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0:00
What up team? It's episode 366 of the Genius Live. Let's
0:04
go. That's the body and
0:07
brain don't stop. There's
0:09
so much more. The genius
0:11
live. The genius live.
0:13
There's so much more. That's
0:15
the genius live. What's
0:18
cracking everybody? Welcome back to another episode of
0:20
the show. I'm your host, Max Lugavere, a
0:22
filmmaker, health and science journalist in New York
0:24
Times bestselling author. I've dedicated my life to
0:27
unraveling the science behind how our choice is,
0:29
including what we eat and how we live,
0:31
affect our cognitive and physical performance, how we
0:33
feel, our health span and our risk for
0:35
disease. This podcast is all about how to
0:37
live in that optimal state, which I call
0:40
living like a genius. On today's episode of
0:42
the show, I'm super excited to welcome back
0:44
for the second time, Dr. Judson Brewer. Dr.
0:46
Brewer is both an MD and
0:48
a PhD, no big deal. And
0:50
he is a thought leader in
0:53
the field of habit change and
0:55
the science of self mastery. Having
0:57
combined over 20 years of experience
0:59
with mindfulness training with his scientific
1:01
research therein, a psychiatrist and internationally
1:04
known expert in mindfulness training for
1:06
addictions, Dr. Brewer has developed and
1:08
tested novel mindfulness programs for habit
1:10
change, including both in-person and app-based
1:12
treatments for smoking, emotional eating and
1:15
anxiety. On today's episode of the
1:17
show, we are going to celebrate the release
1:19
of his brand new book, The Hunger Habit.
1:21
Why we eat when we're not hungry
1:23
and how to stop. If you're like
1:25
most people, sometimes it can feel as
1:28
if there are as many ways to
1:30
struggle with food as there are foods
1:32
to eat. Craving, habit, emotions, boredom, stress,
1:34
anxiety, or just the simple fact that
1:36
a box of donuts seems to be
1:38
omnipresent in the break room, well, that
1:40
can lead to feeling out of control
1:42
around food. And so on today's episode
1:44
of the show, Dr. Brewer is going
1:46
to share effective techniques for breaking bad
1:48
and stubborn habits, including overeating.
1:51
He's going to share a technique that he
1:53
used in a study on quitting smoking, where
1:55
he instructed patients to pay attention which led
1:57
smokers once and for all to realize that
1:59
smoking pasted. unpleasant, increasing their motivation to
2:01
quit. We're also gonna talk about the
2:03
rise of obesity and related health issues,
2:05
and he's gonna explain how the disconnection
2:07
from our body's signals and the allure
2:09
of highly processed foods all
2:11
contribute to the perfect storm of
2:14
overeating. Whether you're struggling with issues
2:16
related to your weight or there's a stubborn habit in
2:18
your life that you are just chomping at the bit
2:20
to finally quit, well, this is gonna be an episode
2:22
that you're gonna wanna pay close attention to, and please
2:24
don't forget to listen all the way through to the
2:27
end, and share this episode with friends and loved ones
2:29
in your life that may benefit from it.
2:31
Don't forget to subscribe to the channel on
2:33
YouTube, youtube.com/Max Lugavere, or just head over there
2:35
and search The Genius Life. Would love to
2:37
connect with you over there. Our content is
2:39
looking ever so dapper, and would love to
2:41
get your feedback on it and
2:44
comments and engage. We have a growing community over there,
2:46
about 200,000 subscribers strong. Would
2:48
love to have you be a
2:50
part of it. Again, youtube.com/Max Lugavere,
2:53
and yeah, check it out, guys. Every episode
2:55
of the podcast that we put up here
2:58
on your podcast app of choice,
3:01
we also put up over there. So,
3:03
youtube.com/Max Lugavere, check it out and enjoy.
3:06
And now, without further ado, here's my
3:08
conversation with the great Dr. Judson Brewer,
3:10
talking all things emotional eating, the hunger
3:12
habit, and so much more. Here we
3:14
go. Dr. Judson Brewer, what up?
3:16
Welcome back to the show, how you doing? I'm
3:18
good, thanks for having me. No, of course, in
3:21
person this time, way better. Yes, way better. Way,
3:23
way more fun. I
3:25
love to start high level and just dive right in
3:27
for listeners today, because I
3:29
know attention is limited. Can you
3:32
share one highly effective, yet often
3:34
overlooked technique for breaking a stubborn
3:36
habit that listeners and viewers
3:38
can start implementing today? That's
3:40
a good question. Okay, how about this one? Smoking.
3:44
Big, hardest habit to break in
3:46
addiction. And
3:49
here's the technique that I've used, and we've
3:51
gotten, in one study, we got five times
3:53
the quit rates of gold standard treatment when
3:55
we did a randomized controlled trial using this.
3:57
Five times? Five times. The quit rate, wow.
4:01
Patient walks into my office, they want to quit
4:03
smoking. I say, go ahead and smoke. And they look
4:05
at me like I'm crazy because my doctors told me
4:07
to smoke. But I give them one little piece on
4:10
top of that. And they say, pay attention when you
4:12
smoke. So they go home
4:14
and they come back and they're like, how did
4:17
I not see this before? Because when they pay attention
4:19
when they smoke a cigarette, tastes like crap. So
4:23
awareness, bringing awareness to the habit. Yep,
4:25
it is a superpower. And the awareness
4:27
really taps into the strength of our
4:29
brain to help us be able to
4:31
leverage this reinforcement learning aspects
4:33
of our brain that is really, really
4:35
strong, much stronger than
4:38
willpower. Wow, very interesting.
4:42
I feel like this is a recurring theme because I was
4:44
perusing your new book, The Hunger Habit, which is phenomenal by
4:46
the way. And it tackles a
4:48
habit that I think is actually
4:51
increasing in incidents
4:53
today, right? Like our habit
4:56
for consuming and ultimately
4:58
over consuming, ultra processed, highly
5:01
refined, ultimately fattening foods,
5:03
right? Yeah. Smoking, at least
5:05
living in Los Angeles, it seems to be
5:07
on the decline somewhat. But yet
5:09
you look at population statistics, people are getting
5:11
fatter, belly fat is increasing
5:14
across the board. So applied
5:16
to why we
5:18
eat when we're not hungry, right? Yeah,
5:22
so how does that work? Is it as simple
5:24
as bringing awareness to our food choices or what
5:27
does it lay out for us? Yeah, well, let's start
5:29
with ultra processed food if you wanna go there first.
5:31
And then we can talk about these coping mechanisms that
5:34
we develop with food. Ultra
5:36
processed food ultimately is there to
5:39
have a long shelf life and get us
5:41
addicted to eating it. My favorite
5:43
peer review general, the onion. They
5:47
had headline that says Dorito
5:49
celebrates this one millionth ingredient, right? Oh
5:51
my God. They are dialing in that
5:53
bliss point, you know, and that electric
5:56
orange, It's not a coincidence that
5:58
Cheetos and Doritos both have the same. The electric
6:00
orange you know, so it's it's there
6:02
to get as hot and you know
6:04
to get into our bloodstream really quickly
6:07
and to get us to you jack
6:09
are dope remaining goes to want more
6:11
so that's the starting point. You know?
6:13
we're fighting against this food industry that's
6:15
been engineering food for a long time
6:17
and humid day at Delays. slogan you
6:19
bet you can't he just one. Vaguely.
6:22
Ah tian tian or went up. You know
6:24
enough. First came out not little bit of
6:27
trivia. Nineteen sixty three. So. They
6:29
were already. You know they're already starting
6:31
to work with this. Ironically, that's the
6:33
same year that Weight Watchers Fort Worth
6:35
is. It is interesting. Yeah,
6:38
it really is the proliferation of these of
6:41
these highly refined, hyper palatable auto processed foods
6:43
that have and like I'm sure you've looked
6:45
at like obesity statistics on the like like
6:47
as a is as a be as is
6:50
that when it really started does it to
6:52
take off from a political standpoint. It's I
6:54
the last graph I'm picturing this one grouse
6:57
the I think started in Nineteen Eighty Fives
6:59
and Winter two thousand and sixteen server. What.
7:02
Three. Decades. Three four decades and so when
7:04
they start looking the eighties they were
7:06
studying see oh this is a problem.
7:08
I don't know if they're a great
7:10
data, I'm sure there are some data
7:12
from the sixties and seventies but is
7:14
really in the eighties and people started
7:16
to pay attention to this and now
7:18
is described as as an epidemic you
7:20
know added clinical obesity epidemic and always
7:22
a clinical obesity Because I think there's
7:24
a lot of confusion around things like
7:26
an people who are healthy but fat.
