Latest / Doctor Drop It with Dr Barbara Hessel / 5 Signs You've Been Fighting the Wrong Kind of Hunger

Transcript

5 Signs You've Been Fighting the Wrong Kind of Hunger · Doctor Drop It with Dr Barbara Hessel

• 0:00
  SPEAKER_00: If you've lost the same weight more than once, your hunger code has never been part of the plan.
• 0:05
  SPEAKER_00: That's a targeting problem.
• 0:07
  SPEAKER_00: You've been treating hunger as one single experience when it actually has four distinct types, each driven by a different part of your biology.
• 0:17
  SPEAKER_00: Until the right type is identified and matched to the approach, the approach is aimed at the wrong target.
• 0:24
  SPEAKER_00: I'm Dr.
• 0:25
  SPEAKER_00: Barbara Hessel, board certified in obesity medicine, and I've worked with thousands of women over the past five years who've tried multiple plans before they came to me.
• 0:34
  SPEAKER_00: None of these plans had asked which hunger type they had.
• 0:38
  SPEAKER_00: Well, some of them didn't even know that hunger codes existed.
• 0:42
  SPEAKER_00: Here are five signs that yours hasn't been identified either, and why that's the variable that explains everything that hasn't worked.
• 0:51
  SPEAKER_00: Why the plan keeps missing.
• 0:52
  SPEAKER_00: Here's what I consistently see in new patients.
• 0:55
  SPEAKER_00: A woman comes in with years of effort behind her.
• 0:58
  SPEAKER_00: She's done all the diets, she's counted the calories.
• 1:01
  SPEAKER_00: Some plans work for a while, but none of them held.
• 1:04
  SPEAKER_00: And in most every case, nobody ever asked her what type of hunger was actually driving the eating.
• 1:11
  SPEAKER_00: Conventional weight loss treats all hunger as one thing.
• 1:15
  SPEAKER_00: Eat less and move more.
• 1:17
  SPEAKER_00: And that works for a short time, but it doesn't work long term.
• 1:22
  SPEAKER_00: When the hunger has a specific origin, restricting food doesn't touch the root cause.
• 1:28
  SPEAKER_00: It just makes the restriction harder to sustain.
• 1:32
  SPEAKER_00: Hunger has four distinct types hungry brain, hungry gut, slow burn, and emotional eating.
• 1:39
  SPEAKER_00: Each one comes from a different part of your biology.
• 1:42
  SPEAKER_00: Each one responds to a completely different approach.
• 1:45
  SPEAKER_00: When the approach doesn't match the type, hunger wins every time.
• 1:50
  SPEAKER_00: And it's not because the woman failed.
• 1:52
  SPEAKER_00: The plan was aimed at the wrong target.
• 1:55
  SPEAKER_00: These five signs tell you whether that's been happening in your case.
• 1:59
  SPEAKER_00: The weight keeps coming back no matter what.
• 2:01
  SPEAKER_00: If you've lost this weight before and gained it back, that pattern is your hunger code talking.
• 2:07
  SPEAKER_00: When a diet removes the weight without addressing what drove the hunger, the hunger is still there when the diet ends.
• 2:15
  SPEAKER_00: Your body hasn't learned anything new about its hunger.
• 2:18
  SPEAKER_00: Your hunger type is exactly where it was when you started and it's been waiting.
• 2:24
  SPEAKER_00: The weight comes back, not because you lost control, but because the actual driver was never touched.
• 2:30
  SPEAKER_00: I've watched the same pattern across thousands of patients.
• 2:33
  SPEAKER_00: Women who try a new plan every year get results for a few months and then find themselves back at the same weight or even higher.
• 2:42
  SPEAKER_00: The plan changes, the result doesn't.
• 2:44
  SPEAKER_00: Every one of those plans was aimed at the weight, but not at the hunger driving it.
• 2:50
  SPEAKER_00: What makes this specific to hunger type mismanagement is what happens right after the diet ends.
• 2:56
  SPEAKER_00: The hunger that returns isn't general.
• 2:59
  SPEAKER_00: It follows the same pattern, it always has.
• 3:02
  SPEAKER_00: The same timing, the same triggers, the same pull towards the same kinds of food.
• 3:07
  SPEAKER_00: That consistency is the type.
• 3:09
  SPEAKER_00: It never changed because it was never addressed.
• 3:13
  SPEAKER_00: If this is your pattern, the move to identify your hunger code has never been part of any plan that you've done.
• 3:20
  SPEAKER_00: That question changes what comes next because it changes the target entirely.
• 3:26
  SPEAKER_00: So does your hunger return within two hours of eating?
• 3:29
  SPEAKER_00: Hungry gut doesn't respond to volume.
• 3:32
  SPEAKER_00: Your stomach empties faster than it should, and the gut hormone that signals hunger, ghrelin, spikes and your hunger comes back regardless of how much you just ate.
• 3:42
  SPEAKER_00: Most women with this tiger told you to eat smaller portions more often or to drink more water before meals.
