Getting to the Root of Food and Other Addictions with Dr. Jason Giles [EP. #1015]
This Week’s Episode Special Guest: Dr. Jason Giles
Summary:
In this enlightening conversation, Dr. Jason Giles shares his personal journey from addiction to recovery, emphasizing the importance of connection, spirituality, and understanding the complexities of addiction. He discusses how his experiences as a patient have shaped his approach to addiction medicine, highlighting the need for empathy and individualized care. The discussion also touches on modern solutions for addiction, the role of community support, and the deeper emotional and spiritual aspects of recovery.
About Dr, Jason Giles
Dr. Jason Giles is a triple board-certified physician (Addiction Medicine, Anesthesiology, and Pain Medicine) who has revolutionized addiction treatment through both personal triumph and professional innovation. With 25+ years of sobriety and two decades practicing addiction medicine, Dr. Giles brings an unmatched combination of lived experience and clinical expertise to one of America’s most pressing health crises.
As founder and director of Addiction Doctors, a multi-specialty telemedicine group, Dr. Giles oversees the detox and stabilization of hundreds of patients daily across both coasts, partnering with America’s premier treatment centers. His mission: reaching the vast underserved population struggling with addiction by developing technology and models that expand access to life-saving care.
Dr. Giles’ journey began with his own fentanyl dependency during anesthesiology residency—a rock-bottom moment when he realized he couldn’t keep his word to himself about stopping. His recovery through a long-term monitored program (which boasts 90-95% ten-year success rates) catalyzed his career transformation from anesthesiologist to addiction medicine pioneer.
For 15 years, Dr. Giles operated a boutique specialty practice treating everyone from championship athletes and Fortune 50 executives to billionaires and their families, hand-building long-term recovery programs focused on relationships rather than quick fixes. This elite-level experience, combined with his personal recovery journey, informs his contrarian yet highly effective treatment philosophy.
Guest Resources:
Website: www.ororecovery.com/dr-jason-giles/
Book: Outsmart Your Addiction
Episode Sponsors:
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Episode Chapters
00:00 Introduction and Background
02:10 Journey into Addiction Medicine
09:20 Personal Experience with Addiction
13:01 Combining Science and Heart in Treatment
16:46 Recognizing Addiction: Signs and Symptoms
22:55 Addiction in Professionals: A Common Struggle
26:08 Breaking the Silence on Addiction
28:43 Understanding Food Addiction and GLP-1
31:56 The Complexity of Weight Loss and Hormonal Signals
34:19 The Role of Spirituality in Recovery
43:09 The Journey of Self-Discovery and Healing
SOLLUNA PRODUCT LINKS
- Glowing Greens Powder™
- Feel Good SBO Probiotics
- Feel Good Detoxy
- Feel Good Digestive Enzymes
- Feel Good Starter Kit
- Feel Good Skincare
KIMBERLY’S BOOKS
- Chilla Gorilla & Lanky Lemur Journey to the Heart
- The Beauty Detox Solution
- Beauty Detox Foods
- Beauty Detox Power
- Radical Beauty
- Recipes For Your Perfectly Imperfect Life
- You Are More Than You Think You Are
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How Not to Age with New York Times best-selling author Dr. Michael Greger
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Powered and Distributed by: PodcastOne
Transcript:
Solluna By Kimberly Snyder (00:01.863)
So great to have you, Dr. Giles. Thank you so much for being here with our feel good community.
Jason Giles MD (00:07.31)
Thank you for having me. It’s my honor to be here.
Solluna By Kimberly Snyder (00:10.267)
Where are you calling in from today?
Jason Giles MD (00:13.96)
I am in my office. currently I’m at the, place on the East coast in New Hampshire, enjoying, enjoying beautiful weather. The leaves are just starting to turn in the fall here, although it’s still warm. It’s not, it’s not chilly yet. It’s not sweater weather, but we had a bit of a drought this summer. So I think the trees are just ready for a rest. That’s how they’re acting.
