Ingredients in Weight Loss Suplements
Common Ingredients in Weight-Loss Dietary Supplements
Source: U.S. Department of Health & Human Services, National Institutes of Health, Office of Dietary Supplements (2019).
The evidence of efficacy and safety is for the individual ingredients. 
The efficacy and safety of ingredients might be different when they are combined with other ingredients in a product.
 
Ingredient Proposed Mechanism of Action Evidence of Efficacy** Evidence of Safety**
African mango (Irvingia gabonensis) Inhibits adipogenesis and reduces leptin levels Few clinical trials, all with small sample sizes

Research findings: Possible modest reduction in body weight and waist circumference
No safety concerns reported for up to 3,150 mg/day for 10 weeks

Reported adverse effects: Headache, difficulty sleeping, flatulence, and gas
Beta-glucans Increase satiety and gastrointestinal transit time, and slow glucose absorption Several clinical trials with weight loss as a secondary outcome

Research findings: No effect on body weight
No safety concerns reported for up to 10 g/day for 12 weeks

Reported adverse effects: Flatulence
Bitter orange (Citrus aurantium L.) Increases energy expenditure and lipolysis, acts as a mild appetite suppressant. Synephrine is the proposed active constituent. Small clinical trials of poor methodological quality

Research findings: Possible increase in resting metabolic rate and energy expenditure; inconclusive effects on weight loss
Some safety concerns reported, especially for combinations with other stimulants

Reported adverse effects: Chest pain, anxiety, headache, musculoskeletal complaints, and increased blood pressure and heart rate
Caffeine (as added caffeine or from guarana, kola nut, yerba maté, or other herbs) Stimulates central nervous system, increases thermogenesis and fat oxidation Short-term clinical trials of combination products

Research findings: Possible modest effect on body weight or decreased weight gain over time
Safety concerns not usually reported at intakes less than 400–500 mg/day for adults, significant safety concerns at higher doses

Reported adverse effects: Nervousness, jitteriness, vomiting, and tachycardia
Calcium Increases lipolysis and fat accumulation, decreases fat absorption Several large clinical trials

Research findings: No effect on body weight, weight loss, or prevention of weight gain based on clinical trials
No safety concerns reported at recommended intakes (1,000–1,200 mg/day for adults)

Reported adverse effects: Constipation, kidney stones, and interference with zinc and iron absorption at intakes above 2,000–2,500 mg for adults
Capsaicin and other capsaicinoids Increase energy expenditure and lipid oxidation, increase satiety, and reduce energy intake Several clinical trials, mostly focused on energy intake and appetite

Research findings: Might reduce energy intake but no effect on body weight
Few safety concerns reported for up to 33 mg/day for 4 weeks or 4 mg/day for 12 weeks

Reported adverse effects: Gastrointestinal distress, increased insulin levels, and decreased high-density lipoprotein (HDL) levels
Carnitine Increases fatty acid oxidation Several clinical trials with weight loss as a secondary outcome

Research findings: Possible modest reduction in body weight
No safety concerns reported for up to 2 g/day for 1 year or 4 g/day for 56 days

Reported adverse effects: Nausea, vomiting, diarrhea, abdominal cramps, and a “fishy” body odor; might increase trimethylamine N-oxide (TMAO) levels, which are linked to greater cardiovascular disease risk
Chitosan Binds dietary fat in the digestive tract Small clinical trials, mostly of poor methodological quality

Research findings: Minimal effect on body weight
Few safety concerns reported for 0.24–15 g/day for up to 6 months; could cause allergic reactions

Reported adverse effects: Flatulence, bloating, constipation, indigestion, nausea, and heartburn
Chromium Increases lean muscle mass; promotes fat loss; and reduces food intake, hunger levels, and fat cravings Several clinical trials of varying methodological quality

Research findings: Minimal effect on body weight and body fat
No safety concerns reported for recommended intakes (20–45 mcg/day for adults)

Reported adverse effects: Headache, watery stools, constipation, weakness, vertigo, nausea, vomiting, and urticaria (hives)
Coleus forskohlii Enhances lipolysis and reduces appetite. Forskolin is the proposed active constituent. Few short-term clinical trials

Research findings: No effect on body weight
No safety concerns reported at typical doses of 500 mg/day for 12 weeks

Reported adverse effects: More frequent bowel movements, loose stools
Conjugated linoleic acid (CLA) Increases lipolysis, reduces lipogenesis, and promotes apoptosis in adipose tissue Several clinical trials

Research findings: Minimal effect on body weight and body fat
Few safety concerns reported for 2.4–6 g/day for up to 12 months

Reported adverse effects: Abdominal discomfort and pain, constipation, diarrhea, loose stools, dyspepsia, and (possibly) adverse effects on blood lipids and glucose homeostasis
Fucoxanthin Increases energy expenditure and fatty acid oxidation, suppresses adipocyte differentiation and lipid accumulation Studied only in combination with pomegranate-seed oil in one trial in humans

