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Harvard Doctor Reveals Why You Have Cravings and How to Stop Them | The Mel Robbins Podcast

Order your copy of The Let Them Theory 👉 https://melrob.co/let-them-theory 👈 The #1 Best Selling Book of 2025 🔥 Discover how much power you truly have. It all begins with two simple words. Let Them. — Why do you always crave dessert after dinner? Or a snack mid-afternoon? Today we’re digging into the science of cravings: - Why you have them - How to tell the difference between a craving and actual hunger - How to eat your way to better health and a happier life. Dr. Amy Shah (@dr.confidentialwithdr.amys7371) is a double-board certified medical doctor with training from Cornell, Harvard, and Columbia Universities and an expert on intermittent fasting, hormones, and food cravings. In today’s episode, you will learn: - When to drink coffee in the morning so you stay energized all day - How cravings relate to dopamine and how to curb them so they never come back - Why your sugar cravings are so strong and how to stop them - The truth about probiotics and which ones your body needs right now - What ghrelin and leptin are and why they are the secrets to a healthy metabolism - The shocking research that compares antidepressants to food and exercise - How to stop overeating Our bodies are complicated, but your health doesn’t have to be. Let Dr. Amy empower you to live a more vibrant, fulfilled, and energized life. You will also learn: 00:00 Intro 03:31 So what’s the difference between hunger and cravings? 07:27 Many of our poor food choices are not our fault. 19:34 So how do we fix our eating habits if we’re not always in control? 22:39 Food and exercise are more effective than drugs for anxiety and depression?! 25:01 So what are some of the foods that will boost natural hormones? 29:58 Drinking enough water during the day makes you eat less. 39:22 Here’s what food companies know about dopamine. 41:31 Do this when you want to stop overeating. 45:45 Why does dopamine work better when you reward yourself at random times? 49:23 Here’s how your gut and your brain talk to each other and what that means. 51:48 What exactly is the relationship between food and bacteria? 58:55 The #1 probiotic that you should be adding to your days. 01:02:39 How the hell do you get rid of your sugar cravings? 1:10:55 Do you get enough sleep? Here’s why that matters. 1:14:36 Why you should wait 45 minutes before you drink your coffee. 1:18:04 This is what Dr. Amy thinks about intermittent fasting and how she does it. — Follow Mel: Instagram: https://www.instagram.com/melrobbins/ TikTok: http://tiktok.com/@melrobbins Facebook: https://www.facebook.com/melrobbins LinkedIn: https://www.linkedin.com/in/melrobbins Website: http://melrobbins.com​ — Sign up for Mel’s newsletter: https://melrob.co/sign-up-newsletter A note from Mel to you, twice a week, sharing simple, practical ways to build the life you want. — Subscribe to Mel’s channel here: https://www.youtube.com/melrobbins​?sub_confirmation=1 — Listen to The Mel Robbins Podcast 🎧 New episodes drop every Monday & Thursday! https://melrob.co/spotify https://melrob.co/applepodcasts https://melrob.co/amazonmusic — Looking for Mel’s books on Amazon? Find them here: The Let Them Theory: https://amzn.to/3IQ21Oe The Let Them Theory Audiobook: https://amzn.to/413SObp The High 5 Habit: https://amzn.to/3fMvfPQ The 5 Second Rule: https://amzn.to/4l54fah

Mel RobbinshostDr. Amy Shahguest
Jun 22, 20231h 25mWatch on YouTube ↗

CHAPTERS

  1. 0:03 – 3:19

    Why cravings feel irresistible: Mel’s 2pm chip habit and the science roadmap

    Mel sets up the episode’s core problem: feeling “out of control” around certain foods despite good intentions. She introduces Dr. Amy Shah and frames the conversation around cravings, hunger, hormones, and brain chemistry—especially dopamine.

    • Mel’s daily 2pm craving example (truffle chips)
    • Emotional eating and post-dinner dessert urges as a common pattern
    • Promise of a science-based explanation (not willpower)
    • Dr. Amy Shah’s credentials and book premise
  2. 3:19 – 6:52

    Hunger vs cravings vs appetite: three different systems in your body

    Dr. Shah distinguishes hunger (nutrient need) from cravings (dopamine-driven wanting) and appetite (overall interest in food). She explains ghrelin’s cyclical nature and why hunger signals can be strong at predictable times without being an emergency.