Solluna By Kimberly Snyder (00:21.543)
I’m giggling because I grew up on the East Coast too, Dr. Dries, I’m from Connecticut, but I don’t miss that. are like, love fall season. I don’t, sorry, I’m between now Southern California and Hawaii. Once I could choose, I really just wanted sunshine, but I appreciate the beautiful leaves. I think when people love winter, I know people that love skiing.
Jason Giles MD (00:43.626)
down the road.
You don’t miss the weather. Yeah.
Jason Giles MD (00:55.086)
Mm-hmm.
Solluna By Kimberly Snyder (01:06.961)
We all like different things, don’t we?
Jason Giles MD (01:08.654)
It’s a funny paradox. I’m from Southern California and moved here just a few years ago. And it was a shock. It was a shock dealing with the seasons and it gets very cold here in the winter. But I figured it out. I look forward to the change and I’m in Southern California a lot. So I haven’t had time to completely miss it. My mother is still there. So I visit her.
Solluna By Kimberly Snyder (01:12.637)
are ill.
Solluna By Kimberly Snyder (01:23.773)
Yeah!
Solluna By Kimberly Snyder (01:28.689)
Okay.
Solluna By Kimberly Snyder (01:33.935)
Are you scared?
Jason Giles MD (01:36.32)
I used to be, and then I had two kids, one played baseball eventually at a very high level. One did ballet, eventually professionally. And so the kids didn’t want to get hurt. So we, we, we set that aside, but I do like being outside. like, I like, I like the snow. I like a good, I like a good hike. do snow shoeing here. I did some snowmobiling some years ago. I hope to get back to that. That’s, that’s super fun. Maybe skiing. don’t know. There’s it’s just hard. It’s.
Solluna By Kimberly Snyder (01:49.628)
Yeah.
Jason Giles MD (02:05.198)
I’m not in a ski group, but I do like it. It’s super fun.
Solluna By Kimberly Snyder (02:08.902)
was available.
Jason Giles MD (02:10.85)
Yes. Yes.
Solluna By Kimberly Snyder (02:12.027)
Dr. Giles, coming down to business here, you have a really interesting focus in your work on addiction. And even when I hear that word, it feels like there’s so many ways in which we can get addicted. We can addicted to coffee, to sugar, to drugs, to sex, to working overtime. Well, first of all, tell us how you sort of narrowed into this.
focus in your work, I imagine it wasn’t something you may have set out to do when you were starting out.
Jason Giles MD (02:47.186)
no, that’s good pickup. Not, not, not at all. I, I went a traditional route college and then medical school and my, Achilles heel, suppose is that I was interested in all sorts of things. liked pretty much every rotation I went through when I was on pediatrics. I wanted to be a pediatrician. And when I was on neurology, I was going to be a neurologist. I liked all kinds of stuff. There is a specialty that embraces all the specialties and it’s anesthesia.
Solluna By Kimberly Snyder (03:16.669)
Mmm.
Jason Giles MD (03:16.994)
And that’s, that’s, that’s what I wound up doing. And anesthesia is, you know, taking away pain and awareness so that the surgeons can work their magic, fix whatever needs to be done. And I, I liked it. It was really, it was great. All different people, right? So from newborns or premature newborns all the way up to centenarians, ever, ever need surgery. They all have all different medical problems. So pretty much everything in the book.
Solluna By Kimberly Snyder (03:40.562)
Wow.
Jason Giles MD (03:46.85)
can be a complicating factor. And then there’s all different surgery. So I liked it all. I wound up doing a specialty that I liked it all. But two things happened along the way. I wound up being a cardiac anesthesiologist. So doing the big cases, transplants and heart surgery and stuff like that. But along the way, two things happened. One, I went through the recovery process myself. So I developed my own addiction and needed to get help for that.
Solluna By Kimberly Snyder (04:03.229)
That was intense.
Jason Giles MD (04:14.24)
And that changed my perspective. That was sort of the first blow. then there’s a drug that many, years ago when I was telling this little story, I would have to repeat it because people hadn’t heard of it before. So I would say it again and they would say, well, what’s that? What does that do? But unfortunately, I’ll say it that way. I don’t have to repeat it anymore. It’s the drug that I was on was called fentanyl.
