I am going to defend Alli also. I'm a pharmacy manager, I sell it all the time. Each sale is made after a 15 minute long (or more) consultation with the patient, with agreed dates for them to come back. It is under very strict licensing over who can take it - above 28 bmi, commitment to change lifestyle etc.
It was originally a prescription drug, so it has gone through so many quality control and efficacy trials. It works - simple as - if taken correctly. It stops about 25% of the enzymes that break down fat from being produced, so it passes out of your body. Only about 1-3% of the drug is absorbed into the blood stream through digestion, and this has shown no side effects on other conditions, or interaction with other meds (except for certain liver problems, where trials are not conclusive).
The fat passes naturally out of your system. For the first couple of days, you might feel some stomach discomfort, or excess wind, as your body gets used to a change in diet and the capsules. The Alli programme is very very strict about fat intake - only up to 19g per meal. Any more, and you run the risk of the side effects - meaning being stuck on the toilet for a while! If you do not eat more than 19g of fat per meal, it is physically impossible for Alli to cause the toilet problems unless you have an allergy or something to the drug. It work only on fat, and only on a certain quantity of fat. If you cheat, you will suffer the consequences. A lot of the time people don't realise how much fat they eat, and so suffer and blame the capsules. The caps are not to blame, its fat consumption that is to blame.
This medication never says it is a magic pill. It is called Alli because it is just that - an ally to help you lose weight. It stresses in all starter packs and all packaging that you must maintain a healthy lifestyle, eat healthy and exercise. It even gives tips and recipes. It tells you that you must work hard to lose weight, and that Alli will just help you along the way if used correctly. It will stop your body absorbing around 600-900 calories per week if used correctly.
It is not for everyone. Some people have no need for it. Some people don't understand how to use it and suffer side effects, or don't lose weight because they don't alter their lifestyle. Fair enough, that is their choice. But for people who want to get started, or who are struggling to start and want a bit of a helping hand, it can be just what they need. Most people don't reach the full six month course of using it, they try it for a month or two, find that their weight loss is good, and manage to maintain weight loss without, which is great.
Obesity is such a problem to health and to various health organizations that programmes like this are going to be of massive benefit.
Either way, Alli is safe, effective, and the side effects should not bother you unless you don't adhere to the programme. For those taking it, I hope it really works out for you. For those who want to take it, have a word with a GP or a pharmacist, they will be more than happy to help. For those who don't understand it, I hope my little rant (sorry about the length!) has cleared up a few points. And for those who don't agree with it, again that is your choice, and I take my hat off to you for losing weight the good old fashioned and effective way
