TECHNICAL SUPPLEMENT · CHAPTER 3

The Vigor Signal

I hear the same sentence in my clinic every week: I know what I need to do, and I still can’t make myself. For years I let that get written down as poor motivation. The biology says something else — dopamine sets the price of effort, and when the price goes up, the couch wins.

12 pages · 15 references, every one verified · written by Dr. Gurpreet Singh Padda, MD, MBA, MHP

Watch Chapter 3

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

The receipts behind Chapter 3

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.