Buyekeza amaphilisi okulahlekelwa kwesisindo esiphezulu kakhulu esamukelekile se-FDA
Ingabe ucabanga ngokusebenzisa iphilisi yokunciphisa isisindo sokunciphisa phansi? Noma mhlawumbe wezwa ngomuthi wephilisi ovunyelwe i-FDA odinga ukwelashwa. Ukuzama ukuthola imithi ephephile ukukusiza ukwehla kungaba yinselele. Sebenzisa lo mhlahlandlela ukuhlunga amaqiniso ukuze uthole umkhiqizo ongcono kakhulu kuwe.
Indlela Yokuthenga Iphilisi Yokulahlekelwa Kakhulu Isisindo
Kunezinhlobo ezintathu ezahlukene zokudla amaphilisi ongayithenga.
Amaphilisi okulahlekelwa isisindo semithi ayilona imithi ongayithola ngokusebenzisa udokotela wakho. Amaphilisi okudla okungeyona imithi noma ngaphezulu (i-OTC) ayimithi engafuni isidakamizo. Futhi ekugcineni, kukhona izithako ezingokwemvelo zokusindiswa kwesisindo ozothola ezitolo eziningi zevithamini nezitolo zemithi. Izithako ze-Herbal azibhekwa njengemithi ngakho-ke akudingeki ukuba ulandele iziqondiso eziqinile zokuphepha ezilawula imithi yethu.
Imithombo engcono kakhulu yokwaziswa mayelana nokusetshenziswa kwanoma yimaphi amaphilisi noma isisindo sokuphuza isisindo somhlinzeki wakho wezempilo. Khuluma nodokotela wakho mayelana nokucwaninga kwamanje emikhiqizweni eye ikubonile. Udokotela wakho uzokwazi futhi ukuxoxa ukuthi ukuthatha iphilisi yokudla kungaxhumana kanjani neminye imithi yakho futhi uzokwazi ukunikeza izeluleko ezingcono kakhulu mayelana nokuphepha kwemikhiqizo emisha.
Amaphilisi avumelekile eDaily-FDA-Approved
- I-Xenical (orlistat): Le mithi yokwelashwa ivunyiwe yi-US Food and Drug Administration (FDA) kusukela ngo-1999. I-Xenical iyi-lipase inhibitor okusho ukuthi isebenza ngokuvimbela ukumunwa kwamanoni. I-Dieters kumele ilandele ukudla okunamafutha aphansi noma abhekana nemiphumela emibi engakhululekile.
I-Qsymia (i-phentermine ne-topiramate) : Lezi zidakamizwa ezimbili ku-Qsymia zisebenza ndawonye ukuvimbela ukudla futhi zinciphise ukudla kwakho. Udokotela wakho angakubeka uma une-BMI engaphezu kwengu-30 noma inkomba yomzimba womzimba engama-27 nangaphezulu kanye nesimo esithinta isisindo esinjenge-type 2 sikashukela noma umfutho wegazi ophezulu . Imithi idinga ukuthathwa kanye nendlela yokuphila yokuguqulwa kokulahlekelwa kwesisindo.
I-Belviq (i-lorcaserin) : Le pilisi yokudla isebenza ngokuvuselela i-serotonin receptors elawula ukulamba. Ngokusiza ukulawula ukudla kwakho, abenzi bezidakamizwa banethemba lokuthi uBelviq uzokusiza uzizwe ugcwele ngemuva kokudla ukudla okuncane. Itholakala ngomuthi odokotela abaphethe i- BMI ye-30 noma inkomba yomzimba womzimba we-27 kanye nesimo esihlobene nokukhuluphala.
