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Understanding The Weight Loss Pill

The pill has been deemed dangerous by many, but for some, it may be their only hope for successful weight loss.  Many drugs such as Fenfluramine, Redux and Fen-phen have been withdrawn from the market due to cardiac complications and hemorrhagic strokes.  There are, however, drugs that have less severe side effects. 

When prescribed and used under the advice of a physician, the benefit for the morbidly obese supercedes the risk.  Morbidly obese patients run the risk of type II diabetes, metabolic disorder, and many other health problems. 

The pill is only prescribed after a patient has made a reasonable effort at other methods and failed.  At that point, if the patient has a BMI of 27 or higher, a physician may prescribe a pill.  Even after the drug is prescribed, the patient must adhere to a healthy diet and exercise program for the drug to be truly effective.  There are three different pills available.

Xenical (orlistat) is a pill that has minimal risk because it is not absorbed in the body.  Rather, it is a fat blocker and works by preventing fat from being absorbed in the GI tract.  Because of this, however, many patients report uncomfortable side effects such as gas, and even decreased control of bowel movements that are oily and fatty in nature.  The solution

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to the problem is to eat a lower fat diet; unfortunately, this is the “catch 22” of Xenical.  A patient eating a low fat diet doesn’t see as much of result because there isn’t as much fat to block.

Meridia (sibutramine) is a pill that is an appetite suppressant.  Though it does help patients control their hunger and cravings by controlling the part of the brain that makes them feel full, it is contraindicated in patients with any cardiovascular risk factors.

Phentermine, though once a part of Fen-phen, is the most widely prescribed pill.  It is the least costly and seems to work well as a strong appetite suppressant.  Reported side effects are depression, insomnia and irritability.  The most dangerous side effect known is increased blood pressure which should be closely monitored.

The FDA has recently approved a lower dosage of Xenical to be sold over-the counter.  This 60 mg form of the prescription pill Xenical is called Alli.  Many internet based companies sell all of the above medication, but use of these drugs should only be under the careful watch of a physician.

The pill is potent and with all the associated risks, it should be used as a last ditch effort to fight obesity.  For people wishing to lose five to ten pounds, the weight lost pill is an unnecessary risk.




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