“…Interestingly, HPA axis adaptations with low cortisol awakening responses have been reported in higher BMI groups (Hillman, Dorn, Loucks, & Berga, 2012; Packard, Egan, & Ulrich-Lai, 2016; Sinha & Jastreboff, 2013; Tyrka, Walters, Price, Anderson, & Carpenter, 2012), and reduced dopamine activity has been associated with obesity (Wang et al, 2003). Finally, we have shown that in response to a standard glucose drink, healthy lean individuals showed increased connectivity between the hypothalamus and dopamine-rich regions of the ventral and dorsal striatum as well as the insula (Page, Sinha, & Sherwin, 2013), suggesting significant associations between the hypothalamic circuitry and extrahypothalamic striatal limbic circuits in response to food intake. In previous work, we also showed that experimentally reducing blood glucose to mild hypoglycemic levels relative to normal euglycemic levels, not only increases plasma cortisol but also increases wanting of HP foods and brain activation of reward-motivational (striatal) and emotion-stress (limbic) regions in response to high fat, high sugar HP versus low fat and non-food pictures.…”