    • Cravings: wanting dessert when you’re already full
    • Cravings share pathways with addictive behaviors (dopamine)
    • Hunger: survival-driven nutrient need; ghrelin cycles
    • Appetite dampens when you’re sick; interest in food drops
  3. 6:52 – 10:55

    “It’s not your fault”: ultra-processed foods and the ‘Miami dopamine’ effect

    Dr. Shah argues many poor food choices are engineered outcomes, not moral failures. Ultra-processed foods create an outsized dopamine hit, then tolerance, then a painful comedown that drives more craving—similar to other addictive loops.

    • Miami analogy: novelty dopamine → adaptation → needing more stimulation
    • Ultra-processed foods produce drug-like dopamine spikes
    • Aftereffect: irritability/discomfort that fuels repeated seeking
    • Cravings intensify as dopamine reward system gets trained
  4. 10:55 – 13:38

    What ‘ultra-processed’ really means—and why it impacts mental health

    They define ultra-processed food as something you can’t recreate in a normal kitchen due to non-food ingredients and industrial formulations. Dr. Shah links higher ultra-processed intake with inflammation, shorter lifespan, and substantially worse mental-health days.

    • Simple test: if you can’t make it in a kitchen, it’s ultra-processed
    • Examples: chips, candy bars, sundaes, packaged snacks
    • Ultra-processed intake correlates with more “mental health days”
    • Inflammation as a root pathway to chronic disease and mood issues
  5. 13:38 – 14:48

    Relearning fullness cues: the ‘would you eat vegetables?’ test and satiety hormones

    Mel asks how you know you’re full; Dr. Shah explains modern eating disrupts internal cues. She introduces satiety hormones (leptin, CCK) and offers a practical test: if vegetables don’t sound appealing, you’re likely not truly hungry.

    • We rely on external cues and lose hunger/fullness awareness
    • Leptin and CCK signal satiety to the brain
    • Cravings can persist even when satiety hormones say stop
    • Vegetable test as a fast way to distinguish hunger vs craving
  6. 14:48 – 24:37

    Your gut is messaging your brain: how food becomes mood (and behavior)

    Dr. Shah explains the bidirectional gut–brain connection and how signals travel from mouth and gut to the brain. They discuss research suggesting the microbiome can shape behavior and mental states, reframing cravings and mood as biological feedback loops.

    • Gut–brain communication influences mood, cravings, and behavior
    • Embryology: gut and brain originate together, then separate
    • Microbiome signals via neurotransmitters (dopamine/serotonin)
    • Animal studies: transferred microbiomes change measurable behavior
  7. 24:37 – 28:46

    Fixing habits by balancing brain chemistry: dopamine foods in the morning, serotonin at night

    They move into actionable strategies for supporting neurotransmitters naturally. Dr. Shah highlights tyrosine-rich foods to support dopamine (motivation/alertness) and tryptophan plus complex carbs to support serotonin (calm/sleep).

    • Tyrosine → L-DOPA → dopamine pathway support
    • Dopamine-support foods: dairy/soy/nuts/cherries (high-protein options)
    • Example breakfast: cottage cheese + fruit + nuts
    • Serotonin support: tryptophan (eggs, fish, lean meats) + complex carbs
  8. 28:46 – 32:21

    Hydration as a hunger hack: when ‘hungry’ is actually thirsty

    Dr. Shah explains that hunger and thirst signals are closely linked and often confused. Increasing water intake can reduce perceived hunger and help people regain clearer internal cues, especially when stepping back from ultra-processed foods.

    • Brain overlap between thirst and hunger sensations
    • No perfect universal ‘ounces per day’ rule, but more often helps
    • Drink water first, then reassess hunger after ~15 minutes
    • Reducing ultra-processed foods helps you ‘hear’ internal signals
  9. 32:21 – 39:13

    Understanding the craving cycle: pleasure + pain, dopamine burnout, and why dieting backfires

    They map the subjective feeling of cravings as pleasure mixed with internal conflict, driven by dopamine. Dr. Shah explains how repeated high-dopamine behaviors (food, games, social media) can deplete motivation and focus, and why crash dieting can amplify both hunger and cravings.

