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SCIENCE · APPETITE HORMONES & CRAVINGS

Natural Appetite Suppressants: The 4-Hormone Biology That Works

The most effective natural appetite suppressants are the four hormones your body already makes: PYY, GLP-1, ghrelin and leptin. How to boost satiety, stop sugar cravings and stop feeling always hungry, without pills or willpower.

Read the science

The four-hormone biology

Natural Appetite SuppressantsThe Four-Hormone Biology That Actually Works

The most effective natural appetite suppressants are not pills or powders. They are the four hormones your body already makes to govern hunger and fullness. If you have wondered how to stop sugar cravings and the standard advice (drink water, distract yourself, eat protein, try harder) keeps not working, the problem is not your willpower. It is the four-hormone appetite system underneath the craving, which most "how to stop food cravings" articles never name and rarely explain.

Cravings are biology. Willpower is not the lever.

In our work coaching clients through stubborn sugar cravings, the same four hormones come up every time

  • HungerGhrelin

    Ghrelin spikes hunger 30-90 minutes before meals on a learned schedule, and dieting elevates baseline ghrelin chronically.

  • SatietyLeptin

    Leptin signals satiety from fat tissue, and chronic insulin spikes (the standard Western diet pattern) cause leptin resistance, where the brain stops registering fullness even when leptin is high.

  • I am donePYY & GLP-1

    PYY and GLP-1 are the post-meal "I am done" hormones, and most cravings are the gap between when these should fire and when they actually do.

  • WantingDopamine

    Dopamine is the wanting signal, hijacked by ultra-processed sugar to fire harder than any natural food does, which is why the cravings feel chemical, not psychological.

The rest of this article walks each hormone, names the biology, and gives the specific protocols we use with clients to break the craving cycle. The restriction paradox below explains why cutting sugar harder usually backfires, and why most "how to stop sugar cravings" advice trains the cycle to come back stronger.

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A True and Slightly Hungry Account of CRAVINGS DECODED

How a Couch Bro Beat the Cookie Demons with Two Tiny Hormonal Heroes

Comic-book illustration of a chaotic cartoon gym-bro in a sweat-stained tank top sprawled on a worn couch at 9PM, illuminated only by the harsh glowing screen of his phone, with ghostly translucent cookie-shaped thought-bubbles with little devil faces floating around his head while an untouched plate of broccoli and chicken sits on the coffee tableComic-book cutaway illustration of a cartoon bro head showing the brain in chaos: a tiny prefrontal-cortex character depicted as a scholar-bro in academic robes tied up in the corner, while dopamine-villains (purple devils with cookie-shaped heads) party around a control console covered in flashing buttonsComic-book illustration of two superhero-molecule characters flying in to rescue the chaotic gym-bro from his couch: PYY hero in teal satiety-cape and GLP-1 hero in mint-green hormone-cape doing power poses, kicking cookie-devils away mid-air with action-comic motion lines while the bro looks up in aweComic-book illustration of the cartoon gym-bro locked inside a giant cookie-jar cage gripping the bars while horned cookie-devils dangle a chocolate-chip cookie just out of reach, showing how forbidden food becomes more temptingComic-book illustration of the cartoon gym-bro gripping a giant stopwatch and riding out a craving while horned cookie-devils fade and dissolve, illustrating the 90-second craving windowComic-book illustration of the mint-green GLP-1 hero body-slamming and crushing a giant horned cookie-devil as smaller cookie-devils fleeComic-book illustration of the calm cartoon gym-bro at a kitchen table with a protein and vegetable plate while the teal PYY hero and mint-green GLP-1 hero point at a wall clock, showing meal timing
  1. Chapter I · The Battlefield

    The Craving Battlefield

    Picture this: You’ve committed to your body transformation. Training is locked in, nutrition is dialed, progress photos are taken. You’re mentally ready to become the leanest, strongest version of yourself.

    Then 9PM hits. You’re scrolling Instagram, stressed from work, slightly hungry, and suddenly your brain starts playing that familiar movie: “Just one cookie. You trained hard today. You deserve it. Tomorrow you’ll be perfect again.” Before you know it, you’re standing in the kitchen, hand in the cookie jar, wondering how your willpower evaporated so fast.

