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Alternative medicine

By Mayo Clinic staff

Numerous dietary supplements that promise to help you shed weight quickly are available. But in almost all cases, the effectiveness and safety of these products are questionable. Talk to your doctor before taking any dietary supplements.

Herbal remedies, vitamins and minerals, all considered dietary supplements by the Food and Drug Administration, don't have the same rigorous testing and labeling process as over-the-counter and prescription medications. Yet some of these substances, including products labeled as "natural," have drug-like effects that can be dangerous. Even some vitamins and minerals can cause problems when taken in excessive amounts. Ingredients may not be standard, and they can cause unpredictable and harmful side effects. Dietary supplements can also cause dangerous interactions with prescription medications you take.

It's thought that acupuncture and hypnosis may complement other obesity treatments. Talk to your doctor if you're interested in adding acupuncture or hypnosis to your treatment.

References
  1. Defining overweight and obesity. Centers for Disease Control & Prevention. http://www.cdc.gov/obesity/defining.html. Accessed Feb. 14, 2011.
  2. Still CD, et al. Obesity. In: Rakel & Bope: Conn's Current Therapy. 60th ed. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/117958748-3/0/1621/295.html#4-u1.0-B978-1. Accessed Feb. 15, 2011.
  3. Bray GA. Etiology and natural history of obesity. http://www.uptodate.com/home/index.html. Accessed Feb. 16, 2011.
  4. Kushner RF. Obesity management. Gastroenterology Clinics of North America. 2007;36:191.
  5. Duval K, et al. Health-related quality of life in morbid obesity. Obesity Surgery. 2006;16:574.
  6. Hainer V, et al. Treatment modalities of obesity: What fits whom? Diabetes Care. 2008;31(suppl 2):S269.
  7. Understanding adult obesity. National Institute of Diabetes and Digestive and Kidney Diseases. http://www.win.niddk.nih.gov/publications/understanding.htm. Accessed Feb. 15, 2011.
  8. Bray GA. Overview of therapy for obesity in adults. http://www.uptodate.com/home/index.html. Accessed Feb. 16, 2011.
  9. Svetkey LP, et al. Comparison of strategies for sustaining weight loss: The Weight Loss Maintenance Randomized Controlled Trial. Journal of the American Medical Association. 2008;299:1139.
  10. The practical guide: Identification, evaluation, and treatment of overweight and obesity in adults. U.S. Department of Health and Human Services. http://www.nhlbi.nih.gov/guidelines/obesity/prctgd_c.pdf. Accessed Feb. 15, 2011.
  11. Donnelly JE, et al. American College of Sports Medicine position stand: Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Medicine & Science in Sports & Exercise. 2009;41:459.
  12. Sacks F, et al. Comparison of weight-loss diets with different compositions of fat, protein, and carbohydrates. New England Journal of Medicine. 2009;360:859.
  13. Jones D, et al. Surgical management of severe obesity. http://www.uptodate.com/home/index.html. Accessed Feb. 16, 2011.
  14. Meridia (sibutramine): Market withdrawal due to risk of serious cardiovascular events. U.S. Food and Drug Administration. http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm228830.htm. Accessed Oct. 8, 2010.
  15. Najm W, et al. Herbals used for diabetes, obesity, and metabolic syndrome. Primary Care. 2010;37:237.
  16. Cho SH, et al. Acupuncture for obesity: A systematic review and meta-analysis. International Journal of Obesity. 2009;33:183.
  17. Completed safety review: Xenical/Alli (Orlistat) and severe liver injury. U.S. Food and Drug Administration. http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/ucm213038.htm. Accessed Feb. 16, 2011.
DS00314 May 6, 2011

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