Pathophysiology of Obesity, Part 6 - The Gut-Brain Conversation episode artwork

EPISODE · Mar 31, 2026 · 4 MIN

Pathophysiology of Obesity, Part 6 - The Gut-Brain Conversation

from Weight and Metabolism · host Dr Deepti Sharma, MD

Our gut constantly talks to our brain through a symphony of hormones that control hunger, fullness, and energy balance. Some hormones rev up appetite, while others apply the brakes.In this episode, we explore the key players: ghrelin (the hunger hormone), GLP-1, GIP, PYY, and other satiety hormones that tell your brain when to stop eating. We also talk about the pancreatic hormones like glucagon, amylin, and insulin that regulate blood sugar and fat storage.For the first time in history, we have medications like Ozempic, Mounjaro, Wegovy, and Zepbound that harness these gut-brain pathways. They work by reducing hunger, slowing digestion, and improving insulin sensitivity, reshaping the landscape of obesity and diabetes management.The bottom line: weight regulation isn't about willpower or calories in, calories out. It's a complex biological dialogue between your gut, pancreas, and brain. And now we finally have tools that can tip the balance in favor of satiety.🌐 Learn more at weightandmetabolism.com

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Pathophysiology of Obesity, Part 6 - The Gut-Brain Conversation

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