Controlling Sugar Cravings & Metabolism with Science-Based Tools | Huberman Lab Podcast #64

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21 Mar 2022
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KEYPOINTS

  • 01

    Sugar acts on the brain through two main routes: its sweet taste and its nutritive effect on blood glucose

    Huberman frames sugar seeking as hardwired parallel pathways, found in every mammal studied and even in fruit flies. One pathway responds to the perceived sweetness in the mouth; the other responds to how much a food raises blood glucose. Because sweet foods usually also raise glucose, a craving for cake is both a craving for the taste and neurons 'craving' the fuel that comes with it.

  • 02

    Ghrelin drives hunger and insulin clamps blood glucose to protect neurons

    Ghrelin rises the longer it has been since a meal and acts on the hypothalamus to make you hungry, especially for sugary and fatty foods; eating suppresses it. Insulin keeps glucose from spiking, because very high blood sugar is toxic to neurons, which do not regenerate once they die.

  • 03

    Neurons prefer glucose, and astrocytes deliver it to them

    Neurons are highly metabolically active and run mainly on glucose, which astrocytes, the brain's most abundant cell type, shuttle to them. Deliberate thinking and effortful, skilled movement raise glucose uptake, one reason focused work feels tiring. Huberman notes this does not mean more sugar improves brain function; many people report clarity while fasted.

  • 04

    Fructose is handled differently and can increase hunger, but whole fruit is not the villain

    Fructose probably cannot directly access the brain and is converted to glucose in the liver. It suppresses the hormones that normally suppress ghrelin, so the net effect is more ghrelin and more hunger regardless of calories eaten. Fruit contains roughly 1–10% fructose versus about 50% (or more) in high-fructose corn syrup, so Huberman rejects the claim that fruit makes you fat; he does say people trying to control hunger may not want to eat a lot of fruit.

  • 05

    Sweet taste triggers dopamine and a pleasure–pain seesaw that pushes you to want more

    Sweet tastes, especially sweet liquids, strongly release dopamine in the mesolimbic reward pathway, which drives pursuit. Drawing on Dr. Anna Lembke's 'Dopamine Nation', he explains that every dopamine rise is followed by activity in circuits for pain and lack. The longer you wait to indulge, the bigger the spike and the dip that follows, and a second bite never matches the first.

  • 06

    Gut neuropod cells drive sugar seeking below conscious awareness

    Neuropod cells, discovered by Dr. Diego Bohorquez at Duke, sense sugar in the gut and signal via the vagus nerve and nodose ganglion to the nucleus of the solitary tract, triggering dopamine release whether or not you taste sweetness. That is why hidden sugars in salty foods like chips make you want more food in general.

  • 07

    A third accelerator comes from how neurons use glucose

    Work from Dr. Dana Small's lab at Yale and others used PET imaging with 2-deoxy-D-glucose (2DG), which blocks glucose uptake by neurons. 2DG eliminated the preference for sweet foods, revealing a third parallel pathway. Huberman stresses 2DG is a lab tool, not something to take.

  • 08

    How fast glucose rises matters, so lowering the glycemic index blunts the dopamine signal

    Glycemic index ratings are roughly below 55 (low), 55–69 (medium) and 70 or above (high), but they are measured with foods eaten alone. Fiber or fat slows the rise, which is why fatty ice cream can rank lower than mango. Using crack cocaine as a deliberately extreme analogy, he argues that the speed of the dopamine rise, not just its peak, drives the urge to repeat.

  • 09

    Flavors can be conditioned to trigger insulin, a controversial finding about artificial sweeteners

    In human studies from Dana Small's lab, a flavor paired with maltodextrin (which raises glucose but has little taste) later raised insulin on its own, including the flavor of artificial sweeteners. The children's arm was stopped by the review board because of the insulin shifts. Huberman calls this unsettled and says he occasionally drinks diet soda himself.

  • 10

    Omega-3s and amino acids may substitute for sugar's gut signal

    Neuropod cells respond to sugar, amino acids and essential fatty acids alike, and all three can trigger dopamine. This offers a plausible reason why EPA omega-3s or glutamine might reduce sugar cravings. Huberman is explicit that human studies have not confirmed this mechanism, and the effect of EPA could simply be calorie replacement.

EXAMPLES

  • 01

    Taste-blocked subjects still come to prefer sugar water after ~15 minutes

    In sweet-receptor knockout mice and in people whose mouths are numbed, preference for sugary solutions over water initially disappears. After about 15 minutes it returns, even though the sweetness still cannot be tasted. Huberman uses this (a Frontiers in Bioscience paper with first author Freeman, among many similar studies) to show the post-ingestive pathway at work.

  • 02

    Huberman's mango habit

    Despite little sweet tooth, he eats mango about twice a week, timed after resistance training or a hard run, when the body is better at using circulating sugar and replenishing glycogen.

  • 03

    Sugary drinks and ADHD meta-analysis

    A systematic review and meta-analysis in Complementary Therapies in Medicine found that beyond about four 12-ounce sugary drinks per week, especially in kids, existing ADHD symptoms tend to worsen. Huberman says the data cannot show that sugar causes ADHD, and the authors did not look at artificially sweetened sodas.

  • 04

    Lemon juice and a continuous glucose monitor

    Tim Ferriss reported vinegar did not blunt his glucose. Huberman cites data, and his own continuous glucose monitor experiments, showing a couple of tablespoons of lemon or lime juice in water before, during or after a large meal blunts the glucose rise, likely partly because sour and sweet together activate distinct taste circuits (Charles Zuker's work at Columbia).

  • 05

    Berberine made him hypoglycemic

    Taken on an empty stomach, berberine gave Huberman brutal headaches, dizziness and blurred vision because his blood glucose dropped too low. With a very large carbohydrate meal he tolerated 750 mg to 1 g without issue.

OTHER RELEVANT

  • 01

    Pair sweets with fiber or fat, and avoid sweet drinks

    If you are going to eat something sweet, choose lower-glycemic options or eat fiber alongside to slow the glucose rise and the dopamine spike. Huberman, citing Dr. Robert Lustig's work replacing fructose with glucose at equal calories, singles out soft drinks, high-fructose corn syrup and sugary fruit juices as the main things to cut.

  • 02

    Cupboard tools: EPA, glutamine, lemon juice and cinnamon, with caveats

    Huberman takes 1–3 g of EPA per day. Some people use several grams of glutamine a day split into 3–4 servings to blunt cravings; increase the dose gradually to avoid stomach upset, and he discourages it for anyone who has or is prone to cancer. Lemon or lime juice can cause hypoglycemia if you are fasted. Keep cinnamon (any real variety) to about 1–1.5 teaspoons a day because of coumarin toxicity.

  • 03

    Treat berberine like a prescription drug

    He describes berberine as comparable in potency to metformin or glibenclamide. Typical doses studied are 0.5–1.5 g daily, and sodium caprate can enhance its effects. Talk to a doctor before using it, and avoid it on an empty stomach or a low-carbohydrate diet.

  • 04

    Sleep is the foundation for controlling sugar appetite

    A Cell Reports study sampled sleepers' breath every 10 seconds and found each sleep stage has its own metabolic signature. Poor sleep is linked to stronger sugar cravings and shows up across obesity and type 2 diabetes data, though cause and effect are unclear. Huberman says to get quality sleep at least 80% of the time, or other tools are just 'rearranging deck chairs on the Titanic'.