7:28
And so there's all this fat shaming
7:30
and concern in society of round. Like
7:32
hey somebody can be in A can be
7:35
fat from I B M my standpoint but
7:37
not unhealthy. So what we're talking about here
7:39
is Clinical Lbc I were it's really affecting
7:41
people's health but it would you say some
7:43
it's the minority or is it. And
7:46
like is somebody who's highly
7:48
overweight Hit Sad that threshold.
7:52
in terms of their be a my for being overweight is
7:54
it is it likely that they're also going to be healthy
7:56
or is it is it more likely that to be the
7:58
case that they're going to be on healthy on the
8:00
inside as well. Let's just put it that there's
8:02
a huge amount of clinical obesity out there. And
8:06
people are still trying to dial through the
8:08
data because a lot of this is based
8:10
on BMI and it's not accurate enough to
8:12
determine the difference between healthy obesity and clinical
8:15
obesity. But what we see from
8:17
the trends is that clinical
8:19
obesity is going up and we're also
8:21
seeing things like type two diabetes, hypertension,
8:23
obstructive sleep apnea, all these ramifications, all
8:26
these secondary effects that are secondary to
8:28
clinical obesity, those are also going up. So
8:31
I guess it's, would you say it's fair to say
8:33
that the BMI is a good, it's a good sort
8:35
of screening tool but it's not a diagnostic tool. Absolutely.
8:38
Like you would never diagnose somebody with obesity based on
8:40
their BMI alone. Yeah and some people are arguing that
8:42
we need better measures than BMI. It's just a quick
8:44
and, it's just so easy that people use it. You
8:46
know, you measure your height and your weight and you're
8:48
done. So you know, it lacks
8:50
specificity but it certainly tries to make
8:53
up for that in simplicity and ease
8:55
of implementation. Got it, that makes a
8:57
ton of sense. On this podcast,
8:59
we've talked a ton about what it is
9:01
that people are eating. We've talked about when
9:04
to eat and how that's a variable that might prove
9:06
empowering with the continual evolution of circadian
9:09
biology research and all that. But you
9:11
argue that how we eat is actually
9:13
the most important variable. What do you
9:15
mean by that? Well, our bodies are
9:17
really wise and so we can start to
9:19
dial in to some of these evolutionary mechanisms
9:21
like you talked about, you know, time restricted
9:23
eating, things like that. They can probably be
9:25
pretty helpful for us and I think there's
9:28
good emerging data suggesting that a lot of
9:30
these things are helpful. But what
9:32
we're looking at here is we're reading books,
9:34
we're listening to podcasts, we're watching YouTube videos,
9:36
we're doing all these things and we're not
9:39
listening to the most important thing and the
9:41
wisest thing which is this body. And
9:43
what I mean by that is that we're
9:45
just totally divorced from our
9:47
bodies. We don't know when we're actually
9:50
hungry. Here's an
9:52
example. So I was in my clinic, I
9:54
was working with a group of, I
9:57
think this was all women who had binge eating
9:59
disorder. So they, all
10:01
these criteria for binge eating disorder, but basically I
10:03
was working with them and I felt like I
10:06
was missing something. And it took
10:08
me several, we were doing these weekly sessions, it
10:10
took me several weeks and I realized, oh, wait
10:12
a minute, they don't actually
10:15
know the difference between homeostatic hunger, like
10:17
physiologic hunger and hedonic hunger, which is
10:19
like eat because you feel like it.
10:21
And they're like, oh yeah, I crave,
10:23
I eat. And I say, well,
10:25
how do you know when you're hungry? And they looked
10:27
at me like that was the strangest question in the
10:29
world. Because they're like, I don't know. Because
10:32
they're so, they're just weren't used to
10:34
paying attention to their body signals. And
10:37
that's a huge issue here. So the
10:39
paying attention to that aspect of
10:41
our experience, our body's gonna tell
10:43
us everything that we need to know in
10:46
terms of what to eat, how much
10:48
to eat, when to stop, et cetera, et
10:50
cetera. But we are just so divorced from
10:52
it, we don't know how to do that.
10:54
So we have to kind of recalibrate that
10:56
awareness. What has triggered
10:58
that divorce? That's a
11:00
great question. I can give you some baseless
11:02
speculation, some BS. I don't
11:04
really know, but I think a lot of it, a lot
11:06
of it is, well, if
11:08
you look at our evolutionary mechanisms, we're
11:11
set up so that when there's
11:13
something pleasant, we move toward it, when there's something unpleasant,
11:15
we try to push it away. So
11:17
our bodies often don't feel great.
11:20
Our body image often isn't great thanks to
11:22
a lot of societal conditioning. And
11:24
so somebody might look in the mirror, and they're
11:27
like, ooh, I don't look great, unpleasant. So they're
11:29
just gonna divorce themselves from their body. Often
11:32
people get distracted, they live in their heads, so
11:35
there are probably a number of mechanisms that contribute to
11:38
that. But I would guess a
11:40
lot of them share that common mechanism of,
11:42
oh, something's unpleasant, whether
11:45
it's an emotion, a physical sensation, or
11:47
just a thought, and they're
11:49
gonna push that away. And one way
11:51
to do that is to kind of divorce themselves from their
11:53
body. It isn't a completely
11:56
modern phenomenon. There's a great
11:58
short story by James. Joyce called the
12:01
painful case. And I think
12:03
the first liner in the first paragraph, he
12:05
says, Mr. Duffy lived a short distance from
12:08
his body. So
12:10
we're seeing this back, and he wrote that I think in 1914. So
12:13
we're seeing that 100 years ago, people
12:16
were still divorced from their bodies, even though
12:18
we didn't have all these things that could
12:20
distract us like social media and our phones
12:22
and things like that. Super interesting. So we're
12:24
just, we're essentially disconnected. Yeah. Man.
12:27
So what are the steps then required to
12:29
bring us back into our bodies? Yes.
12:32
Well, that's a great question. And I think, so
12:34
what we found in the research that I've done
12:36
over the last 20 years or so is it
12:38
seems to be a three step process. And
12:41
this is interesting because we kind of stumbled
12:43
upon this when we were doing our smoking
12:45
cessation studies and we were finding, you know,
12:47
five times the quit rates, gold standard treatment,
12:49
pretty good. We started making a digital therapeutic
12:51
for smoking and we were having people pilot
12:53
test it. And they came back
12:55
to me and said, hey, I'm changing my eating habits. And
12:59
I looked at them, I was like, okay, most people
13:01
gain 15 pounds when they quit smoking because nicotine is
13:03
a stimulant and all this. And they
13:05
said, no, no, no, we're actually cutting down on our snacking.
13:08
And I looked at them and I was like, can
13:10
you say that again? Did I get that right? And
13:12
I was like, no, no, I'm actually cutting down on
13:14
my snacking. I realized that there's this common mechanism that
13:17
underlies probably all habits and
13:19
it's pretty simple. And
13:21
that's the first step in kind of learning
13:23
how to step out of it. And over
13:25
the last 20 years, we've actually seen this
13:28
very clear stepwise process. We've even done studies
13:30
with focus groups to articulate a
13:32
little bit more. But the first step is
13:34
just being able to map out the habit
13:36
loop and really three elements that trigger a
13:38
behavior and a result. So
13:41
for example, with eating, with
13:43
eating when we're not hungry, let's say. Well,
13:46
let's start with what it's supposed to do. So
13:49
imagine our ancient ancestors out on the savannah
13:52
in the woods, purging for food. They
13:54
find some food. There's the trigger or the
13:56
cue, right? And then they eat the food.
13:59
There's the behavior. And then their stomach sends this
14:01
dopamine signal to their brain that says remember what
14:03
you ate in where you found it So
14:06
this learning mechanism is set up we
14:08
call it context-dependent memory formation So you're
14:10
learning something in a context you learn
14:12
where the food is in
14:14
modern day. That's called positive reinforcement, right?
