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September 2, 2009, 12:21PM PT in Ask the Expert Blog  |  2 Comments

What can you tell me about the FDA approved over-the-counter diet pill "Alli"?

Pills

In the words of noted economist Adam Smith, "There's no such thing as a free lunch." And when it comes to a magic bullet for weight loss, there’s not one of those either. However, there is now the first Food and Drug Administration approved over-the counter diet pill named Alli (pronounced ally), which is the half-strength version of the prescription weight-loss drug Xenical (Orlistat).

How does it work?

For best results, Alli should be taken before every meal that contains fat. It works by decreasing the amount of fat absorbed by the gastrointestinal tract during the digestive process. Research has shown that when individuals used Alli in combination with diet and exercise they lost up to 50 percent more weight on average than if they had only dieted and exercised. For example, if you would normally lose 8 pounds over a six-week period, taking Alli may help you lose approximately 12 pounds over that same period of time.

Are there any side effects?

As with any drug, Alli has several documented side-effects including excessive flatulence with an oily discharge, frequent and difficult-to-control bowel movements, and loose stools. These side-effects appear to be related to your diet. If you consume too much fat after taking Alli, you will be more likely to experience the unpleasant side-effects associated with its use (Note: The Alli starter kits recommend that users consume a low-fat, reduced-calorie diet of meals containing no more than 15 grams of fat).

So all I have to do is take this pill and I’ll lose weight, right?

Not quite. Those individuals hailing Alli as the next magic bullet for weight loss should bear in mind that most weight-loss experts contend that without the contributory effects of diet and exercise, Alli's beneficial weight-loss effects will be very limited. Simply taking the pill without altering one's lifestyle (i.e., exercising regularly and adhering to a low-fat, reduced-calorie diet)will produce little or no noticeable results.  

The bottom line is while Alli may aid in the weight loss effort, diet and exercise are still key to long-term weight loss success. I guess the old saying is right- if it sounds too good to be true, it probably is.



Have an exercise, fitness or healthy living question that you’ve been wanting to ask? Send your questions to AskTheExpert@acefitness.org and it may be featured in our weekly blog post.

By Jessica Matthews, MS, E-RYT

Jessica is an Exercise Physiologist for the American Council on Exercise and a media spokesperson. She is an adjunct professor at Miramar College, teaching courses in the Department of Exercise Science, Health and Nutrition. She holds a bachelor’s degree in physical education teacher education from Coastal Carolina University and a master’s degree in physical education from Canisius College, as well as two ACE certifications (Group Fitness Instructor and Personal Trainer); she is also an experienced registered yoga teacher (E-RYT) through Yoga Alliance. Prior to her role at ACE, Matthews was the aquatics director for Conway Medical Wellness and Fitness Center, a hospital-based wellness center. She has also designed curriculum for health and physical education, grades K-12. As an ACE spokesperson and presenter, Matthews has been featured as a fitness expert on CNN and San Diego 6’s “San Diego Living” show, and has been quoted in various publications including Shape, Self, and Oxygen.

More info on Jessica Matthews »

Comments

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By Maxie Kinney, Thursday, September 24, 2009

I see this all the time,people wanting shortcuts to losing weight and feeling better. Bottom line is we need to look inside of ourselves and ask ourselves why do we want to do this?Why do we want to loose weight. If it is for all the right reasons then we will loose weight and keep it off, if not then we will try every diet every pill every weight lost idea and still not accomplish what we want for the long run. We might loose weight for the time being but it won't stay off. The old saying goes, nothing good comes easy! It will take hard work and a change inside to loose the weight ,be healthy and keep the weight off! Simple as that and anyone can do it, but it is up to you to achieve it. To be honest, the diet industry does not care about you, they have a product to sell its a bussiness! You are a person you are important, if you need a plan, there are certified fitness people out there who are waiting to help you in a healthy way, try them instead of something that is a short term fix.

By Jaye Alynn, Monday, September 28, 2009

In addition to being a certified personal trainer, I am also a Master Nutrition Therapist.  The whole process of passing unprocessed fats into the bowel results in rancid oils/fats in the large intestine.  In fact, the smelly gas is just a sign that stuff is rotting on the inside.  Doing this creates an environment in which the balance of gut flora is thrown way off and we see our beneficial 'good bugs' dying off so the 'bad bugs' can rule the neighborhood.  When that happens, the immune system is compromised amongst other undesireable side effects like leaky gut syndrome.  Seriously - it's not about the pill; it's about the path. I've had tremencous success with my clients by transitioning from processed 'fast' foods to whole foods.  Combined with appropriate exercise, unnecessary weight just falls off.

 

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