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Orlistat, the active ingredient in alli, is a lipase inhibitor and works by binding to specific enzymes that break down fats. This is great news for those of you that are skeptical about purchasing a non-FDA approved natural weight loss supplement. A stronger dose. Follow label directions.. It’s only available for people 18 and older, and for those who would be considered obese with a BMI of 25 or more Your medication dose may need to be adjusted; taking medicine for seizures; taking other weight loss products. Orlistat can reduce the absorption of some vitamins; follow a well-balanced, reduced-calorie, low-fat diet alli is a 60mg Orlistat capsule alli works only in the digestive system without affecting the brain or heart; it will not cause jitters, sleeplessness or a racing heart A daily multivitamin is …. This diet pill is the reduced-strength version (60 milligrams vs. Who should not take Alli? Dieting can feel like an uphill battle. 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