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Xenical
Xenical (orlistat) is a fat blocker that prevents fat from being completely absorbed in the gastrointestinal tract. Prescription strength is 120 milligrams; over-the-counter Alli is the same drug at half strength, or 60 milligrams. Fat blockers reduce fat absorption and, as a result, some people are plagued with oily discharge, fatty stools, gas, and/or inability to control bowel movements. These side effects are the result of the fat not being absorbed by the body.
Phentermine is generic, the least expensive of the medications, and has been on the market the longest. Once a part of the famed fen-phen combination weight loss drug, Phentermine works to decrease appetite. It is the most widely used weight loss drug. While it's officially approved only as a short-
"Approved weight loss drugs must prove they are safe and effective with strong scientific evidence in order to pass the stringent FDA approval process," says Aronne, former president of the North American Association for the Study of Obesity (NAASO). In the prescription drug category, there are basically three choices, Xenical (orlistat), Meridia (sibutramine), and phentermine.
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Kushner prescribes Merida to patients who struggle with cravings and have trouble knowing when to stop eating. Aronne says that younger patients who are at a low risk for heart disease are good candidates. Side effects include dry mouth, constipation, and insomnia. Meridia should not be used by anyone with cardiovascular risk factors. "We recommend regular blood pressure checks for anyone on Merida," says Blatner.
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