Supplements for Weight Loss
Benefits of Weight Loss
The causes of weight gain are intricate and diverse, stemming from various factors such as lifestyle, medications, genetics, and even environmental influences like your place of residence, occupation, and income. Given the complexity of the factors contributing to obesity, reversing this condition can be difficult. However, it's crucial to understand why weight loss is so vital.
Obesity stands as one of the most significant reversible risk factors for many medical conditions, including heart disease, type 2 diabetes, high cholesterol, and even certain types of cancer. Consequently, reversing obesity plays a pivotal role in maintaining heart health and taking proactive measures to prevent these debilitating diseases.
Losing Weight the Right Way
With all the fad diets coming and going, it can be hard to discern the most effective approach to weight loss. Unlike these trendy diets, healthy weight loss typically follows a straightforward path: maintaining a balanced diet and engaging in regular exercise. While this may sound simple in theory, putting it into practice often demands commitment and support. It's important to recognize that healthy weight loss is not a quick fix; aiming for a gradual reduction of about 1-2 pounds per week is often considered a sustainable and "healthy" rate. Such an approach is more likely to result in long-lasting weight loss compared to rapid alternatives.
When you've given a sincere effort to improve your diet and increase physical activity, yet still find yourself struggling to shed pounds, many individuals begin to explore additional options to aid in their weight loss journey. The FDA has approved several medications designed for weight loss. However, some people harbor reservations about prescription medications and prefer weight loss supplements.
Understanding Supplements: What Sets Them Apart from Prescription Medications?
Supplements, in essence, refer to substances that "supplement" your diet by providing nutrients and compounds beyond what you typically obtain from your regular food and beverage intake. These supplements can encompass a wide range of substances, including vitamins, minerals, live microbials (such as probiotics), and various plant extracts and herbs.
Many individuals perceive supplements as a more "natural" alternative to prescription medications, often driven by concerns about the artificial or chemical nature of pharmaceuticals. While it's true that many supplements are derived from natural sources like plants and herbs, it's important to recognize that being "natural" doesn't automatically equate to being better or safer. In reality, supplements can come with their own set of side effects, sometimes on par with those associated with common medications. Moreover, some supplements can pose significant health risks, including the potential for liver damage.
One of the primary challenges with supplements is the lack of stringent FDA review and approval required for their marketing. Unlike prescription medications, which undergo rigorous testing and evaluation, supplement manufacturers are primarily responsible for conducting their own studies on effectiveness and safety. This absence of external, unbiased regulation leaves room for potential biases in research and claims.
Despite these concerns, many individuals are drawn to supplements as a means of pursuing a "healthier" lifestyle and as a cost-saving alternative to increasingly expensive prescription medications. The rising cost of healthcare and the time spent at healthcare appointments also play a role in this preference for supplements. However, it remains essential for individuals to stay well-informed about the available evidence regarding both the benefits and risks associated with supplement use. Making informed choices is paramount in ensuring one's health and well-being.
Popular Weight Loss Supplements
With a clearer understanding of how supplements differ from medications, we can now explore a selection of popular weight loss supplements. These supplements have gained popularity for their perceived ability to assist in the weight loss journey. Yet, we must approach them with a discerning eye, analyzing their mechanisms, supporting evidence, associated risks, and whether they are genuinely effective in helping individuals achieve their weight loss goals.
Berberine
Proposed mechanism for weight loss: The proposed mechanism that contributes to weight loss involves intriguing facets, such as genetic influences and the modulation of gut bacteria, both aimed at promoting a reduction in body weight.
Supporting evidence: Although there have been studies investigating its potential benefits for weight management, they are not abundant, and their scientific rigor leaves room for improvement. Therefore, drawing definitive conclusions about berberine's efficacy requires additional robust research.
Risks: One notable concern is the possibility of interactions with other medications, particularly those prescribed for conditions like blood clots and diabetes. Beyond potential drug interactions, berberine also carries the risk of gastrointestinal side effects, which can manifest as nausea, vomiting, and diarrhea.
Summary: While the side effects of berberine appear relatively mild, the existing data may not be sufficient to wholeheartedly endorse its use for weight loss. As research continues to unfold, it is essential to exercise caution and remain open to new insights before incorporating berberine into a weight management regimen.
Bitter Orange (Synephrine)
Proposed mechanism for weight loss: Bitter orange is known for containing the active ingredient "synephrine". The proposed mechanism behind its weight loss effects revolves around increasing energy expenditure and promoting fat breakdown, with an additional mild impact on appetite suppression.