14:17
Eric and Del got the Nobel Prize back in 2000 showing this is Evolutionarily
14:20
conserved all the way back to the
14:22
sea slide so very well-known mechanism And
14:25
the negative reinforcement side of it is very similar
14:28
Think of you know, you see that
14:30
you're out foraging you see the saber-toothed
14:32
tiger you run away There's the behavior
14:34
and then you're not eaten. There's the
14:36
reward then you aren't okay There's a
14:38
dangerous part of the Savannah so that
14:40
negative reinforcement is especially true in modern
14:42
day because that mechanism is still in
14:44
place and We
14:46
learn to use it when we're sad
14:48
when we're lonely when we're angry when
14:50
we're bored You know all these all
14:53
these emotions that are unpleasant And
14:55
if we happen to eat some food that
14:57
distracts us or tastes good or feels pleasant
15:00
That's gonna be better than that emotion and we
15:02
can learn to distract ourselves from the emotion by
15:04
eating So here's the you
15:06
know stress eating Comfort
15:08
food all of these things are related
15:10
to this negative reinforcement mechanism None
15:13
of that has to do with actual physiologic
15:15
hunger, right? I Don't
15:18
know about you guys, but I love
15:20
eating high quality food made from scratch
15:22
That makes me feel good And that's
15:25
why I'm super excited to introduce you
15:27
to a new partner here on the
15:29
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15:31
going to sweetgreen to get an amazing salad
15:33
Which is perfect for anything that you're looking
15:35
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15:37
starting off on the right foot But I
15:39
have to tell you I always thought that
15:41
sweetgreen was exclusively a salad place But
15:44
they just launched these new protein
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plates which are amazing because the
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plates are full of protein Which you
15:50
know your boy loves to focus on
15:53
all of sweetgreens new protein plates are
15:55
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15:57
the miso glazed salmon plate. I Love
16:00
this dish you guys. It starts with freshly
16:02
cooked miso glazed salmon, reminiscent of if you've
16:05
ever had black cod in a fancy Japanese
16:07
restaurant. I order it basically as is, but
16:09
I double down on the salmon, so I
16:11
get a double portion of protein, and
16:14
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16:16
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16:18
not kidding, three to four days out of the
16:20
week, usually in the post-workout setting, but any time
16:22
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16:27
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16:29
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16:33
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17:03
Enjoy, fam. And we have a bias
17:05
for negative emotions, right? Because they were
17:07
the emotions that were probably more required
17:10
our attention in a more direct
17:13
and immediate way, because obviously,
17:15
if there's a negative emotion, for
17:18
probably the vast majority of our
17:20
time on Earth on this planet was elicited
17:23
by some kind of physical
17:25
threat, the potential physical threat, famine,
17:30
something like really bad. Now our
17:33
emotions are negatively stimulated by
17:35
news media, social media, that
17:38
work email that we got, the
17:41
text message that remains unanswered, and so, but we
17:43
have a bias, right? We have this negativity bias.
17:46
Yeah, and if you, let's apply this to food.
17:48
This is interesting, well, I think it's interesting. If
17:51
you look at food, if you eat some food, right,
17:54
let's say you eat some chocolate, and
17:57
you can start tasting it and you're like, oh, that's
17:59
a new. type of dark chocolate, you know how
18:01
chocolates have all the different nuances to them and you're
18:03
like, oh, that's kind of smokey. There's this whatever. So
18:06
you can sit there and you can savor it and
18:08
you can pay attention and you know, it takes a
18:10
while to register how good it is. So
18:13
notice how slow that process is.
18:15
Okay, in contrast, if
18:17
you ingest some poison or something or
18:19
some food that's rotten, that is
18:21
ejected from your mouth before you've been consciously aware
18:23
of it because you don't have time to be
18:25
like, oh, yeah,
18:28
arsenic or cyanide does taste like almonds.
18:32
You know, so our body is even set up for
18:34
that. And you can think of that as that quote
18:36
unquote negativity bias, where it's like, hey,
18:38
get this out of here because I could die
18:40
as compared to you know, some
18:42
chocolate could be better than others but you can
18:45
take your time with this. Yeah. Wow. Super interesting.
18:47
That's that's fascinating. And it's so true. It's like
18:49
when you touch the hot stove, it's like you're
18:51
you're you're you retract your hand way
18:54
faster than your brain is even able to register that you
18:56
were touching a really hot stove. Yeah, it doesn't even get
18:58
to your brain. It just goes to love your spinal cord
19:00
and you get that reflex. Damn. Doesn't
19:02
doesn't it like your amygdala or something? Isn't
19:04
there some like interesting neuroscience there? Well, that's
19:06
afterwards. So and also the
19:08
amygdala is a complex organism. You know, I
19:10
think people tend to associate it like,
19:13
oh, there's the fear organ. It's not really how the brain
19:15
works. It's a little more complex than that. But
19:17
it certainly can help us determine
19:20
pretty quickly if there's danger if there's
19:22
not danger. Right. But with a hot
19:24
stove, for example, you're doing that reflex
19:26
before you even get to the amygdala.
19:28
Whoa. But afterwards, your brain could be
19:30
like, hey, that was, you know, that
19:32
was hot. You shouldn't do that again. Or you
19:34
should check the stove to see if it's on
19:36
next time before you put your hand on it.
19:38
Wow. So interesting. Okay, so when it comes to
19:41
breaking the hunger habit, I mean, this is something
19:43
that I personally experience all the time where I
19:45
eat out of boredom primarily. I'm not like a
19:47
big stress eater. I don't eat when I'm stressed.
19:49
But I definitely, you
19:52
know, I'm one of those people that like when bored,
19:54
I go to the fridge, I open up the fridge,
19:56
oftentimes, I end up closing it because I just wanted
19:58
to go to it, you know, But
20:01
I do feel like that is a major source
20:03
of calories for people today, right? Where
20:05
we're just eating foods with
20:09
no real physiologic necessity.
20:14
So yeah, when it comes to breaking that cycle,
20:16
I mean, what are like the first thing, what's
20:18
like the first step that somebody should take to
20:20
break that cycle when they feel as though they
20:23
are about to act on it? Yeah,
20:25
so that first step is mapping out
20:27
the habit loop and being able
20:29
to identify it. So if we don't see that we're in
20:32
a habit loop, there's no way we can step out of
20:34
it. So even recognizing, so
20:36
we could recognize all three elements, the trigger,
20:38
the behavior, and the results, or
20:41
we can simplify that and start with the behavior
20:43
and the result because the trigger is actually not
20:45
as important. I would argue that the trigger's unimportant,
20:47
where a lot of people think, oh, if I
20:49
could just avoid my food triggers,
20:51
I'd be all good. Meaning like whether it's
20:53
boredom, whether it's stress, whether it's anxiety. Yeah,
20:55
so how do you avoid boredom? You can't
20:58
really. You get bored, you get bored. Right.
21:00
So one, you can't avoid the triggers, but
21:02
more important than that, if you look at
21:04
the mechanism, that's not
21:06
what perpetuates a habit. How
21:09
rewarding the behavior is, it was what
21:11
perpetuates the habit. That's why it's called
21:13
reward-based learning. So the
21:15
triggers, certainly it sets the
21:17
process in motion, but if we
21:19
focus our energy on the trigger, we're actually wasting
21:21
energy where we could be focusing on what's
21:23
actually important, as in the behavior and the result
21:26
relationship. So that gets actually to the second step.
21:28
But does that make sense the first step before
21:30
we go on? That the mechanism is generally
21:32
the same regardless of what the trigger is. And
21:35
so, yeah. And
21:37
the mapping of that, being able
21:40
to see what the behavior is. So for
21:42
example, if we're mindlessly eating and
21:44
we can pay attention and we can notice, oh,
21:46
I'm not actually hungry, I'm just eating out of
21:48
boredom, or because that snack happens to be there,
21:50
it's like the seafood, I see food and I
21:53
eat it, type of thing. So we've
21:55
got to be able to wake up to that and
21:57
see that it's happening. That's the first step. Got
21:59
it. So to be able to identify
22:01
that when you are
22:04
triggered, you
22:06
tend to, I mean, some people might not choose to
22:08
go to the cover, to the fridge, but
22:11
to know that that is your behavioral
22:13
response, to bring
22:15
awareness to that, that's step one.
22:17
Yeah, and it's pretty straightforward, right? It's
22:20
like, oh, I'm going in to
22:22
the refrigerator or whatever, just noticing
22:24
that, like, oh, here it is again. Some
22:27
people might choose to have a cigarette. Right.
22:29
Yeah. Some cigarette, scroll on social media, check
22:31
email. There are a lot of
22:33
things that get, a lot of behaviors that get triggered.
22:35
Right. That's the general category is just,
22:37
what's the trigger that we go to when we're,
22:40
when we're triggered by the emotion or the
22:42
thought or whatever. Yeah. Why
22:45
couldn't there be good, like, positive habits? Well,
22:47
I guess for some they are. When I
22:49
get anxious or depressed, most of the time
22:51
I go to the gym, I'm
22:54
like, I remind myself that this is
22:56
when, where exercise really plays a valuable
22:58
role. So let's bookmark that. Let's
23:00
come back to that when we get to the
23:02
second and third step, because that is absolutely true.
