DIET CLEANSES Myth or Fact: Cleansing/Detox diets are a good way to jump start my diet?

SORRY, BIG MYTH! There is little evidence to support that detox diets, such as The Master Cleanse, do much more than lead to unhealthy, unpleasant side effects. In fact, detox diets can actually do more harm than good as they lead to muscle breakdown and a shortage of some very important vitamins and minerals which weakens our immune system and our ability to fight off infection.

In addition, most detox-type diets incorporate little to no protein, which are not only the basic building blocks of cells but also a key ingredient to losing weight. Our body naturally cleanses itself through the kidneys and liver, so a diet that promises to “cleanse” really isn’t necessary.

Still not convinced? Detox diets can also make you feel lightheaded, lethargic and cranky – making you not so fun to be around (can anyone spell bad breath?).

Our recommendation: “cleanse” your diet by introducing more whole fruits and vegetables and by avoiding refined carbohydrates such as white rice, white bread and sugar, which provide minimal nutrients and can be calorically-dense.

Lazy Summer Diet Tips

Summertime and the dieting is lazy! That's right. The hot, humid days of mid-summer encourage us to take the easy route. And if you think dieting always has to be a challenge, you'll be happy to learn some of my favorite lazy dieting tips which will help you cut calories effortlessly. These simple suggestions can turn mindless eating into mindless losing. Adopt just a few of them and by the time you're ready for your fall wardrobe, you'll be that much closer to your goal weight.

Most of us eat too fast and our brain doesn't have time to register that we're full. So we keep eating! A simple trick to break out of this pattern is to put your knife and fork own three times during a meal. Stop. Take a breath. Join the conversation. You'll eat slower and you'll consume less.

Drink water with your meals. If you're eating in a restaurant, have the goal of three fill-ups in the course of the meal. If you're sipping water, you're not eating; You're getting closer to your daily water intake goal (see The Wall Street Diet, page 38 for tips on water drinking) and you're filling up on non-cal fluids rather than more fattening things.

Order two appetizers for dinner. This is a great, lazy way to a healthy, low-cal dinner. Skip the heavy entrees and go for two light, tasty appetizers instead. You'll cut calories and you'll keep pace with other diners who might be having an appetizer plus an entree. See The Wall Street Diet, page 129, for some recommended appetizer choices. A couple of good bets include fresh gazpacho, shrimp cocktail, caprese salad (mozzarella and tomato) or steamed mussels in white wine and garlic.

Wear fitted clothes. This is a great mindless way to keep your eating goals at the top of your 'to-do' list. Nothing says "eat light" like a pair of snug pants and/or a belt. It's a constant reminder that you don't ever want to feel stuffed and that eating light feels right.

Kill your cravings. If you're going out to eat or expect to have a nice dinner at home but you're hungry enough to eat a buffalo, put a lid on your appetite with a pre-dinner nibble. Many of my clients do this routinely and swear it's a lifesaver. Have two Fiber Rich crackers and a large drink of water about an hour or so before dinner. You'll be master of the menu as you order healthy selections and push the bread away.

Pop a breath strip. The taste of peppermint, or any mint, kills appetite. So enjoy a breath strip at any time during the day when you want to avoid a snack. If you're headed to an office birthday party, trying to fight late-night cravings or facing a breakfast buffet that's
a carb carnival, a breath strip can put the brakes on your mindless indulgence.

That was easy, right? Reaching your goal weight can be as simple as adopting some simple strategies that help keep you on track. You can find a host of these strategies in The Wall Street Diet.

How to Turn Snacks Into Your Secret Diet Weapon

Let's face it: the pothole in every dieter's road to success is hunger. We don't eat just because something tastes good: we eat because we're totally starving! That is why I want to convert you to the Wall Street Diet approach to snacks. Strategic snacking is one of the most effective weapons you have against a poor food choice or (shudder!) a binge. When you keep your hunger in check with an appropriate snack, you're making it much easier to stick to your healthy food choices. But there's a key word here - strategic. If you snack mindlessly (and sometimes stress or fatigue can promote mindless snacking) you'll be adding extra calories to your daily intake without accomplishing your goal of minimizing hunger.

