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Dr. Frank Lipman

Dr. Frank Lipman

Posted: November 14, 2010 10:07 AM

As a serious sugar addict still struggling with my "addiction" I know first hand how difficult it is to get off sugar, and to stay off it. Part of the reason it's so hard to kick the habit is that over time our brains actually become addicted to the natural opioids that are triggered by sugar consumption. Much like the classic drugs of abuse such as cocaine, alcohol and nicotine, a diet loaded with sugar can generate excessive reward signals in the brain which can override one's self-control and lead to addiction.

One study out of France, presented at the 2007 annual meeting of the Society for Neuroscience, showed that when rats (who metabolize sugar much like we do) were given the choice between water sweetened with saccharin and intravenous cocaine, 94 percent chose the saccharin water. When the water was sweetened with sucrose (sugar), the same preference was observed -- the rats overwhelmingly chose the sugar water. When the rats were offered larger doses of cocaine, it did not alter their preference for the saccharin or sugar water. Even rats addicted to cocaine, switched to sweetened water when given the choice. In other words, intense sweetness was more rewarding to the brain than cocaine.

The American Psychiatric Association defines addiction to include three stages: bingeing, withdrawal and craving. Until recently, the rats had only met two of the elements of addiction, bingeing and withdrawal. But recent experiments by Princeton University scientist, Professor Bart Hoebel and his team showed craving and relapse as well. By showing that excess sugar led not only to bingeing and withdrawal, but to cravings for sweets as well, the final critical component of addiction fell into place and completed the picture of sugar as a highly addictive substance.

In stark contrast to this clinical assessment is the fact that for most of us, "something sweet" is a symbol of love and nurturance. As infants, our first food is lactose, or milk sugar. Later on, well-intended parents (me included) reward children with sugary snacks, giving them a "treat," turning a biochemically harmful substance into a comfort food. We become conditioned to need something sweet to feel complete or satisfied and continue to self-medicate with sugar as adults, using it to temporarily boost our mood or energy. But as any addict knows, one quick fix soon leaves you looking for another -- each hit of momentary satisfaction comes with a long term price.

The bottom line is that sugar works the addiction and reward pathways in the brain in much the same way as many illegal drugs. And, like other drugs, it can destroy your health and lead to all sorts of ailments including heart disease, diabetes, high blood pressure, high cholesterol, weight gain, and premature aging. Sugar is basically a socially acceptable, legal, recreational drug, with deadly consequences -- and like with any drug addiction, you have to have a flexible but structured plan to beat it.

Here are some tips to help you cope with sugar cravings:

Eat Regularly
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Eat three meals and two snacks or five small meals a day. For many people, if they don't eat regularly, their blood sugar levels drop, they feel hungry and are more likely to crave sweet sugary snacks.
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If you follow these guidelines, perhaps you'll be able to have an occasional 'treat'. Be realistic with yourself and remember that a slip is not a failure. Don't get down on yourself if you slip, just dust yourself off and get back in the saddle. However, if even just a little causes you to lose control, then it's best to stay away from it completely. And my ultimate tip for sugar-free bliss is to remind ourselves to find and pursue "sweet satisfaction" in nourishing experiences other than food.

Frank Lipman, M.D., is the founder and director of the Eleven Eleven Wellness Center in NYC and the author of "REVIVE; Stop Feeling Spent and Start Living Again" (2009) (previously called SPENT) and "TOTAL RENEWAL; 7 key steps to Resilience, Vitality and Long-Term Health" (2003). He is the creator of Eleven Eleven Wellness, Guided Health Solutions, leading edge integrative health programs to help you feel better than ever.

 
 
 

Follow Dr. Frank Lipman on Twitter: www.twitter.com/lipmo

As a serious sugar addict still struggling with my "addiction" I know first hand how difficult it is to get off sugar, and to stay off it. Part of the reason it's so hard to kick the habit is that ove...
As a serious sugar addict still struggling with my "addiction" I know first hand how difficult it is to get off sugar, and to stay off it. Part of the reason it's so hard to kick the habit is that ove...
 
 
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This user has chosen to opt out of the Badges program
09:26 PM on 12/19/2010
America's infamtile.psychological dependence on sugar CANNOT be compared to physiological dependence on narcotics,alcohol or cocaine. this is fluff psychiatry.. anyone who thinks this was professionally is a cliniclal pollyanna.
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05:20 PM on 12/19/2010
What I do not understand is that when I grew up we ate cake every afternoon. Nobody in my family was overweight. If I need cake now every day I woud be 200 pounds.
I still eat barely any processed food and cook practically everything from sratch, but I am fighting enormous sugar cravings. There must be some additives in our food today which makes us addicted.

