The Truth About Weight-Loss Pills
Magic Pill? Fat Chance
Oct. 15, 2001 -- Anyone who has watched TV after midnight has
heard the claims. Eat all you want, never exercise, and still lose weight with
this little pill.
Unfortunately, scientific research has not borne out such
claims. These products are categorized as dietary supplements, not as drugs.
According to current FDA regulations, that means nobody has to prove that they
"The number and quality of good, randomized, double-blind
[studies] that really explore the question of efficacy are very limited for
these herbal products and dietary supplements," Steven Heymsfield, MD,
tells WebMD. "That's virtually true for the entire category of [weight
Heymsfield is a professor of medicine at Columbia University
and deputy director of the New York Obesity Research Center at St.
Luke's-Roosevelt in New York. He says there's no scientific proof the pills
work -- but what's the word on the street?
Personal trainer Todd Person, owner of Metabolic Project, a
personal training facility in Los Angeles, says that when used in combination
with diet and exercise, they do help speed people along to their fitness
Matthew Martin, 31, of Chicago, Ill. was in poor condition when
he decided to begin training for a triathlon. After a little research on the
Internet, he picked the fat burners that he believed might work for him. He
took them for about three months and did find them helpful.
"I didn't do a test ... I just used them, and they seemed
to help me not want to eat as much," he says."
Fat-trapping products generally contain chitosan. It comes from
the powdered shells of shrimps, crabs, and other shellfish. Supposedly it binds
to fat in the food you eat, keeping it from being digested. While there is
evidence that it does help prevent you from absorbing dietary fat, its effects
may be too small for you to actually notice anything. A few small studies have
shown that people on calorie-restricted diets lose slightly more weight if
they're taking chitosan.
Jana Klauer, MD, is a research fellow also at the New York
Obesity Research Center. She says that chitosan is simply a source of fiber.
While a high fiber diet is good for weight loss, there are lots of cheaper
The danger of chitosan is that it may get in the way of your
body's ability to absorb fat-soluble nutrients. These include vitamin A,
vitamin D, and the disease-fighting phytochemicals found in many fruits and
vegetables. No matter what the manufacturers claim, it's probably not a good
idea to take this product for more than about three months at a time.
Fat burners are generally some combination of herb-derived
stimulants, essential fatty acids, chromium picolinate, pyruvate, and/or