Here are my top Strategic Snacking Tips (you'll find many more in my book, The Wall Street Diet).

Know yourself. Some of my clients have told me that strategic snacking has enabled them to lose weight that they've never been able to lose before. But other clients learn that they don't need snacks at all. How do you tell? It's simple: try going from lunch to dinner without a snack. If you find that you are able to make good choices at dinner and that you're not utterly starving, you probably don't need a snack. If, on the other hand, you're desperate to eat just about anything by the time 5pm rolls around, you are a good candidate for a mid-afternoon snack. I've got lots more details on how to figure out your eating style in The Wall Street Diet (pages 19 - 44). In general, most people who feel they need a snack do well to have a single mid-afternoon snack. People who require more calories because of size or activity level might also choose a mid-morning snack and/or an evening snack. Again, the key is to know yourself and limit your snacking to what's useful and strategic in helping you reach your goals.

Meet the Snacks. OK, so you know you really need a snack to help keep you on track. What do you choose? I have lots of snack recommendations in The Wall Street Diet but here's a condensed version:

If you need a mid-morning snack: Choose a light snack of no more than 80 calories. This might be an apple. 6 ounces of Dannon Light & Fit yogurt, one Laughing Cow Light cheese and a Fiber Rich cracker.

If you need an afternoon snack: The Wall Street Diet (pages 311 -312) includes a complete list of recommended afternoon snacks. They are all up to 200 calories. A few good choices include: a Larabar, a Luna bar, a Nature Valley Granola bar, a 1.3 oz bag of Glenny's Soy Crisps.

If you need an evening snack: An evening snack should be less than 80 calories and it should be eaten right after dinner. A few good choices include Tofutti pops, Edy's Fruit Bars, a frozen Dannon Light & Fit yogurt.

Watch your Weekends. Weekends can be a tough time to diet. You're off schedule. You're socializing and spending time with friends and family. Snacks can play a big role in helping your stick to your eating goals. I suggest you keep lots of healthy snacks on hand for weekends. It's better to over-indulge in a healthy snack than to lose control at a brunch buffet! Some good choices include all the snacks mentioned above a well as low-sodium V-8 juice with lemon over ice, sugar free hot chocolate, cut up cucumber or peppers, soy crisps and herbal teas. For more tips on weekend snacking, see The Wall Street Diet (pages 190-191).

Don't be a health-snack-nut. Have you noticed all those portion-controlled healthy snacks that fill the supermarket aisles these days? What could be wrong with a whole-grain, organic snack? Well, first there are the calories...Even portion controlled snacks can pile on calories. Many of my clients tell me that they find it impossible to stop at one little snack! Moreover, for many dieters, the practice is worse than the calories. Once you get accustomed to downing a nibble here and a bite there it can be a hard habit to break. So limit your snacks to my Wall Street Diet recommended choices and enjoy them strategically, not mindlessly!

Diet Recovery Strategies: The Veggie Night

Want to jump-start your diet week? Try a Veggie Night on Sunday night. Or perhaps you had an over-indulgence at a barbeque or picnic. A Veggie Night will re-set your eating clock and get you back to clean and mean. Like a Protein Day, a Veggie Night is just what it sounds like: a night where your dinner is comprised of simply vegetables. (You can find lots of details and suggestions about Veggie Nights in The Wall Street Diet, page 88.) Some of my clients routinely use Veggie Nights one night a week until they reach their goal weight. Others reserve their Veggie Nights as a re-set tool. Whichever works for you… A Veggie Night dinner might be a baked white or sweet potato and two measured cups of steamed vegetables. This meal can be on your plate in under ten minutes if you use your trusty microwave.

