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“I eat way too much sugar and have constant cravings for it that make me feel like I am addicted … do you have any suggestions for cutting back?”

There is still a debate over whether or not sugar is an addictive substance. From the data I’ve seen and people I’ve talked to, I’d guess it probably is.

But whatever the answer, the important question for most of us is how to kill the cravings that have us eating so much sugar in the first place.

Cravings exist in both the body and the mind, and you will have the best luck overcoming them if you address both simultaneously.

The first step is good nutrition. A nourished body is a happy body, and permanently kicking a sugar habit requires healthy food.

Eating balanced, delicious meals is essential for getting real satisfaction from what you eat and leaving cravings behind. For most people this means approximately 50% of your meal being vegetables and the rest split between protein, intact grains and/or legumes (beans or lentils) and a bit of oil or other fat. However, everyone is a little different and you should experiment to find what works best for you.

Healthy eating will not squelch cravings overnight, but it is essential for permanently cutting sugar because it ensures your body has everything it needs. Once your muscles and organs are taken care of, you can address the cravings in your brain.

The first step in breaking a sugar addiction is making the decision to stop eating it completely for at least 4-7 days (the longer the better), and sticking to it. While I usually recommend making dietary changes gradually, sugar has the unique ability to inspire cravings which are refueled every time you give into them.

The only way to break the cycle is to stop feeding the fire.

Once your sugar tolerance has normalized you can reintroduce it in small amounts, so long as you are sure you are eating for pleasure and not from habit.

Quitting sugar cold turkey is not entirely easy, however, even if you know the break is temporary. Cravings can be incredibly intense and make sticking to your resolution very difficult. If you hope to get through it, you must have a strategy for diverting yourself from temptation.

Start by removing all sweets (especially your weakness) from the house. Do a full sweep, no secret stashes can stay. If you do not want to throw things out, try giving them away at work or even sealing them up and putting them somewhere you can’t get to them. Making it impossible to cheat will greatly increase your probability of success. Don’t rely on willpower.

Once you have removed your most likely pitfalls you need a strategy for dealing with cravings. For this it is important to understand clearly why you want to avoid sugar, what you are making the effort for.

If you aren’t sure why limiting sugar is necessary I recommend spending some time educating yourself on the subject. If you’re a visual learner, check out the first part of this video about the potential dangers of sugar and the theories of Dr. Lustig and Gary Taubes.

Being completely convinced you want to change your habits makes following through on your resolution much easier.

The next step is deciding on alternative behaviors to divert yourself from cravings—they will pass eventually so all you need to do is distract yourself for a bit while they are strongest.

What works for you will depend a lot on your own personality and needs. For many people, sugar snacking is triggered by certain environmental cues such as location or time of day. In these situations, diversions should be planned in advance to avoid slipping into habitual behavior.

Planned distractions from habitual eating can include taking different routes between locations (to avoid walking by that bakery), substituting behaviors (there are no cookies at the gym) or choosing different foods or beverages during certain activities (mint tea instead of ice cream?).

Experiment with different alternatives and figure out what works best for you. Foods with oil and protein tend to be satisfying and quench cravings, if hunger is a problem for you. Exercise is the golden ticket for others. For me personally, sugar cravings are best satisfied by fresh fruit, especially those with a lot of fiber like apples and oranges.

Make sure your alternative foods and activities are things you enjoy. If they aren’t you will eventually abandon them for your old habits. Ideally these avoidance behaviors will completely replace your sugar habit and become your new healthstyle.

As you cut sugar out of your diet, also be sure to avoid hidden sugar sources. Stay away from sauces and condiments that are really desserts in disguise, e.g. honey mustard, teriyaki, etc. Added sugar is very common in restaurant sauces (especially mid-range chain restaurants), so you might want to avoid eating out all together for a few days if you can swing it. You should also avoid sugar substitutes.

When you have completed your four day sugar fast (go a week if you can), your cravings should have subsided substantially (the first 2 days are the worst). Continue to keep sugar minimal and actively avoid situations that cue you to eat sweets. Integrate your new behaviors into your healthstyle until the new habits replace the old ones. This process takes 6-8 weeks.

During this time get in the practice of asking yourself why you are eating sugar before you put it into your mouth. Are you eating from habit? Because of circumstance? For a special occasion? Because everyone else is?

The purpose of this exericse is not necessarily to stop yourself from eating, but to understand the reasons behind your behavior. The goal is to find a way to allow sugar into your life as a treat and not a necessity.

As you ween yourself off sugar, your tastes can change dramatically. All my life I had a sweet tooth, but over the past several years my taste for sugar has diminished and most drinks and desserts are now far too sweet for me. Consequently limiting sugar is not something I need to think much about, except during holidays and special occasions. Even then I don’t give it much thought, it happens naturally.

Besides eating whole unprocessed foods, cutting your sugar intake way down is probably the single best thing you can do to improve your health. If sugar is a problem for you, eating less of it should be one of your highest priorities.

Have you had success cutting back on sugar?

Tags: addiction, brain, Dr. Lustig, fructose, Good Calories Bad Calories, restaurants, sugar, The End of Overeating

In a nation where obesity and health loom large in our public dialog, there is no escaping the simple fact that we eat too much.

On average Americans consume 500 more calories per day than we did in 1970 (more than we ever have), mostly in the form of refined and processed foods. This corresponds with a 25-30 pound increase in body weight and obesity rates near 30%.

Debates rage over the specifics of what is causing our weight and health problems, but it seems clear enough that the critical element is the amount of food we choose to put in our mouths.

But does everything we eat represent a true choice?

