Diet pill, natural and herbal, that work to control appetite and help with losing weight
Alternatives to prescription weight loss medications
June 15 2016 by
Ray Sahelian, M.D.

Diet pills are available by a doctor's prescription or over the counter. Over the counter diet pills can be either pharmaceutical or natural. Another term for over the counter is ' non prescription.'

This page discusses the benefits of Diet Rx, a natural diet pill that I have formulated. I am proud of Diet Rx. Almost every patient who has taken Diet Rx has had a significant decrease in appetite and food consumption. By taking a natural diet pill and eating less, positive changes can occur in weight management, along with blood sugar, cholesterol, and blood pressure. Eating less leads to improvement in metabolic syndrome which can effect longevity.

Natural diet pills, do they work?
There have been few studies with natural diet pills to determine their long term effectiveness, but there are several that have been promoted and marketed. You can find some of these herbs and nutrients in natural diet pill products. Some of them help reduce appetite, others improve metabolism or burn fat, still others help regulate blood sugar or blood lipid levels. These include:

Hoodia is a cactus plant extract from the Kalahari desert in South Africa that has become popular as a weight loss pill.
Green tea extract is sometimes used for weight loss and it may work in combination with other nutraceuticals.
Apple-Cider-Vinegar is obtained from the fermentation of apple juice which leads to acetic acid.
Spirulina is green blue algae that is considered a superfood with a high protein content. Spirulina has antioxidants,
Apple pectin is a healthy fiber that helps maintain healthy cholesterol levels and is involved in weight management.
Choline is a pre-cursor to the neurotransmitter acetylcholine. Choline increases the mobilization of fatty acids. Choline is needed for efficient fat metabolism.
Inositol combines with choline to assist in fat metabolism.
Carnitine or L-Carnitine is a main ingredient in many diet pills and supplements. L-carnitine is found in an enzyme complex (carnitine acyltransferase I, carnitine translocase, and carnitine acyltransferase II) that helps transport long-chain fatty acids across into the mitochondria where fatty acids can be metabolized efficiently.
Pomegranate is full of antioxidants that helps reduce damage to the inner lining of blood vessels.
Psyllium is a fiber which absorbs water within the gut, causing increased satiety and lower caloric intake. Psyllium is also helpful in keeping healthy blood sugar and lipid levels.
Cayenne has capsaicin helps regulate blood sugar levels by affecting the breakdown of carbohydrates after a meal.
Coleus forskohlii contains forskolin which increases Cyclic AMP thus influencing membrane transport proteins and increasing fat metabolism..
Fenugreek helps with blood sugar control and reduces insulin resistance.
Guarana exotic caffeine source
Guggul can help a sluggish thyroid gland and help the body to burn calories more efficiently. Guggul also helps manage cholesterol levels.
Inulin is from the chicory plant. Inulin is a prebiotic fiber that helps reduce food absorption but improves mineral absorption, including magnesium and calcium.
Grapefruit extract - different grapefruit constituents influence intestinal and liver lipid transport and metabolism.
Banaba extract helps check blood sugar and insulin levels. Fluctuations in blood sugar and insulin are related to appetite and food cravings, particularly for carbohydrates.
5-HTP is a nutrient that helps curb appetite in some individuals.
Acetyl-l-Carnitine may reduce appetite in some individuals.

Safety of Diet Pills and side effects
The long term safety and effectiveness of diet pills such as Xenical (known generically as orlistat), Meridia (sibutramine) and Acomplia (rimonabant) needs to be determined before they are prescribed widely. Orlistat and sibutramine are currently approved for long-term use, while rimonabant is under review by the US Food and Drug Administration. However, each of the diet pills carry potentially important side effects. Treatment with the diet pill orlistat is associated with frequent gastrointestinal side effects, sibutramine may raise blood pressure and heart rate, and rimonabant may increase the risk of mood disorders.

Best diet pill for Weight Loss
I am often asked what is the most effective or best diet pill for weight loss. There are literally thousands of over the counter diet pill products and It is difficult to pick the best diet pill out of all of these that are available. Furthermore, different people have different preferences. Some people think green tea diet pill is most effective, others like hoodia diet pill products. In my opinion, the best diet pill product is a good combination of several natural herbs and supplements.

Herbal Diet pills that work
I can only tell you what I have learned about herbal diet pills that work by reading the research on natural diet pills, feedback from users, my own personal experiences, and also feedback from patients. In my opinion, the diet pills that work most of the time are green tea extract and hoodia.