Diet Recovery Strategy: The Protein Day

A Protein Day is a super-effective tool that will help you re-set your eating patterns. (It’s described in detail on page 87 of The Wall Street Diet) It’s nothing complicated but it’s surprisingly effective. My clients especially like to use it after a trip or a vacation where they’ve overindulged. A Protein Day is just what it says: a day where you eat primarily protein. For example, breakfast might be 2 eggs, any style, or a 4 to 6-egg-white vegetable omelet. Lunch could be a grilled chicken, fish or any protein over greens with a very, very light dressing. Dinner would be the same as lunch plus perhaps some steamed vegetables. These meals are filling and readily available anywhere. A Protein Day will get you back on diet track.

The Scoop on Detox Diets

"Detox" is apparently the magic word in the dieting world. Whether it is through celebrities or magazine diet plans the benefits of detoxification seem to be touted everywhere. But, what exactly is detox, and is it beneficial?

The Claim
Those who support detox claim that our bodies are constantly overloaded with toxins. These can include pollution, cigarette smoke, pesticides, alcohol, caffeine, and food additives. They claim that when these toxins build up in our systems, health problems can occur, including weight gain, headaches, bloating, fatigue, and a general lack of well-being. The advocates for detox feel that removing these toxins will help us to lose weight and feel better.

What is Detox?
There are many methods of detoxification. They range from pleasant activities such as saunas and massage to fairly unpleasant procedures such as colonic irrigation or bowel enemas. For many detox plans, herbal supplements are also recommended, and as is most popular in the United States, a detox plan will almost always have a large dietary component. Detox diets may include fasting, consuming only fruits and vegetables, consuming a limited range of foods, or avoiding caffeine and alcohol.

The Facts
Even though detox diets seem to be mainstream in popular culture, there is no scientific evidence to suggest that the human body needs help getting rid of waste products if it is healthy. Our bodies are completely capable of excreting waste without fasting, enemas, or induced sweating - that's why we have a liver, lungs, kidneys, and skin.

Strict detox diets that are followed for a long period of time can actually lead to nutritional deficiencies and associated health problems. For instance, if you follow only a juice diet, then you will be missing nutrients such as calcium. A prolonged deficiency of calcium may lead to osteoporosis or brittle bones down the line. Moreover, if you fast for a significant period of time, then your metabolism will likely slow down, and your body will adjust to a very low calorie intake. Therefore, when you return to a normal eating pattern, you will be more likely to gain weight.

Is there Weight Loss?
Of course! How can there not be weight loss when you are barely eating anything? Cutting out major food groups - or all food - will drastically slash your caloric intake. In fact, the more severe the "detox", the more weight you'll be likely to lose simply due to a lack of food. Plus, the fact that you are drinking loads of water helps lead to a loss of water weight as well. However, as mentioned above, the weight loss will be accompanied by a slowing of your metabolism, leading to a very likely weight regain once real foods are reintroduced to the diet.

Are there any pros to detoxing?
Many people are probably following unhealthy diets. If following a one or two day detox plan helps get you into a healthy eating frame of mind, then a detox can be great. Detox diets can encourage healthy eating habits such as including more produce into your diet, drinking more water, or cutting back on processed foods. Detox diets also encourage forgoing alcohol and caffeine. All of these changes can be wonderful for your health and motivate you to get on track.

So What Should I do?
If you feel you need a one or two day detox to get you on track, then fine. But then please, give it up! Severe restriction is not healthy and is almost definitely not maintainable in the long-term. In addition, many of these detox plans put certain foods on a pedestal. While a variety of fruits, vegetables, and whole grains can provide vitamins, minerals, antioxidants, and fiber, there is no one food that can provide nutritional nirvana. During this New Year, if you want to maintain or achieve optimal health, the best approach is a balanced diet and regular exercise.

re you curious about what to eat – and what not to eat – to decrease your risk of cardiovascular disease? The OmniHeart trial published information in the February 2008 issue of The Journal of the American Dietetic Association on the effectiveness of three different eating patterns to decrease blood pressure and cardiovascular risk factors. Saturated fat, cholesterol, sodium, magnesium, calcium and potassium intake were kept even in the three groups, but total carbohydrate, protein, and monounsaturated fat content differed. All three diets lowered blood pressure and cholesterol levels, and decreased overall risk of developing heart disease. Each diet emphasized the use of fresh fruit, vegetables, and low-fat dairy products; included whole grains, nuts, and fish; and reduced intake of red meat, sweets, and sugary beverages.

