Oracle Text

At the beginning of your upkeep, put a hunger counter on Fasting. Then destroy Fasting if it has five or more hunger counters on it.

If you would begin your draw step, you may skip that step instead. If you do, you gain 2 life.

When you draw a card, destroy Fasting.

Card Rulings

10/1/2008 When you resolve the beginning-of-upkeep triggered ability, you first put a hunger counter on Fasting, then you check how many hunger counters it has. If there are five or more, Fasting is destroyed.
10/1/2008 You choose whether or not to skip your draw step as that step begins. This ability is now separate from the beginning-of-upkeep triggered ability.