A new diet pill
In October of 2007, I formulated a new diet pill based on my vast experience with natural supplements. I call this new diet pill Diet Rx. I cannot claim that this is the best diet pill on the market since it is impossible to do a study that compares the thousands of products available to the consumer. All I can say is that the few dozens of people who tried this formula before it was introduced to the market were very satisfied.

Side effects of diet pills - potential danger
Even natural diet pills have side effects. The most common side effects include increase in body temperature, increase in heart rate, headache, restlessness, and anxiety. Different herbs will have different side effects, but this is a generalized overview. The danger of diet pills is that some people want to lose weight quickly and will take more than the recommended dosage as written on the label. One danger is irregular heart rhythm which can lead to an emergency room visit.

Diet pill review
As I mentioned above, I am frequently asked to offer my opinion or review of diet pills that are available to the public. Firstly, I prefer not to use prescription diet pills since they have many side effects. As to the over the counter and natural diet pills, there are thousands of them sold in health food stores, chain stores, grocery stores, and pharmacies. You can also find thousands of these diet pills online. If you search online for the keywords ' diet pill ' or ' weigh loss pill ' or ' appetite suppressant, ' hundreds of ads will appear and countless pages of products. How do you know when you are searching for an online diet pill that it is safe and effective? There is no easy way to tell. You can partly rely on the reputation of the company, but that does not always help. Testimonials won't help either because most of the time testimonials are made up by the company's marketing department, or they won't include experiences of customers for whom the product did not work.

FDA approved prescription diet pill products
There are several popular FDA approved prescription diet pills. These include Phentermine, Xenical, and Meridia. Prescription diet pills, when used together with a healthy diet and daily exercise, can reduce weight in obese people. However, most prescription diet pills have side effects, sometimes severe side effects. In the 1960s and 1970s, prescription diet pills were mostly amphetamine derivatives. In 1973, fenfluramine (Pondimin) became available, followed by dexfenfluramine (Redux) in 1996. The prescription diet drug Phentermine became available in 1997.  Orlistat (Xenical) was approved in 1999. Sibutramine (Meridia) was approved by the FDA in 2001. It is difficult to say which one is the best prescription diet pill since there are individual preferences.

The obesity drug rimonabant does not lower the risk of heart attacks and other cardiovascular problems when compared to a placebo.

Top ingredients normally found in over the counter diet pill products
Green tea (Camellia sinensis), hoodia, chromium picolinate, (ginger root [Zingiber officinale], guarana [Paullinia cupana], hydroxycitric acid [Garcinia cambogia], white willow [Salix alba], Siberian ginseng [Eleutherococcus senticosus], cayenne [Capsicum annuum], and bitter orange / zhi shi [Citrus aurantium]).

Q. Is there such a thing as a safe diet pill?
   A. There is no perfectly safe diet pill. Each herb or supplement will have side effects if misused or too high a dosage is taken. However, as a rule, natural diet pills are much safer than prescription diet pills.

What are your thoughts on acai berry extract product that is heavily advertised?
    I have not seen any convincing research on acai berry extract as an effective product for such purposes.

Q. Can a person with diabetes take a diet pill?
   A. A diabetes diet pill preference should be a natural option rather than a prescription diet pill since the natural diet pills are safer. However, you should have approval by your health care provider even if you take an herbal diet pill.

Q. How can I be sure that a diet pill really works before I fork out my hard earned dollars?
   A. There is no easy way to tell which diet pill will work for you unless you try it.

Q. Could a diet pill for a woman be also effective as a diet pill for a man?
   A. I don't see any major gender differences in diet pills when it comes to a woman or a man. The required dosage for women would be less than in men.

Q. In your opinion, what is the top diet pill for fast weight loss?
   A. Since there are thousands of over the counter diet pills, it is impossible to say which one is the top diet pill for fast weight loss unless extensive comparison studies are done which are not likely anytime soon. I personally prefer a caffeine free diet pill.

Q. Is banaba a good herbal diet pill?
   A. Banaba is mostly used by those interested in helping with blood sugar control, however a few people have mentioned that it could be a mild herbal diet pill. I have not seen any actual research regarding banaba and weight control.

Q. Where can I find a cheap diet pill? I intend to buy diet pill online.
   A. You can search online for a cheap diet pill, but it would be difficult to predict whether it would work for you.

