Karva Chauth fasting offers an opportunity to explore the interplay between traditional fasting practices, metabolic health and hormonal regulation. In this session, Dr Sanjay Kalra will examine the physiological implications of prolonged fasting, including changes in glucose homeostasis, hydration status and energy metabolism. The discussion will highlight clinical considerations for individuals with diabetes, endocrine disorders or other comorbidities, with a focus on medication management, risk assessment and patient counselling. The session will equip healthcare professionals with practical insights to support safe, individualised fasting practices while respecting cultural beliefs.