Diet Pills A Lot Of Risk For A Little Loss

There are a number of products on the market - both prescription and non-prescription - which claim to be effective weight loss aids. Many of these have been associated with serious medical risks, including heart attack, heart abnormalities, tachycardia, stroke, seizures and death. The side effects can be daunting, but how realistic are they?

Diet pills fall into several different classes. Most are appetite suppressants of one kind or another, generally stimulants with effects similar to those of amphetamine. They are approved for treatment of obesity, where it's considered that the health risks associated with gross overweight outweigh the risks associated with the medication.

For someone who has less than 30 pounds to lose, the risks are far less cut-and-dried. While the FDA and manufacturers closely monitor the effects of prescription weight loss medications, over the counter medications and their risks are far less well-documented. They're even less well-documented for herbal preparations, especially those whose makers don't officially make weight loss claims for them.

While makers of pharmaceuticals must meet stringent labeling requirements and tests for safety and effectiveness, those who make weight loss 'supplements' are not regulated in the same way. As long as they don't contain a 'new' ingredient, or one that has never been marketed for weight loss purposes, they are not subject to FDA review. Instead, the manufacturer is held responsible for the safety and effectiveness of their products. Often, that means unregulated dosages, unhealthy additives and ineffective ingredients.

In an effort to encourage improvement in the reporting standards and the pharmaceutical standards for weight loss medications, the United States Pharmacopoeia has introduced the Comprehensive Dietary Supplement Verification Program.

Currently voluntary, it involves certification by the USP of certain labeling and practice standards, including that the product contains the ingredients stated on the label in the strength declared, that they are within limits for impurities like metals, pesticides and bacteria, that the medication will be absorbed by the body according to USP criteria, and that it has been created with all safe precautions.

Until the day that all over the counter medications and herbal preparations marketed as weight loss supplements and aids are labeled and tested by impartial researchers, there are some things that you can do to lessen the risks associated with using diet pills.

Research is your best friend. There's a lot of information out there about drugs and herbs like ephedra, ephinedrine, phentermine and sibutramine. Know what you're taking and what the risks are so that you can watch for side effects.

Always talk to your doctor before you start taking any drug or herbal supplement. Many of them interact poorly with other medications, or have an adverse effect on chronic conditions.

Follow dosage instructions. Overdoses of stimulant medications, which are a component of most weight loss preparations, can be serious and severe.

Don't take any weight loss pill or supplement for more than a few weeks without it being prescribed by a doctor.

Check with your pharmacist when purchasing over the counter weight loss preparations to be sure that the ingredients don't interact with other medications you may be taking. Include both prescription and nonprescription medications in your questions.

Ideally, don't take weight loss pills. The effectiveness of most have not been proven at all. It's an awful lot of risk for such a little loss.

Don't Go It Alone

There's an old story about a child trying to move a heavy stone while his father looks on. The child works and works, but is just not strong enough. Finally, he tells his father, "I can't do it. It's impossible."

His father responds, "Of course you can. You haven't used all the strength you have available to you yet." The little boy answers that he has tried his hardest, and still can't do it, to which the father responds, "You haven't asked me to help you yet."

Sometimes dieting can seem like moving that heavy rock. You struggle and fight, exercise and sweat, but it's so hard to stick to a diet and exercise schedule that you give up. There comes a time to recognize that asking for help is a sign of strength, not weakness. Enlisting the aid of friends, family and a good weight loss support group can bolster

your efforts and help you overcome setbacks that threaten to derail your weight loss efforts. Instead of trying to go it alone, try a few of these suggestions to help you stay on track with the help of friends and family.

1. Hook up with an exercise buddy. Making a date and a commitment to help support someone else's efforts will help you stick to yours as well. Think you don't know anyone you can exercise with? You might be surprised. Several years ago, I was commiserating with an online friend about another failed effort to lose weight when she proposed a novel idea. We each got a cell phone with the same calling plan, and every afternoon at 2, we 'met' for a walk. She did her walking in Seattle, and I did mine in Boston - but by keeping each other company, we helped each other lose 25 pounds each, and cemented a friendship that will last a lifetime.

2. Get your family on the right page. Husbands, wives, children and siblings can offer support in unexpected ways. Something as simple as a sincere compliment at the right time can be all you need to nudge you onward. By the same token, refuse to let them sabotage your diet efforts. When you recognize it, point it out but keep in mind that they probably don't think of it as 'sabotage'. If your husband habitually brings you a bowl of ice cream when he gets one for himself, for instance, he probably thinks he's expressing his love. Let him know that you appreciate it, but you'd rather have a kiss than ice cream anytime.

