Posts tagged ‘anxiety’

May 1, 2018

Could Ghrelin be my Hunger Gremlin?

Could ghrelin be my hunger gremlin? For years I’ve been wondering whether my hunger sensor is broken. I can end up with all the symptoms of low blood sugar before I ever feel hungry. On the flip side, I can eat and eat and never feel full. Most likely, there’s a communication problem between my celiac damaged gut and my brain. The question is, what’s the problem and can it be fixed?
Asking this question led me to some reading on the hormone ghrelin. I’ll keep the information here simple, but have placed some links below if you’d like to read about the function of this multifaceted hormone in greater detail.

Initially, I ran across information that indicated ghrelin is known as the hunger hormone. It activates its receptor, growth hormone secretagogue receptor (GHS-R), to regulate nutrient sensing, meal initiation, appetite, fat deposition, and growth hormone release. This sounds related to my hunger sensor concern. Perhaps ghrelin is my hunger gremlin. In order to find out, I had to keep reading.

Scientific literature now suggests its functions go well beyond those related to simple appetite stimulation. Ghrelin has been increasingly recognized as having a role in regulating many organs and systems such the process of creating glucose from non-carbohydrate sources (gluconeogenesis) by inhibiting insulin secretion. It can also regulate energy expenditure by signaling a decrease in heat in the body.

This hormone provides a measure of cardioprotection by reducing sympathetic nerve activity which increases the survival prognosis after a heart attack. That doesn’t sound like gremlin activity. That sounds helpful. It prevents muscle atrophy — also helpful. In spite of all these helpful functions, Ghrelin has a gremliny side. It may promote cancer development and metastasis.

And it seems that ghrelin prevents excessive anxiety under conditions of chronic stress. Now we could be getting somewhere. My early years were filled with enough chronic stress to wear out whatever mechanisms were regulating my stress levels. Still, I don’t have enough information to quite put the pieces together to figure out why my hunger sensor is off.

It’s possible that in the future, ghrelin-related drugs will be produced to help with my problem and many others. The wide-ranging roles of ghrelin and GHS-R make them likely targets for drug development.

A paper has already been published showing that in rats ghrelin can alleviate disturbance of glucose and lipids caused by consumption of the party drug ecstasy (MDMA). Sounds like this could lead to a drug to fight the detrimental effects of a drug. That can either be good or bad, depends on how you look at it.

With all my reading I learned a lot, but I did not find a definitive answer. I don’t know if the problem with my hunger signals is primarily in my brain, my gut, my adrenal glands or somewhere else. I still don’t know whether ghrelin is my hunger gremlin.

April 8, 2012

How can change begin when you’re struggling?

First I started feeling frightened – a sort of antsy, anxious feeling at the edge of my awareness.  I noticed that I felt hungry, but I wanted to be very disciplined about my meal times so I decided to wait awhile before eating.  I passed the time by reading an article on anorexia (interesting choice don’t you think?) and looking at some photos of me that I had just uploaded to my laptop.  

 Soon after daylight savings times begins each year I have one of these days.  I feel like my natural body rhythm is out of sync.  Oh who am I kidding, I have days where I feel out of sync at least once a week, but I like to blame daylight savings time.  Anyway, it was Saturday and I hadn’t made a plan for the day.

 I found myself feeling hungry and dissatisfied with how I looked in the photos punctuated by a vague awareness that I may share some emotional characteristics with anorexics, plus I felt anxious and unproductive without a goal for the day.

 How often do I feel this way?  Not often.  But to ask how often and stop with that is to miss the point. The reason I don’t often feel anxiously unproductive is that I manage that anxiety by preventing it.

 A preventative approach?  “That’s good, you say.  How do you do it?”  Now before you get ready to start making a list of what I do so you can do it, please read further.  

 I’m a pretty smart cookie and I can make even the most convoluted adaptation sound good – especially to me. Remember we’re talking about fear of change.  So here’s my pattern:  I fill each day with a To Do List no one could possibly complete.  Once I’ve gotten through 75-80% of the list, I allow myself to feel okay about stopping from exhaustion.  I also congratulate myself for being productive thereby making me more likely to repeat this pattern again and again.  Don’t get me wrong, I get lots of outside affirmation for this pattern of behavior as well because I can handle massive amounts of work without blinking an eye.  No one has ever called me lazy.

 The pertinent question isn’t whether I’m productive or whether I’m well-adjusted to societal expectation.  The real question is:  Is this structure that I’ve created to keep me from feeling anxious also preventing me from being true to myself, experiencing joy, and connecting with people in a fulfilling way?  In other words, is my self-protective system for anxiety prevention actually keeping me anxious and stuck along with preventing me from making change?  

