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Orlistat and LCHF

Discussion in 'Type 2 Diabetes' started by Emmasndco, Feb 12, 2019.

  1. Emmasndco

    Emmasndco Type 2 · Active Member

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    Hi there, has anyone who is LCHF been prescribed Orlistat? I’m worried about how suitable it is? Any experiences please.
     
  2. briped

    briped Type 2 · Well-Known Member

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    I wasn't on LCHF at the time, but if I remember correctly Orlistat 'helps' your body to not digest fat, right? Kind of antabus for fats ...? It seems counterintuitive to me, because it'll rob you of the fuel that fat is.
    I did try it for a shortish while many years ago, but a fat lot of good it did me! If I didn't watch my fat intake it gave me the trots, and it didn't really help weight loss.
    For me LCHF alone has been much more effective. In your shoes I'd give LCHF more time. It may not work for fast weight loss, although it does for some, but Orlistat won't work miracles.
     
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  3. bulkbiker

    bulkbiker Type 2 · Master

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    Depending on how low carb and high fat you are Orlistat could lead to some very difficult situations if you are ever more than 10 seconds from a toilet. .
     
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  4. Energize

    Energize Type 2 · Well-Known Member

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    I agree, totally, with above comments. Orlistat seems counter-productive - on the one hand, you are deliberatly taking in fats, which have the advantage of slowing down the absorption/processing of any glucose or carbs etc but, on the other hand, Orlistat is there to minimise any absorption of fats.

    Does your GP/Perscriber appreciate you are LCHF ...???

    Umm, if LCHF and taking Orlistat, stay (very) close to the loo and keep a good book nearby!!!

    Having tried Orlestat previously, and while trying to stick to a Low Fat diet, I liked to keep close to a toilet so, personally, I wouldn't take it. I didn't stick to it very long so certainly didn't loose any weight. I've since lost 3 st on LCHF!!!

    Wishing you well
     
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  5. Emmasndco

    Emmasndco Type 2 · Active Member

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    You are correct about the drug! The counterintuitive bit is why I asked the question. :) I have an appointment with a dietician in a couple of weeks and will find out where she wants me to go from there.

    Thankyou.
     
  6. Emmasndco

    Emmasndco Type 2 · Active Member

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    Thanks Energize,

    Think you have hit the nail on the head.... I tell my GP and nurse I'm LCHF and they tell me to eat carbs! Grrrr

    I will continue LCHF.
     
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  7. Resurgam

    Resurgam Type 2 (in remission!) · Expert

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    Orlistat is simply an obvious outcome of the 'fat is bad' mantra - stop the fat being absorbed and all will be well - but I would laugh at anyone suggesting I take it.
     
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  8. bulkbiker

    bulkbiker Type 2 · Master

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    Why do you think the dietitian will know any better?
     
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  9. Emmasndco

    Emmasndco Type 2 · Active Member

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    Its a diabetic dietician, I'm hoping for some help to get some weight off. To be honest I'm desperate for some sort of help to lower my blood sugars and lose some weight. I also hope she might understand LCHF. I'm struggling as I've stuck to 50g of carbs a day on LCHF since October and haven't seen any results. Think I need to either go lower carb or try fasting.
     
  10. bulkbiker

    bulkbiker Type 2 · Master

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    Or both would probably help..
    I'd recommend starting with some intermittent fasting say replace breakfast with a coffee/cream and reduce carbs to fewer than 20g per day. Full on keto. Helped me with weightloss and becomes second nature..
     
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  11. Emmasndco

    Emmasndco Type 2 · Active Member

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    Thankyou so much, I'm going to have a good look at what I can do.
     
  12. lucylocket61

    lucylocket61 Type 2 · Well-Known Member

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    Having fats while taking orlistat is a recipe for disaster. In fact, on the packet, you have to stop as many fats as possible to even take it safely, as you get orange uncontrollable squits (and i mean uncontrollable) if you heat fats while taking orlistat.

    It was a disaster for me. Have you lost any weight since October? For some of us weight loss is difficult. However, the LCHF controls my blood sugar levels, and thats the most important bit, not the weight loss.

    Its not the weight loss which reduces blood sugar levels, its the reduction in carbs, so thats the main focus for us.
     
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  13. Emmasndco

    Emmasndco Type 2 · Active Member

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    Thank you so much for your reply.
    I've definitely decided to give the Orlistat a miss for the time being.

    Since October - I have got fitter by going to the gym, but no weight loss. My blood sugars for the last couple of weeks have been 15 - 25 as you all know way above where they should be. Meds wise I'm on a loads- Metformin, gliclazide, Trulicity and Insulin.

    I recently saw a specialist who told me off for eating too much fat and told me I'm very insulin resistant, and the best thing for me would be to lose weight :banghead: hence the prescription of Orlistat.

    Anyway they are going to start testing for underlying issues starting with Cushings.

    I hate having to defend LCHF to the NHS.
     
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  14. briped

    briped Type 2 · Well-Known Member

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    With at least two of those meds I'd be very careful with going very low carb, as you risk going hypo. Insulin and gliclazide are the two risky ones. I hope someone more informative than I will come along soon. There's been a couple of informative threads recently.
     
  15. bulkbiker

    bulkbiker Type 2 · Master

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    If you are taking that mix of meds and your sugars are still in the 15-25 mmol/l range then there is something definitely wrong.
    Have you had a c-peptide or fasting insulin test? .. It could well be worth getting one done privately if the specialist hasn't asked for them.
     
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  16. Emmasndco

    Emmasndco Type 2 · Active Member

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    I had a C-peptide test around a year ago, 1769pmol\L.... Not sure how high or low that figure is, but my GP said it was ok.
     
    #16 Emmasndco, Feb 13, 2019 at 5:31 PM
    Last edited: Feb 13, 2019
  17. bulkbiker

    bulkbiker Type 2 · Master

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    Well in that case a retest should be done as you have something to compare it to....see what has happened.
     
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  18. lucylocket61

    lucylocket61 Type 2 · Well-Known Member

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    I dont know how many carbs you are having each day, but be careful to balance your carb intake and the meds you ar on, as you could hypo. Wishing you well.
     
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