Dear Pharmacist: I am 90 pounds overweight and just began taking the medication Xenical. Is there another drug that works better than this? Are there any supplements you recommend? — J.M., Dallas, Texas
Kudos to you for getting on the path to wellness. This topic could encompass an entire book, and if there was one easy answer it would be great, but there’s not. There isn’t a medication that I recommend for weight loss. Although orlistat (Xenical) is commonly prescribed to assist in weight loss, it is not a fat burner. It is a fat blocker. It reduces intestinal fat absorption by blocking an enzyme called lipase. One way to prevent fat in the first place is to keep your cortisol levels down. Cortisol will rise in the presence of chronic stress, fear and grief, and the hormone contributes to belly fat. You can evaluate cortisol and other adrenal hormones with urine and saliva tests.
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