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Obesity Pharmacotherapy - Obesity Algorithm 2024

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29 Side Effects of Supplements with Insufficient Human Data to Confirm Consistent, Clinically Meaningful, Long-term Weight Loss Intervention Side Effects Description Berberine Nausea, diarrhea, constipation, and abdominal pain. Alkaloid extract f rom plants such as Berberis vulguris (barberry). Chitosan Nausea, indigestion, bloating, flatulence, constipation, and possible allergic reactions. Derived from chitin, a component of crustacean/ arthropod exoskeletons (starch similar to cellulose), chitosan has both insoluble and soluble properties. Forskolin Indigestion, hypotension with lightheadedness, syncope, blurred vision, nausea, pale skin, and fatigue. Extract f rom mint family/ Coleus forskohlii Garcinia Cambogia Headache, nausea, mania, and possible rare cases of liver toxicity. Small green f ruit extract containing hydroxycitric acid. Glucomannan Bloating, flatulence and soft stools. Tablets may cause esophageal obstruction. Hemicellulose polysaccharide soluble fiber f rom roots of the elephant yam. Glucosinolates High doses may cause goiter and hypothyroidism. Thioesters containing sulfur (mustard family) Hoodia gordonii (P57) Increased blood pressure and pulse, headache, dizziness, nausea, vomiting. Succulent plant consumed by Bushmen in South Af rica to reduce hunger. Irvingia gabonensis Flatulence, headache, sleep disturbances. Seeds f rom Af rican mango/soluble fiber Raspberry ketones Raspberry eructation (burps) Extracted f rom raspberries 5-hydroxy- trypotophan Gastrointestinal symptoms and possible interactions with serotonergic drugs. Amino acid intermediate in the biosynthesis of serotonin, may be derived f rom seeds of the Af rican Giffonia simplicifolia.

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