Research findings: Insufficient research to draw firm conclusions
No safety concerns reported from one clinical trial that used 2.4 mg/day for 16 weeks, but not rigorously studied

Reported adverse effects: None known
Garcinia cambogia (hydroxycitric acid) Inhibits lipogenesis, suppresses food intake. Hydroxycitric acid is the proposed active constituent. Several short-term clinical trials of varying methodological quality

Research findings: Little to no effect on body weight
Some safety concerns reported

Reported adverse effects: Headache, nausea, upper respiratory tract symptoms, gastrointestinal symptoms, mania, and liver damage
Glucomannan Increases feelings of satiety and fullness, prolongs gastric emptying time Several clinical trials of varying methodological quality, mostly focused on effects on lipid and blood glucose levels

Research findings: Little to no effect on body weight
Significant safety concerns reported for tablet forms, which might cause esophageal obstructions, but few safety concerns with up to 15.1 g/day of other forms for several weeks

Reported adverse effects: Loose stools, flatulence, diarrhea, constipation, and abdominal discomfort
Green coffee bean extract (Coffea arabica, Coffea canephora, Coffea robusta) Inhibits fat accumulation, modulates glucose metabolism Few clinical trials, all of poor methodological quality

Research findings: Possible modest effect on body weight
Few safety concerns reported for up to 200 mg/day for as long as 12 weeks, but not rigorously studied; contains caffeine

Reported adverse effects: Headache and urinary tract infections
Green tea (Camellia sinensis) and green tea extract Increases energy expenditure and fat oxidation, reduces lipogenesis and fat absorption Several clinical trials of good methodological quality on green tea catechins with and without caffeine

Research findings: Possible modest effect on body weight
No safety concerns reported for use as a beverage, contains caffeine; some safety concerns reported for green tea extract

Reported adverse effects (for green tea extract): Constipation, abdominal discomfort, nausea, increased blood pressure, and liver damage
Guar gum Acts as bulking agent in gut, delays gastric emptying, increases feelings of satiety Several clinical trials of good methodological quality

Research findings: No effect on body weight
Few safety concerns reported with currently available formulations containing up to 30 g/day for as long as 6 months

Reported adverse effects: Abdominal pain, flatulence, diarrhea, nausea, and cramps
Hoodia (Hoodia gordonii) Suppresses appetite, reduces food intake Very little published research in humans

Research findings: No effect on energy intake or body weight based on one study
Some safety concerns reported, increases heart rate and blood pressure

Reported adverse effects: Headache, dizziness, nausea, and vomiting
Probiotics Alter gut microbiota, affecting nutrient and energy extraction from food and altering energy expenditure Several clinical trials

Research findings: Inconsistent effects on body fat, waist and hip circumference, and body weight
No safety concerns reported for healthy individuals

Reported adverse effects: Gastrointestinal symptoms, such as gas
Pyruvate Increases lipolysis and energy expenditure Few clinical trials, all of weak methodological quality

Research findings: Possible minimal effect on body weight and body fat
Few safety concerns reported for up to 30 g/day for as long as 6 weeks, but not well studied

Reported adverse effects: Diarrhea, gas, bloating, and (possibly) decreased HDL levels
Raspberry ketone Alters lipid metabolism Studied only in combination with other ingredients

Research findings: Insufficient research to draw firm conclusions
No safety concerns reported in one 8-week study, but not well studied

Reported adverse effects: None known
Vitamin D None proposed; associations exist between low vitamin D status and obesity Several clinical trials

Research findings: No effect on body weight
No safety concerns reported at recommended intakes (600–800 IU/day for adults); toxic at very high intakes; tolerable upper intake level of 4,000 IU/day for adults

Reported adverse effects: Anorexia, weight loss, polyuria, heart arrhythmias, and increased calcium levels leading to vascular and tissue calcification
White kidney bean (Phaseolus vulgaris) Interferes with breakdown and absorption of carbohydrates by acting as a “starch blocker” Several clinical trials of varying methodological quality

Research findings: Possible modest effect on body weight and body fat
Few safety concerns reported for up to 3,000 mg/day for as long as 12 weeks

Reported adverse effects: Headache, soft stools, flatulence, and constipation
Yohimbe (Pausinystalia yohimbe) Has hyperadrenergic effects. Yohimbine is the proposed active constituent. Very little research on yohimbe for weight loss

Research findings: No effect on body weight; insufficient research to draw firm conclusions
Significant safety concerns reported, especially for yohimbine doses of 20 mg or higher

Reported adverse effects: Headache, anxiety, agitation, hypertension, and tachycardia, myocardial infarction, cardiac failure, and death
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