Q. What is your opinion of ephedrine diet pill to control appetite?
   A. Ephedra herb, which contains ephedrine, is no longer allowed over the counter. I think ephedrine diet pills are safe when used in low dosages, but there are many other herbs available as appetite suppressants that are much safer and quite effective. Therefore, it is no major loss that ephedra is no longer available over the counter although much more dangerous substances can still be purchased without a prescription, for instance aspirin or acetaminophen. Therefore, I don't see why ephedra was pulled off the market and other dangerous drugs that kill thousands of Americans each year are still easily purchased by consumers.

Q. Have you done a diet pill rating?
   A. Since there are thousands of non prescription diet pills, it is impossible to evaluate them all and do such a diet pill rating. Plus, the formulas could change as manufacturers try to improve their products.

I find the most effective product for me is green tea extract, I have tried different brands of hoodia and some work well, others don't.

I used to think the best over the counter diet pill were the ones with ephedrine type chemicals, but now I have experience with green tea and hoodia and like them a lot more and I think they are effective diet pills.

I find Diet Rx to be the best weight loss diet pill and it works without giving the jitters.

I have been dealing with depression for a long time on and off. I did not know what was wrong with me until last august 2007. I had an emotional break down at the grocery store of all places! I was having serious crying spells and alot of other depression symptoms. I have been an emotional eater since teenage yrs. as well. I continued to eat myself into this vicious cycle of overeating and needing that feeling of fullness to make things 'seem' better? Chocolate was the best for this. Any kind of junk with chocolate did for me, for about 20 minutes. So soon I was up to 220 pounds. This last yr. I have gained 20 pds. So I came across SUPER SLIM POMEGRANATE diet pill from China. I am sure you know about all the untested diet pills that are so popular. Well my friend  told me that she lost 42 pds. in 2 months and she had no desire to eat while using SUPER SLIM POMEGRANATE diet pill. That was what I was looking for! No desire to eat. I bought the diet pills because they were so cheap. Started taking them, and realized 'all natural' wasn't that at all. The SUPER SLIM POMEGRANATE diet pill  side effects were cotton mouth like crazy! Sweating even if I was washing dishes, feeling like I could out run a horse, about 4-5 hours of sleep at night-wide awake. if I ate fast food it went right through me. Bowel movements started getting scarce, up till I was so bound up I was miserable. BUT - with all that, food wasn't my main focus anymore and I felt free. That was huge for me to be able to live like a regular person and not have it control my life. So I have put up with all those SUPER SLIM POMEGRANATE diet pill side effects. On top of having depression. I have never went to the doctor because I was afraid that I would have to take a pill for the rest of my life to be normal. I know it sounds crazy, because I will consider taking a diet pill without knowing what is in it. Desperate for a solution I guess. There is even a forum that we all post our progress and bad and good side effects. So I came across your web site. And have read a few things. I am interested in the diet pills for the appetite suppressant. I feel like if I can control the eating I would be better? But then I am thinking it is my depression that is making me over eat. I just want something that will help me deal with my overeating. If these Asian diet pills weren't 'bad' for your health they would be great. So this is where I am at. I know you can't offer advice- but I am looking and seeking something better for health as to the Asian diet pill. I did lose 18 pounds. in my first month. But it sucked the water off my bottom like a sponge.
   It is possible to find diet pills with much fever side effects that are still effective.

Diet pill makers are fined
The Federal Trade Commission in January 2007 fined four weight loss diet pill makers millions of dollars for making false advertising claims. Makers of the four products — Xenadrine EFX, CortiSlim, TrimSpa, and One-A-Day Weight Smart — have settled with the FTC for more than $25 million, and agreed to limit their future advertising claims. The products would remain on store shelves, but that the companies would have to stop making the false claims.Some of the claims made included rapid weight loss and reduction in the risk of osteoporosis, Alzheimer’s and even cancer.
Two marketers of Xenadrine EFX will pay at least $8 million and as much as $12.8 million to settle FTC allegations that Xenadrine EFX’s weight-loss claims were false and unsubstantiated. The firms who market CortiSlim and CortiStress settled for at least $12 million. The makers of TrimSpa settled for $1.5 million. The Bayer Corporation, which makes One-A-Day Weight Smart, will pay a $3.2 million and agreed to stop ads that say the multivitamins can increase metabolism. Xenadrine EFX contains, among other ingredients, green tea extract (EGCG), caffeine, and bitter orange (Citrus aurantium), Xenadrine EFX was advertised heavily in print and on television, according to the FTC. The marketers of Xenadrine had a study that said those who took a placebo actually lost more weight than those taking the diet pill. Some of the products marketed their claims through infomercials or celebrity endorsements. Anna Nicole Smith, for example, has endorsed TrimSpa.