23:05
And we can explore why that's the case and
23:07
how you've developed that as a healthy habit as
23:09
compared to an unhealthy habit. Let's do it. I'm
23:11
excited to get back to that. Okay, so we're
23:13
about to go into step two. Yeah. So
23:16
step two is where it gets really interesting, right? Cause you can
23:18
map out a habit, not that hard
23:20
to do. And often when my patients or
23:22
the folks in our programs, or even my
23:24
students start mapping these out, they
23:26
come back and they're like, how did I not notice all of these
23:29
habits that I have? Cause then they start to see them everywhere. And
23:32
I'll just highlight, you know, most habits that
23:34
we have are either neutral or helpful. Like
23:36
going to the gym, helpful habit. But
23:38
some of these pesky ones, they get in
23:40
the way of us living that healthy, healthy
23:43
life. And so the second step, I
23:46
think of this as the beginning of the
23:48
end because you can't go
23:50
back once you start to see this. And
23:52
what I mean by this, let's use smoking
23:54
as a starter here. When
23:56
my patients come back and they taste
23:59
and. smell their cigarettes, they're like, oh, this
24:02
is really crappy. They can't
24:04
unsee that. It's like Santa Claus,
24:06
you pull down on Santa Claus' beard and suddenly you've
24:09
lost your belief in Santa Claus. You
24:11
can't get that back. And
24:14
so this process in general, we
24:16
think of this as disenchantment, where
24:18
you become disenchanted with the old
24:20
behavior. And again, the one
24:23
way to do this is to bring
24:25
awareness to what's happening. So we need awareness to
24:27
map out a habit loop. We need that awareness
24:30
to become disenchanted. Let's
24:33
see, a food example, okay. So
24:36
there are, let's say that there's a
24:38
new bakery that opens up in
24:40
my neighborhood. And I go in
24:42
there and I have a certain, I
24:45
know how much I like certain types of chocolate
24:47
cake, let's say. And so
24:49
I see the chocolate cake in their display case and I'm like,
24:51
oh, that looks good. I try some. So I eat the cake,
24:53
there's some awareness. And it's the best chocolate
24:55
cake I've ever had. I get
24:57
what's called a positive prediction error in
24:59
my brain, meaning it's better than expected.
25:02
And I get a dopamine spritz and it says, remember
25:05
this, right? It's just like surrounding food in the forest.
25:07
It's like, oh, there's a good food source. So for
25:09
me, it's like, oh, there's a good chocolate cake store.
25:12
So I learned good place to get cake.
25:15
On the other hand, if I eat the cake,
25:17
I'm like, meh, I've had better. I
25:20
get what's called a negative prediction error.
25:22
Got it. Same type of dopamine spritz,
25:24
slightly different mechanism in terms
25:26
of learning the positive versus the negative, but basically the
25:29
same parts of the brain. And
25:31
I learned, hey, this isn't such great cake.
25:33
Don't bother to go back to this bakery.
25:35
Notice that I've learned something either way, as
25:37
long as I've paid attention. Now
25:40
we can leverage this to
25:42
break bad habits, but I wanna highlight something
25:45
first. If you look at the equations for
25:47
this, the mathematical equations for this, none
25:50
of them involve willpower as a
25:52
variable. So that's really important
25:54
because a lot of people think, oh, if I wanna
25:56
break bad habit, I just have to use my willpower.
26:00
That is, I think that's, that's, it's
26:03
quote unquote helpful for companies that want you
26:05
to sign up for their weight loss programs
26:08
because they say, hey, you know, whatever this
26:10
diet is, usually it's a calorie restriction
26:12
diet. As long as you restrict calories, you're gonna
26:14
lose weight. I learned that in medical school,
26:17
that is a fact, it is true. How
26:21
you do that isn't about just like
26:23
using your willpower. It
26:25
is more myth than muscle. And at best,
26:27
if you look at the parts of the
26:29
brain that are involved in cognitive control, the
26:31
prefrontal cortex, it's the first part
26:33
of the brain that goes offline when we're hungry,
26:35
when we're stressed, when we're angry, when we're anxious.
26:38
Can you see the problem here? Yeah, the rational
26:40
part of our brain is the part of our
26:42
brain that just so happens to go offline when
26:45
we are triggered. Absolutely, so
26:48
I wouldn't put my money on that if you're trying to
26:50
break a bad habit. This
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enjoy. Yeah,
28:29
calories in, calories out. I mean, it works.
28:32
I mean, it is the fundamental
28:35
scientific, mathematical, biological truth underlying
28:37
weight loss, but as a
28:39
strategy, it's terrible. Yeah,
28:41
yeah. And so now, the willpower
28:44
folks, hopefully
28:47
will catch up with the neuroscience,
28:49
which says, place willpower off
28:52
to the side, let's leverage the strength of
28:54
the brain. And so back
28:56
to those mathematical equations, no
28:58
willpower in the variables, but that error
29:00
term that gets changed to happen, that's
29:03
that positive and negative prediction error. And
29:06
notice how the only thing that's required for
29:08
that is awareness, which is great. It's not
29:10
like you have to learn some fancy technique
29:12
or some concept, you just have to pay
29:14
attention. Well, a positive prediction error would seem
29:16
to me to reinforce
29:18
a bad habit, whereas a negative prediction error
29:20
would be what you would want to encourage
29:22
somehow. Well, this is where we can.
29:25
Right, like if you text your ex, and
29:28
you get back with your ex, and you have sex with your ex,
29:30
and the sex is better than you remembered, that's not
29:32
helpful in terms of breaking that bad habit, right?
29:36
If it's worse than you remember, I
29:38
mean, that could take you a few months of
29:40
not wanting to text your ex.
29:42
Yes, so going
29:44
with that example, if
29:47
you think of the far end of
29:49
the spectrum of bad habit addiction, right,
29:51
continued use despite adverse consequences, so you
29:54
text your ex, right, and you're like,
29:56
you have great breakup sex, and then
29:58
you're like, and then everything goes to hell from
30:01
there, right? Continued use despite adverse consequences. You
30:03
kind of conveniently forget like, oh, yeah, this is
30:05
why we broke up. And then three weeks
30:07
later, you're like, oh, this is a good idea.
30:10
So you can see how there can be continued
30:12
use despite adverse consequences going on there. The
30:15
adverse consequences piece, if we pay attention,
30:17
that's gonna help us learn, hey, maybe
30:20
texting your ex isn't such a great idea. And
30:23
it's not because like, I shouldn't do it. It's
30:25
like we feel into what it was like the
30:27
last time we did it. And
30:29
it's not necessarily the great breakup sex piece,
30:31
but it's everything else, all this equivalent of
30:34
that. Got it. Right? So bring awareness to
30:36
the adverse effects. Yes, and that's where it
30:38
comes in with eating as well. We did a
30:41
study in my lab. We have this app called
30:43
Eat Right Now where we can actually build in
30:45
a tool to help people pay attention as they
30:47
overeat. Okay, again, very, very
30:49
wise body. We wanted to test to
30:51
see how quickly that reward value dropped
30:53
below zero and people shifted their behavior
30:55
with overeating. Do you
30:58
guess how many times it took for somebody to
31:00
have that reward value drop below zero?
31:02
Wait, so repeat the question. Yeah. So
31:05
you had how many
31:07
times it, what, once? It
31:11
was close. Yeah, so these are people, some of
31:13
them had been overeating for decades, right? So you
31:15
think, oh, it might take a long time. 10
31:17
to 15 times of paying attention when
31:20
you overeat and that reward value is
31:22
below zero, right? So it's still really
31:24
low after a lifetime of chronic overeating.
31:26
Yeah, which makes sense because our brains
31:28
have to be very adaptable to ever-changing
31:30
environments, right? So if it took you
31:32
20 times to get chased by a
31:34
tiger to learn that it's dangerous, you
31:36
probably wouldn't survive. Right. That's
31:39
a great point. That's a great point. Okay, so
31:41
really, I mean, awareness. Awareness is
31:43
key. Yeah, yeah. And that's
31:46
where we can actually, we can double
31:48
down on awareness, but let's
31:50
get at this, finish out the
31:52
second step first. So as we pay attention,
31:54
for example, when we overeat, our body says,
31:56
dude, why are you doing this? This doesn't
31:59
feel very good. I never had somebody
32:01
come back to me and say, oh,
32:03
thank you, Dr. Brewer. Now I didn't
32:05
realize how great cigarettes taste or how
32:07
good it feels to stuff myself at
32:09
Thanksgiving. That just
32:11
doesn't happen because our body's like, hey,
32:13
you're ingesting toxin when it comes to
32:15
smoking a cigarette. And it's
32:17
like, hey, you don't need this many calories all
32:19
at once. This isn't helpful. So
32:22
our bodies will tell us, and if
32:24
we can just pay attention when they're trying to
32:26
signal to us, like put up the
32:29
white flag, stop eating, then we
32:31
can do that pretty quickly. And if we can
32:33
just remember that, that's gonna
32:35
help us become disenchanted with the behavior.