In his book The End of Overeating, former FDA commissioner Dr. David Kessler examines the role of the brain in eating behavior and the mechanisms involved in what he calls conditioned hypereating.

According to his findings specific combinations of sugar, fat and salt hijack the reward pathways of our brain and force us to behave more like food addicts than hungry organisms. This leads to a cycle of conditioned hypereating that makes the habit harder to break with each repeated episode.

But whether or not we are addicted to food is a point of debate. In my interview with Kessler, he made clear he does not use the word addiction for fear of oversimplifying conditioned hypereating. Our relationship with food is more complicated than it is with something like alcohol or tobacco because a human can live without cigarettes, but food is vital to survival.

When pressed to describe the neural differences between addiction and conditioned hypereating, however, Kessler conceded, “The fundamental circuits are the same.”

For this reason, treatment of conditioned hypereating can draw from the success of substance abuse treatments. These tactics involve cognitive and behavioral therapies we can use to train ourselves to override our instincts and adopt new behaviors in response to stimulus cues.

For conditioned and compulsive behavior, cognitive strategies are necessary because intuitive inclinations and “listening to your body” do more harm than good. If your body is telling you to have a cigarette, this does not mean it is in your best interest to do so.

At the FDA Kessler was instrumental in the fight to regulate tobacco, and now he believes some of the same lessons can be applied to the treatment of overeating.

“What took me a decade to understand is you need to change the valence of the stimulus.”

The positive emotional reaction associated with indulgent foods is at the center of our motivation to seek them out. Twenty years ago cigarettes had tremendous allure. But the FDA was successful at demonizing the tobacco industry, and the public no longer sees smoking as glamorous and attractive.

And smoking rates have plummeted.

Changing a conditioned behavior requires a fundamental shift in how we think about a stimulus. In conditioned hypereating the stimulus is food, which makes the task especially difficult, but not impossible.

To break the cycle of conditioned hypereating we must redirect our automatic response to the kinds of foods that cause us to overeat. Kessler calls these hyperpalatable foods, which are loaded with layers upon layers of sugar, fat and salt. The goal is to replace our automatic responses to these foods with different, equally enjoyable actions that are not detrimental to our health and do not reinforce compulsive behavior.

I asked Kessler what is the first step in controlling our eating habits and overcoming conditioned hypereating.

“I can tell you the last step. Change your relationship with food. If sugar, fat and salt are your friends, you will lose. You have to get to the point where that is not what you want.”

The End of Overeating outlines the four basic steps of habit reversal: awareness, competing actions, competing thoughts and support.

But Kessler believes the critical step is fundamentally changing the way we view what we eat, cooling down our emotional response to hyperpalatable foods. In essence, we must train ourselves to stop wanting what we believe we want.

According to the book, the first step in this transformation is becoming aware of the power food holds over us, which requires understanding how our brains work. We must recognize that when we are tempted to indulge, the urge is not generated internally but is a reaction to a cue that makes us respond automatically. You may think you are hungry, but really you are just reacting to an emotionally charged stimulus that tells you to eat.

Once you recognize a cue for what it is you have a brief moment to decide not to take the bait. To successfully divert yourself to another course of action you must have a plan ready in advance that allows you to do something completely different.

Considering alternative activities and the reasons you might prefer them can help you tremendously at this point of decision. Rather than focusing on the positive emotions you will experience by giving in to your desire for hyperpalatable foods, also remember the negative emotions that follow if you give in and the positive aspects of the alternative action.

For instance, it may help to remember that every time you get cued and give in, you are strengthening the neural circuitry that compels you to this behavior in the first place. If you even briefly entertain the possibility of indulging, you create a state of ambivalence that leads to torment, obsession and cravings. However, when you successfully divert your attention to another rewarding activity you have made a small step toward cooling down the positive valence of the food.

It is the state of mental torment and ambivalence that increases the positive emotional charge of a food, building and strengthening the neural reward circuitry that causes conditioned overeating. This may be one of the reasons dieting almost always results in long-term weight gain, since constant deprivation makes hyperpalatable foods more difficult to resist and creates severe anxiety.

Mentally, the best strategy to overcome conditioned hypereating is to develop new, positive associations with food that are independent of palatability–something you care more about than the fleeting reward of overeating. Kessler says this is a deeply personal process and must reflect an individual’s own set of values. For example, it helps some people to become vegetarian, while others value organics or local food. These decisions remove virtually all hyperpalatable food from the lives of people who choose these paths.

It also helps to develop aversions to hyperpalatable foods. Some may learn to demonize “Big Food,” while others turn away after educating themselves about health concerns. Developing a more sophisticated culinary palate can help make hyperpalatable foods less palatable. Kessler himself developed an aversion to over-sized portions, which he now sees as repulsive piles of sugar, fat and salt.

Developing positive associations with healthier foods while demonizing the hyperpalatable foods we have been conditioned to crave can fundamentally change your emotional response to stimulus cues. As you learn to recognize your brain’s response to cues, you can override conditioned behavior by consciously deciding to take alternative actions because you want to.

You will never win an internal battle with yourself. Instead use what you know about the brain’s reward system and give up trying to summon willpower to resolve the torment of conflicting desires. Reprogram your habits by closely examining your relationship with hyperpalatable food and begin making deliberate decisions that are consistent with your goals, breaking the cycle of conditioned overeating.

To read more about conditioned hypereating and habit reversal read The End of Overeating, by Dr. David Kessler.

Have you read The End of Overeating? Have you overcome conditioned hypereating?

Tags: books, brain, David Kessler, The End of Overeating