Recognize the Signs

What are the symptoms of acquired HO?

Image of soccer memorabilia

Signs and symptoms that can indicate acquired hypothalamic obesity (acquired HO)

Weight

Weight gain that is sudden and sustained

Weight gain even when limiting food or calorie intake

Hunger

Increased hunger or hyperphagia (constant, hard-to-control hunger)

New or unusual
food-seeking behaviors

Fatigue

Doing less
physical activity

Feeling
excessively tired

If these symptoms describe your experience—even if it has been years since you received treatment for a brain tumor—diagnosis is an important first step. Prepare to talk to your doctor

Recognizing constant, hard-to-control hunger (hyperphagia)

Hyperphagia (pronounced hi-per-FAY-juh) is a unique symptom of acquired HO. Not everyone with acquired HO experiences hyperphagia, but those who do often describe it as different from anything they have felt before.
Before acquired HO
  • Feeling hungry in between meals
  • Having cravings and increased appetite from time to time
  • Eating past fullness at big occasions like Thanksgiving
With acquired HO
  • Feeling hungry all the time
  • Having continual thoughts about food
  • Eating throughout any given day because you never feel full
  • Eating to feel less hungry, but never achieving a feeling of fullness
Experiences with hyperphagia can vary

Hyperphagia can range from mild to severe, and children may respond to hyperphagia differently than adults. With time, individuals may learn to cope with behaviors and emotions brought on by hyperphagia, making them less apparent to others.

Girl sitting and holding a book in soccer-themed bedroom. Actor portrayal.
“I'm never full. I'm always hungry. I'm just up all night looking for food.” -Brain tumor survivor living with acquired HO
Actor portrayal

You know your body best

If you’ve noticed rapid weight gain or increased hunger after a brain tumor or brain injury, don’t wait to bring these changes up with your doctor. Sharing your specific symptoms can help your doctor understand what’s happening and create a plan that fits your needs.