Solluna By Kimberly Snyder (04:17.329)
What were you addicted to?
Solluna By Kimberly Snyder (04:38.651)
When we hear that term, think, that’s what’s in drugs that kills people.
Jason Giles MD (04:42.466)
That’s what’s in drugs that kills people. And it nearly killed me. I got very extremely fortunate that it didn’t. Very, very lucky. Due in large part to my department chairman who had his snivers out or his antenna. And I thought I was being clever and only using after work and, you know, being meticulous. But…
He w he watched my decline over, over about a year and made, made a move and, suggested that maybe I had a problem and it was well deep up to my neck by that point. And this is grace here, by the way, this is, this is a divine part, which is I accepted to help. didn’t, I didn’t try to keep running. So that led me on a journey of self discovery.
Solluna By Kimberly Snyder (05:28.53)
Yeah.
Jason Giles MD (05:37.006)
The stuff that you talk about in your show, it runs through all of that, right? So early motivations and self-concept and the drive to become one of the most difficult types of specialty doctors is the same drive that I didn’t feel comfortable with myself. I didn’t think I was okay. I thought there was something missing. In some part, the fentanyl is what I thought was missing because…
Solluna By Kimberly Snyder (06:01.021)
Mm-hmm.
Jason Giles MD (06:05.036)
I couldn’t relax. couldn’t settle down after work.
Solluna By Kimberly Snyder (06:08.231)
How does it make you feel? it like a painkiller in that?
Jason Giles MD (06:11.214)
Yeah, it’s like a super, yeah, super intense painkiller, like super like the kills all the pain, all the suffering, all the worry. Say again.
Solluna By Kimberly Snyder (06:21.703)
like Valium?
Jason Giles MD (06:23.678)
different, different. It’s if, if Valium gave you energy, it’d be kind of like that a little bit. So if it gave, if it, if it made you feel, safe and comfortable as well as, alert and capable, like at ease. So those are all the feelings that I wanted. I wanted those feelings. That’s why I went in through academics. That’s why I went to medicine. That’s why, that’s why I worked so hard was to get that sense of being okay. And of course.
Solluna By Kimberly Snyder (06:40.455)
So how do some people.
Jason Giles MD (06:53.102)
that doesn’t come that way. You don’t get it that way.
Solluna By Kimberly Snyder (06:54.575)
Exactly. You get it from the identity and the job titles and everybody, you know, saying, you’re so smart, Dr. Giles, even though you are, it’s all this.
Jason Giles MD (07:04.558)
You know, because inside you say, if you only knew, if you knew the real story, you wouldn’t say that I was smart, which is of course, arrogant, very arrogant to reject compliments, to reject reality. And that’s where I was. I was miserable and cut off and isolated and separate.
And my work performance was fantastic. I overdid at work, I over-prepared. But that’s like being on farther and farther out on that bar that they carry to get across the high wire. It was like being on both ends of it at the same time.
Fortunately, I had a very gentle intervention in the form of a loving phone call and.
I was terrified when I got that call. My heart’s pounding and my mouth is dry and my palms are sweaty because I could not see that there was anything good going to come of this. couldn’t see that there was a life on the other side that I was about to go on a different kind of adventure. I didn’t know that. I was really, really scared. But Dr. Moore was my department chair. It’s very warm.
Australian fellow, super achieved academic himself. And he told me, said, we saw this before. had another doctor in the department a few years ago who we found too late. He overdosed and died and we found him in the morning in the call room. And I could see that the things that you were doing, the way you looked, your responses, while your work was preserved, while you’re…
Jason Giles MD (08:57.094)
you know, your casework was still great. That frightened him enough, he could see the pattern. And so that was my exit. in beginning, so was step one, was this new life as a sober person.
Yes.
Solluna By Kimberly Snyder (09:14.813)
Dr. Giles.
Jason Giles MD (09:19.586)
Are we having bad internet?
Solluna By Kimberly Snyder (09:24.797)
Hold on, I’m gonna log off and log back in.
Solluna By Kimberly Snyder (10:46.874)
Hey, so we were 10 minutes into the show and it froze and it kicked him off. So I just logged off and logged back in. Can you call him to come back?