    This isn’t about willpower

    Your brain is running ancient software in a modern food environment. Understanding the neuroscience behind cravings doesn’t just give you knowledge, it gives you power. Time to hack your own system.

  2. Chapter II · The Brain Hijacking

    Your Brain on Cravings

    Dopamine Hijacking

    The reward prediction error

    Your brain releases more dopamine anticipating the cookie than actually eating it. That’s why thinking about food creates such intense cravings.

    Stress amplification

    When you’re tired, stressed, or restricting food, your prefrontal cortex (the rational brain) goes offline, leaving the limbic system (craving brain) in charge.

    Memory triggers

    Your brain links environmental cues (couch + Netflix = ice cream) creating automatic craving responses to situations, not just hunger.

  3. Chapter III · The Restriction Trap

    The Restriction Paradox

    Forbidden fruit effect

    The more you tell your brain something is “off-limits,” the more mental real estate it occupies. Your brain interprets restriction as scarcity.

    Cognitive load theory

    Constantly resisting cravings depletes mental energy, making you more likely to cave later when willpower is low.

    Rebound eating

    Extreme restriction often leads to binge episodes as your brain overrides conscious control to restore perceived energy deficit.

    Craving vs hunger

    True hunger develops gradually, satisfied by any food, comes with physical sensations (empty stomach, low energy), can be delayed without distress. Cravings hit suddenly, demand specific foods, often emotional/situational, create urgency and anxiety if not satisfied immediately. The location test: true hunger happens in your stomach. Cravings happen in your mouth and head.

  4. Chapter IV · The 90-Second Window

    The 90-Second Rule

    A widely-quoted 90-second rule originates from Jill Bolte Taylor’s memoir My Stroke of Insight (2008), not peer-reviewed neuroscience. The practical observation, that most cravings peak and fade within 3-5 minutes if you do not feed them, is well-supported by craving-imagery and urge-surfing research; the 90-second number itself is framing, not a measured biochemical half-life.

  5. Chapter V · The Heroes Arrive

    PYY: The Satiety Signal

    Your body produces powerful appetite-suppressing hormones naturally. PYY and GLP-1 are your biological allies in the craving war, you just need to know how to boost them without drugs or supplements.

    The pyy hormone biology and the post-meal satiety window it controls. What it does: Released by your intestines 15-30 minutes after eating, PYY tells your brain “we’re satisfied, stop eating now.” It’s your natural portion control system.

    How to Boost PYY Naturally:
    • Eat protein first, triggers highest PYY release
    • Include fiber-rich vegetables, stretches stomach, amplifies signal
    • Chew slowly, gives PYY time to reach your brain
    • Don’t eat distracted, mindful eating enhances hormone sensitivity

    Peak effect: 1-2 hours after meals, lasting up to 6 hours

  6. Chapter VI · The Craving Crusher

    GLP-1: The Craving Crusher

    What it does: Slows gastric emptying, enhances insulin sensitivity, and directly reduces food reward signals in the brain. It is the same hormone target that GLP-1 receptor agonist drugs amplify pharmacologically; whole-food levers raise endogenous GLP-1 by a much smaller, slower margin and are not equivalent to medication.

    How to Boost GLP-1 Naturally:
    • Eat fermented foods, probiotics enhance GLP-1 production
    • Include healthy fats, especially omega-3s from fish
    • Green tea between meals, EGCG stimulates GLP-1 release
    • Resistant starch, cooled rice/potatoes feed GLP-1 producing bacteria

    For the full protocol, see our deep dive on how to raise GLP-1 naturally with food, sleep and training. Peak effect: 30-60 minutes after eating, enhanced by gut microbiome

  7. Chapter VII · The Timing Hack

    The Hormone Timing Hack

    Meal Structure

    Start with protein + fat to trigger PYY. Add fiber-rich carbs to sustain GLP-1. This combination creates 4-6 hours of natural appetite suppression.

    Eating Speed

    Take 15-20 minutes per meal. PYY needs time to reach your brain. Eating too fast means you overshoot satiety before the signal arrives.