32:38
So we start with a very simple question,
32:40
which is having people ask themselves, what am
32:42
I getting from this? As
32:45
they're eating that next overstuffed bite, how
32:47
does it feel in my body? Not,
32:49
I shouldn't overeat, not thinking about it.
32:51
So that's a question that people should
32:53
be asking themselves and get used
32:56
to asking themselves, what am I getting from this? Yes, absolutely.
32:58
What am I getting from this? And I think of it
33:00
this way, the feeling body is
33:02
much stronger than the thinking brain. So what
33:04
am I getting from this not in a
33:06
thinking way, like, oh, I'm eating too many
33:08
calories, but feeling, because their body is saying,
33:10
hey, you're eating too many calories. Do you
33:12
see the difference? They gotta feel into it.
33:15
Yeah, wow, I love that. I
33:17
went to a Brazilian steakhouse last night, incredible
33:19
place in Los Angeles called
33:22
H&H. All grass-fed meat,
33:25
but I definitely overate. I overate last night
33:27
and was paying quite
33:30
the price afterwards. My stomach just felt
33:32
distended. And I
33:34
definitely regretted going
33:37
overboard to the extent that I had. And
33:41
so, yeah, this is
33:43
a really helpful tip because I feel like next
33:45
time I'm gonna be more inclined to ask myself,
33:48
when in the moment, right? What am I getting
33:50
from this? Yeah, and one way to
33:52
think about this, and I talk about this
33:54
a bit in the hunger habit is we can find
33:56
our pleasure plateau. So as
33:58
you eat that first bite. especially
34:00
if you're hungry, your body's like, oh, thank you, this
34:02
is great. And you really enjoy it. You eat the next
34:04
bite, you eat the next bite. And over time, especially
34:06
if you don't shovel it all in really quickly, because
34:08
it takes about 15 to 20 minutes to
34:11
register society, if you don't
34:14
shovel it all in, you can start to notice with
34:16
each bite that the pleasure of
34:18
the same food is different. It
34:21
starts to wane, right? It's not as
34:23
pleasurable. And so we can start to
34:25
see we're hitting that pleasure plateau where our body's like,
34:28
okay, that's enough. But if we don't
34:30
pay attention, we're gonna go over that cliff of
34:32
overindulgence, which it sounds like you hit it. Yeah,
34:34
I definitely hit it last night. I was not
34:36
feeling good. And in the
34:38
moment, in the moment, I probably would've, like if I,
34:41
you know, I just
34:43
didn't have a lot of awareness around the discomfort that
34:45
I was feeling. Instead, I was more thinking about, well,
34:48
I'm eating lots of protein, which is great,
34:50
because earlier that day, I know that I had a
34:52
really intense workout, and so I was like, oh, this is
34:54
probably beneficial for me. More protein, more protein. But
34:57
that led to me actually just overeating
34:59
in general. Yeah, so if
35:01
you can remember that, I mean, think back
35:03
to last night. How excited are you right
35:05
now, if you were back at that steakhouse,
35:08
to do the exact same thing? Super
35:10
excited to get into it. Yeah. Yeah. But
35:13
how about that overindulgence piece, the cliff? Oh,
35:15
yeah, definitely would not eat as much as
35:17
I did last night, yeah. So how much
35:19
willpower did that take? To
35:22
just have that realization? Yeah. None.
35:25
So this is a zero willpower thing,
35:27
and you just demonstrated it beautifully. But
35:30
what about, there's a cognitive bias,
35:33
is it like rear view mirror bias
35:35
or something? I forget the name of
35:37
it, but it's essentially like the further
35:39
something gets from your memory, the more
35:41
we tend to paint that experience with
35:44
rose-colored hues. Yeah. You
35:47
know what I'm saying? Yeah, yeah. Right now,
35:49
remember how bad it was feeling so distended
35:51
and full last night, but a week from
35:53
now, I'm not gonna necessarily have remembered that.
35:56
Absolutely. Right? Yes. So that is
35:58
a very true phenomenon, and so it's really... important
36:00
to do two things. One is. Recency bias, is
36:02
that what it is? Yeah, yeah. It's
36:04
like a form of recency bias. Yeah, yeah. So
36:06
where you tend to remember the things more
36:08
vividly if they're recency bias. Yeah,
36:11
yeah, yeah. So as things get in the rear
36:13
view mirror, if we've only done
36:15
it a couple of times or we haven't
36:17
paid attention, or we kind
36:19
of conveniently forget, because our brain's like, oh, just remember
36:21
the good stuff, right? Then
36:24
it's gonna be harder to change. But
36:26
if we can really dial that in and
36:28
recall what it was like the last time,
36:30
really feel into it, not just like, oh,
36:32
that was great being at the steakhouse, but
36:35
like, oh, I felt like crap afterwards. Then
36:37
it makes it easier to bring that
36:40
recollection up the next time and then
36:42
predict, okay, how's this gonna be if
36:44
I do the same thing? The
36:46
way that I think about this is, if you,
36:49
in science, if you look at, if you've got a
36:51
data point that's an anomaly, but
36:53
you've done the same thing over and over and over again, your
36:56
brain's gonna be like, well, maybe that's an anomaly.
36:58
So I'm just gonna ignore it because it's not,
37:00
it's not what I'm used to. But
37:02
if you do it over and over and over,
37:04
suddenly that signal to noise ratio gets really
37:06
clear and you're like, oh, that's actually a true
37:09
signal. So if it's a
37:11
small difference, it takes a long time to
37:13
get that signal to noise ratio to be
37:15
good enough that you can trust it. But
37:17
if it's a big thing, for example, if
37:19
you got food poisoning at a certain restaurant,
37:22
that's like, okay, wow, that was real.
37:25
Suddenly you're gonna avoid that restaurant after one
37:27
use, right, after one meal. So
37:29
the magnitude of the effect
37:32
makes a difference. And we can actually, I
37:35
wouldn't say artificially, but we can amplify that
37:37
magnitude by paying attention. If we really pay
37:40
attention every time we do whatever it is,
37:43
those data are gonna be more solid and Bob is gonna
37:45
remember that more easily. Yeah, that makes a
37:47
ton of sense. Are there any, because
37:49
this is a lot of like internal work, any
37:52
external tools that might play
37:55
a supportive role, like journaling, for example.
37:58
Some people find journaling very helpful in
38:00
our programs. We have this online community where people
38:02
can keep journals. And so
38:05
for some people, that's really helpful. And what
38:07
that does is it helps
38:09
them articulate their experience. So
38:11
I'm glad you highlight that this is internal work
38:13
because really the key to change
38:15
here is internal work. It's
38:17
about being curious about what our
38:20
direct experience is. Journaling
38:22
can be very helpful talking to somebody, it's
38:24
like, oh, this is what I noticed. Like we talk
38:27
about your Brazilian steakhouse thing. You're gonna be able to
38:29
recall that more easily next time because we actually
38:31
talked about it, which actually brought that memory up
38:33
because you have to remember it. And like, what
38:35
did that really feel like to actually describe it
38:37
to me? Yeah, it's not often that I feel
38:39
like I've overeaten steak. But
38:42
last night, it was my brother's birthday, so we went
38:44
out and we did it pretty big. No
38:47
regrets. No, I do definitely regret
38:49
eating so much, but great place. Very
38:53
important. So, okay, let's circle
38:55
back and talk about when it comes to solidifying
38:58
a healthy habit. So like,
39:00
for example, a lot of
39:02
people, especially now as we get into the new year, are
39:05
gonna be probably really focused on
39:09
adopting healthier habits, like whether it's the
39:12
gym membership that they're signing up for or
39:14
a new fitness program.
39:16
How do we then encourage these
39:19
healthier habits and make
39:21
it more likely that we're gonna stick to them ultimately?
39:23
Good question. So this is where this third step comes
39:26
in, and we can actually use your gym example as
39:28
an example of that. So knowing
39:31
that our brain is going to
39:33
become disenchanted with old habits through
39:35
that negative prediction error, and by
39:37
simply paying attention and seeing that, you know,
39:39
eating three pieces of cake is not as good
39:41
as eating one, or overeating the steak just doesn't
39:44
feel very good, we can
39:46
then start to dial it back when it
39:48
comes to eating, where we
39:50
can see, oh, you know, like if I
39:52
stopped eating here, I would still enjoy the
39:54
steak, probably enjoy it more because
39:57
I'm not regretting it afterward. And
39:59
so, just not overindulging is already in
40:01
that third step category. I call this
40:04
finding the bigger better offer, right? And
40:06
so our brain is always looking for
40:08
that bigger better offer. It's like, okay,
40:10
if this isn't that great, give me
40:12
something better. And that better could
40:14
simply be not overindulging. It could be, you
40:16
know, for me, I started to pay attention
40:18
when I was eating gummy worms. I used
40:20
to be addicted to that. I remember that.