Solluna By Kimberly Snyder (11:00.268)
Okay, thank you.
Solluna By Kimberly Snyder (12:25.486)
Dr. Giles.
Solluna By Kimberly Snyder (12:33.656)
There you are. You know, technology, it’s okay. Our editor will fix it. It happens sometimes. It’s not all the time, but don’t worry. So go back to your story. Remember, yeah, when we got cut off. And we’ll just patch this part right back.
Jason Giles MD (12:36.531)
There I am. I don’t know what happened. We had problems.
Jason Giles MD (12:45.682)
Okay.
Jason Giles MD (12:52.211)
Yeah. So I was, I, I, I got very lucky. and I owe, some of that for good fortune, to a fellow who preceded me at the department and wound up, you know, not, not making it. I never met him. I didn’t, didn’t, didn’t know him, but he set the, set the pattern so that when I followed fell into the same, trap or fell into the same, yeah, addiction fentanyl.
I had somebody who was looking out for me. So, enormously fortunate there. So that was step one. Second part was when I came back, I, at that. I fell in love with, that’s crazy. I fell in love with talking to people because anesthesia, of course, there’s not much talking going on. It’s a little bit of consent and then staring at the top of somebody’s head for an hour or two while the surgeon does her thing and.
and I, I enjoyed talking with the patients and so talking with the patients and then going through my own experience where I became a patient is what finally I stayed in anesthesia for awhile, but it finally convinced me to let that go and pursue this really very new field. know that things like alcoholics, anonymous and stuff had been around for almost a hundred years, but as an organized, discipline or specialty in medicine, addiction medicine is really very new.
Solluna By Kimberly Snyder (14:20.472)
Yeah.
Jason Giles MD (14:20.717)
And our understanding of it is very rudimentary. It’s not very sophisticated compared with other specialties like nephrology or that sort of thing. So it’s a frontier and that excites me. And the same drive that I had of wanting to know and wanting to learn, wanting to grow and do something exciting, now I get to do that with this. And I’ll say one last thing about it, which is…
The cool part about this field, so if you haven’t, heaven forbid, break a bone and go to the bone doctor to get it fixed, if everything goes perfectly, then you get your, let’s say broken arm back like it was. That’s the best thing that can happen. But in this field, what happens when people turn their lives around is their lives come out way better than how they started. Way better. Same with what you’re doing, right? Same with what you’re doing.
Solluna By Kimberly Snyder (15:13.721)
Yeah.
Well, my gosh, Dr. Giles. Well, the first thing I want to say is thank you for sharing that amazing story with us. The second thing, and I got a lot of goosebumps when you literally use the phrase, I let it go, right? Because our mind has these ideas. I’m going to have this job and then I’m going to get this specialty and I’m going to get these accolades. I’m going to go this way and this way. And it’s, you know, whether you to use the term God, spirit, universe, higher intelligence, whatever it is.
There’s the greater plan that we’re part of and you went through this experience and then you let go of your mind’s ideas. And then you, it’s like you got led into this pathway where you can really, not that you weren’t helping people before, but because you’ve been through addiction. I imagine now, can you tell me how you approach it as a, know, obviously as a doctor, with science, as a clinician, but also,
Jason Giles MD (16:04.425)
Changed everything. Changed everything.
Solluna By Kimberly Snyder (16:15.138)
your heart, working with people, knowing what it feels like to be addicted, to be in the throes of feeling out of control. And obviously people are because they’re feeling that lack inside of themselves, which you had experienced. How do you combine that, your intuition, your heart with the science?
Jason Giles MD (16:26.429)
Yeah. Yeah.
