{"id":7893,"date":"2016-09-12T06:56:30","date_gmt":"2016-09-12T11:56:30","guid":{"rendered":"https:\/\/wholehealthchicago.com\/?p=7893"},"modified":"2021-08-11T01:56:35","modified_gmt":"2021-08-11T06:56:35","slug":"new-hope-binge-eaters","status":"publish","type":"post","link":"https:\/\/wholehealthchicago.com\/blog\/2016\/09\/12\/new-hope-binge-eaters","title":{"rendered":"New Hope for Binge Eaters"},"content":{"rendered":"\n<p>That box of chocolate chip cookies you never should have purchased in the first place is sitting there on your kitchen table, luring you, taunting. Your period is due in two or three days and you feel grumpy, depressed, bloated.<\/p>\n\n\n\n<p>You\u2019re agonizing. \u201cJust a\u2026couple\/two, three at the most\u201d you think, knowing you\u2019ll actually feel emotionally and physically better in a few minutes. And suddenly, half the box is gone. Horrified and ashamed, you put the box out of sight. But the next day, after a blow-up with a co-worker, it crosses your mind that at least you\u2019ve got the cookies at home. And maybe you can do better at the health club next week.<\/p>\n\n\n\n<p>If you\u2019re like most people who have binge eating tendencies, you tell virtually no one, including your physician or psychotherapist. For this reason, an accurate estimate of people struggling with binge eating isn\u2019t known. Since most binge eaters are overweight and <a href=\"https:\/\/win.niddk.nih.gov\/statistics\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">currently almost 70% of US citizens are either overweight or obese<\/a>, we can safely guess the number of binge eaters is (sorry for this) huge.<\/p>\n\n\n\n<p>A group of characteristics separates binge eating from plain old unhealthful overeating. If any of these sound familiar, you may have some binge tendencies.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Frequent episodes of eating what others would consider an abnormally large amount of food, like half a box of cookies or a whole container of Ben and Jerry\u2019s.<\/li><li>Often feeling you\u2019re unable to control what or how much you\u2019re eating.<\/li><li>Eating much faster than usual.<\/li><li>Eating until you\u2019re uncomfortably full.<\/li><li>Eating a large amount of food, even when you\u2019re not actually hungry.<\/li><li>Eating alone because you\u2019re embarrassed by the quantity of food you\u2019re eating.<\/li><li>Feelings of disgust, depression, or guilt after overeating.<\/li><li>Fluctuations in weight.<\/li><li>Feelings of low self-esteem.<\/li><li>Loss of sexual desire.<\/li><li>Frequent dieting.<\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Self-medicating with food<\/strong><\/h3>\n\n\n\n<p>Over the past few years, researchers in the field began to understand that binge eaters basically use food to self-medicate the symptoms of anxiety and depression. With this knowledge, treatment was aimed at solving the depression and anxiety, rather than using appetite suppressants to quell cravings.<\/p>\n\n\n\n<p>What seemed most logical was a combination of psychotherapy, especially cognitive behavioral therapy (CBT) along with an antidepressant to increase the stress-buffering neurotransmitter serotonin.<\/p>\n\n\n\n<p>CBT, when you find a therapist trained in it, is helpful. But the SSRI antidepressants (like Prozac, Lexapro, and Zoloft) often carry weight gain as a side effect, so something in this drug treatment was missing.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Enter glutamate<\/strong><\/h3>\n\n\n\n<p>The newest research takes a hard look at a second brain chemical called glutamate. It\u2019s classified as an \u201cexcitatory\u201d neurotransmitter, since a certain amount of glutamate is needed for mental focus and concentration. Not having enough glutamate (or having a problem with the glutamate receptors in your brain so that the amount you do have doesn\u2019t work as well as it should) is linked to such apparently unrelated conditions as adult attention deficit disorder, Parkinson\u2019s disease, multiple sclerosis, and addictive behaviors.<\/p>\n\n\n\n<p>Having too much glutamate isn\u2019t good either. Again, the conditions seem unrelated and will remain so until we can uncover more. Fibromyalgia, familial tremor, and autism are all associated with excessive glutamine mechanisms.<\/p>\n\n\n\n<p>The prescription drug <a href=\"https:\/\/en.wikipedia.org\/wiki\/Acamprosate\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Campral (acamprosate)<\/a> is FDA-approved for alcohol addiction and works by raising glutamate levels in the brain. Psychiatrists are virtually the only prescribers of Campral, and some also prescribe it \u201coff-label\u201d for patients with serious binge-eating disorders. If you click through you\u2019ll see that, as with virtually any <a href=\"https:\/\/wholehealthchicago.com\/blog\/2019\/12\/09\/ten-drugs-doctors-should-consider-de-prescribing-2\" target=\"_blank\" rel=\"noreferrer noopener\">prescription drug<\/a>, Campral comes with side effects.