These global, population-based messages are important, but science is taking the next step in making individualized recommendations, based on your personal genetic profile. Navigenics is one company with a federally certified laboratory that screens personal genetic material from a sample of saliva and provides clinically-based, individual feedback on specific steps you can take to reduce your risk of developing diabetes, cancer, and heart disease. In the near future, your physician will be able to give you precise guidelines on lifestyle habits to prevent chronic disease. For now, keep eating your fruit, vegetables, nuts, fish, and whole grains.

Marathon Eating 101

Running a marathon, or training for any big sport’s event, is a huge commitment, and takes months of preparation. Training, however, does not simply consist of sprints, scrimmages, or other heart-pumping related activities. A major component is nutrition. Without proper fuel for your body, you will be unable to reach your maximum potential.

There are four nutrients on which to focus during training. These include water, carbohydrates, protein, and fat. When you drink enough water and eat a balanced diet, your body can work efficiently and provide energy to fuel performance.

Water
Water makes up 60 percent of your body and is involved in essentially every bodily process. Unlike with other nutrients, your body cannot store excess water - you must replace whatever you lose. There is a fine line, however, between drinking too little and drinking too much. If you drink too little, you run the risk of dehydration, which hampers performance and increases the risk of heat illnesses, such as heat exhaustion or heat stroke. Conversely, too much fluid puts you at risk for hyponatremia. Hyponatremia is a condition that occurs when the level of sodium in the blood drops too low. Although rare, hyponatremia can result in seizure, coma, or death. Those at risk are people who drink too much and do not adequately replace the sodium lost in sweat.

The best way to prevent hyponatremia and dehydration is to learn the correct way to hydrate.

* Drink to Hydrate: Your fluid-replacement goal is to drink the perfect amount of fluid, resulting in neither weight loss or weight gain. A helpful tool may be to estimate your sweat rate. Weigh yourself before and after a workout. Then account for fluid consumed during training and add this to the total weight loss.

For instance, if you lost 1 pound (16 oz) during 1 hour of training, and drank 16 oz, you should drink 32oz (16 + 16) each hour during similar intensity exercise training.
* Include More Salt: Salt is lost through sweat, so make certain to replace all of the salt lost during training. Consider including more salty snacks (i.e. pretzels or crackers) into your diet.

* Invest in Sports Drinks: Drinks, such as Gatorade®, help keep your body hydrated while replacing essential electrolytes, like salt, during exercise. Because of the added flavor, you are more likely to consume more. These drinks are preferred over water during long distance or intense training or competition.

Carbohydrates
Carbohydrates are the preferred source of fuel for the body. They are found in fruits, vegetables, starches, and other foods. The body converts carbohydrates into glucose for immediate energy or stores it in the liver and muscle tissues as glycogen. Muscle glycogen is used during endurance sports. As glycogen is depleted, an individual may become fatigued and unable to maintain training and racing intensity. With high intensity training, 60-70% of calories should come from carbohydrates. Remember: while we usually encourage high fiber and whole grains, opt for low fiber foods (i.e. white pasta, potatoes, etc.) when training to avoid gastric distress and cramping.

* Stock up before*: Eat carbohydrates for at least several days before competing so that you start with glycogen loaded muscles.

* Be consistent during: If training or competing for more than an hour, eat carbohydrates during the activity to replenish energy and delay fatigue. Consider energy gel supplementation. A typical gel has 90-100 calories composed mostly of carbohydrates. These are especially helpful during colder days when the sweat rate is lower, and you are not prone to drink as much. Gels, however, can upset your stomach, so try using them to gage your tolerance prior to the competition.