40:22
I remember that
40:25
the first time we tried it. So
40:27
it's like, if I pay attention
40:29
to eating over eating, or eating actually now
40:31
it's eating any gummy ones, my body's just
40:33
like, this is not
40:35
worth it. And then I go to natural sources
40:38
of sweetness, like blueberries, you
40:41
know, just no brainer, like my brain
40:43
would, it's highly prefers blueberries. So
40:45
whether it's not overindulging, whether it's finding
40:47
healthier alternatives, again, our body is very
40:49
wise, it's going to tell us, you
40:51
know, blueberries probably co evolved with us
40:53
to be this perfect mix of sweetness
40:55
and pop and sugar, you
40:58
know, like that, that fiber and sugar ratio
41:00
and all that. They're amazing and they're good
41:02
for your brain, right? So on top of
41:04
that. Yeah. So we that's when
41:06
it comes to eating, we can just pay attention,
41:08
you know, how much what am I eating? When am
41:11
I eating? Am I actually hungry or not
41:13
hungry? And that bigger, better offer comes in
41:15
all those flavors where it's like finding healthier
41:17
foods because are not because we should eat
41:19
them. But because our bodies like do that
41:21
was good, do that again, the amounts right
41:23
stopping when we're full. And then
41:26
also eating when we're
41:28
hungry and not eating when we're not hungry,
41:31
we can apply the same thing to say
41:33
going to the gym because well, let's if
41:35
I could interrogate you a little bit. Yeah.
41:38
What Why do you think you form the habit of going to the
41:40
gym? Well,
41:43
similar to the blueberry concept,
41:46
I might just generally feel like my
41:48
brain really benefits from it. My mental
41:50
health benefits from it. I
41:54
could be feeling lethargic, a
41:57
sense of mental cobwebs, anger.
42:00
I'm anxious, depressed, but
42:04
I feel like I'm a different person leaving the
42:06
gym than I am typically walking into it. Yeah,
42:09
it's a state change for me. Those
42:12
are the cognitive and mental benefits, but
42:14
then also from a physical standpoint, I
42:16
love the confidence that it gives me.
42:18
I love what it does to my
42:20
physique, consistent regular resistance training. Yeah,
42:25
there are a number of different reinforcement
42:27
aspects of it that are reinforcing. You
42:30
just described a beautiful example of finding those
42:32
bigger, better offers. If you compare
42:35
being sluggish, feeling out of
42:37
shape, mentally dull
42:39
to what you just described, it's a
42:42
no-brainer. For
42:44
you, I don't want to presume
42:46
your experience, but when you're feeling lethargic,
42:49
what motivates you to go to the gym? Yeah,
42:51
that is a good question because intuitively,
42:53
you might think that the gym would be
42:55
the last place that you want to go
42:57
to when you're feeling lethargic. Ironically, even though
42:59
you're expending energy in the gym, it's
43:02
one of the few areas where you
43:05
spend and in so doing, you actually
43:07
gain more. It's a really
43:09
odd thing. It is. When you
43:11
just recall the last time you go to the gym, how does
43:13
that feel? When
43:16
I recall the last time I went to the gym?
43:18
Well, the last time I went to the gym was
43:20
yesterday. I had an epic back workout. I had an
43:22
awesome pump as a result and
43:24
I destroyed my lats and
43:26
my biceps. I feel really good today. I
43:28
was going to say, you're smiling. I didn't even see it in your
43:30
eyes. Just recalling
43:33
that, you can just by—and I
43:35
say this for anybody that is struggling to motivate
43:37
themselves to find healthy habits—just recalling the last time
43:39
we did the healthy habit can be enough of
43:41
a kick in the pants in a good way.
43:43
It's not even a kick in the pants. It's
43:45
kind of like a tug. It's like, oh, come
43:47
on, this is fun. This is good. That's
43:51
that positive prediction error that says, hey, this is better.
43:53
Keep doing it. That's how we form
43:55
healthy habits. It's not through willpower. It's
43:57
not by telling ourselves, oh, it's January 1st. you
44:00
know, sign up for the gym that I'm again, not
44:02
gonna go to because I haven't set up, you know,
44:04
I haven't figured out how my brain works. Yeah. But
44:07
it's really about just dialing it in and asking,
44:09
well, what was it like? What's it like to feel like I'm
44:11
in shape? It feels pretty good. It
44:13
feels pretty good. Well, yeah, I think it's, cause, and
44:15
you've, you've had, I've obviously brought
44:17
awareness to that cause it's something that I genuinely
44:19
love, but take something really, you
44:22
know, seemingly mundane,
44:24
like just drinking a glass of water every
44:26
morning. Like to bring awareness to something that
44:28
you, I typically don't bring very much awareness
44:30
to. I just maybe out of, out
44:32
of habit, I do it, but
44:35
you know, it feels really good to hydrate
44:37
your body after eight hours of not
44:39
having a drink, right? Sleep is a
44:41
dehydrated event. So drinking that water
44:44
in the morning, well, it's really refreshing. And
44:46
I feel like I'm giving my body, you
44:48
know, the hydration that
44:51
it needs after such a long time.
44:53
And it's like a really primordial ancient
44:55
thing. We've, we've co-evolved all organisms require
44:57
water, right? And
44:59
so you're giving your body something
45:01
that it, that it evolved to
45:03
require and appreciate. And,
45:06
and I'm very grateful that I have, that
45:08
I now get delivered to my house before
45:10
I was reverse osmosis, purifying my water. But
45:13
now I get spring water from
45:15
like a super pristine source delivered in glass straight to
45:17
my house every week. And I get to drink that.
45:20
And I'm so grateful that I get to drink that.
45:22
So it's like, I don't normally think about that. Yeah. So
45:25
notice how you are describing paying attention
45:27
to what it's like when you rehydrate
45:30
in the morning. That's very
45:32
different than telling ourselves or watching some YouTube
45:34
video, like, oh, you should drink 32 ounces
45:36
or whatever, you know, like, and the number's
45:38
always changing. The bottom line
45:40
is drink water. It's good for you, right?
45:42
Not too much, not too little, right? That's
45:44
about, you know, I'm thinking Michael Pollan's
45:47
food, you know, food rolls that basically boil
45:49
down to like, don't eat too much. If
45:52
you can't pronounce it, don't eat it type of thing. Yeah.
45:55
So here with water, if you pay attention,
45:57
and I'm smiling because this is the same thing that I
45:59
do. It's like I feel thirsty in
46:01
the morning. That's unpleasant. I
46:03
drink some water and it's pleasant because
46:06
my body's like, oh, thank you. And
46:10
that's all you need is really that awareness
46:12
because that awareness will set the habit to
46:14
do it again in the future. Yeah,
46:18
it is a very interesting exercise to think
46:20
about where you, everybody
46:23
obviously has positive
46:25
things that they do every day, right? That
46:27
you can bring increased awareness
46:29
to and then
46:33
conversely, the thing that you want to integrate
46:35
as a new healthy habit and
46:37
to really kind of bring, cultivate awareness around
46:39
that as well. Yeah, totally. However mundane it
46:41
may seem. Yeah, and the
46:44
beauty of this is that it takes
46:46
one thing, awareness, right? First
46:48
step, map out the habit loop,
46:50
awareness. Second step, ask what
46:52
am I getting from this awareness? Third
46:55
step, notice how good it feels
46:57
to step out of the old habit and
46:59
into a new habit, awareness. There's
47:03
a lot of, there are many factors that are, I
47:06
think, that
47:08
are not super helpful when it comes to cultivating
47:10
greater awareness, right? Like our devices, we used
47:14
to allow our minds to wander, and
47:18
introspect, and now, whenever we're not
47:20
being stimulated, right? We're
47:26
almost like, we go into withdrawal from our
47:28
devices and from that stimulation. And
47:30
so that's a big problem, I think, like the
47:33
just the always on nature of our devices and
47:35
social media and the like. Yes,
47:38
and the good news is, if that's a
47:40
habit, we can break it in the same
47:42
way. Not to, there's all this hype
47:45
around, oh, I should just delete this or go
47:47
on a dopamine fast or stop
47:49
doing this. All of that
47:51
is divorced from our bodies. When
47:54
we do that, I say, okay,
47:56
how well did that work? That
47:59
was terrible. Yeah. And
48:01
then I went right back to it. We call
48:03
this the abstinence violation effect and addiction treatment, where
48:05
it's like, you've forced yourself
48:07
not to use substance, which could
48:09
include, you know, let's say social media.