• 3:50
  SPEAKER_00: That manages the schedule without fixing the source problem.
• 3:54
  SPEAKER_00: The sign is the speed.
• 3:56
  SPEAKER_00: Being hungry and shaky less than two hours after a full meal is a gut issue.
• 4:02
  SPEAKER_00: Your body is clearing food faster than it should, and the fullness signal that goes with it.
• 4:07
  SPEAKER_00: Your sugar levels spike and then drop.
• 4:10
  SPEAKER_00: Most women with this pattern have tried eating more frequent meals and eating more carbs because they're feeling shaky, but it doesn't help a gastric emptying problem.
• 4:20
  SPEAKER_00: The hunger returns at the same speed.
• 4:22
  SPEAKER_00: If that's your pattern, that type needs to be addressed at the hormonal level.
• 4:27
  SPEAKER_00: Understanding which food affects which gut hormones and what medications would help the best.
• 4:33
  SPEAKER_00: Understanding that you're working with a gut hormone pattern changes what actually helps, and it also changes how that you should talk to your doctor about what's going on.
• 4:42
  SPEAKER_00: If this is new to you, subscribe.
• 4:44
  SPEAKER_00: I put out a new video every week on hunger management and weight loss for women.
• 4:49
  SPEAKER_00: The biology underneath it, not just tactics on top.
• 4:53
  SPEAKER_00: Low energy, even when you're eating right.
• 4:56
  SPEAKER_00: Slow burn isn't about eating too much.
• 4:58
  SPEAKER_00: It's about a metabolism that's running below where it should be.
• 5:02
  SPEAKER_00: The two most common causes in women over 40 are the hormonal shifts of perimenopause and the long-term effects of chronic restriction.
• 5:11
  SPEAKER_00: Perimenopause drops estrogen, and estrogen plays a direct role in how efficiently your body burns fuel.
• 5:19
  SPEAKER_00: When estrogen drops, the metabolic rate drops with it.
• 5:22
  SPEAKER_00: At the same time, most women entering perimenopause have already spent years on and off calorie-restricted diets.
• 5:30
  SPEAKER_00: Chronic restriction, especially without adequate protein, burns muscle alongside that.
• 5:36
  SPEAKER_00: Less muscle means slower metabolism even at rest.
• 5:40
  SPEAKER_00: When you put both of these together, the hormonal shift and the years of restriction, the metabolism is running well below where it should be for your age and your activity level.
• 5:50
  SPEAKER_00: Signus, this feeling of heaviness, a persistent low-level fatigue that doesn't improve with sleep, it doesn't improve with eating well, and it doesn't lift when you add more exercise.
• 6:01
  SPEAKER_00: And that lattice one matters.
• 6:03
  SPEAKER_00: Most women with slow burn are told to exercise more, but more exercise in your body running slow from hormonal disruption raises cortisol.
• 6:13
  SPEAKER_00: Elevated cortisol tells your body to hold fat, burn muscle, and it makes the slow burn worse.
• 6:19
  SPEAKER_00: This fix is counterintuitive.
• 6:22
  SPEAKER_00: It's actually more protein, enough protein at every meal to protect whatever muscle is still there, and resistance training to rebuild the metabolic base.
• 6:31
  SPEAKER_00: Neither of those feels like an obvious response to feeling tired and heavy all the time, which is why slow burn gets missed more often than any other type.
• 6:41
  SPEAKER_00: Women with this pattern are often doing everything they've been told to do.
• 6:44
  SPEAKER_00: The problem is that what they've been told to do was designed for a different hormonal picture.
• 6:49
  SPEAKER_00: Now, are you eating when you're not actually hungry?
• 6:52
  SPEAKER_00: Hormonal eating is the only hunger type not driven by physical hunger at all.
• 6:57
  SPEAKER_00: The trigger is emotional, and food is the regulation strategy.
• 7:01
  SPEAKER_00: It works every single time because it changes how you feel quickly and reliably.
• 7:06
  SPEAKER_00: That's why it keeps getting used.
• 7:08
  SPEAKER_00: The sign is eating when you know you're not hungry.
• 7:11
  SPEAKER_00: Your stomach isn't empty.
• 7:13
  SPEAKER_00: Not overeating at meals, but eating when there was no physical reason to.
• 7:18
  SPEAKER_00: You can usually name the feeling that came right before the eating started.
• 7:22
  SPEAKER_00: Something stressful happened, and reaching for food is what brought the feeling back down.
• 7:28
  SPEAKER_00: The food worked.
• 7:29
  SPEAKER_00: And because it worked, the pattern continues.
• 7:31
  SPEAKER_00: Most women with this pattern have been told to track their food and identify their triggers.
• 7:36
  SPEAKER_00: They already know their triggers.
• 7:37
  SPEAKER_00: Knowing the trigger doesn't change the pattern.
• 7:40
  SPEAKER_00: What changes the pattern is building a different regulation strategy, something that addresses the emotional state that food has been managing.
