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Sigma Nutrition Radio

#537: Appetite Regulation, Metabolic Compensation and More – Stephan Guyenet, PhD

Oct 1, 2024
Dr. Stephan Guyenet, an expert in obesity neuroscience and eating behavior, dives into the complexities of appetite regulation and metabolism. He discusses how liposuction affects leptin levels and hunger, along with long-term impacts of crash diets on appetite. Fascinatingly, he explores the concept of the 'brain microbiome' and its potential role in obesity. Guyenet also critiques weight management strategies, suggesting that drugs and bariatric surgery may be essential in today's environment, while emphasizing the need for a sustainable approach to health.
01:04:07

Episode guests

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Quick takeaways

  • Liposuction may initially lower leptin levels, but this reduction can ultimately lead to increased hunger and weight regain over time.
  • Chronic energy restriction triggers the brain's adaptive response, increasing hunger and potentially reducing energy expenditure without indicating long-term appetite dysfunction.

Deep dives

Impact of Liposuction on Leptin Levels

Liposuction leads to a variable reduction in leptin levels, which is surprising given that leptin is typically proportional to fat mass. While this reduction may initially improve leptin resistance, the drop in leptin could increase hunger over time. Studies consistently show that after fat loss, a homeostatic reaction occurs, prompting the body to regain fat to return to baseline levels. Thus, while liposuction can accomplish aesthetic goals, it is not effective for long-term fat loss.

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