad factors that contribute to these statistics such as mental health, occupation and lifestyle.

Studies reveal that 35% of people with bipolar disorder are clinically obese, which is the highest percentage of any psychiatric illness. The suggested factors that may be contributing to this problem include co-existing eating disorders and treatment with medications that cause weight gain.

Religious periods i.e. Christmas and Ramadan are associated with weight changes. 50% of annual weight gain has been reported during the Christmas period. Conversely weight loss has been reported in Muslims who fast during the Islamic month of Ramadan.

To qualitatively illustrate how religious, psychosocial, physical and occupational factors can cause significant weight changes.

We provide an autobiographical narrative from a doctor- the primary author- employed by the National Health Service who suffers from bipolar disorder and who has experienced dramatic oscillations in his weight.

Ramadan provided the primary author with a platform to make major modifications to his lifestyle. He substantially reduced his carbohydrate consumption and also exercised 7 days/week. Dr Hankir lost 30 kg in weight over a 3 month period. His waist size decreased from 36 inches to 32 inches.

Fasting during Ramadan can provide an opportunity to lose weight as is evidenced in this case report, however structured and consistent lifestyle modifications are necessary to maintain sustained weight loss.