• 7:48
  SPEAKER_00: Calorie tracking doesn't get near that.
• 7:50
  SPEAKER_00: The reason emotional eating is so resistant to standard diet device is that the problem isn't the food.
• 7:57
  SPEAKER_00: Calorie tracking isn't the solution because the food is the solution to a different problem.
• 8:04
  SPEAKER_00: So until that underlying problem has a better solution, the food stays useful.
• 8:10
  SPEAKER_00: That's what identifying this as a hunger type does.
• 8:13
  SPEAKER_00: It shifts the work away from food rules and towards what the food is actually replacing.
• 8:19
  SPEAKER_00: Now here's where hormones and stress interact.
• 8:23
  SPEAKER_00: Your worst cravings show up after stress.
• 8:26
  SPEAKER_00: Brain chemistry is driving it.
• 8:28
  SPEAKER_00: Specifically, your brain responding to cortisol.
• 8:31
  SPEAKER_00: When your cortisol rises, your brain activates the reward system.
• 8:36
  SPEAKER_00: It looks for something that will bring cortisol back down fast.
• 8:40
  SPEAKER_00: And the things that work fastest are high reward foods, usually something high in sugar or fat.
• 8:46
  SPEAKER_00: There's a link to hungry brain and cortisol.
• 8:50
  SPEAKER_00: Chronically elevated cortisol doesn't just prompt you to overeat, it actually physically blunts your brain's ability to hear the leptin signals.
• 8:59
  SPEAKER_00: This means that chronic stress directly helps create a state of leptin resistance.
• 9:05
  SPEAKER_00: So how do you tell which is dominant for you?
• 9:07
  SPEAKER_00: To determine whether your hunger is primarily metabolic, which is leptin, or stress-driven, which is cortisol, consider these factors.
• 9:16
  SPEAKER_00: Leptin resistance is strongly associated with high body fat, metabolic dysfunction, and a diet high in ultra-processed foods results in a constant inability to feel full.
• 9:28
  SPEAKER_00: Cortisol overdrive is tied to life stress, poor sleep, and anxiety.
• 9:33
  SPEAKER_00: It often manifests as specific cravings for sweet, salty, and fatty foods.
• 9:38
  SPEAKER_00: That's why the craving is specific.
• 9:41
  SPEAKER_00: Your brain isn't asking for food, it's asking for a particular neurochemical outcome and it knows exactly what delivers it.
• 9:50
  SPEAKER_00: The sign is the specificity and the timing.
• 9:53
  SPEAKER_00: The craving is for something particular and it shows up right after the stress, not because you missed a meal.
• 9:59
  SPEAKER_00: Here's how to check.
• 10:00
  SPEAKER_00: Sit with the craving for an hour without eating.
• 10:03
  SPEAKER_00: That's a long time, but stomach hunger doesn't fade without food.
• 10:08
  SPEAKER_00: The signal keeps building.
• 10:09
  SPEAKER_00: On the other hand, cortisol stress hunger often will fade because the cortisol that triggered it drops on its own when the stress passes.
• 10:19
  SPEAKER_00: So if the craving was gone an hour later, that's cortisol overdrive.
• 10:23
  SPEAKER_00: Most women with this pattern are told it's stress eating and given advice about managing their habits better.
• 10:29
  SPEAKER_00: But the brain's reward response to cortisol, it doesn't care about habits.
• 10:33
  SPEAKER_00: The cortisol still rises, the cravings still show up.
• 10:37
  SPEAKER_00: What changes is identifying the hunger code type and building an approach specific to what that type actually responds to.
• 10:45
  SPEAKER_00: So what to do now?
• 10:46
  SPEAKER_00: If you recognize yourself in one or two of these, the hunger type is the variable, not the diet, not the deficit.
• 10:54
  SPEAKER_00: Here's where to start tonight.
• 10:56
  SPEAKER_00: Write down the last three times you felt hungry outside of a meal or ate past fullness.
• 11:02
  SPEAKER_00: For each one, note the timing and the trigger, not the food, when the hunger showed up and what was happening right before it.
• 11:09
  SPEAKER_00: That's the data that points to your type.
• 11:12
  SPEAKER_00: One consistent pattern across these three entries will usually tell you which type it is.
• 11:17
  SPEAKER_00: And once you know the type, then you know what every plan so far has been missing.
• 11:22
  SPEAKER_00: The approach wasn't wrong because you were doing it wrong.
• 11:25
  SPEAKER_00: It was wrong because it wasn't aimed at your type.
• 11:28
  SPEAKER_00: Knowing your hunger code type doesn't just change the diet, it changes what you're measuring and why.
• 11:34
  SPEAKER_00: Every decision gets cleaner once the target is right.
• 11:38
  SPEAKER_00: If you want to see how I identified my own hunger code type and what changed when I did, that story is already on this channel.
• 11:45
  SPEAKER_00: It's called I Carried 50 Extra Pounds as an Obesity Doctor, and this changed everything.
• 11:52
  SPEAKER_00: Watch that one next.