* Replenish: After a long run or an intense training session, your muscle glycogen stores will be depleted. Therefore, eat a carbohydrate snack of approximately 100-300 calories immediately after training. Snacks may include pretzels, baked chips, or frozen fruit pops.

*A note on carbohydrate (carbo) loading: Carbo-loading is a method some athletes use to maximize glycogen stores. The original method began 1 week prior to the event. For the first 3 days, athletes ate a very low carbohydrate diet (about 10% of total calories) and exercised intensely to deplete glycogen stores. The following 3 days the athlete ate a very high carbohydrate diet (about 90% of total calories) and reduced exercise intensity to maximize glycogen stores. Over the years this technique has been modified and the depletion phase has basically been eliminated. Now athletes usually just increase carbohydrate intake for the 3 days prior to the event (about 70% of calories) and decrease exercise intensity. Consult a physician before attempting a carbo-loading diet.

Protein
Protein is needed for muscle and tissue growth and repair. However, too much protein can cause dehydration and muscle heaviness. When muscle glycogen stores are high, protein contributes less than 5% of the energy needed by the body. When glycogen stores are low, protein must be used for energy and may contribute as much as 10% of the energy needed. This process of using protein for energy is expensive and inefficient, and should be avoided as much as possible.

* Increased Needs: Endurance athletes need up to 50% more protein than sedentary adults.

* Avoid Excess: Consume no more than 1 gram of protein per pound of body weight. A high protein diet, especially after heavy training will cause incomplete replenishment of muscle glycogen and impair performance.

Fats
Fats are required in small amounts by the body for certain critical functions and as an alternative energy source to glucose. Eating too much fat, however, is associated with heart disease, some cancers, and other major problems. A high fat intake probably means you aren’t getting enough carbohydrates. Moreover, a high fat diet is difficult to digest and may cause sluggishness.

* Aim for Moderation: All individuals, including athletes, should consume less than 30% of total calories from fat and less than 10% of calories from saturated fat.

While these basic guidelines will help, we do recommend seeking personalized advice when it comes to intense training. Every body is different, and it is important to make sure you are adequately nourished and hydrated during training and during the event.

Snack Bar Break

Though in an ideal world we would all eat balanced meals and snacks with whole grains, lean protein, and lots of fruits and vegetables, realistically it is often too time consuming and impractical. However, we can’t just starve until we have time to grab a decent meal. That’s where bars come in. Bars are quick, and if you choose the “right” ones, they can be balanced and filling. They are great to keep in your purse or briefcase if a meeting runs late and lunch seems far away, in the glove compartment of your car if you get stuck in traffic, or by the front door if there’s no time for breakfast so you can grab one and go.

The tricky part when it comes to bars is figuring out which ones are best or the most balanced. To help you, we’ve outlined a few nutrients/ingredients to watch for when choosing a bar. The major question to ask yourself, however, is will this bar help me eat less later or will it simply set off a sugar craving and leave me wanting more.

Calories
As a snack, ideally it should have less than 200 calories. If you’re replacing a meal, it can be higher than this, but beware that the very high calorie bars usually contain loads of sugar and/or saturated fat.

Fiber
Fiber helps by slowing digestion and allowing you to feel fuller longer. Finding high fiber bars can be tough, but aim for at least 3 grams of fiber per bar.

Protein
There are loads of high protein bars out there, but the main idea of protein is to balance out the carbohydrates and satiate us longer. There is no need to go overboard with protein (keep in mind, this is just a snack), but aim to get at least 7 grams in your bar.

Fat
You do want to have some fat in your bar to keep your snack balanced, to allow for a more satisfying snack, and to improve the taste and texture of the bar. However, try to keep the fat below 5 grams, with as little as possible coming from saturated fat. Also, avoid any bars with trans fats.