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Boost glutamate without taking meds<\/strong><\/h3>\n\n\n\n<p>There are also non-prescription ways to gently raise your brain\u2019s glutamate level, and while research is limited, the results are promising:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>L-Glutamine<\/strong> is an amino acid that increases levels of glutamate and is especially useful for sugar and alcohol cravings. <a href=\"https:\/\/www.drweil.com\/drw\/u\/ART03108\/Alcoholism.html\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Dr. Andrew Weil\u2019s website<\/a> points out that glutamine has been used for alcohol cravings since the 1950s. The usual dose is 500 mg three times daily. <a href=\"https:\/\/store.wholehealthchicago.com\/shop\/glutagenics\/\" target=\"_blank\" rel=\"noreferrer noopener\">It\u2019s available in our apothecary<\/a>.<\/li><li><strong>N-acetyl cysteine<\/strong> is an amino acid that works in the body as a precursor for the antioxidant glutathione. It seems to act by balancing out glutamate levels, and it\u2019s currently used by nutritionally oriented psychiatrists as an add-on to prescription meds for obsessive-compulsive disorder (OCD). Binge eating really can be viewed as one of the OCDs. The most interesting recent use of N-acetyl cysteine <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/19581567\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">is for trichotillomania<\/a>, an OCD condition in which the patient obsessively plucks out her hair. The usual dose for obsessive behavior is 1,200 mg twice daily. <a href=\"https:\/\/store.wholehealthchicago.com\/shop\/nac\/\" target=\"_blank\" rel=\"noreferrer noopener\">Find it here<\/a>.<\/li><li><strong>Black cohosh<\/strong> is a popular herb for the low estrogen that occurs before and during menopause. It\u2019s also known by herbalists to reduce food cravings. Recent research has shown that women with low levels of estrogen at any time in their lives have more issues with binge eating than the rest of the population. If you\u2019re having menstrual cycles, signs of low estrogen include scanty or irregular periods and mood issues during your PMS week. One recently published study using mice found that a form of estrogen that went directly to the serotonin receptors in the brain produced a drop in binge-eating behavior. You might be thinking you\u2019re not a mouse, but in fact biochemically the mouse brain is spookily very much like our own. The researchers expressed reluctance to prescribe estrogen as a long-term treatment for binge eating because of its side effects, but this study does shed light on just why the estrogen-like herb black cohosh helps reduce food cravings and binge eating. The usual dose of <a href=\"https:\/\/store.wholehealthchicago.com\/shop\/black-cohosh\/\" target=\"_blank\" rel=\"noreferrer noopener\">black cohosh is one capsule daily<\/a>.<\/li><li><strong>The acupuncture and herbs of Traditional Chinese Medicine<\/strong> have long been proven helpful for virtually any addictive or compulsive behavior, including binge eating and tobacco or alcohol addiction. When conventional Western scientists attempt to uncover how these therapies work, neurotransmitter adjustments are the common denominator.<\/li><\/ul>\n\n\n\n<p>I think you\u2019ll agree that what\u2019s happening behind the scenes with your binge eating tendencies is a lot more complicated than you may have considered. Just realize there\u2019s hope. If you\u2019ve got an issue with binge eating that you\u2019ve been reluctant to confront, consider scheduling with us at WholeHealth Chicago. We\u2019ve got three\u00a0Cognitive Behavior Therapists (<a href=\"https:\/\/wholehealthchicago.com\/about\/janet-chandler\/\" target=\"_blank\" rel=\"noopener\">Dr.\u00a0Janet Chandler<\/a>,\u00a0Dr.\u00a0Meghan Roekle\u00a0and Karen Fayden, LCSW), three nutritionists (Marla Feingold, Seanna Tully, and Marcy Kirshenbaum), and three practitioners of Traditional Chinese Medicine (<a href=\"https:\/\/wholehealthchicago.com\/about\/mari-stecker\/\" target=\"_blank\" rel=\"noopener\">Mari Stecker<\/a>, Cindy Kudelka, and Helen Strietelmeier).<\/p>\n\n\n\n<p>Be well,<br><em>David Edelberg, MD<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>That box of chocolate chip cookies you never should have purchased in the first place is sitting there on your kitchen table, luring you, taunting. Your period is due in two or three days and you feel grumpy, depressed, bloated. You\u2019re agonizing. \u201cJust a\u2026couple\/two, three at the most\u201d you think, knowing you\u2019ll actually feel emotionally [&hellip;]<\/p>\n","protected":false},"author":2087,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[112,2,3,34,90,43],"tags":[142,1904,1663,1722,1664,348,1905,1906,1907,1062,1051],"class_list":["post-7893","post","type-post","status-publish","format-standard","hentry","category-acupuncturetraditional-chinese-medicine","category-blog","category-knowledge-base","category-mental-health","category-n","category-nutrition-nutritional-supplements-vitamins-herbal-remedies","tag-acupuncture","tag-binge","tag-binge-eaters","tag-cbt","tag-cognitive-behavior-therapy","tag-diet","tag-eating","tag-eating-disorder","tag-glutamate","tag-healthy-eating","tag-overeating"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.9 - 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