What Are You Hungry For?
is good for you, morphs into something that’s bad for you.
    At this moment you fall somewhere on the sliding scale that connects food with happiness:
    Normal eatingOvereatingCravingsFood Addiction
    Eating normally
feels good.
    Overeating
feels good in the moment but leads to bad results in the long run.
    Giving in to cravings
doesn’t feel good at all—remorse, guilt, and frustration set in almost immediately.
    Being addicted to food
brings suffering, declining health, and total lack of self-esteem.
    The slippery slope to becoming overweight starts with something that’s actually positive: the natural goodness of food. (You can’t say the same about drugs and alcohol, which can be toxic substances even when a person isn’t addicted to them.) Food nourishes us, and when eating goes wrong, we are torn between short-term pleasure (such as a delicious bite of chocolate ice cream) and long-term pain (the many drawbacks of being overweight for years at a time).
    So why does normal eating start to slide into overeating? The simple answer: lack of fulfillment. You start overeating to make up for a lack somewhere else. Looking back on my medical residency, when I was still in my twenties, I can see now how bad eating habits insinuate themselves. I’d come home from a grueling shift at the hospital feeling stressed out. My mind was still filled with a dozen cases. Some patients were still in jeopardy. What awaited me at home was a loving wife and a home-cooked meal.
    In terms of getting enough calories, sitting down to dinner met all the requirements. You had to look at the human situation to see the hidden problems. I had hit the coffee machine and grabbed snacks on the run at work. From lack of sleep I didn’t really notice what I was eating. The minute I walked in the door I usually had a drink, and there was a half-empty pack of cigarettes lying around somewhere.
    In the seventies I was a normal working male following the same habits as every other young doctor I knew. I counted myself extremely fortunate to have such a loving wife and two beautiful babies at home. But the ravenous way I dug into a nourishing home-cooked dinner, combined with all the other signs of stressed eating, was settinga pattern that was desperately wrong. Ironically, even back then I considered myself pretty aware.
    What turned the corner was becoming much more aware—the solution I’m proposing in this book. No matter how much it gets abused, the body can restore balance. The first rule is to stop interfering with nature. In its natural state, the brain controls hunger automatically. When your blood sugar falls below a certain level, messages are sent to an almond-sized region of the brain known as the hypothalamus, which is responsible for regulating hunger. When it receives messages of decreased blood sugar, your hypothalamus secretes hormones to make you feel hungry, and when you’ve eaten enough, the hormones reverse, making you no longer hungry. This feedback loop between blood and brain operates on its own, as it has for millions of years. Any animal with a spinal cord (vertebrate) has a hypothalamus, which makes sense, because hunger is so basic.
    But in humans, hunger can get interfered with quite easily. The way we feel emotionally can make us ravenous or unable to eat at all. We can be distracted and forget to eat, or we can be obsessed and think about food all day. However, we are always in search of satisfaction. There are lots of things you can fill up on besides food. Desire comes from needs, starting with the most basic ones:
    Everyone needs to feel safe and secure.
    Everyone needs to feel nurtured.
    Everyone needs to feel loved and appreciated.
    Everyone needs to feel that their life is relevant and meaningful.
    If you have filled these needs, food will be just one delight out of many. But countless people turn to overeating to substitute for what they really want. It becomes a game of switch-up, and often they don’t even see

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