New Weight Loss Drug
Here are two articles on weight loss drugs. The first one is about Histalean, a new drug that makes weight loss safer. The makers believe that it targets the H1 and H3 receptors to reduce the desire to eat fatty foods. According to the article, the study was conducted on men and women with a BMI of 30-40, indicating obesity, but data was only provided for women as the article says that the effect was greatest in women. Given an average female height of 5′ 4″ (1), we’re looking at a bodyweight of 180-230lbs and a weight loss of 5.2 to 6.7lbs in 12 weeks (average of 2.91% bodyweight loss), not exactly impressive. The same numbers for men yield 6 to 7.9lb lost from bodyweight of 205-270 (assuming avg male height of 5′9″ (2)), but from the article we know that men don’t lose as much as women. And since it’s been given to some 130 million sufferers of Meniere’s disease as the drug Serc, you’d think there’d be some proof of its efficacy. Here’s Sandy Szwarc dissecting the study results in much greater detail. The bottom line: it’s nonsensical drug company double-speak.
The second is an article from Forbes about Arena Pharmaceuticals’ new weight loss drug, Lorcaserin. This one “works by stimulating a serotonin receptor in the hypothalamus, a part of the brain linked to the control of satiety and metabolism.” Messing with serotonin…always a good idea! Serotonin only handles such unimportant things as mood, body temperature, sleep and sexuality, along with appetite.
The only two approved prescription obesity drugs in the U.S. deliver mediocre results and haven’t sold very well. Abbott’s Meridia leads to an incremental weight loss of 10 pounds more a year than a regular low-calorie diet, according to the Mayo Clinic, with side effects that can include increased blood pressure, constipation and insomnia. Roche’s Xenical, a $94-million-a-year seller, results in an average weight loss of 6 pounds a year, and users must contend with oily and frequent bowel movements. GlaxoSmithkline now sells an over-the-counter version of Xenical called Alli. Its Web site recommends new users wear dark clothing and have an extra pair of pants handy to cope with those unpleasant side effects. “People are really desperate. I get letters all the time asking, ‘How can I get your drug?’” says Lief, 61
It still blows my mind that people would take a drug that causes them to go in their drawers without warning. But here’s the best part. Check the stats at the bottom to see the effects of two drugs vs diet and exercise: Xenical - 6 pounds per year; Meridia - 10 pounds per year; Diet & exercise - 15 pounds per year. Doh!
Until now, there has been no safe, long-term medical remedy that tackles unwanted weight gain.
And there probably still isn’t. There is no need for medicine to help most overweight people drop pounds. A change in lifestyle is all that’s needed. Focusing on a Paleo diet of meats, vegetables, nuts, oils, fruit, and tubers rather than a high-carb diet of grains and sugar, along with taking a bit of exercise and getting 8 hours of sleep per night will do far more than any of these pills and will do it far more safely. You’ll not only lose weight, but you’ll get healthy, which should be the ultimate goal.
Sources:
(1) Average Female Height
(2) Average Male Height
(3) Wikipedia - Serotonin
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Robin on 24 Oct 2007 at 2:27 am #
Maybe they should develop a drug for obese people with Meniere’s that only makes them dizzy when they eat donuts! That would solve two problems…
BTW, Xenical is not all bad. It gets people to run.
Joe Matasic on 24 Oct 2007 at 9:58 am #
Diet drugs get to me. I can see how people want them though. I was 353 at 6′4″ and still somewhat athletic, but obviously very large. Now about 245-250 and still 6′4″ I hope. Much better from low carb. Granted still big, but much more active and working to get better. I know somewhat how desperately people want to lose.
My friend took Alli for a little while. I found out one day after we rode 25 miles at 17 mph. So it not like we’re completely out of shape and I’ve got more to lose. Granted I can ride farther and faster, but he beats me hiking up the mountains every time. After we finished yelling at him, I was telling him about all the side effects and why didn’t he go back to low-carb. He knew it worked, he did it before. I guess some of our other friends gave him a talking too also. But I think the last straw for him was eating a meal that was too fatty and having the dreaded side effects. Luckily I think he just avoided need the extra pair of pants that he didn’t have.
I was on 3 drugs (max doses) for high blood pressure and one for cholesterol. Now I quit taking my cholesterol and am down to one med and a half dose of the other for blood pressure. Granted my cholesterol numbers got “better” but my doctor still wants me to take the med. Only from reading my own research and against the advice of the doctor did I quit taking the cholesterol. In her words “every cardiologist would disagree with you on heart disease and cholesterol.” Of course then I should her studies and cardiologists who did. She doesn’t even bother me about it anymore. I think for him it was the easy way out with a kid and starting his own business, he basically used the excuse that it was too hard to eat right and exercise.
Originally, she told me I needed to lose weight before but never impressed that as the better option. They are all quick to dispense the med scripts. Whether this is because everything inside a doctor’s office is labeled by a drug company or because every time the tell a patient to lose weight (low-cal/fat & exercise) it doesn’t work and assume that the patient is not following it no matter what they say. I guess the good thing was that when she asked how I was losing the weight and I told her low carb, she just said to keep doing what you’re doing and not that diet is going to clog your arteries. I do think she attributed it to an increase in activity, which certainly wasn’t the case.
The difference in my feeling for these industries (pharma and diet) has changed drastically because I know better now. Again not because of the media. Now every time I see a commercial for diet and especially cholesterol drugs, I get mad. Knowing how these twist the studies to get what they want and the extents they go to get as many people as possible on drugs. My uncle used to be a drug rep and the amount of money he spent buying stuff for doctors was amazing.
Sorry for the long post.
Joe Matasic on 24 Oct 2007 at 10:05 am #
Ok, I’m either going to quit posting from work and actually go back an read them before I hit submit. There’s a sentence that belongs to the paragraph above and some incorrect words, but I think you’ll get the hint.
Scott Kustes on 24 Oct 2007 at 10:28 am #
It’s alright Joe. That was a great post and I’m glad to see you’ve taken your health into your own hands rather than relying solely on someone else’s advice, which may not be right (that includes me, your doctor, your wife and kids, and anyone else you know). If more people would do so, our nation would be significantly healthier.
Robin, clever comment about Xenical. That made me chuckle.
Cheers
Scott