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Frequently Asked Questions About XENICAL
How effective is XENICAL?
How thoroughly has XENICAL been tested?
What is the difference between XENICAL and other
weight-loss medications?
How do I know if I'm ready for XENICAL?
Can I take XENICAL with other medications?
Should I take a multivitamin with XENICAL?
How long should I use XENICAL?
If XENICAL works only on the fat in the foods I've
eaten, how do I lose the fat on my body?
If I take XENICAL, can I eat whatever I want?
What happens if I miss a dose or take more than the
recommended dose?
How soon after starting XENICAL should I expect to notice weight loss?
How much weight should I expect to lose?
I've been taking XENICAL for 2 weeks, but I haven't seen any weight loss yet. What am I doing wrong?
I'm still following the XENICAL plan, but I've stopped losing weight. Why?
How effective is XENICAL?
In clinical studies, people treated with XENICAL and a reduced-calorie diet
with no more than 30% of calories from fat achieved significantly greater
weight loss than people who were treated with diet alone.
The studies were designed with all participants eating a reduced-calorie
diet for 4 weeks, followed by the diet plus XENICAL or the diet alone for
52 weeks. After 52 weeks, those taking XENICAL plus diet lost an average of
twice as much weight as those who used the diet alone (approximately 13.4
lbs versus 5.8 lbs). Furthermore, 69.1% of patients receiving XENICAL lost
3% of their total body weight (an average of 13 lbs) after 3 months and 19
lbs after 1 year.
There is clear scientific evidence that if you are overweight, losing as
little as 5% to 10% of your body weight can result in improved health. In
studies of XENICAL, almost two-thirds of people treated with XENICAL plus
diet successfully lost at least 5% of their body weight after 2 years. In
comparison, only half of the people treated with diet alone managed to lose
5% of their weight.
Weight loss with XENICAL and a healthy diet also improves a number of
weight-related health risks. Studies show that weight loss with XENICAL can:
- Decrease total and LDL cholesterol (level of low-density lipoprotein-also
known as bad cholesterol)
- Improve ratio of bad to good cholesterol (LDL/HDL cholesterol)
- Reduce blood pressure
- Reduce levels of insulin (hormone that allows glucose or sugar to enter
the body's cells), high levels of which are associated with coronary heart
disease
- Reduce the risk or delay the progression to type 2 diabetes in patients
Note: The long-term benefits of orlistat on weight-related illnesses and
life expectancy have not been studied.
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How thoroughly has XENICAL
been tested?
The effects of XENICAL on weight loss, weight maintenance and weight regain,
as well as the effects of weight loss with XENICAL on other weight-related
health problems (such as type 2 diabetes, high cholesterol levels and high
blood pressure), have been assessed in seven 1-to-2-year, multicenter,
double-blind, placebo-controlled clinical trials. These studies included
more than 4100 patients.
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What is the difference
between XENICAL and other weight-loss medications?
Unlike other commonly prescribed weight-loss medications, XENICAL is not an
appetite suppressant and does not have a direct effect on the brain.
Instead, it works in your digestive system to block about one-third of the
fat in the food you eat from being digested. Check out
What Does XENICAL Do? for a demonstration of
how XENICAL works.
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How do I know if I'm
ready for XENICAL?
To use XENICAL effectively you must be committed to:
- Talking with your doctor.
- Following the proper medication schedule.
- Eating a reduced-calorie diet with no more than 30% of calories from fat.
- Monitoring your food intake.
- Taking a multivitamin every day.
- Setting realistic, achievable weight-loss goals you can feel good about.
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Can I take XENICAL with other
medications?
Discuss with your doctor all medications you are currently taking (including
over-the-counter medicines and herbal products you can get without a
prescription) to determine if XENICAL can be taken along with these
medications. If you are taking cyclosporine, let your doctor know before
taking XENICAL; cyclosporine and XENICAL should be taken at least 2 hours
apart. If your cyclosporine levels are being measured, more-frequent
measurements may be necessary while you’re taking XENICAL.
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Should I take a multivitamin
with XENICAL?
Because XENICAL interferes with your body's absorption of some fat-soluble
vitamins, you should take a daily multivitamin supplement that contains
vitamins D, E and K and beta carotene once a day at least 2 hours before or
after taking XENICAL, such as at bedtime.
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How long should I use XENICAL?
The use of XENICAL for more than 2 years has not been studied. You and your
doctor should discuss how long you should use XENICAL.
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If XENICAL works only on the fat in the foods I've
eaten, how do I lose the fat on my body?
By consuming fewer calories, your body will automatically tap into its fat
stores and use them for the energy it needs.
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If I take XENICAL, can I eat
whatever I want?
The XENICAL dietary guidelines do not place any particular food out of
bounds. But you may not be able to eat a lot of a particular food if it is
high in calories or, especially, if it is high in fat.
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What happens if I miss a dose or
take more than the recommended dose?
If you miss a dose, you simply lose the benefit of XENICAL in blocking
one-third of the fat in the food you eat at that meal. Simply resume taking
XENICAL at your next meal containing fat. In clinical trials, taking
additional doses of XENICAL did not improve weight loss.
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How soon after starting
XENICAL should I expect to notice weight loss?
Typically, people begin losing weight within 2 weeks of starting XENICAL,
and may continue to lose weight for 6 to 12 months, at which point weight
loss usually begins to level off - even if you’re still taking XENICAL.
This doesn’t mean that XENICAL is not working. People who continue to take
XENICAL are better able to maintain their weight loss. Keep your doctor
informed about your progress so that he or she can make sure your diet and
your level of physical activity remain appropriate to your weight-loss
goals. Once you reach your initial goal, you may want to set a new goal and
have your doctor re-evaluate your calorie and activity levels.
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How much weight should I
expect to lose?
The amount of weight you lose depends on how well you stick to a
reduced-calorie diet with no more than 30% of calories from fat and an
appropriate physical activity level, as well as on your compliance with the
prescribed medication regimen.
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I've been taking XENICAL
for 2 weeks, but I haven't seen any weight loss yet. What am I doing wrong?
If you believe that you haven't lost any -- or enough -- weight, contact
your doctor. He or she may need to readjust either the calorie restriction
of your diet or your activity level. Your doctor may suggest that you
maintain a Daily Diary to get an idea of how many calories and grams of fat
you are actually consuming on a daily basis. If you have been keeping a food
diary, be sure to show it to your doctor. Also, be sure to enroll in the
XENICare
patient support program for additional support and helpful resources.
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I'm still following the
XENICAL plan, but I've stopped losing weight. Why?
This is known as plateauing or leveling off, and it's perfectly normal.
However, you should let your doctor know; he or she may need to readjust
your calorie restriction and/or your activity level.
To maintain your new weight, you'll need fewer calories than when you
started the XENICAL program. As the body loses weight, it needs less
energy, or calories. On the other hand, if you've been increasing your
physical activity level, you might be building muscle and losing fat,
thereby replacing weight from fat with weight from muscle.
Your doctor may ask you if you've seen any changes in your body
measurements, such as that of your chest/breast, abdomen, waist and hips.
If you've kept a monthly record of your body measurements, be sure to show
this to your doctor.
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