Letters posted here are associated with the following article:

16
Letters
Wednesday, January 25, 2006 12:00 AM

FDA: Better skinny than slutty

Panel recommends OTC status for "controversial" emergency contraception -- no, sorry, diet pill.

The letters thread is now closed.

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Wednesday, January 25, 2006 07:36 AM

Why so coy?

What are the "indecorous" side effects? My imagination is running wild, but you're being a bit too Family Council by not actually telling us what they are.

Wednesday, January 25, 2006 07:38 AM

Why so coy?

What are the "indecorous" side effects? My imagination is running wild, but you're being a bit too Family Council by not actually telling us what they are.

Wednesday, January 25, 2006 07:53 AM

Indecorous side effects -- you asked for it!

Two words:

"Anal leakage"

That is what happens to people on Xenial who consume any fat. Since the body does not absorb it, the fat literally slides through their system and quickly (and usually unexpectedly) emerges out the other end.

Ah, vanity! Enjoy!

Wednesday, January 25, 2006 07:53 AM

Indecorous side effects -- you asked for it!

Two words:

"Anal leakage"

That is what happens to people on Xenial who consume any fat. Since the body does not absorb it, the fat literally slides through their system and quickly (and usually unexpectedly) emerges out the other end.

Ah, vanity! Enjoy!

Wednesday, January 25, 2006 08:12 AM

diet pills?

curious.

i have to call my doctor and if he's not there beg the covering physician for a DIFLUCAN, for christ's sake, but xenical can be over the counter.

there's just something very wrong about this, because i doubt too much yeast infection medication can harm you.

Wednesday, January 25, 2006 08:58 AM

That's a WHOLE lot of information

I know somebody asked specifically about side effects but that's really nasty. And i would also like to hear more about yeast infections- lots more because thats not disgusting either. Apparently wearing garter belts can cut down on those so maybe that's the answer.

Wednesday, January 25, 2006 09:52 AM

That's a WHOLE lot of information

I know somebody asked specifically about side effects but that's really nasty. And i would also like to hear more about yeast infections- lots more because thats not disgusting either. Apparently wearing garter belts can cut down on those so maybe that's the answer.

Wednesday, January 25, 2006 10:03 AM

Actually...

The FDA hasn't approved OTC status for Xenical yet. Rather, its advisory committees have recommended that they do so.

I believe the advisory committee that evaluated Plan B for OTC use voted to recommend the switch, just as the panel on Xenical. The FDA later chose not to follow that recommendation.

So, while I'm no defender of the FDA, I think we have to condede that they haven't actually been inconsistent. Yet.

Wednesday, January 25, 2006 10:09 AM

Actually... [edited for typos]

The FDA hasn't approved OTC status for Xenical yet. Rather, its advisory committees have recommended that they do so.

I believe the advisory committee that evaluated Plan B for OTC use voted to recommend the switch, just as the panel on Xenical did. The FDA later chose not to follow that recommendation.

So, while I'm no defender of the FDA, I think we have to concede that they haven't actually been inconsistent. Yet.

Wednesday, January 25, 2006 01:06 PM

Pretty much anything that gets rid of fat is healthier than the alternative of keeping it.

Of course if we are talking about vanity pounds that's one thing. Gastric bypass surgery, dangerous and costly as it is, is CHEAPER and SAFER than the alternative of leaving people fat.

Wednesday, January 25, 2006 01:31 PM

no fat better than any fat? no not really.

The way in which you get rid of the fat can be more harmful than keeping it. My mom was one of those people on Fen-phen, but luckily she did not suffer from the deadly side effect of pulmonary hypertension. Xenical works by blocking the absorption of fat (only about 30%), so what doesn't get absorbed is expelled in the form of "loose stools". The best results from the study were people already eating a lower fat diet and the difference between people on the Xenical vs placebo were only about 5 - 6 lbs. The medication really wouldn't help out the morbidly obese and has absolutely no impact on carb or sugar metabolism. With the cost at $12 - $25 a week, you'd be better off spending that on the gym and a trainer.

Wednesday, January 25, 2006 01:45 PM

Really?

"Pretty much anything that gets rid of fat is healthier than the alternative of keeping it."

Absolutely! Meth, anorexia, and tapeworms are all so much better than that icky fat!!

Wednesday, January 25, 2006 01:49 PM

To answer your question: Diflucan (and other anti-yeast meds) can be hard on the liver

You don't want to take anti-yeast meds (and several other meds) if you have a pre-existing liver problem and/or if you cannot/will not abstain from alcohol while taking it: Doctors are supposed to screen out potentially at-risk patients.

My dermatologist gave me a scrip for Diflucan to be taken only once a week for 20 weeks. That's a low-enough dose that I didn't have to go in for liver function tests. But if I'd have been taking a higher and/or more-frequent dose (as for, say, a chronic candida problem), then at least monthly liver tests would have been in order.

I don't know enough about Xenical to determine whether taking extra fat-soluble vitamins and Omega 3's between meals would help, but--really!--someone who is knowledgeable about nutrition science should educate every individual who's considering taking the stuff long-term.

Face it: There is NO GETTING AROUND having to watch your diet and plan your meals. And this is especially true if you're considering taking Xenical or having bariatric surgery.

Wednesday, January 25, 2006 02:24 PM

Obviously hacking off fat with a machete would be more harmfull than keeping it

Obviously that is not the sort of thing I am referring to

Thursday, January 26, 2006 07:54 AM

LET'S HEAR IT FOR ANAL LEAKAGE!!!!

Who wants to be bothered with troublesome diet and exercize when we can take a pill that makes our ass leak! Whee!

Forget about the notion that the pill doesn't have any statistical efficacy, that is only works in any noticible fashion in people who already have low fat diets. Forget about the undigested fat that can make you poop yourself (a poop, I hasten to add, amde un undigested fat... hard to keep something in that is slicker than snot on a doorknob).

Listen, if this pill did work, there would be no way they would want it to go over the counter. So far, there is no pill that can allow us to eat more and lose weight. That is what this craze is about. This pill doesn't control appetite (though the ones that claim to don't really work either, not for long enough to make a difference). It makes what we eat not be digested, which is what every person too lazy to exercise, yet still wants to lose weight, is looking for.

The FDA needs to get out of the business of religion and "morals" (the only reasons the morning after pill is banned from OTC... and not good reasons) and do what is best for the health care of the people. The FDA is well aware of the lack of efficacy of orlistat. It is also well aware of the efficacy of the morning after pill, which, though not completely harmless, is much better than unwanted pregnancy.

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