    Meal Frequency

    Space meals 4-6 hours apart to maximize hormone cycling. Constant snacking keeps PYY and GLP-1 chronically low.

The ghrelin and leptin resistance question

Why Am I Always Hungry?

If you find yourself asking why am i always hungry at 11am and 4pm and 9pm regardless of breakfast size or training intensity, the answer usually reduces to one of two hormonal patterns.

01Pattern one

Learned ghrelin scheduling

The first is learned ghrelin scheduling: the ghrelin hormone rises on a clock trained by your eating pattern, so chronic 3-meals-a-day eating produces a 3-spike-a-day hunger schedule whether or not you actually need food.

02Pattern two

Leptin resistance

The second is leptin resistance: chronic insulin elevation from ultra-processed carbs blunts the brain's ability to read leptin signals, so the satiety message never lands and you stay hungry even on a plate full of food.

In our practice with chronic-hunger clients, the fix is rarely "eat more protein." It is restructuring the eating window so the ghrelin hormone schedule re-trains, and removing the insulin spikes that maintain leptin resistance. The mechanism cards below walk each hormone in turn.

The long-term appetite show

The Master Appetite Controllers

While PYY and GLP-1 handle meal-to-meal satiety, two other hormones run the long-term appetite show: ghrelin (your hunger signal) and leptin (your “stop eating” signal). Understanding these master controllers is crucial because they determine whether you feel naturally satisfied or constantly battling hunger.

GhrelinThe hunger hormone

Ghrelin hormone biology, what it actually does, and why dieting elevates it chronically.

What it does: Produced in your stomach, ghrelin rises before meals and drops after eating. It’s your body’s “time to eat” signal, peaking every 3-4 hours and spiking highest before your usual meal times.

What Disrupts Ghrelin
  • Irregular meal timing, confuses your body’s hunger schedule
  • Poor sleep, increases ghrelin (~15% in habitual short sleepers per Taheri 2004; up to ~28% under acute restriction per Spiegel 2004)
  • High stress, cortisol amplifies ghrelin’s hunger signals
  • Extreme food restriction, ghrelin stays chronically elevated
How to Control Ghrelin
  • Consistent meal timing, trains ghrelin to predictable patterns
  • Adequate sleep (7-9 hours), keeps ghrelin regulated
  • High-protein meals, protein suppresses ghrelin most effectively
  • Intermittent fasting helps modulate Ghrelin response
LeptinThe satiety master

What it does: Released by fat cells, leptin tells your brain “we had enough food, stop eating.” Higher body fat should mean higher leptin, but leptin resistance makes your brain ignore the signal.

What Causes Leptin Resistance
  • Chronic inflammation, blocks leptin receptors in brain
  • High fructose intake, directly impairs leptin signaling
  • Processed foods, create inflammatory response
  • Sleep deprivation, reduces leptin sensitivity
How to Restore Leptin Sensitivity
  • Anti-inflammatory foods, omega-3s, leafy greens
  • Reduce processed food intake, lowers inflammation
  • Prioritize sleep quality, leptin works best during deep sleep
  • Intermittent fasting, can help reset leptin sensitivity
The Four-Hormone Appetite Symphony

Short-term signals

PYY & GLP-1: Released during and after meals to create immediate satiety. Peak within 30-60 minutes, last 2-6 hours.

Long-term signals

Ghrelin & Leptin: Set your baseline hunger and fullness patterns. Operate on circadian rhythms and energy storage status.

When all four hormones work properly, you feel naturally satisfied after meals, have predictable hunger patterns, and don’t constantly think about food. When they’re disrupted, you’re fighting your biology instead of working with it.

The dopamine resensitization protocol

How to Break Sugar AddictionThe dopamine resensitization protocol

"Is sugar addictive?" is a debated question in the literature; "how to break sugar addiction" is the practical question that matters. The biology is dopamine receptor desensitization. Ultra-processed sugar fires dopamine harder than any natural food does, your D2 receptors downregulate to compensate, and now natural foods feel flat while sugar feels like the only food that registers. The protocol to reverse this is dopamine and food cravings resensitization, which takes 7-14 days of substantial reduction (not perfect elimination), not weeks of white-knuckled willpower.