Sugar
This is definitely the hardest ingredient to assess. Most of the bars contain lots of sugar to improve taste. We decided to judge sugar based on its relation to fiber in the bar. Aim for bars that have at most a 6 to 1 ratio of sugars to fiber. For instance, if a bar has 3 grams of fiber, it should have no more than 18 grams of sugar.

To be honest, it was almost impossible to find a bar that fit all of our requirements. The bottom line is that you have to choose which ingredients are most important to you, and which bars help you most in staving off hunger (and which you like the taste of!). We’ve chosen some of our favorites to give you some ideas. The bars in bold fit every requirement.

Bar	Calories	Total Fat(g)	Saturated Fat(g)	Protein(g)	Carbs(g)	Fiber(g)	Sugar(g)
Bellybar™ (for pregnant women)	170-180	4-6	1-2.5	8	22-26	2	11-13
Clif® Mojo™	180-210	8-11	1-2	9-10	19-23	2-3	8-12
Gnu® Foods	130-140	3	0-1	3-4	30-32	12	8-9
Kashi™ GOLEAN® Roll!	190-200	5	1.5-2	12	27-29	6	13-14
Kashi™ TLC™*	120-180	2-6	0.5	5-7	19-26	4	5-8
Larabar®	180	4	2	8	29	5	11
Luna® Sunrise™	180	4	2	8	29	5	11
Luna®*	180-190	3.5-6	0.5-3	9-10	23-28	3-5	9-11
Pria® Complete Nutrition	170	6	4	11	22	5	7
Slim Fast® Optima™ Meal On-The-Go Bar	180-220	4-9	2.5-4	8	28-35	2-3	12-16
thinkGreen™	180-190	5-7	1-3	6-7	27-29	2-4	15-22

*Not every bar in this brand fits all of the requirements.

Take this guide with you as you navigate the supermarket aisles. By keeping balanced, healthy bars on hand, you will never have an excuse for going hungry!

The Skinny on Diet Pills

With the release of Alli this past June, diet pills are once again in the spotlight. The claims are appealing: “Lose 30 lbs in 30 days” or “Melt your fat away”. But, do these pills really work? And more importantly, are they even safe? We’ve broken down for you some of the more popular over the counter and prescription diet pills on the market to let you decide for yourself. As a disclaimer, we believe that there are no magic pills to get you to your goal – changing your lifestyle is the only truly tested and effective method.

Prescription Drugs
Research regarding prescription drugs is more thorough and credible since they have to be approved by the Food and Drug Administration. Prescription weight loss drugs are intended for individuals with medically significant weight problems, and are intended to be used in conjunction with dietary, behavioral, and exercise programs. If used correctly by the intended group of users, oftentimes they can be a lifesaver. For those who do not fit the description of the intended user, or for those who simply take the pills without changing their lifestyle, expect disappointment.

Orlistat (Brand name prescription drug: Xenical; OTC drug: Alli)
How it Works: Orlistat blocks the absorption of fat by working on the digestive system. It is claimed to inhibit the action of an enzyme called lipase, which breaks down dietary fat so the body can absorb it. Orlistat blocks the absorption of up to 30% of dietary fat, and the unabsorbed fat is eliminated through the stool.

Research: According to the FDA, before orlistat was approved in 1999, it was tested in seven clinical trials, in which more than 4,000 obese individuals participated. Each of these trials used orlistat in conjunction with a low-calorie, low-fat diet, and an exercise routine. Overall, 57% of people taking orlistat lost at least 5% of their body weight as compared to 31% who took a placebo.

Side Effects: Due to the fact that unabsorbed fat will exit through the stools, many gastrointestinal side effects may exist. Perhaps most embarrassing is that users may experience oily rectal seepage and in extreme cases, may need adult diapers. Fecal urgency, gas with discharge, and frequent, oily bowel movements are also possible. In addition, orlistat interferes with the absorption of fat-soluble vitamins (A,D,E, and K) and may also limit the absorption of healthy fats like fish oil or flaxseed oil. As a result, nutritional deficiencies may occur.

