“…These shifts in gut hormones may possibly correspond to the change between the poor feeding and FTT stage and the hyperphagia and obesity stage of PWS [Eiholzer et al, 2003; Butler et al, 2004; Goldstone, 2004; Bittel et al, 2005; Haqq et al, 2008; Bizzarri et al, 2010]. Individuals with PWS have also been shown to have structural brain abnormalities which may contribute to appetite aberrations [Miller et al, 2007a; Iughetti et al, 2008]. Functional MRI studies indicate that these individuals have an increased reward value to food and have increased activation of the limbic and paralimbic areas of the brain that drive eating behaviors, even post-meal, indicating that brain abnormalities likely also play a role in the appetite in this syndrome [Shapira et al, 2005; Holsen et al, 2006, 2009; Miller et al, 2007b; Dimitropoulos and Schultz, 2008; Hinton et al, 2010].…”