The Real Reason You Crave Sugar

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Hosted by:

Vickie Petz Kasper, M.D.

American Board of Lifestyle Medicine Diplomate

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The Real Reason You Crave Sugar (It’s Not Willpower)

Why do sugar cravings hit hardest at night—when you’re tired, stressed, and just trying to relax?
Spoiler alert: it’s not a lack of discipline. It’s neuroscience.

In this episode of Healthy Looks Great on You, Dr. Vickie takes you to mini medical school to explain what’s really happening in your brain when cravings take over. We break down the role of the prefrontal cortex (your brain’s CEO), dopamine, and blood sugar—and why willpower is wildly overrated when stress, poor sleep, and hunger shut the system down.

In this episode, you’ll learn:

  • Why cravings are a brain chemistry issue, not a character flaw

  • How dopamine drives motivation, pleasure, and addictive eating patterns

  • Why sugar delivers an immediate dopamine spike—and what happens next

  • How blood sugar crashes trigger stronger cravings and “urgent” hunger

  • The connection between excess sugar, brain fog, mood changes, and long-term brain health

  • How to support dopamine without sugar using lifestyle medicine strategies

  • Why sleep, stress regulation, and nourishment matter more than self-control

We also explore why chronic high sugar intake is linked to insulin resistance, cognitive decline, anxiety, depression, and metabolic disease—and why protecting your brain now matters for decades to come.

Cravings aren’t about vanity—they’re about brain health.

This episode reframes cravings from shame to science and offers practical, evidence-based ways to regulate your brain and blood sugar without restriction, guilt, or white-knuckling.

Want support beyond the episode?

Dr. Vickie shares details about The Lab, her private community where February is focused on conquering cravings using a simple framework:
Regulate. Replace. Retrain.
No willpower. No shame. Just science.

Because when the pantry calls your name, it’s not you—it’s neuroscience.
And healthy looks great on you.

HEALTHY LOOKS GREAT ON YOU – the LAB

Interview with Dr. Anna Lembke, author of Dopamine Nation

Fruits, veggies and stethescope

Healthy Looks Great on You The LAB

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