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Diet, supplement, and weight loss pills - Snake oil or useful tools?

So what's real and what's a rip off?

The information in the Food & Nutrition section of this web site is not intended to replace the advice of a doctor, health professional, or dietician. This information is taken from a variety of sources, scientific, anecdotal, and personal experience. It is a compilation of the things I base my own diet and nutrition on and have found to be true for my own personal recovery. It is true and accurate to the best of my knowledge.

Americans spent 48 billion dollars on weight loss products and diet books in 2004 according to Forbes Magazine.

Fad Diets

Legitimate scientists and dietitians agree that successful weight loss requires a long-term commitment to sensible eating and physical activity. Fad diets are, at best, a temporary solution to a long term or chronic problem, and at worse, an invitation to serious health problems. For compulsive overeaters and people with binge eating disorder, fad diets are part of the problem and not part of the solution. Diets only serve to exacerbate binge eating disorder.

All diets work by restricting calories. Nearly all diet books and popular diet plans are built around a nutritional trick that makes it easier to restrict dietary intake. Food is made up of four basic components: water, fats, protein and carbohydrates. Telling people to avoid fats or cut out carbs will automatically eliminate a lot of food choices. For example, low-carb diets are effective because they remove an huge number of potential foods such as bread, pasta, rice, potatoes, and nearly everything with sugar from a person's diet.

Results not Typical.  Ever wonder why those diet adds put this standard disclaimer in type so small you can barely read it? Do you ask yourself why they usually hide it off in a corner where it's easily overlooked?  Could it be they do it because the magnificent results they are claiming are not typical?

If the results are not typical, isn't that the same as saying they are unusual or uncommon?

Another factor why any diet can work in the sort term is that they all tend to make us focus directly on how much we are eating. This limits a lot of "grazing" and overeating.

There is no such thing as a quick fix or miracle diet. If you want to shed that extra weight and keep it off, you have to change your lifestyle. You have to change the way you eat and the way you exercise. If you are eating for emotional reasons, those issues need to be resolved or healthier coping skills learned. Any advertisement for a diet or weight loss product that says you don't have to change your eating habits or increase your physical activity level to lose weight is selling false hope.

If you are considering a weight loss plan, see if any of these statements apply to it. If so, chances are it is either a scam or a fad diet and is best avoided entirely.

1. Promises quick weight loss (more than 1-2 lb per week).
2. Lasts only several days or weeks, i.e. "The 30 day diet" etc.
3. Contradicts what most trusted health professionals say about health and nutrition.
4. Relies heavily on undocumented case histories, before-and-after photos, anecdotes, and testimonials, rather than scientific evidence.
5. Quotes experts and doctors without citing their credentials and institutional affiliations, or cites studies done in impressive sounding foreign research or educational facilities that can't be easily verified. The packaging or advertising is peppered with convenient phrases such as "experts agree," "scientists have found," and "experts say." What experts?
6. Makes miraculous claims about the ease and health benefits.
7. Depends on special products, pills, meal replacement drinks, powders, supplements, herbs, or treatments.
8. Is described as a "breakthrough" "miraculous" or "exclusive".
9. Does not stress lifestyle changes, exercise, and active living.
10. Requires the restriction of entire food groups limits you to a small selection of foods.
11. Does not suggest you consult with your doctor or a registered dietitian.
12. Uses pyramid sales or offers savings if you resale the plan or products.
13. Demanding any payment before you fully understand all about the diet, procedures, risks, and requirements. 
14. Promises you will lose weight while you sleep,  that you will lose weight effortlessly, that you can eat all you want, that the pounds will just roll off, or that you will get nearly instantaneous results.
15. Indicates that everyone else is on this diet, that it's used by models and movie stars, or that the government or "western medicine" doesn't want you to know about it.
16. Simplistic conclusions drawn from complex studies.
17. Before & After photos. Before photos are dark or blurry, no smiles, slouching posture. After photos have big smile, good posture, well dressed.
18. Money back guarantee as a prominent component of advertisement (actually getting your money back is a different thing).
19. The advertised product or service is touted as the one that will finally work, the best.
20. Diet or related products said to be 100% safe and effective.
21. Does not stress the importance of preserving lean muscle tissue.
22. "Clinically Tested" or "Doctor Approved." Absolutely meaningless statements.
23. Marketed with infomercials, exclusively on the internet, or in the pages of supermarket tabloids.
24. Makes claims such as "No lifestyle Change Required".
25. Lists of “good” and “bad” foods.
26. Dire warnings about the danger of eating a specific food.
27. Declares that medical science has suppressed this information or product.