    • Craving signature: ‘heaven’ first bite followed by conflict and urgency
    • Dopamine can drive irritability and agitation after the reward
    • Chronic dopamine chasing can resemble burnout/ADHD-like symptoms
    • Crash dieting increases ghrelin (hunger) and dopamine-driven cravings
  10. 39:13 – 49:54

    How food companies exploit dopamine—and the practical ‘3-2-1’ retraining method

    Dr. Shah explains that dopamine is a uniquely powerful motivator that can override intention and propel action. She shares a behavior-change approach using random (intermittent) reward to rewire cravings, including a step-by-step method to swap an ultra-processed craving for a healthier alternative.

    • Dopamine can trigger action-seeking more than other neurotransmitters
    • Intermittent reward is the most addictive reinforcement schedule
    • ‘3-2-1’ method: 3 random days/week, 2 minutes positive self-talk, 1 minute savor
    • Positive replacement behavior (e.g., sunny walk) after a slip
  11. 49:54 – 1:00:18

    Psychobiotics and the microbiome: what probiotics are—and why food beats pills

    Mel asks for a list of bacteria to take; Dr. Shah explains the emerging ‘psychobiotics’ concept linking certain microbes with mental health. She cautions that probiotic supplements have inconsistent results and emphasizes feeding and seeding the microbiome through fiber and fermented foods.

    • Psychobiotics: microbes associated with mood/mental health patterns
    • Microbes can signal the brain through multiple known pathways
    • Probiotic pills may be killed off as ‘foreign’; food delivery can work better
    • Best strategy: fiber + fermented foods (yogurt, kimchi, sauerkraut, kombucha)
  12. 1:00:18 – 1:02:20

    The #1 probiotic isn’t a pill: exercise, short-chain fatty acids, and inflammation relief

    Dr. Shah calls exercise the most powerful ‘probiotic’ because movement supports beneficial gut bacteria and increases short-chain fatty acids. These compounds help calm inflammation and support better brain function and mood, reinforcing why lifestyle changes can outperform medication alone for some outcomes.

    • Exercise increases beneficial bacteria and short-chain fatty acids
    • Short-chain fatty acids support brain signaling and reduce inflammation
    • Movement as a direct lever for gut health and mood
    • Reinforces diet + exercise as foundational ‘first-line’ tools
  13. 1:02:20 – 1:10:09

    Breaking sugar cravings fast: the 3-day microbiome shift and the ‘juice is soda’ wake-up call

    They tackle sugar cravings with a striking finding: gut bacteria can shift measurably within three days of major dietary change. Dr. Shah ranks top offenders (sodas/high fructose corn syrup, processed meats/dairy) and explains why many store-bought juices behave like soda due to lost fiber and nutrients.

    • Study insight: measurable gut microbiome changes in ~3 days
    • Worst offenders: sodas/high fructose corn syrup; processed meats/dairy
    • Pasteurized shelf juice lacks fiber and rivals soda sugar content
    • Core message: rapid change is possible without special supplements
  14. 1:10:09 – 1:12:27

    Sleep, coffee timing, and circadian rhythm: restoring leptin and reducing cravings

    Dr. Shah links insufficient sleep to lower leptin (satiety) and increased hunger/cravings, with higher mortality risks under chronic short sleep. She then outlines a morning routine emphasizing sunlight first and delaying coffee 45 minutes to avoid adenosine-related energy crashes and dependence cycles.

    • Sleep loss reduces leptin and increases hunger and cravings
    • Find your sleep need by tracking best-mood, most-refreshed days
    • ‘Sky before screens’ to set circadian signals
    • Wait ~45 minutes for coffee so adenosine clears; fewer crashes/cravings
  15. 1:12:27 – 1:25:47

    Dr. Shah’s daily eating routine + intermittent fasting done ‘earlier,’ plus the gluten myth

    Dr. Shah describes a practical day of eating aligned with daylight and internal clocks: protein-forward breakfast, salad-based lunch with fermented foods, and serotonin-supporting carbs at dinner. She argues many people do intermittent fasting backwards by eating too late, and she clarifies that many ‘gluten issues’ are actually reactions to processed foods, not gluten itself.

    • Eat within daylight hours; avoid late-night eating when melatonin rises
    • Breakfast: high-protein ‘dopamine’ foods; lunch: salad + protein + fermented food
    • Dinner: complex carbs to support serotonin and sleep; protein snacks if needed
    • Gluten-free trial is fine, but reintroduce unprocessed wheat/sourdough to test tolerance

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