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Obesity Pharmacotherapy - OMA Obesity Algorithm 2023

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23 Common Functional Foods Mechanism of Action Effects Side Effects Green tea (not extract) Contains caffeine as well as epicatechin, epicatechin gallate, and epigallocatechin gallate (EGCG). While they may have antioxidant effects, it is unclear that the catechin component of green tea contributes to weight loss beyond the caffeine. Meta-analyses suggest minor weight reduction. Caffeine side effects include anxiety, tremors, cardiac dysrhythmias. Catechins may cause indigestion and constipation. Green tea extract is an important cause of liver injury. Green coffee and extract Green coffee contains less caffeine than black coffee but also contains chlorogenic acid, which may have peroxisome proliferator-activated receptor alpha activity. Isolated studies suggest minor weight reduction with green coffee extract. Caffeine side effects include anxiety, tremors, cardiac dysrhythmias. Catechins may cause indigestion and constipation. Phytoestrogens Plant-derived substances with potential estrogenic effects (isoflavones, flavones, and coumestans) are often found in soy products. If soy-based foods are substituted for higher fat, higher calorie foods, this may promote minor weight reduction. Animal studies suggest some phytoestrogens are associated with decreased lipogenesis. Mild nausea, bloating, constipation. In women, phytoestrogens may disrupt endogenous hormone levels and ovulatory cycle. In men, typical doses are unlikely to cause feminization. Should be used with caution in women who are pregnant, nursing, or attempting to become pregnant. (cont'd)

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