“I know dysregulation often causes reduced hunger and appetite, but can the opposite be true?” You betcha. “I’m always hungry, never satiated. When I intentionally eat a balanced meal, I still feel hunger sensations even if I’m physically full and stuffed. I eat more than enough calories every day, about 2,400. I’m overweight and desire to lose some weight, but I’m so triggered by hunger because of the low blood sugar symptoms, so I remain overweight because I’m hungry all the time and am very uncomfortable with hunger.