RT Journal Article SR Electronic T1 Sugar addiction: is it real? A narrative review JF British Journal of Sports Medicine JO Br J Sports Med FD BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine SP bjsports-2017-097971 DO 10.1136/bjsports-2017-097971 A1 James J DiNicolantonio A1 James H O'Keefe A1 William L Wilson YR 2017 UL http://bjsm.bmj.com/content/early/2017/08/23/bjsports-2017-097971.abstract AB In animal studies, sugar has been found to produce more symptoms than is required to be considered an addictive substance. Animal data has shown significant overlap between the consumption of added sugars and drug-like effects, including bingeing, craving, tolerance, withdrawal, cross-sensitisation, cross-tolerance, cross-dependence, reward and opioid effects. Sugar addiction seems to be dependence to the natural endogenous opioids that get released upon sugar intake. In both animals and humans, the evidence in the literature shows substantial parallels and overlap between drugs of abuse and sugar, from the standpoint of brain neurochemistry as well as behaviour.