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Understanding Bowel Changes with Orlistat
Orlistat works by blocking approximately one third of the fat you eat from being absorbed in your digestive system. This unabsorbed fat must leave your body naturally, which explains why many patients experience changes to their bowel movements. These gastrointestinal effects are actually a sign that the medication is working effectively to reduce fat absorption.
Common Bowel-Related Side Effects
When taking orlistat 120mg or Xenical 120mg, you may experience oily or fatty stools, increased urgency, oily spotting, or more frequent bowel movements. These effects are more pronounced after high-fat meals and can be significantly reduced by keeping your fat intake to approximately 15g per meal. Alli 60mg, being half the strength, typically causes milder effects.
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Managing Side Effects Effectively
Keep dietary fat low to minimise bowel changes - aim for no more than 30% of daily calories from fat, spread evenly across three meals. Consider wearing dark underwear or using panty liners during initial treatment. Most patients find effects reduce over time as they adapt to a lower-fat diet pattern.