Jason Giles MD (16:34.779)
Excellent question. Excellent question. Yeah. And every person’s unique. That’s the thing. It’s a, is one of the, one of the challenges of the field is it doesn’t, it doesn’t standardize very easily. So you can’t just say, okay, everybody do these, these, the, you know, these, 10 exercises and it’ll, and you’ll, you’ll come out great on the other side or have this, have this surgery will cut out the cancer and then you won’t have cancer. It’s not, it’s not like that because everyone’s relationship to their story is.
is, is individual, it’s unique. So what has to change in order to get better, and this doesn’t sound very scientific, it doesn’t sound, it doesn’t sound very medical maybe, but what has to change is the story you tell yourself about yourself and all aspects, things you tell yourself about your past, things you tell yourself about your family, about your, about your future. And so to use me as exhibit A again, I was telling myself that I wasn’t okay.
Solluna By Kimberly Snyder (17:21.924)
So yeah.
Jason Giles MD (17:32.519)
didn’t have all the compliment of things that normal human beings had, that there was something missing, that I wasn’t good enough and that I didn’t fit. Now, those turn out to be pretty common things. A lot of people feel that way from time to time, pretty much everybody from time to time. But what’s really bad is when you think like I did, I know how to fix this. And then you set off to…
In my case, was, you know, achieve academically, be really great at work. You talked about that, about addictions to work. I definitely had that. And the better I got at work, the more that feeling grew. was like scratching poison oak. It just felt good at the time, but then a worse feeling came afterwards. So the question about connecting with people, think that’s, you know, Johan Hari says the opposite of.
addiction is connection, right? It’s this sense of alienation that we, that we amend by connecting to one another. Honestly, I think that’s critical ingredient. You know, this office has all this paper. That’s my medical degree behind me, but there’s all this stuff that says, you know, I got board certified in this and that and whatever. Nobody cares about that. Those, those things are not what matters. What matters is whether or not you care about the patient you’re talking to or the person suffering through the addiction.
and whether or not the person you’re talking to trust you. And there’s something that’s really strange. So I told you at the beginning, this story of feeling like it was that my life was over when my fentanyl addiction came to light, but really it was the beginning of my life. So the patients, there’s been tens of thousands of patients that I’ve been able to work with since then and admit and help along their way. And
Solluna By Kimberly Snyder (19:15.672)
Mm.
Jason Giles MD (19:23.931)
The thing that gives me the most credibility is not the academic achievements. It’s the personal failing that then I got help with, but that turned my life around. So they know I’m not judging. I think that’s one of the most important ingredients is to meet people where they are and to not prejudice your opinions of them based on how they present or what you think you know is going on. Everyone has his own story of suffering.
Everyone’s going through something you have no idea. So coming to it from that standpoint is probably half the journey.
Solluna By Kimberly Snyder (20:02.554)
So along those lines, doctor, for anyone listening to this now, and they think, well, how do I know I’m addicted? And I like how you mentioned the opposite is connection. And I can say for myself, and I’ve shared this with the community many times, when I was in high school and I became bulimic, feel good, it was a sort of addiction to binging and then purging. And I can definitely say there was a complete disconnection from my body.
Jason Giles MD (20:28.494)
Butter croissants, if I recall.
Solluna By Kimberly Snyder (20:31.33)
my god. Anything like fatty butter. And you know, sometimes there’d be blood throwing up and no connection, right? So someone is saying, okay, because sometimes we throw around the word addiction a little bit, casually, like I’m really addicted to coffee or this or that. How do we know or how does anyone know or they’d be like, okay, I’m doing, you know, doing the
Jason Giles MD (20:35.677)
Mm-hmm.
Jason Giles MD (20:41.161)
Sure.
Solluna By Kimberly Snyder (20:56.95)
whatever, weed, cocaine sometimes, and like you said, you thought you were in control. What are some of the defining signs that we can say, hey, we need to take this a bit more seriously?
Jason Giles MD (21:09.149)
Sure. Excellent question. Well, first of all, what we think of addiction, think of as addiction is actually, it’s actually normal behavior. So it’s, it’s normal to do something over and over again, until you get good at it. That’s what we all did when we learned to walk or learn to speak. Certainly when you learn to ride a bicycle or learn to host a hit podcast, you know,
Solluna By Kimberly Snyder (21:32.505)
Yeah.