Or it is the hormones or the pesticides. The other day I realized that I really have to read all labels. I was bout to buy sour cream when I saw a sign advertising "real" sour cream. It just had not occured to me before that there could be artificial sour cream. Since then I read everything only to find out that most products contain so many ingredient I have no idea what it is, that I would be forced to come into the grocery store with a dictionaire of possible food ingredients and their effects.

I completely disagree with the advice to take supplements. We should be able to get all we need from a balanced diet.
02:38 AM on 12/19/2010
I switched from sugar to splenda and my blood sugar went from 102 to 89
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lightist
light as a photon, heavy as tungsten.
12:38 AM on 12/19/2010
Just like if one drinks a whole bottle of Tequila, and gets sick beyond measure, so if one consumes so much sugar in one session that one gets sick beyond measure, one is possibly going to have a cellular disgust of sugar. Hey man, whatever works for each person is what works. There's no this way or that way. There's simply the way that one discovers to let go of what is being consumed to the point of self-disgust, depression, embarrassment. Whatever way one finds is their personal success story with addictive behavior.
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Devontate
PrObama
11:17 PM on 12/11/2010
I found that even when I deprived myself of sugar and wheat for extended periods, I didn't stop craving it. My tolerance for sweet decreased, and I was able to cut down on how much and what kind of sweeteners I was using, but I never stopped wanting it. Even in my strictest periods of not eating sugar, I found that I craved things that were sugar-free but still slightly sweet as much as I had craved chocolate chip cookie dough before that. It seems as though the brain chemistry adjusts to whichever food is the most rewarding, in spite of whether or not it has sugar in it. The dopamine surge is just the same. While sugar is a formidable force, and there are reasons to fear it, it's not the devil. If you can teach yourself to avoid sugar altogether, surely you can teach yourself to enjoy it in moderation. Sodas are truly a large part of the sugar problem, and of course processed foods, as well as HFCS. It's easy to find foods that do not contain HFCS; usually organic marinara sauces or salad dressings (the kinds of places we don't expect to find sweetener) do not have HFSC. Just check your labels.
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CHMB
What's long and brown and sticky? A Stick.
10:10 PM on 12/11/2010
Thank you for pointing out how addictive sugar is.

Learning to read labels is huge! Sugar takes on many forms, as stated, labels tell you what's in there, except for artificial and natural flavours (whatever the hell that is).

Just because something appears healthy, doesn't mean it isn't.

It takes hard work to rid oneself of a food addiction, such as that of salt and sugar, but it can be done.
04:15 PM on 12/03/2010
Sugar is indeed addictive and leads to all sorts of wild things all of which are detrimental to our bodies. I enjoyed this article however, the photo of the 2 over easy eggs which are fine to eat but that glass of orange juice looks like 8 oz of juice - that equates to 30 grams of carbs or 8 teaspoons of sugar. Fructose is sugar. Orange juice is, by its very nature, loaded with sugar. Have a couple of sections only of a real "orange" instead. Strawberries, raspberries are full of vitamins and fiber, low in carbohydrates.
My husband who was a diabetic for over 20 years, had an Ha1c of 11%, severe neuropathy in both his feet to the point where he could not walk over 75 feet, was on 43 units of insulin a night, was depressed and morbidly obese. 7 years ago, he went on a low carb lifestyle. He lost 80 pounds within 9 months, came off of insulin within 3 weeks, neuropathy which had plagued him for over 15 years was at a pain level of 9 or 10 diminished to a pain level of 1 or less. His doctor called him her poster child for diabetics and said if she could get all her diabetics to do what he did she'd be a happy doctor. It's not rocket science. It's knowing about carbohydrates, what they do to the body, how many you should eat each day, etc. http://www.liveabetterlife.org
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Ken Kinstle
Helping People Experience Wellness
12:05 AM on 12/01/2010
I have to admit I have a serious sweet tooth. I have tried a little (very little) to kick out the sugar I love and is so bad for me. I have cut way back on my sugar intake as I am trying to be more conscious of my health. In my quest for wellness I have found one real sweet treat that is helping me and many others. Nopalea the nopal cactus juice reduces pain, reduces inflammation and is naturally sweet! The agave nectar makes it irresistible, both quenching my lust for sweets and helping my body to move towards wellness!

