Alli is a weight loss drug to treat obesity. You purchase it over the counter at drugstores. It is prescribed if your body mass index, or BMI, is 30 or higher or you have a BMI of 27 or higher and a disorder linked to obesity such as Type 2 diabetes, high blood pressure or dyslipidemia, with unusually high levels of fat circulating in the blood, notes the Weight-Control Information Network. However, taking Alli may cause some unpleasant side effects. Speak with your doctor before beginning any weight loss program.
Diarrhea
The use of Alli often causes diarrhea, notes the Weight-Control Information Network. This problem is either ongoing or sporadic. It is not possible to predict when this problem will occur. Thus it is important to be aware of the whereabouts of the nearest restroom as you move about your daily activities. Wearing dark pants is a safety precaution that could prove useful as you get adjusted to the side effects of this drug. Keeping extra pants in the office is another idea to prepare for any emergency involving diarrhea that could stain clothing.
Urgent Bowel Movement
Taking Alli will often give you a feeling that it is urgent to have a bowel movement immediately, reports the U.S. National Library of Medicine. You can also have a feeling of being unable to control bowel movements when you take Alli. Pay attention to this side effect, as delaying a trip to the restroom could cause an embarrassing accident involving the loss of stool.
Oily Stools and Oily Spotting
Oily stools and oily spotting gas are additional common side effects of Alli use, notes the Weight-Control Information Network. These side effects are often linked to eating a meal with a high fat level. Alli moves the fat out of the digestive system, and it can cause oily spotting on your underwear. Following the low-fat meal guidelines for Alli use will help minimize these side effects. Also, talk to your doctor to get information about low-fat food choices.
Frequent Bowel Movements
The number of bowel movements throughout the day often increases while undergoing treatment with Alli. The ongoing need to have bowel movements is often intense and cannot be ignored. Talk to your doctor if the frequency of bowel movements is interfering with your daily activities.



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