Supporting evidence: The supporting evidence for bitter orange's effectiveness is notably lacking. While it may have demonstrated some potential in enhancing energy utilization, there is no definitive proof to confirm that this translates into actual weight loss. More comprehensive studies are necessary before any conclusive statements can be made.
Risks: Some common side effects include heightened blood pressure and heart rate, as well as feelings of anxiety and frequent headaches. Bitter orange products often contain a mix of various ingredients, making it uncertain whether these side effects are solely attributable to bitter orange itself. Consequently, the safety of its use remains questionable.
Summary: Given the paucity of data supporting bitter orange's efficacy and the potential risks associated with its use, it is generally not recommended as a weight loss supplement. Prudent caution should be exercised, and alternative options with more substantial scientific backing should be explored when pursuing weight loss goals.
Chromium Picolinate
Proposed mechanism for weight loss: Chromium has been proposed to increase the amount of muscle you develop while also resulting in fat loss. It is also thought to decrease the amount of food you consume by reducing your hunger, specifically by decreasing fat cravings.
Supporting evidence: The evidence supporting chromium picolinate's efficacy in weight loss is marked by inconsistency and often suboptimal study quality. Numerous studies have produced conflicting results, with some indicating modest effects on body weight and fat composition while others found no discernible impact at all.
Risks: It's important to note that while a "normal" dietary intake of chromium from food sources is both safe and essential for human health, excessive supplementation can lead to adverse effects. These potential side effects include alterations in blood sugar levels, sensations of weakness, dizziness, skin rashes, and gastrointestinal discomfort, including nausea and diarrhea.
Summary: Even if the consumption of large quantities of chromium picolinate were to exert a modest influence on weight loss (which remains uncertain), the magnitude of these effects appears considerably smaller compared to the transformative power of a balanced diet and regular exercise. Moreover, the presence of side effects alongside limited efficacy renders chromium picolinate an unlikely contender as a potent tool for weight loss.
Conjugated Linoleic Acid (CLA)
Proposed mechanism for weight loss: CLA is thought to work on weight loss by increasing breakdown of fat, as well as decreasing the amount of fat stored.
Supporting evidence: The evidence supporting the weight loss efficacy of CLA in humans remains rather scant. Although pre-clinical studies in animals have shown promise, the translation of these findings to humans has yielded inconsistent results, leaving much uncertainty. To date, there is no compelling demonstration of a substantial weight reduction effect in human studies.
Risks: In terms of safety, CLA generally exhibits few adverse effects. Potential risks are more commonly observed at high doses and with prolonged use. These risks include gastrointestinal discomfort, such as stomach pain, diarrhea, and heartburn, as well as alterations in blood sugar and cholesterol levels.
Summary: CLA may not carry the same level of overt danger as some other weight loss supplements, it also lacks consistent evidence demonstrating significant weight loss effects in humans. The quest for effective and safe weight loss tools continues, with CLA still awaiting conclusive validation as a reliable solution.
Forskolin
Proposed mechanism for weight loss: Forskolin is thought to increase the amount of fat broken down in the body while also decreasing the amount of food you desire.
Supporting evidence: There have been a few short studies evaluating the effect of forskolin on weight. Though these studies have shown some effects in mice, the results have not yet been replicated in humans.
Risks: Forskolin has not been associated with as severe side effects as other weight loss supplements, though this is potentially at least in part due to the lack of high-quality studies. The studies that have been completed have shown few side effects other than occasional frequent diarrhea.
Summary: The effects of forskolin on weight loss, if any, appear to be modest at best. While the use of forskolin does not seem to carry an overt risk of danger, it's important to acknowledge the limitation of available data, indicating the need for further research to provide a more comprehensive understanding of its potential benefits and risks.
Garcinia Cambogia Extract
Proposed mechanism for weight loss: Garcinia cambogia extract has been suggested to lead to weight loss by stopping the storage of fat and curbing appetite.
Supporting evidence: The scientific evidence regarding the efficacy of garcinia cambogia extract for weight loss has been marked by inconsistency. Numerous studies have yielded conflicting results, with the prevailing consensus suggesting that this supplement is unlikely to yield significant weight loss outcomes.
Risks: Side effects were also found inconsistently throughout studies, though in general headache, gut irritation, rashes, respiratory tract infections were the most common. There were also rare incidents of mania and liver damage that were associated with the use of garcinia cambogia extract, though in both cases it is difficult to determine if garcinia cambogia extract was the sole culprit.
Summary: Studies on garcinia cambogia extract did not find overly significant effects on weight loss, and the risk of serious side effects is not common, though potentially dangerous.
