Alli Weight Loss Drug – Friend or Foe?

Who would have guessed that anal leakage would have been a successful motivator in the weight loss wars? The colorful kiosk at your local grocery store for the new over-the-counter diet drug, Alli, warns users to “make sure you are ready”. They slyly imply that you should be ready to lose weight, but what they should be saying is “make sure you are ready… to wear adult diapers”.


Alli, a non-prescription strength version of the drug Orlistat has been approved by the FDA to become the first and only over-the-counter weight loss drug. Alli works by blocking some of the fat that you eat from being absorbed by your digestive tract. The website,, claims that this reduction in fat absorption can result in 50% more weight loss than dieting alone. This sounds like a dream ticket to indulge in donuts and fried foods, but the drug’s website also warns of “treatment effects”. No, these are not lazer light shows at the local weight loss clinic. Treatment effects “may include gas with oily spotting, loose stools, and more frequent stools that may be hard to control” if you consume too much fat. Eew. Yuck even.

Even with the gross-out factor, Alli sales are booming. Why is this so? What Alli really amounts to is motivation and accountability, which are the winner’s edge in the fight to become skinny. Anyone with a laundry list of to-do’s – like clean out the garage and lose 20 pounds – has dreamed of having more motivation. Guess what? I found the secret to an unlimited supply of motivation! It’s called accountability and it is your ticket to getting everything done you ever wished you could do – yes, even cleaning out the garage.

You may not put much thought into just how powerful accountability is in your life. You show up to work every day because if you don’t, you will get fired or won’t get paid. That is accountability. You wash your dishes because if you don’t, they will smell and you won’t have anything to eat off of. That is accountability. Accountability makes you do what you otherwise would not do. So, oily anal spotting and hard to control stools equals accountability for those dieters that otherwise would not be able to resist a Krispy Kreme or Quarter Pounder.

Would Alli truly be your friend, or would the brown stains in your pants and extra trips to the bathroom feel like you are at war with yourself? It is up to you to decide what kind of accountability you need in your life.

Carole Freeman is a nutrition student at Bastyr University. She coaches people on healthy lifestyle changes, specializing in weight loss and craving control.

By Carole Freeman

Carole Freeman is a nutrition student at Bastyr University. She coaches people on making healthy lifestyle changes specializing in weight loss and eliminating cravings. She enjoys camping, hiking, geocaching, gourmet foods and comedy shows. For more information, visit

5 replies on “Alli Weight Loss Drug – Friend or Foe?”

This article was so funny I almost pooped my pants. Can you tell me more about Alli and how it works physiologically. What about this idea of “motivation and accountability”? Does taking Alli require a user to “use responsibly?” Is this really “the first and only over-the-counter weight loss drug?”

My dad says “I don’t care, I won’t stop eating fat.” How can I better educate him so he will care?

School of thought, FishTrain

Hi Tony! So glad I could amuse the do out of you. If I was a soft drink, perhaps that could be my slogan.

More about how Alli works from the website:
“The active ingredient in alli attaches to some of the natural enzymes in the digestive system, preventing them from breaking down about a quarter of the fat you eat. Undigested fat cannot be absorbed and passes through the body naturally. The excess fat is not harmful. In fact, you may recognize it in the toilet as something that looks like the oil on top of a pizza.” This is better stuff than I can write!

The topic of motivation and accountability is far too big for this tiny comment box. Watch for an upcoming article on the subject. My apologies if you are waiting for my response here so you can get your garage cleaned out this weekend.

As for your dad’s lack of respect for fat, slip him an Alli pill in his morning coffee tomorrow and see what kind of respect he gains for this all-mighty anal evacuator. Just make sure you put a brown towel down on his chair before he sits down.

And I’ll get to work on an article on healthy fats. Just remember, fat is good for you, it’s just the bad fat that is bad (like hydrogenated).

Amazingly well-written, hilarious and straight to the point! It’s funny how many people are looking for instant gratification that they overlook their own lifestyle habits!

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