Extraordinary claims demand extraordinary evidence

Many of the claims made by advocates of fad diets are either fraudulent, very unlikely, preposterous, or ridiculous. They break down quickly when exposed to the solvent of rationality and critical thinking. For instance, we've all heard claims such as, "Lose 30 pounds in 30 days". Sounds very enticing, but a bit of logic and science tells us that:

To lose one pound, one must take in or expend in physical activity 3500 calories less than their bodies need to sustain itself and function. This could happen when a person took in 500 fewer calories a day than normal for a week. Losing 30 pounds requires a net deficit of 105,000 calories. An average person might consume 1800 calories a day on a healthy weight loss diet. This only totals 54,000 calories per 30 day period. To lose 30 pounds in 30 days, that dieter would have to burn another 51,000 calories. Put another way, that 1800 calorie a day dieter would have to reduce their diet by an additional 1700 calories a day.

Marketing claims often sound logical. There may be an obvious thread of logic to their claims, but that doesn't mean the claims or the logic is true. Lies can appear both scientifically sound and logical. Marketers bank on the fact that most people won't seriously question their claims if they sound like the truth. Once most people accept a claim as seemingly reasonable, they usually won't investigate further. In terms of diet aids and diet products, we often want them to work so badly, we are blinded by our own desire for results. We want the claims to be true and the manufacturers now this. They prey on our desperation.

The Federal Trade Commission is warning consumers to watch out for the following types of weight loss products and claims:

Weight loss skin patches, Weight loss shoe insoles, Non-prescription fat blockers, Fat magnets, Diet teas that cause only the loss of bodily fluids, Products containing glucomannan, chromium picolinate, hydroxycitrate, guar gum, lipotropics, fat emulsifiers, or cellulose/fiber and ox bile extracts, Fiber tablets, Bee pollen, Laxatives, Electrical muscle stimulators, Passive motion exercise devices, Ear cuffs or molds, Acupuncture devices, Body wrappings, belts or girdles.

Diet Pills and Potions

Over the counter diet pills 

In almost every grocery or convenience store, you'll find non-prescription appetite suppressants and diet pills. Ingredients notwithstanding, you have to ask yourself, why, if these actually worked, are there so many overweight and extremely obese people? After all, they aren't too expensive and they are certainly readily available. If they had merit and were safe and effective, don't you think doctors would be handing them out like candy?

Starch Blockers

New York City physician Fred Pescatore, MD, former medical director of the Atkins Center for Complementary Medicine, says of starch blockers, "[Starch-blocking] is useless. I have never seen any starch blockers work and I have seen many in my practice."

Ruth Kava, PhD, RD, director of nutrition at the American Council on Science and Health in New York City, says any product that inhibits the enzymes that break down starch will place excess starch in the gastrointestinal tract, and if it's not absorbed, it can cause problems. She suggests, "It's probably a lot safer to just eat less starches to start with.

Herbs and "Natural" diet aids

Herbs and natural supplements can have powerful effects and in some cases be good medicine. But the fact is, they are not tested and regulated like other powerful medicines and as a result, there have been some very tragic results. To be fair, conventional western medicine has had its fair share of tragic results. Herbal diet aids have not had a very good history in this respect and we should always proceed with caution. One should do their own research and recognize that a lot of herbs and herbal combination are sold under many various names. Some of these names may be on lists of suspected carcinogens or be implicated in other health problems––and some may not. Chances are almost 100% that any such suspected issue will not be printed on the package, nor will the person dispensing or selling the herbs necessarily know or even tell you if they did.

Any diet aid comes under the heading of a temporary fix or crutch. What happens when you quit taking it? Do these substances really have a proper place in lifestyle change or in changing our relationship to food? Remember, we are looking for permanent solutions and lifetime weight maintenance.

Another point to consider is that if these substances were so safe and effective, why aren't the big pharmaceutical companies beating down the door to package and market them? They want to make money and any medication that could so easily help combat obesity would be an earth shattering financial windfall for the first company to bring it to market.

Below is a partial history of diet pill and herbal ingredients that were marketed and then found to be quite dangerous.

A commonly used appetite suppressant, phenylpropanolamine (an ingredient in Dexatrim and Acutrim), was taken off the market when studies showed that it was associated with an increased incidence of stroke.

June 1997, FDA was already warning consumers of the dangers of Ephedrine Dietary Supplements, stating that, "Hundreds of illnesses and injuries associated with the use of these products have been reported". It took till 2004 to get ephedra banned. The federal government logged nearly 17,000 adverse health reactions to ephedra including strokes, seizures, and death before it was finally banned.

April 2004, a final rule went into effect prohibiting the sale of dietary supplements containing ephedrine alkaloids (ephedra). Also called Ma huang, is a naturally occurring substance derived from plants. Its principal active ingredient is ephedrine, which when chemically synthesized is regulated as a drug. In recent years ephedra products have been extensively promoted to aid weight loss, enhance sports performance, and increase energy. Ephedra has been linked to significant adverse health effects, including heart attack and stroke. 

November 11, 1999, FDA warned the public against consuming Triax Metabolic Accelerator, a dietary supplement for weight loss by Syntrax Innovations. Since this action, several other firms have recalled similar products containing tiratricol. Distribution of these products has been primarily through retail sales to health food stores, fitness centers, and gymnasiums.

November 2000, The FDA again warned consumers of products containing tiratricol, also known as triiodothyroacetic acid or TRIAC, a potent thyroid hormone that may cause serious health consequences including heart attacks and strokes.

