Cues create predictions
Sight, smell, time, place, memory, availability, and learned associations can drive attention and preparatory neural, salivary, gastric, and endocrine responses.
BRAIN & NERVES / 06
Appetite is not controlled by one “hunger hormone.” Sensory prediction, gut mechanics, vagal input, circulating nutrients and peptides, hypothalamic and hindbrain circuits, reward learning, sleep, stress, and food environment converge.
Sight, smell, time, place, memory, availability, and learned associations can drive attention and preparatory neural, salivary, gastric, and endocrine responses.
Taste, texture, swallowing, gastric stretch, intestinal nutrients, osmolality, and irritation generate neural and hormonal feedback.
Gut and portal signals travel through vagal pathways toward the nucleus tractus solitarius, where they integrate with humoral inputs and descending context.
CCK, GLP-1, PYY, ghrelin, insulin, and other signals act through peripheral and central routes with different timing and functions.
Arcuate and connected networks include AgRP/NPY and POMC-related populations that respond to hormones, nutrients, neural input, and energy state.
Leptin and insulin convey aspects of stored and recent energy context, but common obesity cannot be reduced to simple hormone deficiency or “willpower.”
Mesolimbic, cortical, amygdala, hippocampal, and hypothalamic networks learn cue value, effort, novelty, habit, and consequence.
Sleep, stress, medicines, movement, social context, food access, meal composition, and prior learning alter intake and the signals produced by eating.