Should I Use Alli Weight Loss Pills?

Have you tried Alli, or considered using it to lose weight?

I’m certainly not a fan of taking pills and potions as a quick fix solution, but I know that for some people these are an option and they can work.

So, I thought it was worthwhile taking a closer look at Alli today.

What is Alli?
Alli is the reduced-strength version of orlistat (Xenical), a prescription drug used in the treatment of obesity.

It’s approved for over-the-counter sale to overweight adults (BMI of 28 or more), and is meant to be used in conjunction with a low-calorie, low-fat diet, and regular exercise.

So, with it being so easy to access, is Alli really your answer to losing weight permanently?

How does Alli work?
Alli encourages weight loss by decreasing your absorption of fat in the intestines, this in turn reduces the number of calories you absorb.

Lipase is an enzyme found in the digestive tract, which helps break down dietary fat into smaller components to be used, or stored, for energy. Alli works by disabling lipase–this prevents the enzyme from breaking down the fat while it is in your digestive tract, and therefore the undigested fat continues through your intestines, being eliminated in your bowel movements.

The idea is that you take Alli with fat-containing meals, up to three times per day. It is said to prevent absorption of around 25% dietary fat.

How much weight can I expect to lose?
Alli could result in an average of 3 pounds lost in a year. This is in addition to the approximate 8 pounds you could expect to lose from diet and exercise alone.

Unfortunately, only a small number of studies have evaluated the effectiveness of Alli, and in fact, many of the weight loss estimates are based on studies conducted on its prescription-strength counterpart, Xenical, so it’s unclear how relevant these would be.

Are there any side effects of using Alli?
As with most drugs, there can be unpleasant side effects when using Alli. It’s recommended you eat no more than 15 grams of fat with each meal–by eating higher amounts you may experience some of the unwanted effects:

  • Urgent bowel movements
  • Diarrhea
  • Gas 
  • Oily spotting

You should also be aware that the absorption of certain fat-soluble vitamins (A, D and E) is reduced when taking Alli, therefore you need to be taking a daily vitamin supplement to prevent nutrient deficiencies, if you decide to take Alli.

You shouldn’t take Alli if:

  • You are a healthy weight
  • You are taking cyclosporine
  • You have had an organ transplant
  • You have problems absorbing food
  • You are taking blood-thinning medication or have diabetes or thyroid disease–discuss with your doctor first

So, how long should I take Alli?
Personally, I think Alli may have a beneficial role for some people for the first 6 months of weight loss. But, you must try to see it for what it is, it is a helping hand towards modest weight loss, not a quick fix solution.

How should Alli fit into my lifestyle?
If you decide Alli is right for you, you need to make a consistent effort to change your eating habits, and add exercise to your daily routine. This is the only way it can be effective long-term.

I would strongly advise that you see your doctor first before starting to take this weight loss pill, and if necessary ask to be referred to a registered dietitian, who will work out a suitable eating and exercise plan, specific to your individual needs.

Despite the fact that this drug is available without prescription, I believe a considerable amount of support is necessary if you are to change your eating habits for life. This is where a qualified health professional can help. 

Remember, drugs can never deal with the underlying reasons for your initial weight gain.

What do you think of Alli? Would you consider using it if necessary?

{ 14 comments… read them below or add one }

Gordie Rogers October 1, 2009 at 10:08 am

3lbs over a year sounds negligible over a year when you account what you’re paying for them. (How much would one spend on them in a year?). I think it’s not worth it and one could use the money to buy a piece of exercise equipment. What do you think?
Gordie Rogers´s last blog ..Lifestyle Designers Should Set Financial Goals. My ComLuv Profile

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Melanie October 2, 2009 at 8:02 am

Hey Gordie,
As Steve says, some people do lose more, some nothing at all, but I agree with you, the money could probably be better spent on some exercise equipment, or just put it towards buying healthier food!

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Weight loss pills reviews October 1, 2009 at 6:13 pm

It’s important to remember that Alli is not a miracle drug. It will not help people to lose weight while they continue to eat a fat-filled diet nor will it allow one to completely forget about their health while using it.

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Melanie October 2, 2009 at 8:04 am

Yes, very true!

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Linda Hibbard October 1, 2009 at 7:13 pm

Try wearing wearable weights like “Body Togs” scientifically based weighted sleeves worn on your arms & legs under your clothes that increase calorie burn, muscle tone & bone density. Weighted vests work great too!

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Melanie October 2, 2009 at 8:05 am

Interesting idea Linda. What do they feel like when you’re wearing them?

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Steve Parker, M.D. October 1, 2009 at 8:41 pm

Although average weight loss may be marginal, some individuals will lose 10-15 pounds whereas others lose none, or even gain.

I prefer diet and exercise for most people.

[Interesting that you use "pounds." I thought you were in Ireland, so expected kilograms. I only learned last week that a "stone" is 14 pounds or 6.4 kg. Is that slang?]

-Steve
Steve Parker, M.D.´s last blog ..My Ketogenic Mediterranean Diet: Day 31 – Mission Accomplished! My ComLuv Profile

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Melanie October 2, 2009 at 8:11 am

Hi Steve,
I actually use both interchangeably–in my UK clinics we have a lot of older people, who are still using stones and pounds, so I’m constantly converting it over to kgs!

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Suzannah--Write It Sideways October 6, 2009 at 3:06 am

Hey Melanie,
Anything that can cause ‘urgent bowel movements’ or ‘oily spotting’ is not something I’d be willing to take! Especially not for a few extra pounds. Sounds horrific, if you ask me :) But then, each to his own! Thanks though–I hadn’t heard of this drug before reading this particular post.
Suzannah–Write It Sideways´s last blog ..How to Write with Rhythm that Sings My ComLuv Profile

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Melanie October 6, 2009 at 2:32 pm

Hi Suzannah,
I know, it’s a scary thought. I’m pretty sure it’s available where you are, seems to be everywhere. Of course, you are way to sensible to take such measures, nor would you need to anyway!! ;-)

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karina October 27, 2009 at 6:29 pm

Can I take it if i’m breastfeeding? (i’m only breastfeeding twice a day)

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Melanie November 27, 2009 at 6:49 pm

Karina,
You need to discuss this with your doctor.

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Leah November 26, 2009 at 3:15 am

I highly do NOT recommend you using this drug…unless you wish to start wearing depends early – the real reason for that spontaneous gas and feces leakage is due to your body’s inability to process any ‘fat’ you may have consumed while on Alli –

For some, it ‘teaches’ them to avoid those foods that their bodies obviously have an issue with…

I’d stay with a simple weight watchers or even being really aware of what you eat by using those online calorie/meal counters such as that on livestrong.com, get more exercise and make living your life healthier as a priority -

Lastly, spend the money you would have spent on Alli and buy more veggies for consumption – Even eating two meals with more vegetables you will notice more energy and have happier attitude immediately – learn how to make the foods you eat more interesting – and good luck!

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natalie January 24, 2010 at 1:46 am

Can i take Alli whilst doin the weight watchers diet, will it work?

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