Habits and Change

The Gajer Practice Blogs

January 10, 2024

In my work with patients striving for better health, I’ve delved into the science of habits and the mechanics of change.

Through countless interactions with highly intelligent and accomplished individuals, I’ve observed that, contrary to popular belief, the hurdle in making lifestyle changes isn’t often lack of knowledge but rather lack of ingrained habits. But why is change such a struggle? Despite our modern setting, we’re wired with ancient genes, evolved over millennia to ensure survival in our environment. These genes favor stability, deterring frequent changes, impulsivity, and the abandonment of our social groups. This inherent wiring makes change an uphill battle. However, once we surmount the initial challenge and employ enough willpower to establish new habits, behaviors can seamlessly become second nature.

So, how do we cultivate habits and instigate change within ourselves? I found some valuable insights in the work of New York Times Bestselling author Gretchen Rubin, who devised the framework of the “Four Tendencies” to illuminate how individuals navigate self-improvement. These tendencies—Upholder, Obliger, Rebel, and Questioner—shed light on how individuals respond to inner (self-imposed) and outer (externally imposed) expectations.

The Upholder thrives on discipline and effortlessly meets both internal and external expectations.

The Obliger readily fulfills external expectations but grapples with meeting their internal commitments. They excel at forming habits when held accountable by others.

The Rebel struggles with conforming to both external and internal expectations, living by the credo, “You can’t make me, and neither can I.” They initiate change within themselves by emphasizing spontaneity and freedom in their routines.

The Questioner meets internal expectations effortlessly but may sometimes face challenges with external expectations. They thrive when they fully comprehend the necessity for change, seeking abundant information and diverse perspectives to make informed decisions.

Curious about your tendency? TAKE GRETCHEN RUBIN’S QUIZ and share your results with us!

SHARE THIS
Search
RECENT POSTS
RELATED ARTICLES
December 16, 2025

Your Holiday Survival Guide

Let me guess: You start the holidays with good intentions. You'll stay on track, keep working out, manage stress, and actually enjoy the season. Then reality hits.
December 11, 2025

Why Supplement Quality Matters

You're investing in your health. You carefully select supplements to support your immune system, optimize your hormones, or enhance your performance. You read the labels, compare ingredients, and make what you believe are informed decisions. But what if the supplements you're taking don't actually contain what the label promises?
December 9, 2025

Why You Can’t Lose Weight, Think Clearly, or Have Good Sex

Your ability to think clearly, maintain a healthy weight, have good sex, avoid dementia, and live a long, vibrant life all depend on one thing: your metabolic health.

Submit a contact form to be contacted by our team!

Special

VALENTINE'S DAY SALE!

20% off Everything in our app.

BONUS: Gift cards – Use anytime for meds, peptides, treatments.

February 8th - February 14th, 2026

CODE: VDAY26

The Peptide Revolution

Reserve your seat now for the 30-Minute Webinar & take the first step toward next-level performance