In our work with clients caught in the sugar-craving cycle, we have found the breakthrough is not abstinence; it is decoupling the dopamine spike from the carb.

Whole-food carbs, eaten with protein and fat, fire dopamine moderately rather than harder than fentanyl in a brain scan. The cards below walk the hormone-aware reframe, the meal-timing structure, and the sleep substrate.

Dopamine response
Ultra-processed sugarWhole food

Three levers that move every hormone

Complete Hormone Optimization Arsenal

Meal timing & structure

For Ghrelin regulation: Eat at consistent times daily to train predictable hunger patterns. Your body releases ghrelin before expected meal times.

For PYY/GLP-1 optimization: Start meals with protein + fiber, eat slowly over 15-20 minutes, space meals 4-6 hours apart.

For Leptin sensitivity: Avoid late-night eating, consider 12-18 hour fasting windows, preferably using the LION protocol.

Consistency is more important than perfection, your hormones adapt to patterns.

Sleep & stress management

Sleep impact: Sleep restriction shifts hunger hormones in the wrong direction. Spiegel 2004 (controlled, 2 nights at 4h sleep) found ~28% higher ghrelin and ~18% lower leptin. Taheri 2004 (cohort, habitual 5h vs 8h sleepers, n~1,000) found the same direction at smaller magnitudes (14.9% ghrelin, 15.5% leptin). Non-negotiable for appetite control. Spiegel K, et al., Ann Intern Med, 2004; Taheri S, et al., PLoS Med, 2004

Stress connection: Cortisol amplifies ghrelin signals and promotes insulin resistance, disrupting the entire hormone cascade.

Practical targets: 7-9 hours sleep, consistent sleep/wake times, stress management practices like meditation or exercise.

Fix your sleep and stress before trying any other appetite control strategy.

Food choices for hormone harmony

Protein priority: 20-30g per meal suppresses ghrelin most effectively, maximizes PYY/GLP-1 release, supports leptin sensitivity.

Fiber foundation: Soluble fiber feeds beneficial gut bacteria that produce GLP-1, slows gastric emptying for sustained PYY release.

Anti-inflammatory focus: Omega-3 fats, leafy greens, berries help restore leptin sensitivity by reducing chronic inflammation.

Avoid high-fructose foods and ultra-processed items that directly impair leptin signaling.

The Hormone-Aware Reframe Game

Catch the old thought, swap the new one

When ghrelin spikes

Old thought: “I’m starving, I need to eat NOW!”

↓

New thought: “This is just ghrelin doing its job. It’ll peak and fade in 20 minutes.”

When leptin is low

Old thought: “I have no willpower, I can’t stop eating.”

↓

New thought: “My leptin is probably resistant. I need to address inflammation, not blame myself.”

After eating

Old thought: “I should feel full immediately.”

↓

New thought: “PYY and GLP-1 take 15-30 minutes to kick in. Let me wait before deciding if I need more.”

90seconds

Instant craving circuit breakers

How to Stop Food Cravingsin under 90 seconds

When cravings strike, the butterflies-in-your-stomach feeling reflects sympathetic activation altering gut motility and splanchnic vasoconstriction, not blood pooling. The techniques below shift sympathetic-parasympathetic tone, which is what changes the signal from hungry to alert.

⚡Movement interventions
60-Second Options
  • 20 jumping jacks → activates sympathetic nervous system
  • 30-second plank → engages core, redirects blood flow
  • 10 pushups (any variation) → upper body activation
  • 20 bodyweight squats → largest muscle group recruitment
  • Stair sprints (2 flights) → rapid heart rate elevation

The goal: shift from parasympathetic (rest/digest) to sympathetic (alert/active) nervous system state.

🌬Breathing resets
Autonomic System Shifters
  • Box breathing: 4-4-4-4 pattern, repeat 5 rounds
  • Power exhales: Deep inhale, explosive mouth exhale × 10
  • Wim Hof rounds: 30 deep breaths + 60-second hold
  • Coherent breathing: 5 seconds in, 5 seconds out × 2 minutes

Controlled breathing directly influences vagal tone and hormone release patterns.

