You are not broken. You are not lazy. You are not lacking discipline. You are, in fact, doing exactly what a hundred thousand years of human evolution designed you to do.
In Part 4 of this series, Dr. Deepti Sharma introduces one of the most clarifying frameworks she brings into her clinical practice: the pleasure triad. The deeply biological drive to seek comfort, conserve energy, and avoid pain isn't a character flaw — it's a survival blueprint. And in the modern world, surrounded by hyper-palatable food, sedentary convenience, and an endless menu of ways to escape discomfort, that blueprint is working against us in ways our ancestors never could have anticipated.
This is where the series shifts. Because once you understand that the coping patterns from Part 3 aren't random — that they are in fact the pleasure triad in action, doing its ancient job in a modern environment — something important happens. The shame starts to loosen. The self-blame begins to soften. And a more useful question emerges: not why can't I stop? but what is my nervous system actually looking for?
Dr. Sharma walks through the neuroscience of reward, the role of dopamine in driving behavior, and how the triad hijacks everything from eating and movement to rest and risk-taking. She connects the biology to the lived experience with the directness and warmth that have become her clinical hallmark — making complex neuroscience feel not just accessible, but deeply personal.
For patients, this episode is a long-overdue permission slip to stop fighting themselves and start understanding themselves. For clinicians, it is a framework that recontextualizes patient behavior in a way that makes compassionate, effective care not just possible — but inevitable.
This is the foundation beneath the foundation. And in the next few episodes Dr. Sharma begins to show us what it looks like to work with our wiring instead of against it
What is Weight and Metabolism?
Dr. Deepti Sharma is a triple board-certified physician in Family Medicine, Obesity, and Lifestyle Medicine. She is also a certified menopause practitioner by The Menopause Society (previously NAMS) and a certified life coach. For over a decade, her clinical practice has focused on guiding individuals towards optimal health through evidence-based strategies.
She recognizes the unique challenges many individuals face in understanding their metabolism and managing their weight. This podcast is dedicated to addressing those specific nuances and providing clarity amidst widespread misinformation.
Each episode will delve into the science behind effective weight management and metabolic health exploring the critical roles of nutrition, physical activity, sleep, and mental well-being.
Please remember that while she is a doctor, she is not your doctor. This podcast is meant for educational and informational purposes only, not medical advice. Please consult your physician for your specific questions and needs.
Presented by Dr Deepti Sharma, MD
Learn more at www.weightandmetabolism.com