Although impaired inhibitory control is linked to a broad spectrum of health problems, including obesity, the brain mechanism(s) underlying voluntary control of hunger are not well understood. We assessed the brain circuits involved in voluntary inhibition of hunger during food stimulation in 23 fasted men and women using PET and 2-deoxy-2[ 18 F]fluoro-D-glucose ( 18 FDG). In men, but not in women, food stimulation with inhibition significantly decreased activation in amygdala, hippocampus, insula, orbitofrontal cortex, and striatum, which are regions involved in emotional regulation, conditioning, and motivation. The suppressed activation of the orbitofrontal cortex with inhibition in men was associated with decreases in self-reports of hunger, which corroborates the involvement of this region in processing the conscious awareness of the drive to eat. This finding suggests a mechanism by which cognitive inhibition decreases the desire for food and implicates lower ability to suppress hunger in women as a contributing factor to gender differences in obesity. amygdala ͉ cognitive inhibition ͉ food stimuli ͉ Orbitofrontal cortex T he ability to control and regulate impulses, emotions, and desires is one of the core features of the self and impaired inhibitory control has been linked to a broad spectrum of psychopathologies and problems including obesity (1). Obesity is associated with an increased risk of all-cause morbidity and mortality, which places a sense of urgency on understanding the processes that have contributed to this epidemic. Of particular relevance is the environment, which has made food not only widely available but also increasingly more varied and palatable. It is likely that a gene-environment interaction, in which genetically susceptible individuals respond to an environment with increased availability of palatable energy-dense foods and reduced opportunities for energy expenditure, contributes to the current high prevalence of obesity.We have previously shown that the desire for food during presentation of palatable food stimuli was associated with striatal dopamine (DA) release, measured using PET and [ 11 C]raclopride (2). This response was consistent with the role of DA in modulating the motivation for food (3), an effect that is likely mediated by DA's regulation of regions involved with motivation, salience attribution, conditioning, and inhibitory control (4, 5). Using the same experimental paradigm in normal body weight fasting subjects, we found that food presentation increased metabolism in orbitofrontal cortex (OFC) in proportion to the subjective perception of hunger and the desire to eat (6). The OFC is implicated in controlling and planning behaviors and is regulated by DA both through direct as well as indirect striato-thalamo cortical projections. Indeed a recent fMRI study using the blood oxygen level dependent (BOLD) signal showed obese subjects activated striatum and OFC as well as insula (brain region involved with interoception for food signals that is also innervated by D...