I-Saxenda: (umjovo we-liraglutide [i-rDNA origination] Le mithi ejovayo iyasiza i-dieters ukuba izwe iphelele ngokushesha ukuze idle kancane futhi ilahlekelwe isisindo. I-Saxenda ingasetshenziswa iziguli ezinamafutha amaningi (ane-BMI engama-30 noma ngaphezulu) noma ngeziguli ezine-BMI ezinama-27 noma ngaphezulu nesimo sezokwelapha ezihlobene nesisindo esinjenge-type 2 yesifo sikashukela, i-cholesterol ephakeme noma umfutho wegazi ophezulu.
Ukuphambana : (naltrexone hydrochloride kanye ne-bupropion hydrochloride) Lesi sidakamizwa sokulahlekelwa isisindo sithinta isimiso sezinzwa esiyinhloko sokwandisa inani lamakhilomitha oshisa futhi unciphise ukudla kwakho. Iphilisi yokudla imisiwe kanye nokudla okunciphise-khalori nokuzivocavoca ukusiza abantu ukuba balahlekelwe isisindo.
I-Vyvanse : (lisdexamfetamine dimesylate) Le mithi i-FDA-evunyelwe ukwelashwa kwezidakamizwa zokudla, kodwa ayivunyelwe ukulahlekelwa isisindo.
I-Phentermine: I-Phentermine idayiswa ngaphansi kohlu olude lwamagama, kuhlanganise neSuprenza, i- Adipex-P , i-Kraftobese, ne-Teramine. Yenzelwe isikhathi esifushane futhi isebenza ngokunciphisa isifiso se-dieter. Ngokusho kwe-ADA, iphilisi yokudliwa enqunyiwe kunazo zonke e-United States. Kodwa-ke, lesi sidakamizwa singenza umkhuba; Imiphumela emibi ingabandakanya ukungalahleki, ukuqotshwa kanye nomlomo owomile.
I-Meridia (sibutramine): Lo mkhiqizo ocindezelayo wesisu ususwe emakethe e-United States ngo-2010. I-FDA yaqale yavuma umkhiqizo, kodwa umkhiqizi wayeka ukuyikhiqiza emva kokuhlolwa kwemitholampilo yabonisa ukuthi abasebenzisi babeneengozini eyengeziwe yokuhlasela kwenhliziyo nokushaywa isifo. Izikhungo Zikazwelonke Zempilo (NIH) zincoma ukuthi noma ubani osasebenzisa uMeridia uthintane nodokotela wabo ukuze axoxe ngezinye izindlela zokwelashwa.
I-Pest and Supplements Excess and Best Over-the-Counter Diet
Uma ungenayo imithi yesidakamizwa sokudla, ungase ulingeke ukuba uthathe iphilisi yokulahlekelwa kwesisindo somzimba noma ngaphezulu.
Gcina engqondweni ngenkathi imithi ye-OTC ivunyelwe i-FDA ukuze ivikeleke futhi isebenze, izithako zokulahlekelwa isisindo azizona. I-FDA incike enkampanini eyenza baqinisekise ukuthi baphephile. Ngakho-ke uma uthengisa ukudla okunye okudlayo noma isisindo esithandwayo se-herbal sokwehla kwesisindo udinga ukuba uqaphele kakhulu ngalokho okuthengayo. I-FDA nayo ayivumeli iningi lezimangalo izinkampani ezenza mayelana nemikhiqizo yazo. Ezimweni eziningi, izimangalo zokulahlekelwa isisindo zenziwe ngokucophelela ukwenza umkhiqizo uzwakale usebenza kangcono kunalokho.
- i-alli (orlistat): Lena yilapho kuphela iphilisi yokulahlekelwa kwesisindo esivunyelwe yi-FDA. Iqukethe umthamo ophansi wemithi efanayo e-Xenical . I-Dieters ethatha i-alli kumele inciphise ukudla okunamafutha futhi yenza izinguquko zokuphila noma zizobhekana nemiphumela emibi. U-Alli wasuswa ngokuzithandela emakethe ngo-2014 ngemuva kokushaywa yinkinga, kodwa inkampani iphinde ikhiphe iphilisi yokudla ngephakheji elisha elibonakalayo .