Jason Giles MD (21:38.409)
We’re bad at it in the beginning and we’re awkward and we’re crummy and we don’t know what we’re doing. And then one foot in front of the other. And the next thing you know, you start to get some speed and you figure it out and you can ride your bike around the neighborhood or, or help, you know, help many, many people. And, and it’s the same with when you, when you pick up a substance. So alcohol is probably the most common one. I don’t know. I don’t know anybody who the first drink was delicious and it went down great.
Solluna By Kimberly Snyder (21:59.31)
Yeah, good example.
Jason Giles MD (22:05.957)
Everybody is like, this doesn’t taste very good. And they, they work through it and overshoot or causes them embarrassment. to develop a problem with alcohol, you have to keep at it. You have to keep learning how to use it and keep pursuing that feeling until you’re really good at drinking to manage your feelings or using fentanyl to manage your feelings or eating butter croissants until you feel like I can do this. The rules don’t apply. And I’m just.
I’m putting words in your mouth, but the rules don’t apply to me. I’m different. And then, look, I can eat and not have the consequences if I just do this thing, but then the thing makes you feel bad. And that whole, that whole nexus of emotions that go together, that is something that we figure out when I do this, I feel a certain way. The reason that’s important is we want to control our feelings. want to manage our internal world.
That’s what success is. Yes, that’s what success is. We want love in our lives. And so we present a certain way, we say certain things, we go to the gym, we get good at whatever, and then we attract love in our lives and then we feel that’s a lot of work. But that’s what’s necessary to have a authentic good relationship is to be the best you can be in the relationship, which is a lot of effort. But we pursue the feeling.
Solluna By Kimberly Snyder (23:05.216)
Control.
Jason Giles MD (23:31.441)
Addiction is just pursuing the feeling. It’s just another learning loop. So that’s why it’s not a disease. You know, people give me dirty looks when I say that because it’s so popular to say, it’s a disease. It’s just something that you learn. Unfortunately, the things that we use too much of or too many, it could be anything, right? I’m drinking a little glass of water, but if I was drinking gallons and gallons of water, I would get sick. And if you, if you…
Solluna By Kimberly Snyder (23:59.086)
Yeah, exercise too much.
Jason Giles MD (24:01.979)
If you eat a croissant, you’re probably okay. But if you eat 20, you’re definitely not. If you exercise to the point where you break down your body and you develop all sorts of problems or where you cost you other things, right? some like ultra marathoners or triathlon people or people pursuing excellence in the Olympics or professional realms, those things take a lot of time.
Solluna By Kimberly Snyder (24:31.268)
Yeah.
Jason Giles MD (24:31.569)
And they affect the rest of your life. There’s only so much time. So it affects your relationships. It affects your earning power. It affects your health. All these things are affected by whatever we’re disproportionately doing. Drinking, cocaine, work, religion, even religion can become ripe where people are murdered to be around. They’re insufferable because they’re just, everything is that and they’re over.
They’re over invested in it and they don’t, and it, and it ruins their relationship. So addiction is just like that. And everybody has something. Everybody has something. Your question is, how do you know if right? I get this question all the time. So if I go to a party and it gets around to the, do you do? What do you do? And I tell them people have a glass of wine or they, or something. And they say, well, do I have a problem? So this is very, very common question.
Solluna By Kimberly Snyder (25:11.587)
Yeah.
Jason Giles MD (25:30.118)
And
The way to answer that question is, know. So if you’re asking that question, you know, you know, you know.
Solluna By Kimberly Snyder (25:36.121)
Bye.
I agree, you know, and maybe you don’t wanna know because it’s giving you that comfort, you know.
Jason Giles MD (25:44.989)
You can, yeah,
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Discovering Joy and Overcoming Perfectionism in your Life with Dr. Tiffany Moon [Episode 988]
Elevate Your Relationships through Radical Listening with Robert Biswas-Diener and Christian Van Nieuwerburgh [Episode #986]
Radiating the Feminine Woman You Were Born to be with Monica Yates [Episode #985]
What to Do When You Get Dumped: A guide to Unbreaking your Heart with Suzy Hopkins & Hallie Bateman [Epsiode #984]
Intuitive Ayurveda to Reset your Health with Nidhi Pandya [Episode #983]