 I know some of you will object to the idea that we willfully create structures of protection that we then become afraid to challenge.  Your response may be to say that you know you use anger to protect yourself, but that’s what you learned growing up in an explosive family and while you may lead with anger, you’re never abusive like they were so what’s the big deal?  Your response may be to feel way down deep that you ARE your persona of protection and it is YOU. To allow one thought of you without that persona attached may be to imagine that you will disappear, die, cease to exist, never have love, or be shunned.  If this is the case, it will feel extremely important for you to prevent that thought from reaching your consciousness and you’ll be willing to use any means necessary to prevent such an occurrence.  If that nagging thought should rear it’s ugly head in the back of your mind, you’ll reach for a distraction so fast you may not even realize what you’ve done.

 It is often at this point that our relationship with food enters the picture.  Some of us use food as a distraction from anxiety or discomfort.  We immediately reach for a sweet treat to fool our brain with a sugar-induced euphoria.  Some of us are aware that we need a distraction so we’ll go for a walk or go to the gym.  Then we believe we deserve a reward or can afford a few extra calories, so we’ll eat an extra yeast roll with dinner.  Some of us will add guilt to the formula.  We feel guilty for eating the treat or rewarding ourselves. Then guilt feeds anxiety which sends us back into our protective structure where the surroundings feel familiar.  

 With all these complicated entanglements, our brains may immediately react to a suggested change in diet as if we are being threatened with death.  According to Cynthia Kupper, Executive Director of the Gluten Intolerance Group, surveys of Celiac patients have shown that a high percentage of those diagnosed believe their Celiac diagnosis to be worse than a cancer diagnosis.  In reality those patients are not facing surgery, chemotherapy, radiation, a need for dangerous medication, or immediate danger of losing their lives.  It just feels that way.

 Now let’s go back to that recent Saturday I was facing without a plan.  Was it tempting to fall back into my normal pattern?  Of course it was.  But it seemed like the perfect day to explore a different possibility.  I decided to change the question I constantly ask myself from what do I NEED to do today to what do I WANT to do today?

 What did I want?  I wanted to lessen my anxiety.  I decided to begin by feeding myself since for me hunger works as an emotional trigger. I also know that when I am in the kitchen preparing food my brain settles down and that vague sense of hunger subsides so I decide that cooking is a good way to move into the day in a different way. I was wanting a really tasty cheese cracker to eat with the soup I had in the fridge, so I grabbed some cheddar cheese, some parmesan cheese, the almond flour and some butter.  As I began to cook I felt myself relax.  Forty-five minutes later, I  plopped on the couch in front of some reality TV with a bowl of crackers beside me.  Yum, the result of asking what I want was deliciously cheesy and crunchy.*

 How did I feel?  I had a much better outlook on the day.  I felt less scared, more full, and like being more kind to myself for the rest of the day.  I could have moped through the day annoyed and dragging my feet, as I have been known to do when I’m not willing to push myself down the To Do List,  followed by feeling guilty on Sunday thus allowing myself to get right back to needing to prevent anxiety by overproducing. Instead, I began what turned out to be a relaxing, renewing weekend by asking myself a different question and being willing to follow where the answer led.

 Big changes really are that simple. They can begin by simply stopping yourself from what you “normally” do.  Knowing this may help you if you are struggling to remain gluten-free.  Our brains trick us into thinking change is hard because we get stuck in the patterns we formed early on to protect us… and we’re scared… and scared feels dangerous.  Always remember – big change is just lots of small changes added together and it’s okay to feel scared.  Once you are willing to feel your fear long enough to do one thing differently, you will have discovered the secret to embracing change.  Rest assured you will not lose yourself in the process, it just may feel that way for a brief moment as you begin to let go of old patterns of behavior.

 The other thing you should know is that I was able to shift fairly quickly on that recent Saturday because I have spent several years preparing myself and learning how to be comfortable with, and let go of, those stories I tell myself that hold me back.  And you will soon be able benefit from my experience so that you can have success with change in a much shorter period of time than I did!  I have taken those years of experience and developed a set of emotional and social support tools to guide you along the way.  They’re called the Cooking2Thrive® Essential Utensil Support Tools and they’ll soon be released for publication. Wouldn’t it be easier to take that first step toward change if you knew that there was a guide to prepare you for the next step and the next?  That’s just what you get with the Essential Utensil Support Tools.  Be the first to learn the secret to becoming your best, healthiest self without a struggle.  Keep checking back here.  We’ll let you know the minute they’re released and how you can get them!  


Cheese Crackers

Empire Waist Cheese Crackers


*My cheese crackers are now called Empire Waist Cheese Crackers and they’re fantastic!