Nov 20, 2001, The FDA warned consumers to immediately stop use of the product Lipokinetix, marketed as a dietary supplement for weight loss. They received multiple reports of persons who developed liver injury or liver failure while using it. The product contains norephedrine (also known as phenylpropanolamine or PPA), caffeine, yohimbine, diiodothyronine, and sodium usniate. Lipokinetix was promoted for weight loss by 'mimicking exercise' and supporting 'an increased metabolic rate'.

Products containing herbal extracts of kava, also known as kava kava or piper methysticum, have been implicated in Europe in at least 25 cases of serious liver toxicity including hepatitis, cirrhosis, and liver failure. March 2002,  The FDA Center for Food Safety and Applied Nutrition notified healthcare professionals and consumers of the potential risk of severe liver injury associated with the use of kava-containing dietary supplements. Kava-containing products have been associated with liver-related injuries, including hepatitis, cirrhosis, and liver failure.

In May 2004, Consumer Reports magazine, came out with a list of potentially dangerous dietary supplements. The article isn't just about herbs used as diet aids, but it does clearly demonstrate the potential hazards and that just because something is "natural" and has been around for centuries, does not insure its safety in a modern world.

As with the scores of other dietary supplements promising everything from slowing aging to preventing cancer, most herbs and "natural" diet aids are not regulated by the Food and Drug Administration and their claims do not have to be substantiated.

Herbs and other diet supplements may have drug-like effects that could present risks for people on certain medicines or with certain medical conditions. This is true, even if the product is marketed as "natural." For example, St. John's Wort can have potentially dangerous interactions with a number of prescription drugs, including anticoagulants, oral contraceptives, antidepressants, anti-seizure medicines, drugs for HIV, and drugs to prevent transplant rejection. It is always wise to check with your physician before starting to use any of these substances, especially if you are taking any prescription medications.


Nutritional Supplements

A healthy well rounded diet of nutrient dense natural foods that will help you shed excess weight at the rate of 1 to 2 pounds a week should meet all your requirements for vitamins, mineral, and other nutrients without supplementation if you are otherwise healthy. It does not hurt to take a daily vitamin mineral tablet as a sort of nutritional safety net.

Any diet that requires you to purchase expensive supplements is either deficient to an unhealthy degree or simply profiteering. Advertisements for special combinations of supplements made specifically to help you lose weight are a scam. They will help your pocketbook lose more weight than they ever will help you lose body weight. 

Even well respected vitamin/mineral manufacturers are now touting their wares as being somehow able to help you lose weight by suggesting that they help in some special way to "assist" the body in processing carbs. This is simply a marketing ploy and no more. Our bodies process carbohydrates exactly the same way, with or without those supplements.


Meal replacement drinks and shakes

Most of the common meal replacement in a can drinks are nutritionally about like drinking a Carnation Instant Breakfast drink. They really don't have much to offer someone looking to change their relationship to food who wants to build a new healthier lifestyle. There is no logical or sound reason not to eat real food instead of drinking one of these drinks. An apple and a hard boiled egg or a lite salad would be just about as quick, would add fiber to the diet, and be natural nutrient dense whole foods that help reduce the risks for disease and promote well-being.

Part of the problem or illness of compulsive overeating is a desire for instant gratification. Chugging a can of sweet chocolate flavored liquid for lunch is about as instant as it gets. It does not satisfy our need to chew and probably won't stick to the ribs nearly as long as real food. You can easily get the same amount of calories from whole foods and probably more nutrition including fiber, complex carbohydrates, and complete proteins.


The fact is, pills, potions, meal replacement drinks, and fad diets are all a Band-Aid approach to weight loss at best. No pill or diet product will stop you from eating for emotional reasons, eating to many sweets, binging, eating fast food, and leading a physically sedentary life. Successful weight loss depends on overcoming Binge Eating Disorder, a personal commitment to changing your lifestyle, and increasing your levels of physical exercise. There are no magic bullets.

Best Bet for Permanent Weight Control and Good Health

  • Increase the amount of natural whole foods such as fruits, vegetables, whole grains, baked fish (not fried), and beans that you eat.
  • Decrease the amount of saturated and trans-fats in your diet.
  • Severely restrict or eliminate calorie-dense nutritionally deficient foods such as cookies, sugary desserts, chips, fries, fast-food, and candies.
  • Do not skip meals or go hungry.
  • Get more active. Research shows that people who engage in regular physical activity are more likely to keep their weight off than people who only change their diet.

Research on people who have successfully lost a lot of weight and kept it off long term, show that the vast majority succeeded by consuming a low-fat diet high in fiber coupled with regular exercise.


This web site is for informational purposes only and is not meant to serve as medical advice or to replace consultation with a professional dietician, nutritionist, physician, or mental health professional. None of the information presented within this web site is meant to diagnose, prescribe, or to administer to any physical or emotional ailments or conditions.

© 2004 - 2008 by Dave Anderson  Home