❄Cold activation
Instant Neural Switches
  • Cold water on face/wrists → activates dive reflex
  • Ice cube hold → 30 seconds each hand
  • Cold shower blast → 30-60 seconds
  • Step outside in cold → deep breathing for 2 minutes

Cold exposure instantly activates norepinephrine, suppressing hunger and improving focus.

How this affects all 4 hormones

Ghrelin

Acute stress response temporarily suppresses ghrelin production, breaking hunger cycles.

PYY & GLP-1

Exercise enhances hormone sensitivity, making satiety signals more effective.

Leptin

Cold exposure and exercise reduce inflammation, improving leptin sensitivity over time.

Cortisol

Brief, controlled stress (exercise/cold) improves stress resilience and cortisol patterns.

The master hormone regulator

Sleep: The Master Hormone Regulator

Sleep isn’t just rest, it’s when your appetite hormones reset. Sleep restriction raises ghrelin (~15% chronic, up to ~28% acute), lowers leptin (~15-18%), and elevates cortisol. Master sleep, master hunger.

Too little
Sweet spot
Too much
4h7h9h11h

7-9 hours is where every appetite hormone regulates

Sleep architecture optimization

7-9 hour target: Less than 7 hours consistently disrupts all appetite hormones. More than 9 hours can indicate underlying issues.

Sleep Quality Markers:
  • Fall asleep within 15-20 minutes
  • Stay asleep without frequent waking
  • Wake up feeling refreshed, not groggy
  • Consistent sleep/wake times (±30 minutes)

Deep sleep (stages 3-4) is when growth hormone releases and leptin sensitivity resets.

Electrolyte optimization

The mineral connection: Sodium, potassium, and magnesium regulate fluid balance, nerve signaling, and hormone transport. Imbalances create false hunger signals.

Daily Targets:
  • Sodium: 2-3g (especially if active or low-carb)
  • Potassium: 3-4g (leafy greens, avocado, salmon)
  • Magnesium: 400-600mg (dark chocolate, nuts, spinach)

Add a pinch of sea salt to water if experiencing headaches, fatigue, or increased cravings.

Hunger vs thirst signals

The Water Test:
  • Feel hungry? Drink 12-16oz water first
  • Wait 10-15 minutes
  • Still hungry? It’s likely true hunger
  • Hunger gone? You were dehydrated

Dehydration symptoms often mistaken for hunger: Fatigue, difficulty concentrating, irritability, headaches, cravings for sweet or salty foods.

Your brain receives similar signals for hunger and thirst, proper hydration prevents false alarms.

How hydration affects appetite hormones

Proper hydration enhances leptin sensitivity, supports healthy cortisol patterns, improves sleep quality (which regulates ghrelin), and creates gastric distension that amplifies PYY/GLP-1 signals.

Mild dehydration (around 2% body-mass loss) reliably affects cognition and mood (Maughan 2007; Armstrong 2012); a direct cortisol-driven appetite-regulation effect at that threshold is not well-established. Stay consistently hydrated, not just when you feel thirsty.

The 7-day reset

Stop Craving Sweets

1Hard
2Hard
3Hard
4Flip
5Flip
6Flip
7Flip
Days 1-3 · the hardest
Days 4-7 · the inflection

If you want a structured protocol to stop craving sweets, the dopamine receptor timeline is the right unit of measure, not willpower-day-counting. Days 1-3 are typically the hardest because the brain is still reading the absence of the high-spike signal as something is missing. Days 4-7 are the practical inflection: sweet foods start to taste sweeter (a single piece of fruit registers as plenty) and the wanting signal weakens.

How firm is the dopamine-receptor science?

Note: the D2-receptor downregulation framing comes largely from Avena 2008-style rat sugar-bingeing models (Westwater 2016 and Markus 2017 contest the human generalisation), and a measurable D2 receptor-density rebound on a 4-7 day human timeline has not been demonstrated, so this is best read as a behavioural and sensory adjustment window with the dopamine biology proposed rather than proven.

In our work coaching clients through this 7-day window, three things make or break it:

Protein at every eating window so leucine + insulin partition glucose into muscle not adipose.

Sleep at 7+ hours so leptin recovers and ghrelin drops baseline.