You might love it also..
http://sonoranbloomnopaleanow.com
09:12 AM on 11/23/2010
It's not easy breaking the sugar habit since HFCS and "added sugar" are in all kinds of products. We are consuming sugar and don't even realize it. Here is an great article from Babyminding about breaking your family's sugar habit:
http://babyminding.com/2010/04/27/breaking-the-sugar-habit/
07:01 PM on 11/22/2010
Great article. Thanks for posting.
06:05 PM on 11/20/2010
Interesting. I'm going to have to implement some of your suggestions.
03:50 PM on 11/18/2010
I switched to Xylitol as my all-natural sugar alternative as soon as I heard of all the great benefits like cavity prevention, low glycemic index, reduced ear infection, and reduced bacterial adherence in the sinuses. Its really easy to bake w/ too so it made sense for me last year and its the only sweetener I use today!
12:54 PM on 11/18/2010
Sugar addiction takes up a lot of time - time that could be spent creating, thinking, problem solving, loving, etc. is spent thinking about our next sweet fix. Imagine a generation of children that didn't have this issue - imagine how productive and happy they would be.
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drsolo
Progressive Wisconsin
10:41 AM on 11/17/2010
I have cleaned out the processed grains, sugars, starches. I have a single cupboard for my husband's peanut butter, low carb cereal (Hi Lo), raisins. Now I have been on a low carb diet for most of my life, but periodically let things slide, let stuff in the house. Two things I changed in June (I have now lost 21 lbs):

1. We quit going out to eat in restaurants. It seems no matter what I eat (or dont) I always gain after a meal "out".

2. Portion control. Bought new small plates and bowls. I started cutting down on the amount of food per day until I started losing. Put all of what I could eat on a plate and divided it up into the number of meals I wanted to eat. Nibble on some for snacks, for example.

3. I eat the same thing nearly every day. The more boring the food, the less I eat for smell and sight rather than "hungry".

4. Record all shows before watching and then zap thru all the commercials on TV that shows big platefuls of food. This also cuts down on "breaks" for snacks.

5. Buy food in small quantities. Sliced meats, sliced cheese, salads.

6. Never get actually hungry. A tiny wedge of brie can take a long time to nibble. Oscar Meyer bacon pieces one at a time slows eating time. As does nuts in the shell.
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jgarma
01:35 PM on 11/17/2010
I tip my hat to you for your incremental, but smart strategy. What you list are collectively simple and small changes to eating that accumulate into significant benefits.

A person can skip that one cookie or soda each day and lose 10 pounds in a year!
(More on that here: http://www.garmaonhealth.com/2010/03/small-steps-weight-loss/)

A friend of mine once said, "change is hard by the yard, but by inch it's a cinch".

Yep
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purenergy
06:33 AM on 11/30/2010
One of the reasons restaurant food is so fattening is because most of it, unless you are eating in really nice restaurants, are using industrial products that are full of MSG and hydrogenated fats. Places like chili's and the olive garden are simply heating up that "lean cuisine" style pre-prepared frozen food, putting it on a pretty plate with some fancy garnish and charging 16.99 instead of 2 for 5 bucks. MSG causes obesity by turning off your brain's ability to sense fullness, that;s why you can eat a whole bag of BBQ chips, because you don't even know your doing it. http://www.truthinlabeling.org/Obesity.html
04:43 PM on 12/03/2010
Many restaurants also marinate chicken and other foods in a brine of sugar and salt. Want to find out if there's sugar in that steak or worse yet the salad your eating? Buy Clinix sticks at the local drug store. When you take your first bite of that steak, chew it for a moment to release the sugars if they are there, mix it with a little saliva and spit it onto the Clinistix or Diastix, I will bet you a doughnut (ugh what a thought) that it shows sugar in the food (any change in color indicates sugar is present). Clinistix or Diastix will not work that is it will not show the presence of sugar with milk (lactose) nor with some fruits. http://ezinearticles.com/?What-Diabetics-Need-to-Know-That-Their-Blood-Sugar-Levels-Cant-Tell-Them!&id=3709815
10:21 AM on 11/17/2010
"Sometimes drinking water or seltzer water can help with the sugar cravings. Also sometimes what we perceive as a food craving is really thirst."

This is so true. People do not drink enough water. I suggest carrying around a reusable water bottle around wherever you go. You will be surprised how much more water you will drink and how much BETTER you feel.