There are many different weight loss solutions out there.
This includes all sorts of pills, drugs and natural supplements.
These are claimed to help you lose weight, or at least make it easier to lose weight combined with other methods.
They tend to work via one or more of these mechanisms:
Reduce appetite, making you feel more full so that you eat fewer calories.
Reduce absorption of nutrients like fat, making you take in fewer calories.
Increase fat burning, making you burn more calories.
Here are the 12 most popular weight loss pills and supplements, reviewed by science.
Garcinia Cambogia Extract
Garcinia cambogia became popular worldwide after being featured on the Dr. Oz show in 2012.
It is a small, green fruit, shaped like a pumpkin.
The skin of the fruit contains hydroxycitric acid (HCA). This is the active ingredient in garcinia cambogia extract, which is marketed as a diet pill.
How it works: Animal studies show that it can inhibit a fat-producing enzyme in the body and increase levels of serotonin, potentially helping to reduce cravings (1, 2).
Effectiveness: One study with 130 people compared garcinia against a dummy pill. There was no difference in weight or body fat percentage between groups (3).
A 2011 review that looked at 12 studies on garcinia cambogia found that, on average, it caused weight loss of about 2 pounds (0.88 kg) over several weeks (4).
Hydroxycut
Hydroxycut has been around for more than a decade, and is currently one of the most popular weight loss supplements in the world.
There are several different types, but the most common one is simply called “Hydroxycut.”
How it works: It contains several ingredients that are claimed to help with weight loss, including caffeine and a few plant extracts.
Effectiveness: One study showed that it caused 21 lbs (9.5 kg) of weight loss over a 3 month period (5).
Caffeine
Caffeine is the most commonly consumed psychoactive substance in the world (6).
It is found naturally in coffee, green tea and dark chocolate, and added to many processed foods and beverages.
Caffeine is a well known metabolism booster, and is often added to commercial weight loss supplements.
Side effects: If you are caffeine sensitive, you may experience anxiety, jitteriness, tremors, nausea, diarrhea and irritability.
Orlistat
Orlistat is a pharmaceutical drug, sold over-the-counter under the name Alli, and under prescription as Xenical.
How it works: This weight loss pill works by inhibiting the breakdown of fat in the gut, making you take in fewer calories from fat.
Effectiveness: According to a big review of 11 studies, orlistat can increase weight loss by 6 pounds (2.7 kg) compared to a dummy pill (13).
Other benefits: Orlistat has been shown to reduce blood pressure slightly, and reduced the risk of developing type 2 diabetes by 37% in one study (14, 15).
Side effects: This drug has many digestive side effects, including loose, oily stools, flatulence, frequent bowel movements that are hard to control, and others. It may also contribute to deficiency in fat-soluble vitamins, such as vitamins A, D, E and K.
It is usually recommended to follow a low-fat diet while taking orlistat, in order to minimize side effects.
Interestingly, a low carb diet (without drugs) has been shown to be as effective as both orlistat and a low-fat diet combined (16).