by Davidabruzki
Weight is a subject talked about frequently during family get-togethers, gym classes, and medical counselors' advice and is the spearhead of every fashion statement. To presume that the weight-watchers are all about appearance may be as wrong a notion as one can harbor. Scrutinizing your weight is a prerequisite to a healthy lifestyle, well-being and a sense of confidence to face the world. Here are some idioms that almost
Belviq-Lorcaserin Approval Details
The nitty gritty on Belviq, which is the new trade name for Lorcaserin
(ADP-356), is that it was first rejected by the FDA on September 16,
2010, based on concerns over safety and efficacy. Then, after further
studies by the manufacturer (Arena Pharmaceuticals), the FDA reversed
its position and on June 27, 2012, approved its use, with certain
restrictions. Those restrictions are that it be used only for the
treatment of obesity in adults with a BMI (Body Mass Index) of at least
30, or in adults with a BMI of at least 27 and who, "&have at least
one weight-related health condition, such as high blood pressure, type 2
diabetes, or high cholesterol."
Hmm. I suppose this means that doubts about the safety and efficacy of
this drug are moot if you are big enough or in bad enough health.
How Does It Work?
Biochemists call lorcaserin a "selective 5-HT2C receptor agonist."
Translated, this means that it activates those parts of the brain
(receptors) where a serotonin precursor (5-HT) works. Yup, it is another
attempt by our friendly drug manufacturers to fool you into feeling
full so you will stop eating sooner. The jargon is to "promote weight
loss through satiety."
It is too bad that this approach to designing a weight loss drug is
doomed to fail, because it relies on the flawed Calories In/Calories
Out' strategy. This is a simple-minded strategy that is clearly
ineffective. The human body is not a furnace for burning calories. It is
a complex set of metabolic processes that have to be taken into account
for optimizing metabolism.
Clinical Results
The FDA accepts remarkably low standards for any new weight loss drug:
at least 5 percent loss of body weight within 12 months. Overall results
for lorcaserin show an average of 3 to 3.7 percent weight loss over a
year. If you start out at 250 pounds, on average you can expect to lose
7.5 to 9.25 pounds. However, the saving grace for this drug in the eyes
of the FDA is that 47 percent of patients without diabetes lost at least
5 percent of their body weight. It just squeaked in at the minimum
standard & whoopee!
For comparison, modifying your diet by choosing the right foods and
eating at the right times can provide weight loss of 2 pounds per week
with very little effort. And if you add a little of the right kinds of
exercise, you can accelerate it even more. Just think, eating right and
exercising right outdo the only new weight loss drug that the FDA has
approved in the past 13 years. Isn't that interesting?
Oh, one other little observation to note about clinical results with
lorcaserin: when patients stopped taking the drug, they gained their
weight back. Gee, it looks like another drug for life' from Big Pharma.
Once you get your first prescription, which should be available by
early 2013, you have to keep taking it as long as you live.
Side Effects
So far the side effects have been minimized to include only a slight
chance of depression, migraine, and memory lapses. Stay tuned.
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Weight Loss Drugs - For Relief of Obesity
Weight loss drugs are designed for the
treatment of obesity, a chronic disease with serious health risks, which
justifies the use of weight loss pharmaceuticals despite well known side
effects and health risks. Weight loss medications are NOT designed for
cosmetic weight loss.
Weight Loss Diet Supplements
As well as prescription drugs, there are
many diet supplements that are sold over the counter to assist weight
control. These weight loss supplements are not regulated by the FDA in
the same way as weight loss drugs. They do not need FDA approval (unless
they contain a new ingredient) and the manufacturers are themselves responsible
for ensuring the safety and effectiveness of their weight loss pills.
They are also responsible for disclosing
all side-effects and health problems of their weight loss supplements.
Weight Loss Supplements - "Natural"
or "Herbal" Not Always Safe
Just because a weight loss supplement claims
to contain herbal or natural sounding ingredients, this does not imply
greater safety. The 'natural' ingredient ephedra (ephedrine, ma huang)
has been implicated, according to the U.S. Food and Drug Administration
(FDA), in hundreds of illnesses, including: heart attacks, seizures and
strokes. Ephedra compounds have powerful and potentially lethal stimulant
effects on the central nervous system and the heart. There are several
other high-risk 'natural' or 'herbal' ingredients that appear in weight
loss supplements.