Sibutramine (brand name: Meridia)
How it Works: Sibutramine is a monoamine reuptake inhibitor, which means that is blocks the reabsorption of certain neurotransmitters, or messengers to the brain. This allows the levels of these neurotransmitters to increase, which then helps to control appetite. Thus, sibutramine is mostly an appetite suppressant.

Research: Manufacturers report several double-blind, placebo controlled trials. There was evidence that various levels of sibutramine led to significantly more weight loss in obese individuals, than for those who used the placebo. As with orlistat, these studies were done in conjunction with a healthy eating and exercise plan.

Side Effects: The most common side effects are dry mouth, anorexia, headache, insomnia, and constipation. Some users also experience an increase in blood pressure and heart rate.

OTC Drugs
Over the counter weight loss drugs are not subject to approval or regulation by the FDA. As a result, we have limited research on the hundreds of OTC diet pills out there, and almost no long-term research. In addition, because these pills aren’t regulated, they may not even have the amount of an effective ingredient that is stated on the bottle. There are hundreds of diet pills out there. This is only a small sample.

Alli
The only FDA approved OTC drug. See orlistat (above).

TrimSpa X32
How it Works: Trimspa, endorsed by the late Anna Nicole Smith, has many different ingredients in it. Unfortunately, TrimSpa no longer lists each of the ingredients separately, but rather states that it has a “x32 proprietary blend”. We were able to uncover some of the ingredients. Ingredients like caffeine, bitter orange, and green tea extract are thought to work as stimulants. Hoodia, chromium, and glucomannan (fiber) are proposed to work as appetite suppressants.

Research: Clinical trials have not shown that the ingredients in TrimSpa can reduce body fat. There is some evidence that green tea extract may aid in weight loss, and there is clear evidence that fiber (i.e. glucomannan) will lead to satiety, thus decreasing one’s appetite. However, none of the ingredients have been significantly proven to lead to weight loss.

Side Effects: Due to the fact that many of the ingredients have been insufficiently tested, there is concern that in large doses, some of these ingredients may be harmful. Bitter orange (naringin) may interfere with many common prescription drugs such as antiarrhythmics, anticoagulants, statins, immunosuppressants, calcium channel blockers, and protease inhibitors. Ingredients in TrimSpa may lead to insomnia, anxiety, palpitations, and restlessness. TrimSpa may also cause migraines in susceptible people since it contains cocoa extract which contains tyramine. Hoodia, a popular ingredient on its own, and thought to suppress appetite, is also still in the beginning research stages. There is a possibility that it can lead to liver toxicity. Moreover, Hoodia is a protected plant, and because OTC diet pills are not regulated, most of the pills don’t have as much Hoodia as is stated on the packaging.

Xenadrine EFX
How it Works: As with the TrimSpa, Xenadrine has a long list of ingredients. These include green tea leaf extract, bitter orange, caffeine, cocoa extract, grapeseed extract, ginger root, and guarana. These ingredients are purported to speed up the metabolism.

Research: Though proponents of Xenadrine claim numerous clinical trials have been completed, it was hard for us to find any. The two we did find were extremely small studies of six and ten subjects. In addition, we found it dodgy that the Xenadrine website listed “returning shortly…” under the tab for clinical studies. When we called the company, they could not elaborate.

Side Effects: The same side effects noted for specific ingredients in TrimSpa are noted here. In addition, people taking Xenadrine have noticed nausea and upset stomachs, anxiety, shaking, cramps, increased heart rate, and increased sweating.

There are hundreds of other diet pills out on the market. Most of the OTC diet pills rely on the fine print that states it must be combined with a low-calorie diet and exercise. In reality, if you followed the healthy diet and exercise portion, you would lose weight. However, in certain cases, prescription drugs may be helpful and/or necessary, but that must be determined by your physician. With all diet pills remember - if it sounds too good to be true, chances are it is.