Slimming coffee?

Sibutramine, who has changed his face, understands that the pharmacist reminds illegal diet foods to add drugs illegally-to


  help you dig out the "additive" diet foods that are buried by health

  Recently, media reported that net celebrity weight loss coffee cost 8 yuan but sold for 298 yuan.

However, what is even more annoying is that the coffee added to the coffee turned out to be a weight-loss drug-sibutramine that was withdrawn from the market 10 years ago!

  It's almost the season of exposure, and now it's too late to lose weight.

Have you been tempted by the advertising slogans that claim to be able to lose weight quickly, burn fat instantly, and lose 30 pounds a month?

The pharmacist is here to remind you that weight loss foods such as weight loss tea, weight loss coffee, and rapid fat burning capsules that are illegally sold may contain illegally added drugs, posing health threats to the body.

Don't be blinded by all kinds of fancy weight loss products, otherwise it is very likely that the more you lose weight, the more mess your body will be.

  What kind of "ghost" sibutramine is

  Searching for "sibutramine" in Baidu, I found that sibutramine is added to many so-called diet foods.

For example, "fat burning slimming capsules", fruit and vegetable drinks (solid beverages) and fruit and vegetable tablets with weight loss effects.

  Sibutramine is a central weight loss drug. It can act on the central system by inhibiting the reuptake of norepinephrine, serotonin and dopamine in the body, thereby suppressing appetite and reducing food intake To achieve the goal of weight loss.

  It was approved for obesity in the United States in 1997, and became a star of weight loss for a while, so it went on the market in my country in 2000.

The Adverse Drug Reaction Center of my country has also monitored some adverse reactions after the market, mainly headache, dry mouth, insomnia, dizziness and so on.

In fact, not only this, it may also affect the digestive system, nervous system, central and peripheral nervous system, cardiovascular system, etc., leading to endocrine and metabolic disorders, mental stress, sleep disorders, etc.

But the most serious is the risk of myocardial infarction, stroke, cardiac arrest, etc., especially for patients with heart diseases such as coronary heart disease, arrhythmia, or those who already have cerebrovascular diseases. The risk is higher.

  In response to the post-marketing monitoring of sibutramine that may increase cardiovascular adverse events, in 2002 the European Union carried out a large-scale clinical study on the effect of sibutramine on the cardiovascular safety after the market was launched. Triming Cardiovascular Endpoint Test", including the European Union, Australia and other countries and regions participated in it.

Research results published in 2010 showed that the use of the drug can increase serious cardiovascular risk.

Therefore, since 2010, the United States, the European Union, and China have successively withdrawn sibutramine from the market.

  Those "hard materials" lurking in diet food

  At present, some illegally sold weight loss teas and weight loss coffees advertise that they can lose weight while claiming that the products are very safe, causing many consumers to lay down their defenses.

But in fact, these weight loss products are likely to have serious health risks.

Because products that are generally known to have a rapid weight loss effect, in order to allow consumers to achieve weight loss, it is very likely that certain drugs will be added in violation of regulations, mainly in the following categories:

  The most common is to add appetite suppressants such as sibutramine, fenfluramine and its derivatives and so on.

These drugs mainly act on the central brain system to "pretend" to be full, reduce appetite, and lose weight. However, long-term use may affect the heart and lung function, causing symptoms such as palpitations, dyspnea, pulmonary hypertension, myocardial infarction, and heart Increased risk of occurrence of sudden arrests.

  Add some laxatives such as phenolphthalein tablets (fruit guide tablets), bisacodyl and so on.

Take bisacodyl as an example. It is a stimulant laxative, but long-term use may lead to chronic diarrhea, hypokalemia, secondary aldosteronism, etc., and even subsequent metabolic alkalosis, muscle weakness, and renal tubules may occur. Damage etc.

  Add some drugs that increase energy consumption such as levothyroxine sodium, ephedrine, pseudoephedrine, theophylline, and diuretics such as furosemide and bumetanide. These drugs increase the body's energy metabolism and excrete more water. Play a seemingly "weight loss" effect, but in fact may only lose part of the water.

  And more importantly, taking these drugs without knowing it may cause physical damage. For example, long-term use of levothyroxine sodium may lead to drug-induced hyperthyroidism, palpitation, weight loss, and exophthalmos. Ephedrine Too much use of pseudoephedrine and theophylline may cause problems such as arrhythmia, anxiety, and myocardial infarction. Too much diuretics may cause electrolyte disorders such as low potassium and low sodium.

  Other added drugs There are some other drugs that have also been tested in weight loss products, including fluoxetine and sildenafil.

Many illegal weight loss products do not only contain one illegally added drug, but some contain two or more.

  The pharmacist will give you a prescription for healthy weight loss

  So is there a "safe" weight-loss drug that allows us to easily reduce the flesh?

The answer is: really not.

There are no products that claim to be safe to lose weight. No weight loss product is effective and does not have any side effects. Only a healthy diet + adequate and moderate exercise is the safest and most effective way to lose weight.

Here are 3 tips for you to lose weight safely.

  Before losing weight, first calculate your BMI index. The specific algorithm is weight (kg) divided by the square of height (m). If it is within 24kg/m2, there is no need to lose weight. If you are not satisfied with your body shape, you can use fitness to shape it.

If it is between 24-28 kg/m2, it is overweight; if it is above 28 kg/m2, it is obese. Both overweight and obesity need to be reduced by one.

  It is recommended to keep your mouth open and open your legs. Only by adhering to a long-term scientific lifestyle can you maintain your weight and reduce rebound.

Friends who need to lose weight and want to lose weight can go to the nutrition department of the hospital for medical treatment, ask a professional dietitian to give a personalized recipe, and then choose the exercise that they like and suit them relatively, and insist on exercising for a certain amount of time every day.

  If you need drug help, you can choose orlistat. Currently in my country, the only drug that has indications for obesity treatment and has been approved by the National Food and Drug Administration is orlistat.

However, orlistat itself has certain adverse reactions, such as oily stools, increased stool frequency, abdominal pain, flatulence, etc., and may also cause liver damage, so please be sure to use it under the guidance of a doctor or pharmacist.

  In addition, if you already have diabetes at the same time, you can also choose hypoglycemic drugs that reduce both blood sugar and weight, such as liraglutide, dulaglutide, exenatide, etc., for example, liraglutide is also available in the United States. It has been approved to help patients with BMI above 27kg/m2 lose weight.

In addition, drugs such as dapagliflozin and canagliflozin can reduce blood sugar while reducing weight.

  Although everyone has the love of beauty, the road to weight loss is long and difficult. There is no shortcut to lose weight. Scientific weight loss is the kingly way.

  Text/Song Wisdom (Beijing Tongren Hospital)