Ghrelin: Why You Feel Hungry & What It Means

By Dr. Priya Sammani ( MBBS, DFM )

You know that feeling, right? The one where your stomach starts to rumble, and suddenly all you can think about is your next meal. That intense, sometimes urgent, need to eat. It’s a universal human experience, something I hear about from patients nearly every day. Well, a big player behind that sensation is a fascinating little hormone called Ghrelin. Often dubbed the “hunger hormone,” it’s your body’s way of saying, “Hey, time to refuel!”

So, What Exactly is Ghrelin?

Ghrelin is a hormone primarily made in your stomach. Think of it as a messenger. Your brain, small intestine, and pancreas also chip in by releasing small amounts. And while its main claim to fame is making you feel hungry, Ghrelin is quite the multitasker. It also:

  • Encourages your body to take in more food and helps with storing fat.
  • Nudges your pituitary gland (a tiny but powerful gland at the base of your brain) to release growth hormones.
  • Has a say in how your body manages sugars and releases insulin, the key hormone for processing sugar.
  • Plays a part in keeping your muscles strong and supports bone formation and your overall metabolism (how your body uses energy).

Ghrelin and Leptin: The Appetite Balancing Act

Now, Ghrelin isn’t the only hormone pulling the strings of your appetite. You might have heard of its counterpart, leptin. They’re like two sides of a coin.

  • Ghrelin is the one that revs up your appetite.
  • Leptin, which is produced by your fat cells, tells your brain you’ve had enough energy stored and you feel “full.”

Basically, Ghrelin handles the more immediate, “I’m hungry now!” signals, while leptin is more involved in long-term weight regulation and letting you know when your energy stores are good. It’s a pretty neat system, most of the time.

What Does Your Ghrelin Do All Day?

We’ve touched on it, but let’s get a bit more specific. This busy hormone:

  • Sends a signal to a part of your brain called the hypothalamus, essentially flipping the “on” switch for your appetite.
  • Promotes the storage of fat. Helpful for our ancestors, sometimes tricky for us modern folks!
  • Stimulates that pituitary gland we talked about to release growth hormones.
  • Gets your digestive system moving, helping food travel from your stomach through your intestines.
  • Contributes to the control of insulin release.
  • Even has a role in protecting your cardiovascular health. Amazing, isn’t it?

So, what gets Ghrelin going? Mostly, an empty (or nearly empty) stomach. Its levels usually peak right before you typically eat. Your body’s clever way of reminding you.

When Ghrelin Levels Go Askew

Sometimes, the balance of Ghrelin can be disrupted. This can happen for various reasons, leading to levels that are either consistently low or high.

Understanding Low Ghrelin

It might seem odd, but lower Ghrelin levels are often seen in individuals with obesity. You’d think less hunger hormone would mean less hunger, right? But one theory is that the bodies of people with obesity might be unusually sensitive to Ghrelin. So, even a small amount could trigger significant hunger. It’s something researchers are still exploring.

Certain gut issues can also be linked with low Ghrelin, including:

  • Chronic gastritis (long-term inflammation of the stomach lining)
  • Functional dyspepsia (persistent indigestion without a clear cause)
  • H. Pylori infection (a common bacterial infection in the stomach)
  • Irritable bowel syndrome (IBS)

Understanding High Ghrelin

On the flip side, Ghrelin levels can shoot up if you’re significantly restricting calories, like when you’re on a very strict diet. Your body is essentially shouting louder for food. Chronically high Ghrelin can also be associated with certain conditions:

  • Anorexia nervosa, an eating disorder characterized by severe food restriction.
  • Cachexia, a condition causing severe muscle wasting, often seen with chronic illnesses.
  • Celiac disease, an autoimmune disorder triggered by gluten.
  • Inflammatory bowel disease (IBD), which includes conditions like Crohn’s disease and ulcerative colitis.
  • Prader-Willi syndrome, a rare genetic disorder that causes constant hunger.

What About Gastric Bypass Surgery and Ghrelin?

It’s interesting to note that after weight loss surgeries like gastric bypass or sleeve gastrectomy, many people experience sustained lower levels of Ghrelin. This is thought to be one of the reasons these surgeries can be effective for long-term weight management. A smaller stomach size is likely a key factor here.

Nurturing Healthy Ghrelin Levels: Some Thoughts

You can’t directly dial your Ghrelin up or down, unfortunately. But embracing healthy lifestyle habits can certainly help keep your hormones, including Ghrelin, in a better balance. Here’s what I often tell my patients:

  • Steer clear of “yo-yo” dieting. Frequent, rapid weight loss and gain can really mess with your body’s signals.
  • Focus on a balanced diet. Think whole grains, lean proteins like chicken or fish, and plenty of fruits and vegetables. These foods tend to lower Ghrelin levels more effectively after a meal compared to high-fat foods.
  • Limit processed foods. Especially those loaded with sugar, high-fructose corn syrup, and excessive salt.
  • Prioritize sleep. Aim for a good 7-8 hours a night. Sleep deprivation can throw hunger hormones out of whack.
  • Stay hydrated. Drinking enough water is important. Dehydration can sometimes cause Ghrelin to rise.
  • Manage stress as best you can. I know, easier said than done! But chronic stress can increase Ghrelin.

People often ask if specific foods suppress Ghrelin. There isn’t one magic food, but as I mentioned, meals rich in protein and healthy carbohydrates tend to be more satisfying and keep Ghrelin lower for longer than meals high in fat.

Key Takeaways on Ghrelin

Let’s quickly recap the main points about Ghrelin:

  • Ghrelin is your primary “hunger hormone,” mostly made in the stomach.
  • It signals your brain to increase appetite and also plays roles in fat storage, growth hormone release, and sugar metabolism.
  • It works with leptin (the “fullness hormone”) to regulate your eating.
  • Ghrelin levels usually rise before meals and fall after you eat.
  • Certain conditions like obesity, GI issues, restrictive dieting, or anorexia nervosa can affect Ghrelin levels.
  • Healthy lifestyle choices in diet, sleep, and stress management can support better hormonal balance, including for Ghrelin.

You’re Not Alone in This

Understanding how our bodies work, especially with something as fundamental as hunger, can be really empowering. If you’re struggling with appetite control or weight management, please know there are ways we can help. Chat with your doctor – we’re here to support you.

Dr. Priya Sammani
Medically Reviewed by
MBBS, Postgraduate Diploma in Family Medicine
Dr. Priya Sammani is the founder of Priya.Health and Nirogi Lanka. She is dedicated to preventive medicine, chronic disease management, and making reliable health information accessible for everyone.
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