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Huberman Lab

Dr. Zachary Knight: The Science of Hunger & Medications to Combat Obesity

Huberman Lab

Scicomm Media

Science, Health & Fitness, Life Sciences

4.826.2K Ratings

🗓️ 17 June 2024

⏱️ 139 minutes

🧾️ Download transcript

Summary

In this episode, my guest is Dr. Zachary Knight, Ph.D., a professor of physiology at the University of California, San Francisco (UCSF), and Howard Hughes Medical Institute (HHMI) investigator. We discuss how the brain controls our sense of hunger, satiety, and thirst. He explains how dopamine levels impact our cravings and eating behavior (amount, food choices, etc) and how we develop and can change our food preferences and adjust how much we need to eat to feel satisfied. We discuss factors that have led to the recent rise in obesity, such as interactions between our genes and the environment and the role of processed foods and food combinations. We also discuss the new class of medications developed for the treatment of obesity and diabetes, including the GLP-1 agonists semaglutide (Ozempic, Wegovy) and tirzepatide (Mounjaro). We discuss how these medications work to promote weight loss, the source of their side effects, and the newer compounds soon to overcome some of those side effects, such as muscle loss. Dr. Knight provides an exceptionally clear explanation for our sense of hunger, thirst, and food cravings that translates to practical knowledge to help listeners better understand their relationship to food, food choices, and meal size to improve their diet and overall health. For show notes, including referenced articles and additional resources, please visit hubermanlab.com. Thank you to our sponsors AG1: https://drinkag1.com/huberman BetterHelp: https://betterhelp.com/huberman Eight Sleep: https://eightsleep.com/huberman Waking Up: https://wakingup.com/huberman LMNT: https://drinklmnt.com/huberman Timestamps 00:00:00 Dr. Zachary Knight 00:02:38 Sponsors: BetterHelp, Helix Sleep & Waking Up 00:07:07 Hunger & Timescales 00:11:28 Body Fat, Leptin, Hunger 00:17:51 Leptin Resistance & Obesity 00:20:52 Hunger, Food Foraging & Feeding Behaviors, AgRP Neurons 00:30:26 Sponsor: AG1 00:32:15 Body Weight & Obesity, Genes & POMC Neurons 00:39:54 Obesity, Genetics & Environmental Factors 00:46:05 Whole Foods, Ultra-Processed Foods & Palatability 00:49:32 Increasing Whole Food Consumption, Sensory Specific Satiety & Learning 00:58:55 Calories vs. Macronutrients, Protein & Salt 01:02:23 Sponsor: LMNT 01:03:58 Challenges of Weight Loss: Hunger & Energy Expenditure 01:09:50 GLP-1 Drug Development, Semaglutide, Ozempic, Wegovy 01:19:03 GLP-1 Drugs: Muscle Loss, Appetite Reduction, Nausea 01:23:24 Pharmacologic & Physiologic Effects; GLP-1 Drugs, Additional Positive Effects 01:30:14 GLP-1-Plus Development, Tirzepatide, Mounjaro, AMG 133 01:34:49 Alpha-MSH & Pharmacology 01:40:41 Dopamine, Eating & Context 01:46:01 Dopamine & Learning, Water Content & Food 01:53:23 Salt, Water & Thirst 02:03:27 Hunger vs. Thirst 02:05:46 Dieting, Nutrition & Mindset 02:09:39 Tools: Improving Diet & Limiting Food Intake 02:14:15 Anti-Obesity Drug Development 02:17:03 Zero-Cost Support, Spotify & Apple Follow & Reviews, YouTube Feedback, Social Media, Neural Network Newsletter Disclaimer

Transcript

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0:00.0

Welcome to the Huberman Lab Podcast, where we discuss science and science-based tools for everyday life.

0:06.0

I'm Andrew Huberman and I'm a professor of neurobiology and ophthalmology at Stanford School of Medicine.

0:15.6

My guest today is Dr. Zachary Knight. Dr. Zachary Knight is a professor of physiology at the University

0:21.2

of California, San Francisco, and an investigator with the Howard

0:24.8

Hughes Medical Institute. For those of you that don't know, Howard Hughes Medical

0:28.9

Investigators are selected from an extremely competitive pool of applicants

0:34.1

and have to renew in order to maintain their

0:37.6

investigatorship with the Howard Hughes Medical Institute

0:40.3

every five years or so, placing him in the most elite of categories with respect to research

0:47.0

scientists.

0:48.2

His laboratory focuses on homeostasis, in particular what drives our sense of hunger, what drives our sense of thirst, and

0:55.8

what controls therma regulation, which is the ability to maintain body temperature within

1:00.4

a specific safe range.

1:02.1

Today we mainly focus on hunger.

1:04.2

Dr. Zachary Knight explains the biological mechanisms for craving food,

1:08.4

for consuming food, and believe it or not,

1:11.2

you have brain circuits that actually determine how much you're

1:13.7

likely to eat even before you take your very first bite.

1:17.1

And he explains the biological mechanisms for satiety, that is the sense that one has had enough

1:22.4

of a particular food or food group.

1:24.5

Dr. Knight also explains the role of dopamine in food craving and consumption,

1:29.2

which I think everybody will find very surprising because it runs counter current to most people's

...

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