The following information is NOT intended to endorse drugs or recommend therapy. While these reviews might be helpful, they are not a substitute for the expertise, skill, knowledge and judgement of healthcare practitioners in patient care. "I started taking Xenical (Orlistat) almost a week ago. I gained about 30 pounds after 3 and a half years of using Mirena IUD thats why I started taking Orlistat because nothing was working, it seemed as if my metabolism had been shut. I eat about 1200 calories everyday, I workout 3 days a week and I get around 6000 or more steps a day. So for the first 3 days I had no oily side effects but on the fourth day thats when it really kicked in for me. So far I haven't really lost any weight if anything I've gained about 2 pounds but I'm not sure if that's because I've been working out and my body's retaining more water, I also have my monthly visitor so not quiet sure yet. But I will keep you all updated after 2 weeks.""Ive been with slimming world (SW) for over a year, I lost nearly 15kg (33lb) and still have 15kg to go. Xenical (orlistat) blocks some of the fat that you eat, keeping it from being absorbed by your body. Xenical is used to aid in weight loss, or to help reduce the risk of regaining weight already lost. This medicine must be used together with a reduced-calorie diet and is to used only by adults. Xenical is the prescription-strength form of orlistat. You should not use this medicine if you have a digestive disorder (problems absorbing food). The alli brand of orlistat is available without a prescription. You should not use Xenical if you have gallbladder problems, or if you are pregnant. Do not use alli if you have had an organ transplant, if you use cyclosporine, or if you are not overweight. Xenical is only part of a complete program of treatment that also includes diet, exercise, and weight control. 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