Weight Loss Surgery Learning Library

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Featured Article

Head Hunger: Fact or Fiction?
by Kaye Bailey

Spend time listening to the talk among weight loss surgery patients and you're bound to hear the expression "head hunger." It's a popular term to describe a mental craving for food versus a physical hunger. Patients who regain weight and are not compliant with the dietary rules established by their bariatric centers often claim the head hunger was too powerful and forced them to eat foods known to cause weight gain or known to slow weight loss. Foods such as pretzels, chips, sweets, pastas and baked goods are against the rules of weight loss surgery, yet these are the foods patients eat when suffering from head hunger.

The nature of the gastric bypass or lap-band weight loss surgery reduces physical appetite during the initial months following weight loss surgery. Most patients report a complete loss of physical appetite which of course is one of the components that makes weight loss surgery successful.

So why are so many patients regaining weight or stalling before reaching their weight loss goal? Head hunger. It seems to be the loophole that enables a patient to break the rules and not take responsibility for non-compliance.

While I understand there is an emotional attachment to food I also say using the head hunger loophole is self-defeating and unnecessary. Successful patients do not use the term nor do they indulge "head hunger."

Prior to WLS patients had another kind of “Head Hunger”– head hunger to lose weight, to be healthier, to be more attractive. That head hunger was so extreme nights were spent lying awake plotting the next argument to the insurance company, defending their personal obesity crisis and fighting for this miracle of modern medicine. Head hunger? THAT was head hunger.

It seems counterintuitive that patients who fought so hard for to have WLS now want to say “Oh, I’m so hungry for chocolate cake or Alfredo sauce or XYZ, just this once it’s ok – I deserve one little treat!” This thinking is exactly what got us to morbid obesity in the first place! I say, forget about food head hunger – do not indulge it for one minute. Instead focus head hunger on the lighter, more attractive more confident person you fought to become. The chocolate cake is nothing, it has no power. Forget about it, it just doesn’t matter anymore.

Think you have head hunger? Fill out the LivingAfterWLS Self-Assessment worksheet to remind yourself what you are hungry for!

Download the LivingAfterWLS Self-Assessment Worksheet