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FDA approved diet pill: strange side effects Print E-mail
Tuesday, 17 July 2007
by LINDSAY TIGAR
Lifestyles Editor

Each year Americans spend 33 billion on weight loss products and services according to the American Journal of Preventive Medicine.

Researches estimate that 17 million adults use a weight loss supplement or diet pill regularly in the attempt to lose weight according to a study conducted by the Journal of the American Medical Association.

Although there are hundreds of diet pills lining the shelves of pharmacies, nutritional markets and wholesale stores nationally, only one diet pill has the seal of approval from the Food and Drug Administration.

Alli, an over-the-counter diet pill became the first OTC weight loss supplement to be FDA approved earlier this year.

It’s half the price of its prescription equivalent Xenical and guarantees 50 percent more weight loss than diet and exercise alone.

The FDA advisory committee voted for the pill 11 to three in late January.

GlaxoSmithKline Consumer Healthcare, owner of the Alli brand issued a press release June 12 that guaranteed Alli’s availably nationwide.

In a six-month clinical study conducted by the FDA, Alli consumers lost 5.3 to 6.2 pounds more than those who used other weight loss supplements according to Healthwatch.com.

Alli works by using its active ingredient to attach to the natural enzymes in the digestive system and prevents them from breaking down about a quarter of the fat that a person consumes.

This undigested fat cannot be absorbed and is not harmful according to www.myalli.com.

Alli even says that their consumer may recognize that fat after using the toilet and describes it as looking like ‘oil on top of a pizza.’

“The reason you see the oil in the bowel movement is because that’s the job of the pill to keep the fat from being absorbed,” Dr. Mary D. Coleman-Kelly, a registered dietician and family and consumer sciences professor, said.

Although Alli promises that its consumers won’t feel the usual side effects of diet supplements such as jitteriness, sleeplessness and a racing heart, it does warn of ‘treatment effects’.

If an Alli consumer eats more than an average of fifteen grams of fat (such as a serving of Cheetos), they can expect to have ‘gas with oily spotting, loose stools and more frequent stools that may be hard to control,’ according to myalli.com.

Alli states that by having these side effects, it teaches individuals to not only take a diet pill but to change what they eat as well.

“When the FDA wants to approve something they let people weigh in the pros and cons,”
Coleman-Kelly said. “From the studies they conducted, people lost about six percent more than with dieting alone.”

However, Coleman-Kelly is wary of the long-term effects of this new product.

“The longest that someone has taken this drug is two-three years,” she said. “There are a lot of drugs that they [FDA] put on the market and find that it causes serious effects later and pull it off the shelves.”

Unlike other diet pills, Alli offers an online plan that includes diet changes, exercise and the opportunity to connect with a registered dietician at the click of a mouse.

“The thing that’s unique about Alli is that it encourages a comprehensive plan along with the pill,” Coleman-Kelly said. “It incorporates behavior changes and says in order to be effective you have to stick to a low-calorie diet.”

Alli does advise its consumers to take an interactive quiz at their Web site that will help determine if someone is ready for Alli.

Questions proposed to online users range from ‘are you committed to following a reduced-calorie, low-fat diet?’ to ‘will you read and following the Alli label?’

General Nutrition Center (GNC) stores carry the Alli brand.

“I personally would not recommend Alli,” Kevin E. Pulliam, sales representative at GNC in Asheville said. “It’s not going to do anything more than diet and exercise do even though it claims you will lose 50 percent more weight.”

Steven L. Burton, vice-president of weight control for GlaxoSmithKline healthcare stated in Alli’s press release that Alli is not for ‘people looking for miracle pills or overnight results’.

Coleman-Kelly would only recommend Alli to a student who is considered obese. She also suggests that any student who makes the choice to start taking a diet pill regularly should meet with a registered dietician beforehand.

Dietician services are included within student fees, Coleman-Kelly said.

“Eat lots of fruits and vegetables and watch portion intake to lose weight,” she said. “Exercise is critical to losing weight as well. College students can see weight loss just by cutting back on unnecessary calorie intake, such as alcohol.”
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