Healthy Eating & Eating Disorders - Anorexia, Bulimia, Binging

Healthy Eating & Eating Disorders - Anorexia, Bulimia, Binging

02:13:242021-09-06

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In this episode, I discuss what drives hunger and satiety, and the role our brain, stomach, fat and hormones play in regulating hunger and turning off the desire to eat more. I also address how protein is assimilated better early in the day than it is later in the day, and why those using intermittent fasting might want to shift their feeding window to earlier in the day. Then I delve into the topic of disorders of eating: Anorexia Nervosa, where people starve themselves and Bulimia Nervosa where people binge and purge their food. I discuss some common myths about Anorexia such as the role of media images increasing the rates of anorexia and the myth of the "perfectionist" anorexic. I also review the symptoms, and the brain and chemical systems disrupted in this condition. I explain how anorexics become hyperaware of the fat content of foods and develop reflexive habits of fat-hyperawareness. Then I discuss the most effective treatments ranging from family-based models to those that target the habitual nature of low-fat/calorie food choices. I also discuss new more experimental clinical trials on MDMA, Psilocybin and Ibogaine for Anorexia, and both their promise and risks I review the latest work on binge eating disorder and brain stimulation, drug treatments and thyroid disruption in Bulimia and why the treatments for Bulimia are so similar to those for ADHD. Finally, I discuss "cheat days," body dysmorphia and the growing list of novel forms of eating disorders start to finish. As always, science and science-based tools are discussed. Read the full show notes for this episode at hubermanlab.com. Thank you to our sponsors AG1: https://athleticgreens.com/huberman LMNT: https://drinklmnt.com/hubermanlab Waking Up: https://wakingup.com/huberman Momentous: https://livemomentous.com/huberman Timestamps 00:00:00 Introduction: Fasting, & Defining Healthy Eating   00:08:55 Morning Protein Is Important   00:22:21 Sponsors: AG1, LMNT & Waking Up 00:26:29 Defining & Diagnosing Eating Disorders   00:29:00 Anorexia Nervosa (Overview & Myths)   00:33:44 Bulimia (Overview & Myths)   00:37:35 Binge Eating Disorders, EDNOS, OSFEDS, Pica   00:39:44 What is Hunger? What is Satiety?   00:42:00 Neuronal & Hormonal “Accelerators & Brakes” on Eating   00:46:17 Fat, Leptin & Fertility & Metabolic Dysfunctions in Obesity   00:50:30 Why We Overeat   00:55:30 Homeostasis & Reward Systems/Decisions   00:59:58 Anorexia   01:04:28 The Cholesterol Paradox   01:06:13 Psychological vs. Biological/Genetic Factors in Anorexia   01:09:44 Chemical Imbalances, Serotonergic Treatments   01:12:56 Altered Habits & Rewards in Anorexia: Hyperacuity for Fat Content   01:18:28 Brain Areas for Reward Based Decision Making vs. Habits   01:24:06 Habit-Reward Circuits Are Flipped in Anorexics: Reward for Deprivation   01:28:30 How Do You Break a Habit?   01:33:23 Family Based Models, Cognitive Behavioral Therapy   01:35:39 MDMA, Psilocybin, Clinical Trials, Ibogaine   01:40:35 Anabolic vs. Catabolic Exercise, Spontaneous Movements, NEAT   01:43:23 Distorted Self Image in Anorexia   01:47:54 Bulimia & Binge-Eating, “Cheat Days”, Thyroid Hormone   01:53:05 Inhibitory Control, Impulsivity, Adderall, Wellbutrin   01:58:00 Direct Brain Stimulation: Nucleus Accumbens   02:04:28 Anorexia/Reward vs. Bulimia/Binging   02:05:45 Healthy Eating Revisited   02:10:55 Synthesis, Body Dysmorphias   02:14:15 Support: Podcast, & Research Studies   Disclaimer & Disclosures

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