48:12
And then our body's just like, I can't wait, I can't wait,
48:14
I can't wait. And then as soon as we slip up, you
48:17
know, it's like off
48:20
to the races, you know, that we're
48:22
like, okay, back to the old habit and
48:24
then some, because our body's like, oh, I
48:26
want more of this, I want more. Because,
48:28
you know, we crave what we can't have.
48:31
Is there any data on how many
48:33
times someone must do something
48:36
before it becomes hardwired as a habit? It's
48:39
a really good question. Here,
48:41
there's a lot of mythology
48:43
on the internet about that. What's the
48:45
one that you've heard the most? I'm just curious. How
48:49
long it takes to form a new habit or break
48:51
a bad habit? Form a new habit, yeah. You know,
48:53
a number, a specific number doesn't come
48:55
to mind, but there was like an oddly
48:57
specific number, I feel like, associated with it.
48:59
The last time I looked into the lore
49:01
surrounding that. Yeah, I think the greatest lore
49:03
out there, and this is all these algorithmically
49:05
derived things where it's like, oh, if something's
49:07
at the top, it's gonna stay at the
49:09
top because it's at the top, not because
49:11
it's true. Yeah. So the one that
49:13
I've seen the most is 21 days, right? 21
49:17
was on the tip of my tongue, but I don't want it. Interesting. That's
49:20
it. So that is based on a plastic
49:22
surgeon who wrote a book in the
49:24
1960s who just
49:26
offhandedly talked about how long it took his
49:28
patients to get used to their new nose
49:30
jobs. Interesting.
49:34
So, not exactly scientific. So odd,
49:36
yeah, that that would then be connected to like,
49:39
habit formation. Yeah, well, three weeks is just
49:41
a nice number. And then you say it
49:43
a couple of times on the internet and
49:46
then people reference it and then suddenly it
49:48
blows up and that becomes the truth, the
49:50
ground truth. It's like Malcolm Gladwell's 10,000 Hours
49:52
of Mastery, right? There's no science there. But
49:55
it's a good book. Yeah, it's a great book. I
49:57
love Malcolm Gladwell, no shade. Do
50:00
you think heuristics like that are
50:02
helpful or hurtful? I
50:05
don't think, well anything that's not accurate
50:08
that might actually send somebody in the
50:10
wrong direction is not gonna be helpful.
50:13
So think of it as somebody's like, well 21 days,
50:15
why didn't it work? Is there something wrong with
50:17
me? And they start blaming themselves. It's kind of
50:19
like the calories in, calories out thing. Oh, I
50:21
can't stick to it. I need more willpower. There's
50:23
something wrong with me. So
50:26
it's detrimental in that respect. And
50:29
then people aren't seeking the truth
50:33
and they're just blaming themselves and thinking they
50:35
should work harder. So it's, I
50:37
mean, I'm also a scientist. Like I wanna know
50:39
the truth. I wanna help the truth get out
50:42
there. And I want the truth to help people
50:44
change their lives. And so if
50:46
we know, hey, the truth
50:48
is, and
50:51
this was in our study where it took 10 to 15 times.
50:54
So the more
50:56
you pay attention, let me back up
50:58
and say, there are a huge number
51:01
of variables that affect this. So somebody's
51:03
genes, somebody's environment, somebody's upbringing, socioeconomic
51:05
status, all this stuff affects whether
51:07
somebody's gonna be able to break a bad habit,
51:10
form a new habit, right? Availability,
51:12
all these things. So it's very variable
51:14
depending on the person. And
51:16
if you look at it, what the
51:19
most constant thing is, the more we
51:21
pay attention to how rewarding a helpful
51:23
habit is and to how unrewarding an
51:25
unhelpful habit is, the faster we're gonna
51:27
make that change. Interesting. So the greater
51:29
the degree of awareness that we're able
51:31
to bring to it, the more, I
51:33
guess, the faster we'll
51:35
be able to cement that habit as a
51:37
habit. Yeah, it's like that signal to noise
51:39
ratio thing. You're getting that clear difference where
51:41
your brain's saying, okay, this is unambiguous. I
51:43
know this is really, this feels good. It's
51:45
like you talking about drinking water, going to
51:48
the gym. You smile when you talk about
51:50
it, right? Because you can get that feeling
51:52
so easily because you've logged
51:54
that so many times. Yeah, I
51:56
can literally transport myself back to like
51:58
the, just after the workout. workout yesterday
52:00
when I was like, man,
52:02
I really hit like every major
52:05
muscle group of my posterior chain,
52:08
upper body. And
52:10
I just felt really good. And then how good
52:12
I felt afterwards eating like a really
52:15
high protein lunch and to
52:17
cement those to lock those gains in even
52:19
though we know that, you know, there's
52:21
really no such thing as an anabolic window or at
52:24
least it's a lot less important than it had been
52:26
considered in the past. Yes, I really like
52:28
that whole like thing. I
52:31
love the whole routine of waking up in the morning, drinking
52:34
water, having a coffee, eating some like,
52:36
you know, combination of protein carbs, getting
52:38
an amazing workout in and
52:40
then afterwards hitting like lunch for a
52:42
really healthy, high protein fiber
52:45
rich lunch. Yeah, I totally get it.
52:47
Yeah, it's like the best way to I feel like
52:49
I'm on top of the world. Yeah, yeah. So
52:51
great. I'm a man of simple needs, you
52:53
know? Well, I think we all are and we make
52:55
life more complex than it needs to be. Totally.
52:59
I mean, God, your lips to God's ears. So
53:01
true. Why do we do that? What's
53:04
the neuroscience underpinning that? Well, I'll give you
53:06
some more baseless speculations from the BS. So
53:08
here, I think when something
53:10
so we if if something
53:13
works and we don't know how it
53:15
works, we start to fall into this
53:17
correlation equals causation fallacy where our brains
53:19
like, oh, I did that. That
53:21
must have caused it. And then we do it again
53:23
and it doesn't work. And our brain goes into a
53:25
tailspin and says, well, that's supposed to work. Why didn't
53:27
it work? And it says, well, maybe I'll add this
53:29
on or maybe I'll do something slightly differently. And
53:32
so we're constantly chasing our tail running
53:34
around in life, trying to
53:36
do things that are going to stick, that
53:38
are going to be consistent. Our brain loves
53:40
consistency. And so we
53:42
make life complex because we haven't figured
53:45
out how simple life actually
53:47
is. So I think one way to put
53:49
that is if we
53:51
don't know how brains work, we can't work with our
53:53
brains. Once we know how our brains
53:55
work, we can not only work with our brains, but we
53:58
can put our brains to work for us. And
54:00
then we start to see that everything
54:02
becomes simpler and simpler and simpler because
54:04
we're not doing eight things to make
54:06
us happy or make us feel content
54:08
and fulfilled. We're seeing very clearly what's
54:11
doing it and we're repeating that over and over. And
54:13
then it's like, oh yeah, of course I'm gonna do
54:15
this. You don't have to
54:17
go and try to figure out how to
54:19
find happiness. It's actually chasing us. We're
54:22
just not paying attention. Happiness is chasing
54:24
us. Yeah. So true. It's
54:27
an act. You
54:30
literally have to be
54:33
open to receiving happiness. You do. I
54:35
like how you put that, for sure. Wow. Let's
54:38
talk a little bit about nicotine because you've
54:41
done all these interesting studies with regard to smoking and this
54:43
is something that I've
54:46
been dabbling with, low
54:48
dose nicotine. Okay. And
54:51
I find I subjectively feel like I have
54:53
a pretty noticeable cognitive benefit from it.
54:55
I haven't taken any today and I try not to do
54:58
it every day, which is
55:00
fairly easy to me. I don't have an addictive personality
55:02
or anything like that. But
55:05
I do notice that when I take low dose, like
55:07
a three milligram knick-knack tab, which is one of these,
55:09
I have no affiliation,
55:12
but they send me them and I
55:14
find them to be really helpful. Most
55:18
noticeably with regard to verbal fluency for me,
55:20
which is something that I already feel like
55:23
I have a good, I mean, I'm a
55:25
professional communicator. I've gone on my whole
55:27
career at this point. I've been on TV and whatever,
55:29
but when I take a little bit, like a low
55:31
dose of it, I feel like it's a, yeah,
55:34
it just has a really powerful nootropic effect. Well,
55:37
it makes sense. I mean, the physiology
55:39
of nicotine, their nicotinic receptors, their subunits
55:42
of these receptors that are all worked
55:44
out, this acetylcholine system that
55:46
affects the dopamine system. So
55:49
that physiology has been worked out and
55:52
it's a nicotine is a stimulant.
