Eating Disorder

Description

Anorexia and generalized eating disorders involve severe metabolic and inflammatory dysfunction, not just psychological factors. High-carbohydrate intake and chronic insulin spikes drive systemic inflammation, neuroinflammation, and gut permeability. Many anorexia patients show leaky gut, elevated endotoxins, and inflammatory cytokines (IL-6, TNF-α) that disrupt appetite regulation in the brain. Neuroinflammation impairs the hypothalamus, creating anxiety, loss of hunger cues, and distorted satiety signals. Carbohydrate-driven insulin resistance further breaks the hormonal feedback loops involving ghrelin (hunger hormone) and leptin (satiety hormone), leading to incorrect hunger signals, food aversion, and dysfunctional appetite patterns.

The body also misinterprets carbohydrates as if they were protein due to a shared hepatic pathway: the liver processes excess protein through gluconeogenesis, and high carbohydrate intake activates the same metabolic signaling. As a result, the hypothalamus falsely interprets carbohydrate intake as large amounts of protein. For every gram of carbohydrate consumed, the brain reads it as if the body had eaten 8–10 grams of protein—the equivalent of 50–60 grams of meat. A typical high-carb meal containing 100 grams of carbohydrates is therefore misread as 80–100 grams of protein, equal to 500–600 grams of meat. This produces massively distorted satiety signals, tricking the brain into believing it has consumed nutrient-dense food when in reality almost no essential amino acids have been eaten.

In contrast, animal-based diets (protein + fat), which humans adapted to over millions of years, send correct satiety signals. Protein triggers accurate mTOR activation, supports neurotransmitter synthesis, and normalizes ghrelin and leptin. Fat stabilizes blood sugar, eliminates insulin spikes, reduces neuroinflammation, and repairs gut permeability. Ketosis (through fasting or carnivore/ketogenic diet) lowers inflammation, repairs the gut barrier, restores hypothalamic sensitivity, and re-establishes proper hunger and satiety cues. This metabolic state reverses the distorted signaling caused by carbohydrates and helps normalize appetite regulation in anorexia and eating disorders.

Root Causes

[ 1 ] Mathieu Méquinion et al. (2013) DOI PMCID PMID
[ 1 ] Hannah Lillig et al. (2025) DOI PMID [ 2 ] Jochen Seitz et al. (2020) DOI PMCID PMID [ 3 ] Liliana Belmonte et al. (2016) DOI PMCID PMID
[ 4 ] Dennis Gibson et al. (2019) DOI PMCID PMID [ 5 ] S J Brooks et al. (2019) DOI PMID [ 3 ] Liliana Belmonte et al. (2016) DOI PMCID PMID

Treatment Options

[ 6 ] Nicholas G. Norwitz et al. (2023) DOI [ 7 ] Guido K W Frank et al. (2024) DOI PMCID PMID [ 8 ] Yiru Dong et al. (2025) DOI PMID
[ 6 ] Nicholas G. Norwitz et al. (2023) DOI [ 7 ] Guido K W Frank et al. (2024) DOI PMCID PMID [ 8 ] Yiru Dong et al. (2025) DOI PMID

Sources

[1] Ghrelin: Central and Peripheral Implications in Anorexia Nervosa
[ 1 ] Mathieu Méquinion et al. (2013) DOI PMCID PMID
[2] Gut Feelings: How Microbiota Might Impact the Development and Course of Anorexia Nervosa
[ 2 ] Jochen Seitz et al. (2020) DOI PMCID PMID
[3] A role for intestinal TLR4-driven inflammatory response during activity-based anorexia
[ 3 ] Liliana Belmonte et al. (2016) DOI PMCID PMID
[4] Anorexia Nervosa and the Immune System—A Narrative Review
[ 4 ] Dennis Gibson et al. (2019) DOI PMCID PMID
[5] A neuroinflammatory compulsivity model of anorexia nervosa (NICAN)
[ 5 ] S J Brooks et al. (2019) DOI PMID
[6] Animal-based ketogenic diet puts severe anorexia nervosa into multi-year remission: A case series
[ 6 ] Nicholas G. Norwitz et al. (2023) DOI
[7] Therapeutic ketogenic diet as treatment for anorexia nervosa
[ 7 ] Guido K W Frank et al. (2024) DOI PMCID PMID
[8] Ketogenic Food Ameliorates Activity-Based Anorexia of Adult Female Mice
[ 8 ] Yiru Dong et al. (2025) DOI PMID