Replacing the sweet ritual rather than removing it cold turkey (a piece of dark chocolate after dinner does the dopamine job without the receptor crash).

The bigger biology of sugar addiction goes on for years; the receptor reset that breaks the daily craving is a 7-day window.

Hormone Mastery Bottom Line

Your appetite is controlled by biology, not willpower.

Master your sleep, manage stress, stay hydrated, and use these techniques when cravings hit. Work with your hormones, not against them. Small, consistent actions create big hormonal changes over time.

⚖

The Balance

The Restriction ParadoxWhy Cutting Sugar Harder Backfires

When smart discipline becomes self-sabotage, and why the best bodies are built on trust, not fear

There’s a fine line between smart discipline and self-sabotage. Many driven individuals go ‘all in’ only to find themselves burned out, frustrated, or constantly anxious about food. The question isn’t whether you can follow extreme rules, it’s whether those rules are building the life you actually want.

The Seductive Trap of “Stricter is Better”

The Restriction Paradox

Crash diets, juice cleanses, and blanket food bans feel like taking control. The reality? Your body interprets extreme restriction as scarcity. It responds by slowing metabolism, amplifying hunger signals, and priming you for rebound overeating.

The biology: Severe depravation reduces thyroid hormones, increases cortisol, and elevates ghrelin while decreasing leptin, creating the perfect storm for metabolic adaptation and intense cravings.

The Social & Mental Cost

When you turn food into the enemy, eating becomes a minefield. Restaurant meals create anxiety. Family dinners become complicated negotiations. The joy of nourishing your body gets replaced by chronic vigilance and fear.

The research: Rigid dietary restraint is associated with higher stress levels, increased cortisol, and paradoxically, greater likelihood of binge episodes.

The Question That Changes Everything

“Am I building habits I can sustain for years, or am I creating a system that requires constant willpower to maintain?”

Debunking the Food Fear Industry

Let’s be unequivocally clear: there are no evil foods. Your body is a sophisticated machine that thrives on dietary diversity, not dogmatic restrictions.

The Nightshade Myth

Potatoes, tomatoes, bell peppers, and eggplant are vilified by some circles, yet they’re powerhouses of anti-inflammatory compounds like lycopene and anthocyanins.

These antioxidants actively combat the oxidative stress from training and daily life.

The Lectin Confusion

Lectins in beans and grains get blamed for inflammation, but proper cooking neutralizes most lectins while preserving the fiber, protein, and minerals these foods provide.

Eliminating legumes means losing one of nature’s best sources of plant protein and gut-supporting fiber.

The Grain Fear

Unless you have celiac disease or documented sensitivity, avoiding oats, rice, and whole grains eliminates your most reliable source of muscle glycogen and B-vitamins.

Complex carbohydrates are the foundation of sustained energy for training and recovery.

What the Research Actually Shows
30+

Different plant foods per week is associated with greater gut-microbiome diversity in the American Gut Project (McDonald et al., mSystems 2018), an observational pattern, not a clinical recommendation

Zero

Evidence that nightshades cause inflammation in healthy individuals without specific sensitivities

Most

Soaking plus boiling and pressure-cooking substantially deactivates phytohaemagglutinin and related lectins in legumes (Vasconcelos 2004; FDA Bad Bug Book); a single fixed percentage figure is not well-established

The Path Forward: Science, Flexibility, and Self-Trust

Evidence-Based Discipline

Replace internet rules and fear-based restrictions with practices grounded in actual research and tailored to your individual needs and goals.

This looks like:
  • Adequate protein without obsession
  • Carbohydrates timed around training
  • Healthy fats for hormone production
  • Flexibility for social occasions and cravings
Sustainable Enjoyment

A truly effective approach allows you to be social, satisfied, and consistent long after extreme diets have failed and been forgotten.

This includes:
  • Eating out without anxiety
  • Enjoying family meals
  • Having treats without guilt
  • Adapting to life’s changes
Confident Mastery

True mastery means using discipline as a tool for building the life you want, not as punishment or proof of worthiness.

