Drug trials with Human
Guinea Pigs
Clinical trials are ongoing for many drugs
meant to induce weight loss, reduce appetite,
affect the absorption of nutrients and more.
Consumers desperately want these drugs,
claiming they cannot lose weight on their
own. "If only there were a pill I could
take that would take away my appetite,"
they say. "If only a pill could make
me slender." But there's trouble in
paradise. Consider this: Most people who
overeat already ignore their body's messages
concerning hunger, fullness and satisfaction.
If you ignore your body's signals for hunger,
and eat when you're not hungry, how will
a drug that suppresses your appetite possibly
help?
The short answer is it won't. Some people
lose weight while on a drug because they
expect to eat less, and for a short time
(during the study) will pay attention to
the signals their body sends regarding hunger.
They'll also make every effort to keep to
"the program." Eating what is
suggested, getting more exercise, waiting
anxiously for the day they can get off "the
program," and get back to their real
lives. Once they stop taking the magic pills,
it is back to the habits that got them in
trouble in the first place.
Unless you address the daily habits, and
learn new patterns of eating, exercise,
stress relief, recreation, etc. nearly every
person will revert back to their old way
of eating as soon as possible. It's a human
response to return to the familiar and comfortable,
and entirely predictable. That explains
the dismal failure rate of diet programs.
Since This is Costing
a Fortune, It'd Better Work!
Sometimes various programs work simply
because of the large sums of money being
spent on them. You better make it work,
it's costing enough. Who wants to tell their
spouse they're spending hundreds of dollars
on a program and then not follow that program?
No one, that's who. That's also why many
will ignore the sensible advice to learn
to listen to your body's hunger signals,
learn to pay attention to what you body
wants or needs (cravings can be a clue),
and learn to eat for better health and nutrition.
That advice is free -- hence, rarely followed.
Until a person truly adopts the lifestyle
of eating when hungry and stopping when
satisfied, no drug will help, and most likely
will only harm their health. I challenge
any drug manufacturer to prove a single
drug that has no known harmful side effects.
No company will come forward because there
are no such drugs. None. Aspirin kills hundreds
of people every single year but there is
no move to take it off the market, yet let
a herbal supplement be blamed for a handful
of problems and zoom come the FDA police
to whip it off the shelves.
Most drugs have a huge list of side effects
that a prudent person might determine are
worse than what is being treated in the
first place: Would you prefer dry mouth,
constipation, cramps, rapid hearth beat,
nausea, dizziness, sleeplessness, and more,
in place of 10 extra pounds?
What's With the Recommended
Eating Pamphlet?
Let's not forget one other small detail
about these weight loss drugs. Along with
your expensive prescription and all the
fun side effects you might enjoy, you are
also given a pamphlet describing a low calorie
eating plan which you are expected to follow.
Usually ridiculously low calorie. Essentially
you could skip the drugs entirely and get
the same result by simply following the
low calorie diet plan.
Example: Anti-depression
Medication Effective for Weight Loss
A study published in the July 2002 issue
of Obesity Research showed that two popular
drugs, Wellbutrin ® for treating depression
and Zyban ® prescribed for quitting
smoking are also effective in weight loss.
The 48-week study was made up of two parts.
In the first 24-week program, 227 people
diagnosed as obese were randomly assigned
to either receive a placebo, or one or two
doses of bupropion every day. Of note, the
study required the participants to restrict
their food intake and increase their exercise
by 50%.
Those receiving the higher dose of bupropion
lost an average of 10% of their body weight
compared with those receiving the lower
dose losing 7% and those on placebo losing
only 5%.
The second 24-week period included 192
of the original participants (no word on
the fate of the missing 35 participants
-- perhaps the restrictions on eating and
exercise were too much to bear?). This time
all participants received either one or
two doses of bupropion, and results were
reported as those on the higher dose maintaining
an 8.6 percent loss and those on the
lower dose maintaining a 7.5 percent
loss.
Dr. Richard Atkinson, president of the
American Obesity Association said, "This
is a drug that people have taken for many
years to treat depression with few problems
or side effects... If it can be just as
effective in treating obesity, it has the
potential to help a lot of people." Anderson
enplaned that bupropion helps to reduce
the urge to eat by reducing the flow of
the hormones norepinephrine and dopamine
to the brain. Some side effects reported
were dry mouth and diarrhea.
Is This a Successful
Program?
This begs the question: Was there no further
weight loss? Were all the participants now
at a healthy weight and no further weight
loss was needed? Were the food and exercise
requirements changed in any way? Since obesity
is defined as being 30% over ideal weight,
a 10% loss, while perhaps removing a person
from the obese class still isn't exactly
"normal" weight, is it?
Let's put this in perspective: If the average
weight for your height is 140 pounds, and
you weigh 30% more than that (to be considered
clinically obese), you'd weigh 182 pounds.
If you lost 10% of your body weight over
24 weeks, that would be 18 pounds, or 1.33
pounds lost per week, and at the end of
the 24 weeks you'd now weigh 164 pounds.
During the second 24 week period, you had
the higher dose and maintained an 8.5 percent
loss, or 15.47 pounds. You now weigh approximately
166.53 pounds after 48 weeks of effort --
nearly an entire year to lose just over
15 pounds? Sorry but that's an a pretty
sorry result in my opinion, especially considering
these study participants were taking a potentially
harmful drug. No drugs are side effect free.
What happened when these people ended the
study? Those would be results I'd love to
see.
I lost 80 lb. following my own Live it!
plan, and it wasn't at all difficult. No
drugs, no side effects. These results (15
lb. lost over 48 weeks) are ridiculous.
More Questions than Answers
These studies tend to leave me with more
questions than answers, but you judge for
yourself. If a drug that can help in the
initial stages of weight loss is of interest
to you, be on the lookout for more news
on bupropion.
Kathryn M.NLP
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