Green Tea Extract
Proposed mechanism for weight loss: Green tea extract has been proposed to cause weight loss by increasing the amount of energy and fat you use up (calories you burn) as well as decreasing the amount of fat you store.
Supporting evidence: The body of evidence supporting green tea extract's potential for weight loss is relatively more substantial compared to other supplements. Several well-conducted clinical trials have explored its effects, with somewhat more promising outcomes. However, it's essential to note that the observed impact on weight loss still appears to be relatively modest.
Risks: When consumed as a beverage in typical amounts, poses minimal risk for most individuals. However, when used in larger quantities specifically for weight loss purposes, green tea extract can lead to severe side effects, including liver damage, as well as gastrointestinal issues like nausea, discomfort, and constipation.
Summary: Green tea extract exhibits a somewhat more promising body of evidence for weight loss compared to other supplements. It is generally considered safe for most people when used in moderation, but caution is advised when employing excessive amounts for weight loss purposes.
Final Thoughts
In summary, it's important to remain well-informed about the evidence supporting the substances you consume, even when they are labeled as "natural health products." Prescription medications are subjected to rigorous studies to establish their efficacy and safety. In contrast, supplements lack this level of regulation, carrying inherent risks.
Nonetheless, you have the right to take charge of your health. If you choose to incorporate weight loss supplements into your regimen, it's vital to acquaint yourself with both the data supporting their effectiveness and the potential associated risks. The most prudent approach involves engaging in a candid conversation with a healthcare professional who can assess your individual health and goals. Their guidance can lead to informed decisions that align with your well-being.
Furthermore, it's essential to acknowledge the possibility of interactions between weight loss supplements and other medications you may be taking for concurrent health conditions. Maintaining open communication with your healthcare provider is paramount to ensure your safety. Even if you opt for weight loss supplements, continuous monitoring by a healthcare professional will enable timely adjustments in case the desired effects are not achieved or if unexpected side effects arise. Your health and well-being remain the top priority throughout this journey.
References:
- Dietary Supplements for Weight Loss. NIH Office of Dietary Supplements. (2022, May 18). Retrieved September 9, 2023, from https://ods.od.nih.gov
- FDA. (2022, June 2). FDA 101: Dietary Supplements. U.S. Food and Drug Administration. Retrieved September 9, 2023, from https://www.fda.gov
- Pasque, L. (2023, June 9). Berberine is a promising supplement - but it’s not a magical weight-loss solution. Mayo Foundation for Medical Education and Research. Retrieved September 17, 2023, from https://mcpress.mayoclinic.org
- Koncz, D., Tóth, B., Bahar, M. A., Roza, O., & Csupor, D. (2022). The Safety and Efficacy of Citrus aurantium (Bitter Orange) Extracts and p-Synephrine: A Systematic Review and Meta-Analysis. Nutrients, 14(19), 4019. https://doi.org/10.3390/nu14194019
- Benjamin, S., Prakasan, P., Sreedharan, S., Wright, A. D., & Spener, F. (2015). Pros and cons of CLA consumption: an insight from clinical evidences. Nutrition & metabolism, 12, 4. https://doi.org/10.1186/1743-7075-12-4
- Chromium. Mount Sinai Health System. (n.d.). Retrieved September 17, 2023, from: https://www.mountsinai.org
- Chen, J. Y., Peng, S. Y., Cheng, Y. H., Lee, I. T., & Yu, Y. H. (2021). Effect of Forskolin on Body Weight, Glucose Metabolism and Adipocyte Size of Diet-Induced Obesity in Mice. Animals: an open access journal from MDPI, 11(3), 645. https://doi.org/10.3390/ani11030645
- Chen, I.-J., Liu, C.-Y., Chiu, J.-P., & Hsu, C.-H. (2016). Therapeutic effect of high-dose green tea extract on weight reduction: A randomized, double-blind, placebo-controlled clinical trial. Clinical Nutrition, 35(3), 592–599. https://doi.org/10.1016/j.clnu.2015.05.003
- LiverTox: Clinical and Research Information on Drug-Induced Liver Injury [Internet]. Bethesda (MD): National Institute of Diabetes and Digestive and Kidney Diseases; 2012-. Green Tea. [Updated 2020 Nov 20]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK547925/
- Onakpoya, I., Hung, S. K., Perry, R., Wider, B., & Ernst, E. (2011). The Use of Garcinia Extract (Hydroxycitric Acid) as a Weight loss Supplement: A Systematic Review and Meta-Analysis of Randomised Clinical Trials. Journal of obesity, 2011, 509038. https://doi.org/10.1155/2011/509038