TECHNICAL SUPPLEMENT · CHAPTER 28

Hedonic Substitution

One published article uses the term dopamine fasting, and it admits the practice is unproven. Your gut, your kidney, your pancreas and your immune cells are making the molecule right now, so there is nothing to fast from. I will show you what actually survives the evidence, what replaces a reward instead of just removing it, and the four things I change when a patient tells me they want to try this.

19 pages · 37 references, every one verified · written by Dr. Gurpreet Singh Padda, MD, MBA, MHP

Watch Chapter 28

The chapter on video — the same argument, with the figures and the studies on screen as they come up.

The receipts behind Chapter 28

The book makes the argument. This supplement shows the evidence, claim by claim: the study, who was in it, the number and where it sits in the paper, what it does not show — and the questions to bring to your own physician. It is written to be shared with your doctor.

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Educational material, not medical advice. If you are in the St. Louis area and want this looked at properly, that is what the Addictionology Center is for.