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Who could take it: Though lorcaserin is a derivative of the appetite suppressant fenfluramine, which was banned for causing heart problems, it doesn’t cause cardiac issues. So it’s a good choice for people who can’t tolerate the stimulant side effects of other meds, like a racing heartbeat and jitters, says Rader.
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It works in a few ways: Whey suppresses your appetite, therefore helping you eat less, but it’s also one of the best aids in building muscle, says Franci Cohen, certified nutritionist, exercise physiologist, and founder of Fuel Fitness in Brooklyn. “Muscle has a higher metabolic rate than fat, so every pound of fat you replace with muscle in turn increases your metabolism and fat-burning abilities a bit more,” she explains. Plus, because it contains the same molecules as carbs and fats, plus one more (nitrogen), protein requires more energy to digest, so you’ll burn more calories as your body processes the nutrient, Cohen adds.
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What can you expect? Studies comprising nearly 8,000 obese and overweight people who took Belviq show an average weight loss of 3 to 3.7 percent, and those who combined the drug with diet and exercise lost even more. His rule of thumb is that if you do not lose 5 percent of your weight after 12 weeks of treatment, you likely will not respond. “We are seeing good weight loss in about 50 percent of patients and it is very safe,” he says. Both cholesterol and blood sugar levels also seem to decrease among Belviq users. Side effects may include headache, dizziness, fatigue, nausea, dry mouth, constipation, and low blood sugar for people who take drugs to treat diabetes, but there is a very low likelihood of these, he says. It is among the best weight loss pills when it comes to safety. “One of the feathers in Belviq’s hat is that it is very well tolerated,” he says. That said, people with a history of heart disease, psychiatric disorders and those who are pregnant should not take this medication. The FDA’s advisory panel initially rejected this weight loss pill due to risk of tumors seen in animal studies, and the European Medicines Agency was so concerned about the drug’s safety that it rejected Belviq. However, an analysis in JAMA indicates that Belviq is linked to fewer adverse events than other Rx weight loss pills. Try these 50 ways to lose weight without a lick of exercise.
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