- I-Garcinia cambogia : Lokhu kwesisindo sokulahlekelwa kwesisindo semvelo sithathwe esithelweni esikhula ezindaweni ezifudumele. Itholakala kakhulu ezitolo zokudla ezempilo nakwabathengisi be-intanethi, kodwa eziningi zezimangalo ezenziwe ngabadayisi azange zenziwe isipele ngokuqhubekayo ezincwadini zezokwelapha ezishicilelwe. Ucwaningo olulodwa olushicilelwe ezincwadini ezibucayi ku-Food Science and Nutrition luthi kukhona namanje ubufakazi obuncane bokusekela ukusebenza kwawo.
- I-Glucomannan : Igama lale nkondlo yokudla edumile lingase lizwakale lijwayele kodwa mhlawumbe uye wabona imikhiqizo equkethe i-fiber supplement. I-Lipozene yokulahlekelwa isisindo ngumkhiqizo owuthandwa kakhulu oqukethe i-glucomannan. Ngeshwa, lezi zifundo azihambisani futhi azikwazanga ukuqinisekisa ukuthi i-fiber substance ingakusiza ukuthi ulahlekelwe isisindo.
- I-conjugated linoleic acid (CLA) : Lokhu okungeziwe kuhlolisisiwe kakhulu, kodwa imiphumela ixubekile. Thola ukuthi ungalahlekelwa bunzima kangakanani uma uthatha i-CLA bese uhlola nodokotela wakho ngaphambi kokutshala imali. Ezinye ze-dieters zithole ukwanda kokumelana ne-insulin namazinga aphansi we-cholesterol ye-HDL uma uthatha amaphilisi okudla.
- Amathononi okusajingijolo : Lesi silinganiso sokulahlekelwa isisindo sathandwa ngemva kokuba uDkt Oz akhulume embukisweni wakhe we-TV. Kodwa abukho ubufakazi obusekela ukuthi izimangalo zokusajingijolo zingasiza abantu ukuba balahlekelwe isisindo.
- I-Forskolin : Lokhu kukhishwa kwemvelo kusuka esitshalweni se-coleus kukhangiswa njengengxenye yokudla kanye ne-blocker ye-fat. Kodwa izifundo ezimbalwa kakhulu zenzelwe ngakho-ke kukhona ubufakazi obuncane kakhulu bokusekela ukusetshenziswa kwalo njengokwesekwa kwesisindo.
- I-Efrada noma i-Bitter Orange: Lapho i-ephedra ivinjelwe emakethe ngo-2004, iningi lezithuthukisi ezifanayo zithatha indawo yalo. Iningi likhangisa ukuthi lingama-ephedra futhi aliphephile kwi-dieters. Ngokuvamile ziqukethe i-orange enomsoco (i-citrus aurantium), i-synephrine noma i-octopine. Imikhiqizo emibili ethandwa kakhulu, i-Xenadrine EFX ne-Advantra Z, yahlolwa ngabacwaningi futhi isatholakala ukuthi inezimo ezingaphephile ezingeni le-heart kanye negazi.
- I-Chromium: Ngezinye izikhathi zithengiswa njenge-chromium picolinate, imikhiqizo equkethe lesi sici ngokuvamile ifuna ukukusiza ukuthi ushise amakholori engeziwe bese unciphisa ukudla kwakho. Kodwa-ke, i-NIH ithola ukuthi i-chromium ayinayo izinzuzo ezibalulekile zokulahlekelwa isisindo. Ngokuvamile i-Chromium ibhekwa sengathi iphephile, kodwa kungenzeka ukuthi idonse isikhwama sakho ngaphandle kwenzuzo ebalulekile emgqeni wakho.