3. Join a weight loss group like Weight Watchers. There's a lot to be said for seeking out the support of others who are fighting the same battle you are. Whatever it is that motivates you, you can find it in a weight loss support group. Healthy competition, companionship, encouragement, applause and practical, common sense advice from others who are also fighting to take off pounds can all make reforming your eating habits considerably easier.

Are You Getting All Of The Nutritional Supplements You Need?

Are you certain that your body is getting all the nutrients it needs? while you're dieting? Chances are that if you're following any restrictive diet plan, you may be missing some important vitamins or minerals. Any diet that heavily emphasizes one food group while completely restricting others is, by nature, lacking in some essential nutrients.

Isn't that part of the idea, though? The popular conception of dieting is that when we feed our bodies less calories than it needs, it will begin to take nutrition from the fat that it has stored. While that's true, there's a basic fallacy in thinking that your body can derive all the fuel it needs that way. Part of the problem with that assumption is that there are many nutrients that your body can't store. It simply uses what it needs and excretes the rest. Those nutrients must be consumed daily in one way or another, and if your diet doesn't allow for that, your body will show the effects.

If you're on a diet that severely restricts your intake of any particular food or food group, you may benefit from adding a nutritional supplement to your daily regimen. In fact, many doctors recommend that dieters take, at the very least, a complete, high-quality multivitamin to make up for any deficiencies caused by the restrictions. Other supplementation might be recommended depending on the diet you're following.

Below are some specific suggestions based on particular diets. The suggestions should not be taken as medical advice, nor is there any dosage recommendation. Instead, take it as a suggestion to discuss your diet with a nutritionist or dietician and ask for their advice on appropriateness or dosage.

On ANY Diet:

A full-spectrum multivitamin should be part of your daily routine no matter what you're eating or not eating. It will help even out the ups and downs of your diet, and supply some valuable nutrients that are difficult to get.

Sunshine. It may not come in pill form, but sunshine is one of the more important 'nutritional supplements'. It assists the body in making vitamin D, which is not derived from any food source. While doctors say that as little as 20 minutes of full sun a day can supply your daily requirement of vitamin D, they also caution that it's dependent on climate. If you live north of Philadelphia, you should take a vitamin D supplement to be sure that you get enough.

On a Low-Carb/High Protein Diet:

Antioxidant vitamins that are found in vegetables are a must. Scientists are learning more and more how important it is that our diets contain a full spectrum of vitamins, proteins, minerals and acids. If your diet cuts out most grains and vegetables, you should be replacing the nutrients you miss out on with supplementary vitamin A, C, B (all the B's), E and K. You should also supplement your intake of folic acid, and if you're not getting a significant amount of your protein from fish products, you'll need omega 3 fatty acids found in fish oil, shellfish and flaxseed oil.

Keep in mind that the best diet is one that gives you a balance of nutrients, and that supplements should be exactly that - a supplement to your daily intake of nutrition.

Diabetes and Weight Loss

Did you know that you can be 'just a little bit diabetic'? The condition is technically called 'pre-diabetes', and it is characterized by persistent high blood sugar levels. Pre-diabetes is a serious condition, though its symptoms may be so subtle that you don't notice them affecting your life. More importantly, it's an indicator that there is something seriously wrong with your body. Left untreated, over 50% of those diagnosed with pre-diabetes will develop Type 2 diabetes within ten years.

If your doctor has told you that you are one of the more than 16 million Americans who has pre-diabetes, the American Diabetes Association has some very good news for you. In March 2005, the ADA released the results of the multi-year Diabetes Prevention Project. In a study that followed thousands of patients across the nation who had been diagnosed with pre-diabetes, the Diabetes Prevention Project found that patients who lost a 'moderate' amount of weight reduced their risk of developing full-blown diabetes by over 58%. Even more encouraging, many of those patients had managed to reverse their condition, and their blood sugar levels were well within normal ranges.

This was a result that the researchers had not expected. Diabetes (and pre-diabetes) is the result of changes to cells in the pancreas that reduce the amount of insulin that they can produce. Doctors have always believed that those changes are irreversible. Now however, the research seems to suggest that losing weight with a healthy balance of exercise and diet can actually heal those early damages caused by diabetes.