Masters understand:
  • Consistency beats perfection
  • Progress isn’t always linear
  • Habits matter more than willpower
  • Trust develops through experience
The Integration

The most successful people don’t fear food or chase perfection. They build systems that work with their biology, respect their psychology, and adapt to their real life. They understand that the goal isn’t to follow the most extreme plan possible, it’s to follow a plan they can maintain while becoming the person they want to be.

The True Measure

Real success isn’t measured by how many foods you can eliminate or how rigidly you can follow rules. It’s measured by how confidently you can navigate any situation, how much energy you have for what matters most, and how sustainable your approach feels over months and years.

The best bodies and minds are built on consistency, balance, and trust, not guilt, fear, or endless restriction. Choose the path that makes you stronger, not smaller.

References

Scientific References 28 sources across 8 topics

Ghrelin: The Hunger Hormone

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  3. Sumithran P, Prendergast LA, Delbridge E, Purcell K, Shulkes A, Kriketos A, Proietto J, 2011. Long-term persistence of hormonal adaptations to weight loss. New England Journal of Medicine.

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Leptin and Leptin Resistance

  1. Friedman JM, Halaas JL, 1998. Leptin and the regulation of body weight in mammals. Nature.

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PYY and GLP-1: The Satiety Hormones

  1. Batterham RL, Cowley MA, Small CJ, Herzog H, Cohen MA, Dakin CL, Wren AM, Brynes AE, Low MJ, Ghatei MA, Cone RD, Bloom SR, 2002. Gut hormone PYY(3-36) physiologically inhibits food intake. Nature.

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  2. Drucker DJ, 2018. Mechanisms of action and therapeutic application of glucagon-like peptide-1. Cell Metabolism.

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  3. Holst JJ, 2007. The physiology of glucagon-like peptide 1. Physiological Reviews.

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  4. van Bloemendaal L, IJzerman RG, Ten Kulve JS, Barkhof F, Konrad RJ, Drent ML, Veltman DJ, Diamant M, 2014. GLP-1 receptor activation modulates appetite- and reward-related brain areas in humans. Diabetes.

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Dopamine, Reward, and Sugar Addiction

  1. Volkow ND, Wang GJ, Tomasi D, Baler RD, 2013. Obesity and addiction: neurobiological overlaps. Obesity Reviews.

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  2. Avena NM, Rada P, Hoebel BG, 2008. Evidence for sugar addiction: behavioral and neurochemical effects of intermittent, excessive sugar intake. Neuroscience and Biobehavioral Reviews.

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  3. Wang GJ, Volkow ND, Logan J, Pappas NR, Wong CT, Zhu W, Netusil N, Fowler JS, 2001. Brain dopamine and obesity. The Lancet.

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  4. Westwater ML, Fletcher PC, Ziauddeen H, 2016. Sugar addiction: the state of the science. European Journal of Nutrition.

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Insulin Resistance and Hypothalamic Inflammation

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  2. Kahn SE, Hull RL, Utzschneider KM, 2006. Mechanisms linking obesity to insulin resistance and type 2 diabetes. Nature.

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Sleep, Cortisol, and Appetite Regulation

  1. Spiegel K, Tasali E, Penev P, Van Cauter E, 2004. Brief communication: sleep curtailment in healthy young men is associated with decreased leptin levels, elevated ghrelin levels, and increased hunger and appetite. Annals of Internal Medicine 141(11):846-850.

    Controlled intervention, n=12 young men, 2 nights at 4h sleep vs 2 nights at 10h. Found ~28% increase in ghrelin and ~18% decrease in leptin in the sleep-restricted condition. Subjective hunger and appetite for calorie-dense foods both rose.

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  2. Taheri S, Lin L, Austin D, Young T, Mignot E, 2004. Short sleep duration is associated with reduced leptin, elevated ghrelin, and increased body mass index. PLoS Medicine 1(3):e62.

    Cross-sectional cohort, n~1,000 (Wisconsin Sleep Cohort). Habitual 5-hour vs 8-hour sleepers showed 14.9% higher ghrelin and 15.5% lower leptin, independent of BMI. Provides population-level confirmation of the Spiegel controlled-study findings.

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Restriction Paradox and Restrained Eating

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Protein, Fibre, and Natural Satiety Modulation

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