Popular over-the-counter diet aids

There are so many over-the-counter products for weight loss, it’s hard to keep them straight. Individual products often contain several ingredients. Some contain 20 or more. It’s important to read the label before you buy.

The one thing all these ingredients have in common is that none of them have been proven to be both safe and effective. And taking any diet aid makes it hard for you to listen to your hunger signals so that you can have a normal relationship with food.

Most over-the-counter diet aids don't work. And those that do work come with warnings about their safety. Doctors don't recommend any of them.1

Diet aid

What it claims to do

Is there evidence that it works?

Is it safe for most people?

Alli Blocks fat from the food you eatYesMay cause side effects
Apple cider vinegar Burns calories, lowers appetite NoUnknown
Bitter orange Burns caloriesNoProbably not; it's related to ephedra
Caffeine Lowers appetiteNoYes
Cascara Acts as a laxative so you lose water weightNoLong-term use may cause health problems
ChitosanBlocks fat from the food you eatNoMay cause health problems
ChromiumBurns fatNoYes
Conjugated linoleic acid (CLA)Burns fatNoMild to moderate side effects
Country mallowBurns caloriesYesNo; contains ephedra
DandelionIncreases amount of urine so you lose water weightA littleMay cause health problems
EphedraBurns caloriesYesNo; banned in U.S.
GlucomannanActs as a laxative to absorb water, so you feel full soonerA littleYes
Green teaBurns fatNoYes
Guar gumLowers appetiteNoYes
GuaranaLowers appetiteNoYes
GuggulAids weight lossNoMay cause side effects
HoodiaLowers appetiteNoUnknown
Hydroxycitric acid (HCA)Lowers appetiteNoYes
L-carnitineBurns fatNoMay cause side effects
LaminariaBurns caloriesNoUnknown
LicoriceBurns fatNoMay cause health problems
PsylliumActs as a laxative to absorb water, so you feel full soonerNoYes
PyruvateLowers appetite, burns caloriesA littleYes
Spirulina (blue-green algae)Lowers appetiteNoMay cause side effects
Yerba matéLowers appetiteNoMay cause health problems


Author: Cynthia TankLast Updated: May 14, 2008
Medical Review: Ruth Schneider, MPH, RD - Diet and Nutrition
Rhonda O'Brien, MS, RD, CDE - Diabetes Educator

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