55:54
So too much of a
55:56
stimulants, you know, you get the jitters, you know,
55:58
things can go. but
56:01
maybe a little bit as you're highlighting, you're
56:03
probably tickling those pathways and you're probably dialing
56:05
it in yourself for how much is helpful
56:08
for you. And so
56:10
you're gonna get those benefits because it's
56:12
going literally right to your brain and
56:15
it's doing what it's, there
56:17
are these nicotinic acetylcholine receptors in your
56:19
brain that are getting fired and then
56:21
it's affecting the downstream physiology. So it
56:23
makes a lot of sense. Yeah, and
56:25
speaking about habits, it is highly addictive.
56:27
So I'm not recommending that y'all go
56:29
out and
56:31
follow suit, but it's, at least from
56:34
my, the, you know, I haven't,
56:38
I've done a very cursory look into
56:40
the literature on nicotine and it's hard
56:42
to parse the health effects that
56:46
are derived from nicotine from the
56:48
obviously very negative health effects of smoking.
56:50
Right. Do we, do you, are you aware
56:53
of any data on that? Like, is it killing
56:55
me or is it, you know, because there is also
56:57
some thinking that nicotine by itself, in and of itself
56:59
is a, like a neuro, potentially
57:02
neuroprotective compound. Yes, I, and I'm not
57:04
an expert here, but you're highlighting a
57:06
couple of important things. One is with
57:08
cigarettes, it's really hard to separate out
57:10
the nicotine from the 5,000 other chemicals
57:12
in a cigarette. And most of those
57:14
are not good for you, right? So
57:16
that's pretty, that's been clear for decades.
57:19
So when people can now isolate and deliver
57:21
nicotine in a very clean way, they can
57:23
start to study this more carefully and
57:26
get better data. I
57:29
haven't seen any definitive studies and
57:31
I, one way or the
57:33
other, but I haven't, I've certainly haven't seen anything
57:35
that's like, oh, any amount of nicotine is bad.
57:37
Like if you look at the alcohol studies, it's
57:39
really interesting. Now more and
57:41
more we're seeing consistent studies suggesting like
57:43
no level of alcohol is good for
57:45
us. Right. From a physiologic
57:47
standpoint, I mean, so sociologically and things
57:49
like that, you know, it's more
57:51
nuanced than that. For somebody who's met some people
57:53
for their mental health, you
57:56
know, and again, as an addiction, I'm not
57:58
recommending it, but just as. As an example,
58:01
alcohol is pretty definitive, at least right
58:03
now, science always changes, it's the nature
58:05
of science, but I don't
58:08
think that's gonna get reversed just with
58:10
the sheer volume of studies out there.
58:12
I don't think there are enough studies on nicotine, and
58:16
it's a little harder to do those studies because
58:18
so many people drink alcohol, you can
58:20
actually do large scale studies, whereas
58:22
fewer and fewer people are smoking, and
58:25
very, very few people are actually
58:27
taking something as clean as a
58:29
nicotine tablet because vaping also, it's
58:32
unclear what the health
58:34
risks of vaping are, just because even though
58:36
it's been around a while, it's still new
58:39
enough that we don't know, hey,
58:41
what are gonna be the long-term effects on
58:43
somebody's lungs when they're taking this superheated, steam-type
58:45
thing with this changed nicotine compound, because
58:47
they have to change it a bit
58:49
to get it to aerosolized and all
58:51
that. What are the long-term effects
58:54
of that going into your lungs? I
58:56
don't wanna be one of the people 20 years down the road
58:58
and be like, oh, I shouldn't have been vaping. Certainly
59:01
probably better than smoking cigarettes, but
59:04
ultimately, I love to see my patients off
59:06
of cigarettes and then off of the vaping,
59:08
if they're using vaping as a transition. Yeah,
59:11
no, it makes total sense. I can't wait. I
59:13
hope those studies ultimately come
59:15
out. Nicotine is also not a
59:17
compound that can be
59:19
patented as far as I know, so
59:22
there's not a ton of money, probably
59:24
in just studying that one isolated compound.
59:27
Yeah, it's a good point. You follow the money and people
59:29
are like, eh, I can't make money out of it, I'm
59:31
not gonna. Yeah, yeah, I mean,
59:33
and I do know that even isolated nicotine,
59:35
like it can increase your blood pressure. It's
59:37
not something that you wanna mess with if
59:40
you have preexisting hypertension or anything like that.
59:42
It is a stimulant, yeah. It is a
59:44
stimulant, yeah. But
59:47
I think I have, at this point, like I've cultivated
59:49
a pretty healthy relationship with it. I definitely don't do
59:52
it every day, but I
59:54
have noticed some benefits from it, so. Very,
59:56
very interesting stuff. So who did you
59:58
write the hunger habit for? such an important
1:00:00
book and it's a bit of a departure from
1:00:02
your previous books, right, which are purely focused on
1:00:04
mental health. This is more about getting our, like
1:00:10
nutrition under control, which is I think such
1:00:12
an important topic. It's an important issue. Yes,
1:00:14
well, one, I think we often divorce our
1:00:16
mind and our body and so we're like,
1:00:18
oh, mental health, oh, physical health, it's
1:00:21
really just one human, and
1:00:24
the mental affects the physical, the physical affects the
1:00:26
mental. So even if
1:00:28
you just look at it this way, this food-mood relationship,
1:00:30
where if you eat crap, you feel like crap, or
1:00:32
if you feel like crap, then you're drawn to eat
1:00:34
crap because you're in the habit of doing that. So
1:00:37
it's really hard to separate out the mental
1:00:39
and behavioral health aspects of things. So
1:00:42
that being said, with eating, to
1:00:46
me, eating is
1:00:48
both a physical and a mental thing.
1:00:51
Where in terms of affecting our physical health and
1:00:53
affecting our mental health. And I
1:00:55
think as I mentioned earlier, I kind of
1:00:57
stumbled into this field as
1:01:00
an addiction psychiatrist was focusing on first
1:01:02
alcohol, cocaine use disorder, then nicotine with
1:01:05
cigarettes, and then people
1:01:07
were saying, hey, could you help me change my
1:01:09
eating habits? And so stumbled into
1:01:12
this and realized, hey, we have this clinical
1:01:14
obesity epidemic, and all the
1:01:17
things I've learned in medical school aren't helping people
1:01:19
because it's getting worse, could we apply this
1:01:21
to eating? And so
1:01:23
I wrote it basically for anybody
1:01:25
that has an unhealthy relationship with
1:01:27
eating. And
1:01:29
that's why I call it the hunger habit because it's like
1:01:31
we can be habitually overeating, we
1:01:34
could be stuffing down our emotions with eating, we
1:01:37
could be eating mindlessly. There
1:01:39
are all these different ways that it just becomes habitual.
1:01:42
So I wrote that basically for
1:01:44
anybody that is not aware when
1:01:47
they're eating. Yeah,
1:01:49
it's very crucial
1:01:51
to put the spotlight on mindset
1:01:55
and because that is really the most important.
1:01:58
That mind pump, which is a huge. fitness
1:02:00
podcast And we
1:02:02
we collab a lot. We're good. We're super close
1:02:04
friends That's something that they always
1:02:07
bring up is the fact that you can't
1:02:09
change somebody's behavior in a way that is
1:02:11
enduring Without without
1:02:14
tackling the mindset first. Absolutely Understand
1:02:16
agree. Yeah, it's super important. Well, I love
1:02:18
it, man Thanks for coming in and thanks
1:02:21
for sharing your your brilliant insights and knowledge
1:02:23
and wisdom with us Where can
1:02:25
people connect with you on social media and we're gonna pick up the book? So
1:02:28
my website is probably an easy place
1:02:30
dr. Judd comm do JD comm I'm
1:02:33
on Instagram dr. Period JUD on
1:02:35
formerly known as Twitter now X Judd
1:02:40
But Instagram probably the easiest place and
1:02:42
and my website dr. Judd comm and
1:02:44
you can pick up the book I want to
1:02:46
support independent bookstore. So on my website, there are
1:02:48
a bunch of independent bookstores listed But of course
1:02:50
they can get it at the behemoth like Amazon
1:02:52
and others love it. Love it So if you're
1:02:55
out there trying to change your your Unhealthy
1:02:57
dietary habits definitely check out the
1:03:00
hunger habit It's
1:03:02
awesome. And you're the guy to have written it.
1:03:04
So thanks for doing that. Yeah, my pleasure and
1:03:06
thanks for coming in Thanks guys for listening Share
1:03:08
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1:03:11
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1:03:13
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1:03:15
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