- Itiye elihlaza: Itiye elihlaza lingadliwa njengesiphuzo noma ifomu lepilisi. Kuvame ukusetshenziselwa ukusiza ekulahlekeni kwesisindo noma ekuthuthukiseni ingqondo yengqondo noma ukunciphisa ukucindezelwa kwegazi. Nakuba itiye eliluhlaza liphephile uma lidliwa ngokulinganisela, kunobunye ubufakazi bokusekela ukusetshenziswa kwalo njengenkathi yokulahlekelwa isisindo eside.
- I-Hoodia: Le ngitshalo ithengiswa njengendlela yokucindezela indlala ye-dieters. I-Hoodia ikhishwe esitshalweni sezimbali futhi ingadliwa kwithebhulethi, iphilisi noma ifomu le-powder. Ayikho ubufakazi besayense bokusekela ukuthi ama-hoodia ayinqamuko lokunciphisa ukudla futhi ukuphepha kwawo akuqinisekisiwe.
- I-bee impova: Kukhona ubufakazi obuncane bokusekela ukusetshenziswa kwe-bee impova ukulahlekelwa isisindo. Eqinisweni, ochwepheshe bezokwelapha eSayensiBasedMedicine.org bathi impova ye-bee ayiphephile noma isebenza kahle. Inkampani eyodwa isanda kuphawulwa yizikhungo zokulawula izifo ngokwenza izimangalo ezingamanga nezikhohlisayo ngemiphumela yokwengeza.
Uma ngaphezulu kwepilisi yokudla noma isisindo sokulahlekelwa kwesisindo ukuthi unesithakazelo akubhalwanga ngenhla, vakashela iwebhusayithi ye-National Institutes of Health Supplement Fact Sheets website. I-NIH inikeza uhlu olunzulu lwezingxenye zokudla kanye nolwazi lwamanje mayelana nokuphepha nokusebenza. Futhi khumbula ukukhuluma nodokotela wakho nganoma yisiphi iphilisi yokudla noma isisindo sokulahlekelwa kwesisindo osicabangayo.
Imithombo:
U-Heidi Michels Blanck Ph.D., uMary K. Serdula MD, uCathleen Gillespie MS, uDeborah A. Galuska Ph.D., uPatricia A. Sharpe PhD, MPH, Joan M. Conway Ph.D., RD, uLaura Kettel Khan Ph UD., Barbara E. Ainsworth Ph.D. "Ukusetshenziswa kwezidakamizwa ezingabhalwanga ngokungahambisani nokudliwa kwesisindo kuvamile kubantu baseMelika." Journal of the American Dietetic Association March 2007, amakhasi 441-447.
EatRight.org Ukuphathwa Isisindo. I-American Dietetic Association. Kufinyelelwe: December 15, 2011. https://www.ncbi.nlm.nih.gov/pubmed/19244669
I-Network Control Information Network. "Ukukhetha Uhlelo Lokulahlekelwa Isisindo Esiphephile Nempumelelo". UMnyango WezeMpilo waseMelika kanye Nezinsizakalo Zabantu, amaNational Institutes of Health. Kufinyelelwe: Novemba 28, 2011. https://www.niddk.nih.gov/health-information/health-topics/weight-control/choosing-safe-successful-weight-loss-program/Pages/choosing-safe- ephumelelayo -weight-ukulahlekelwa-program.aspx
"Ukulinganisa Ubufakazi Ekudleni Izikhangiso". Federal Trade Commission. Kufinyelelwe: Novemba 28, 2011. Uhulumeni we-PDF
"Izindleko Zesidlo Sokulahlekelwa Kwesisindo. Ukubonwa Kweminyango Elinganiselwe Kuye Kwagxila Kakhulu Ngokukhangisa kunokuba kuVikeleke." UJanet Heinrich Umqondisi, Izinkinga Zempilo Zomphakathi-Ukunakekelwa Kwezempilo. Kufinyelelwe: Novemba 25, 2011. Uhulumeni we-PDF