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Q. Does Orlistat help in losing weight?

Answered by
Swapan Banerjee
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 14, 2015 and last reviewed on: Oct 09, 2018

Hi doctor,

I am an unmarried 23 year old female. My height and weight are 5'6" and 105 kg respectively. Till now I do not have any medical issue. From childhood, I am a bit fat. So I would like to know, is there any tablet which can help me lose weight along with diet? I heard that Xenical (Orlistat) will help to lose weight. Is it right?

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#

Hi,

Welcome to icliniq.com.

I have gone through your case in detail.

  • First of all Orlistat (Xenical) is a drug which may be useful for you. But, initially I would recommend you to go under natural treatment better to say meal planning or proper diet chart.
  • Pills have lot of side effects like mainly spots or spotting in underwear or around your genital areas, urinary problems, gas, flatulence, irritable bowel movements, diarrhea, more types of gastric problem and disorders.
  • Xenical is used to aid in weight loss, or to help reduce the risk of regaining weight already lost. This medicine must be used together with a low calorie diet.
  • You check if you have any disorder like gallbladder problems, chronic malabsorption syndrome (an inability to absorb food and nutrients properly), diabetic, hormonal problems, liver, kidney, pancreatitis, gall stones and thyroid disease.
  • I suggest you to start diet chart/plan as below:
  1. Take 1200 kcal/day which includes 600 kcal of light carbohydrate like 150 g rice/roti, brown bread, flakes, etc., 60 g protein like 200 ml milk, chana, paneer, soy products, sour curd, salad, 20 g of pulses and 20 g or 2 tablespoon oil only good quality mustard oil, safola, etc.
  2. 6 AM - Early rise and walking, free hand exercises for 1 hour in the free air.
  3. 8 AM - Breakfast - Light meal like tea, cream cracker biscuits and rice flakes/oat 50 g or vegetarian sandwich 100 ml milk and sour curd.
  4. 10 AM - Salad and any fruit like guava/papaya four slices.
  5. 1 PM - Lunch - 50 g rice and two roti, dal 15 g, fish/egg only white, curd, mixed vegetables 100 g.
  6. 4 PM - Fruit two pieces or 200 g salad.
  7. 6 PM - Tea and biscuit, flakes, etc. No fried and oily snacks.
  8. 9 PM - Dinner - Roti 3, dal, paneer/fish 60 g, mixed vegetables 100 g, curd 100 g or milk.
  • Do not eat fast food or outside food and no junks. Do not use excess oil, masala, fatty foods, butter, ghee or any saturated fats in meals.
  • Avoid cold drinks, hard drinks, smoking, mutton, beef, briyani, any type of nuts, dry fruits and packed foods.
  • Sleep only for 6 hours. Most important is work as much as possible or go for walking, jogging, free hand/yoga.

The Probable causes:

Lifestyles or hormonal imbalance.

Investigations to be done:

Blood test, sugar profile, hormonal profile.

Regarding follow up:

Revert back after a week for follow up to a dietician online.---> https://www.icliniq.com/ask-a-doctor-online/dietician

Hi doctor,

Thanks for the advice. I will follow up the plan and let you know. Kindly let me know the weight losing pill which I can take along with this diet and exercise.

#

Hi,

Welcome back to icliniq.com.

I would suggest you to go with low calorie diet plan and rigorous exercise for the first two months. Work as much as possible. Dynamic lifestyle is compulsory. After two months you can start with pills. But, you may have side effects from pills. So, let us start simple harmless method first.

Revert back after a week for follow up to a dietitian online -->  https://www.icliniq.com/ask-a-doctor-online/dietician


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