obese patients have lower levels of the dopamine D2 receptor in the caudate than lean patients. Low levels of D2 receptors results in lower responses to natural rewards such as food. So this means that people with low levels of D2 receptors could be overeating because food just isn't as "good" to them. It tastes the same (they recorded similar levels of how pleasant a chocolate shake was), but it just doesn't cut it in the brain, possibly prompting patients to continue eating to make up for the food reward they are missing.
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