Weight Loss Pills - Little Testing
In general, weight-loss pills have been
subjected to very little long-term testing. Research indicates that risks
of weight loss drugs like fenfluramine, phentermine, and dexfenfluramine
may increase dramatically the longer the drugs are used. In addition,
the drugs produce minimal weight loss, and upon discontinuing the use
of any of the drugs, the weight is virtually always regained. Further,
anecdotal evidence suggests that impatient consumers eager to speed weight
loss frequently take multiple, more dangerous doses of weight-loss drugs.
Vulnerable consumers have also been misled and harmed by unregulated herbal,
so-called "natural," weight-loss drugs.
Weight Loss Pills - Do They Work
Medically supervised drug treatment programs
to relieve obesity definitely produce results, but clinical tests show
that lasting weight loss - even for clinically obese patients - is not
possible by using weight loss pills alone. Such medication should be combined
with physical activity and improved diet to lose and maintain weight successfully
over the long term.
Weight Loss Pills are No Magic Bullet
Most experts continue to advise that weight
loss pills are NOT a magic solution to weight control. In order to lose
weight successfully, without regain, you must combine weight loss medications
with a sensible diet and exercise program. In fact, if you check the literature
accompanying most weight loss supplements, it often states that effective
weight loss or sustained weight control is not possible by taking the
weight loss pills by themselves.
Despite spending millions of dollars on
pills, supplements and other weight loss medications, obesity rates continue
to soar. 58 million Americans are overweight; 40 million are obese and
3 million suffer from life-threatening obesity. Furthermore, 8 out of
10 over 25's are overweight and there has been a 76% increase in Type
II diabetes in adults 30-40 yrs old since 1990.
"There are no shortcuts - no magic
pills," says Lori Love, M.D., Ph.D., of the Food and Drug Administration's
Center for Food Safety and Applied Nutrition. Losing weight sensibly and
safely requires a multifaceted approach that includes setting reasonable
weight-loss goals, changing eating habits, and getting adequate exercise.
Diet pills, supplements, appetite suppressants, "fat-burners"
or other products may help some people over the short term, but they are
not a substitute for adopting healthful eating habits over the long term.
Weight Loss Pills & Supplements -
Play Safe!
Whatever type of weight loss pills you
are interested in - prescription-only weight loss drugs, or weight loss
supplements - you must consult your doctor. Ask for a full explanation
of the side effects and dangers of the weight loss pills you are considering.
Note: taking diet or weight loss drugs
is not usually considered appropriate if:
- You are pregnant or breastfeeding
- You have a history of drug or alcohol
abuse
- You have a history of an eating disorder
- You have a history of severe depression
or manic-depressive disorder
- You are taking a monoamine oxidase (MAO)
inhibitor or any other type of anti-depressant medication
- You get migraine headaches and take
medication for them
- You have an unstable medical condition,
such as glaucoma, diabetes, high blood pressure or heart disease or
a heart condition such as an irregular heartbeat.
Weight Loss Pills - Side Effects Warning
If you are taking any weight loss drugs,
medications, diet supplements or any other kind of weight control pills
and you suffer from any unusual symptoms or side-effects, stop talking
the pills and see your doctor.
In particular, watch out for these weight
loss pills side effects:
Nervousness, restlessness, insomnia,
high blood pressure, fatigue and hyperactivity, heart arrhythmias and
palpitations, congestive heart failure or heart attack, stroke, headaches,
dry mouth, vomitting and diarrhea or constipation, intestinal disturbances,
tightness in chest, tingling in extremities, excessive persperation, dizziness,
disruption in mentrual cycle, change in sex drive, depression, hair loss,
blurred vision, fever and urinary tract problems.
Sources:
Diet &
Weight Loss Pills Information
Weight
Control Information Network (WIN)
Weight Loss Information
Vegetarian
Diet