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We believe that the best way to lose weight is by following a healthy eating plan and taking a moderate amount of exercise every day, as laid out on the obesity advice page on our website. Where an effort in this direction has failed to produce significant results or you just need that extra push, we will be happy to help you so long as we agree that it is an appropriate course of action based on your personal circumstances. However, as a regulated clinic, we will only ever advise you on prescription medications which have been through exhaustive clinical trials to demonstrate their safety and efficacy. We never recommend herbal diet or slimming pills or anything that you can buy over the counter because they tend to be ineffective or non-proven because of the lack of clinical data.

There are three prescription slimming pills currently on the market in the UK which have been licensed for long term use with a demonstrated safety and efficacy level. When someone submits a weight loss consultation form to us online, we consider patients for each one of these slimming pills and offer the full range if this is appropriate for that patient. Only one weight loss medication can be taken at any time and we will obviously provide advice to you on the principal differences between these treatments.

Xenical, also known as Orlistat, is a medication which works in a localised way to prevent the digestion and absorption of a degree of dietary fat. As the medication works locally in the digestive tract, there tend to be fewer potential side effects associated with this medication than with its centrally acting competitors. All medications have potential side effects but for most patients, most side effects which are experienced on Xenical will normally disappear with an adjustment to diet.

Because of the way that Xenical works, it is essential that you make sure that you have a mildly low fat diet before you begin taking the medication. Many people mistakenly think that Xenical is only suitable for people with a high fat diet – nothing could be further from the truth! If you have a high fat diet and you take Xenical, you are most likely to experience undesirable gastrointestinal side effects such as very loose bowel movements and an urgency to have them. So long as you follow the dietary advice, you should escape these side effects.

Xenical may not be suitable for everyone and it is only available on prescription. Some pharmacies have a special dispensation to provide Xenical under Patient Group Direction so it is available in certain places in the UK following an interview with a pharmacist. We provide the medication on prescription following an online consultation with a GMC registered doctor.

Orlistat is available in the United States in a low dose form over the counter under the brand name Alli. We are not currently aware of any plans to make this medication an Over The Counter medication in the UK.

We have provided further information on Xenical which is based on the approved patient information leaflet which accompanies the medication. If we prescribe this medication for you, you will be entitled to register at http://www.xenicalmap.co.uk which is an online resource provided by Roche, the manufacturer of Xenical or Orlistat. This is only available to people who have actually been prescribed the medication and you will be issued with a code to allow you to register online.

Reductil seems to be the best known medication as it is often specifically requested by patients. Reductil has a list of potential side effects as long as your arm and we provide this information at the Reductil Information page which is based on the patient information leaflet which accompanies the medication. Reductil is not appropriate for everyone but we will make an assessment as to your suitability when you submit a weight loss consultation form.

Reductil works as a neurotransmitter re-uptake inhibitor. Reductil principally targets noradrenalin and serotonin re-uptake. These neurotransmitter chemicals are partly responsible for mood and a feeling of satiety. As the chemicals are emitted from the hypothalamus of the brain, sibutramine (the Reductil active ingredient) prevents the re-absorption of these neurotransmitters, thereby prolonging the feeling of satisfaction derived from having eaten. Reductil therefore helps people to better control the size of portions that they consume. This should train the body to expect less food so that when the patient finally comes off Reductil, the established healthy eating pattern is maintained.

Abbott, the Reductil manufacturer, has provided an online resource called Change for Life. We send out a free registration pack with every first prescription of Reductil. The resource is only available to Reductil patients and you will be issued with a unique login code for the Change for Life website. A booklet and two weight loss CDs published by Abbott are also provided by The Online Clinic, free of charge with each initial prescription of Reductil.

The combination of Reductil and certain other medications can have extremely serious consequences so it is vital that, as with all medications, a full disclosure is made to our doctor during the online consultation. Reductil can also have an adverse impact on blood pressure and heart rate in some cases so it is essential that you have your blood pressure and heart rate monitored every two weeks for the first three months while on Reductil and monthly thereafter. Some patients find it convenient to use a home monitor which can be purchased from a high street pharmacy. We expect the blood pressure results to be reported back to us using a secure online update form. Our practice nurse will be in touch with instructions on what to look out for if you are prescribed this medication and we send a link to the update form at regular intervals, so you have no excuse for forgetting to enter the information that we require in order to track your progress.

The most recently approved medication for weight loss as an adjunct to diet and exercise is Acomplia or Rimonabant, its chemical name.

Acomplia is a CB1 receptor antagonist. Our bodies contain a complicated system called the endocannabinoid system which is believed to regulated food intake and energy consumption. The endocannabinoid system is overactive in some overweight people which results in them desiring more food than their body actually requires for the energy that they expend. By preventing the CB1 receptor (which is located in fat cells, the hypothalamus of the brain and certain peripheral organs) from working, the endocannabinoid system is regulated and “normalised.” This should lead to the patient being able to better manage their food cravings. Acomplia is not a classic appetite suppressant but it should help patients to control their hunger pangs much better than would otherwise be the case.

Acomplia is not without side effects and it is definitely not appropriate for everyone. Our doctor will advise if Acomplia is an appropriate medication for you when you submit a Free Weight Loss Consultation

There is a body of evidence which suggests that Acomplia is particularly effective in reducing the visceral fat which accumulates around the middle, surrounding vital organs. This type of fat is a marker for cardiovascular disease and diabetes. Most people want to lose weight for aesthetic reasons, which is fair enough but there are wider health benefits from having a body mass index within the normal range.

We have provided a more detailed information page on Acomplia which is based on the authorised information leaflet that accompanies any Acomplia prescribed.

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