Here's the even better news. Those results were achieved by people who lost 'moderate' amounts of weight - from 5-7% of their total body mass. In other words, if you weigh 200 pounds and have been diagnosed as pre-diabetic, losing just 10-15 pounds can more than halve the risk of developing full-blown diabetes, and may reverse your condition entirely.

Here are some healthy weight loss tips from the American Diabetes Association:

1. Keep your diet balanced. Eat a variety of foods in all food groups, with an emphasis on grains, starches and fresh vegetables and fruit.

2. Learn to eyeball portions. Portion control is far more important than restricting what foods you eat. A 'portion' of raw vegetables may be considerably larger than a portion of the same vegetables cooked. There are some handy reference guides on their web site at www.diabetes.org

3. Add one half hour daily of moderate exercise to your daily routine five days a week. This one single lifestyle change seemed to be the key to both weight loss and the beneficial effects derived from it. It was the single significant difference between the two groups in the study.

The results of the Diabetes Prevention Project only confirm what has been the best advice in dieting circles for years - losing weight with a balanced diet and exercise is the healthiest way there is. For more information on the diet recommended by the American Diabetes Association, visit their web site at www.diabetes.org

Dangerous Weight Loss Methods

We're all looking for the magic bullet. You know - the one that we can take and lose weight without really trying! What would you give up to be skinny? How about your health? Some of these methods of weight loss just may cost you exactly that. Before you decide that the way to lose weight is to follow one of the below regimens, take a second look. Do your research and be sure that you understand the risks.

Prescription diet pills

Amphetamines are available only by prescription, and most doctors are leery of handing them out these days. While they do suppress appetite, you learn nothing about healthy eating, don't change your eating habits and are likely to gain the weight back the moment you stop taking them. In addition, they can be habit forming. The side effects include high blood pressure, heart arrhythmia, sleeplessness, hallucinations and delusions

Ephedra

This all natural Asian herb is found in many herbal remedies and weight loss powders. It has a powerful appetite suppressant effect, but has been implicated in over 70 deaths.

Phentermine Fenfluramine-phentermine (fen-phen)

Fen-phen was a popular weight loss supplement in the 90s until it was implicated in deaths due to heart-valve damage. Phentermine alone is still sold in many weight loss aids. The side effects include headaches, dizziness, heart arrhythmia, high blood pressure and insomnia

Laxatives

One of those popular home remedies, used for purging. Regular use and abuse of laxatives can result in low potassium’s, arrhythmia and pancreatic damage

Artificial Sweeteners

Aspartame, the most commonly used artificial sweetener, has been implicated in multiple lawsuits alleging damages that include blindness, seizures and brain damage

Smoking

Afraid you'll gain weight if you quit smoking? The National Institute of Diabetes says that you'd have to gain 100-150 pounds to match the health risks you invoke by smoking. Instead, set up healthy strategies to help you deal with food cravings and put down the cigarettes.

Purging

Like laxatives, purging by forcing oneself to vomit or taking emetics can have very damaging effects on health. Depletion of nutrients like potassium and vitamins, damage to the esophagus from stomach acids, and esophageal rupture are all possible side effects

Diuretics

Taking diuretics encourages your body to rid itself of fluids - including vital electrolytes. The depletion can lead to dehydration, and cause your body to start retaining water, starting a vicious cycle. Repeated or prolonged use of diuretics can lead to kidney damage and serious electrolyte imbalances, which may result in kidney or heart failure.

Herbal Remedies

We have a tendency to equate 'herbal' with 'harmless', but say nutritionists, this isn't always the case. Remember that many medications are derived from herbs, and because of the lack of regulation, dosages of active ingredients can vary widely from one manufacturer to another. Below is a list of some of the most common ingredients found in herbal weight loss powders, along with cautions about their effects in certain conditions.

Ephedra (ma huang, ephedrine, ephedra extract, epitonin, ephdra sinica and sida cordifolia) should not be taken by people with heart, thyroid or kidney disease, or with hypertension

Cascara and Senna should not be taken by people taking diuretics (both are often found in herbal weight loss teas)

Selenium and Capsaicin should not be taken by people with bowel or digestive disorders

Kava should be avoided by people with mood disorders who are taking mood altering medication, and people with Parkinson's disease.

Gingko biloba, licorice root, and dong quay should not be taken by people who are taking blood thinners or anti-coagulants.

While weight loss is a worthwhile goal, guarding your health is an even more important one. Be sure that whatever weight loss method you choose won’t lead to other serious medical conditions.