A weight loss plan only works if you stay with it. And as any successful dieter can tell you, it's much easier to lose weight and firm up when the diet plan you choose fits your lifestyle and personality. Hate to cook? You won't last long on a diet plan better suited to budding gourmets. Living in a house full of kids and big eaters so you're constantly surrounded by food? A weight loss plan for you will have to face the problem of snacking head on.
With any endeavor to lose weight, most women think...
Making matters worse, losing belly fat can sometimes seem daunting. For many people, diet and exercise don't always work. Luckily, we've got options like FDA-approved weight loss medications and even surgery.
"All fat is challenging to get off, period," says Howard J. Eisenson, MD, medical director of Duke Diet & Fitness Center at Duke University Medical Center. But "belly fat is not particularly tenacious fat to get rid of... it actually comes off fairly easily. Frankly, if you reduce calories and exercise more, you will lose weight everywhere -- including your abdomen."
While Eisenson considers diet and exercise the most effective weight loss strategies, he acknowledges that there's a role for medical treatments.
Keeping the weight off is what's most difficult, he says. "Very commonly, people start to gain the weight back. A year out, and they have regained 30% to 50% of the weight they lost. If a drug can help people keep off what they've lost, that's meaningful."
Fortunately there are a few weight loss drugs that help in that regard.
Losing Belly Fat With Weight Loss Drugs
Meridia, Phentermine, and Xenical are the most commonly used FDA-approved drugs for treating obesity. They are used for people with a BMI of 30 and above, or those who have a BMI of 27 and other obesity-related medical conditions. Both drugs are considered "moderately effective" in weight loss, with an average of 5 to 22 pounds over a one-year period.
Meridia works by increasing brain chemicals like serotonin, norepinephrine and dopamine so people feel full sooner after they eat. Xenical binds to fat cells in the gastrointestinal tract to prevent them from being absorbed, so the body eliminates about 30% of fat that is consumed.
"Xenical and Meridia tend to help for about [the] first six months on average," says Eisenson. "Then their main benefit is as a weight loss maintenance aide, which is not a trivial thing. That's how Xenical and Meridia work best... helping people keep the weight off."
The drugs work best when combined with lifestyle changes, research suggests. In one study, obese men and women lost far more weight by changing eating and exercise habits -- and taking Meridia -- compared to those who relied on either lifestyle modification or medication alone.