Americans spend 23 billion dollars annually on diet pills. Many of them contain natural or herbal supplements that curb appetite or increase metabolism. In conjunction with a healthy diet and exercise, these pills can actually help you to lose a few extra pounds. However, it should be stressed that if you are considering using diet pills you should discuss this with your doctor. Many of the pills contain stimulating ingredients that may be harmful for people with cardiac conditions or those who are taking certain medications such as MAO inhibitors.

There are several diet pills on the market today. The newest pill, Alli (pronounced AL-EYE) by Glaxo Smith Kline was approved by the FDA in June 2007. It is available over the counter. It is a low dose version of the anti obesity drug, Xenical. It reduces the amount of fat that is absorbed by the body from food. Side effects include loose, watery and oily stools and gas.

Other over the counter diet pills include:

APPETITE SUPPRESSANTS:

1. Hoodia - Although manufactured by many companies, it is the P57 component that gives it a strong appetite suppressant effect so look for this on the label. P 57 molecules influence the brain hypothalamic satiety center fooling it into thinking it is full.

2. Ephedrasil Hardcore - claims to give you a euphoric high while providing appetite suppression.

3. Zalestrim - for women, an appetite suppressant that enlarges breast tissue and increases sex drive.

4. Trimspa - made popular by Anna Nicole Smith and produced by Goentech. It contains Hoodia, an appetite suppressant. Also increases metabolism. Side effects include anxiety and insomnia.

DIET PILLS THAT INCREASE METABOLIC RATE:

1. Hydroxycut Hardcore - now without ephedra

2. Phenterfein - Increases resting metabolic rate. Contains caffeine, citrus aurantium and yohimbe all of which can lead to increased anxiety and jitteriness.

SUPER CONCENTRATED FOOD EXTRACTS:

1. Lipovox - contains the super concentrated extracts of 10 superfoods. Claims to help with weight loss, acne, wrinkles, and provides increased energy.

BLOOD SUGAR REGULATORS:

1. Diabetasyn - good for people with a sweet tooth. Helps you lose weight while regulating blood sugar levels.

2. Glucopsyll - regulates blood sugar levels but also expands while in the body leading to appetite suppression.

NEED TO LOSE FAST:

1. The 72 Hour Diet Pill - maximizes weight loss in 72 hours. Good if you need to get fit fast, for a date, reunion, anniversary, etc. It is composed

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