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.