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One of its main side-effects is a very unpleasant gastro-intestinal symptom (I’ll spare you the detail), which can be prevented, or at least reduced, by switching to a very low-fat diet. Yes, the importance of diet and exercise and the risks of being overweight are an important health message to get across. This works by reducing the body’s ability to break down and absorb fat in the diet. Orlistat works by changing behaviour, rather than making a patient lose weight. We need to tackle the often deep-rooted psychological problems that lead to uncontrollable weight gain. But we also need to tackle the often deep-rooted psychological problems that lead to uncontrollable weight gain. I realise I am very lucky to have a job and a life that I love so much, and I find it sad that so many others feel the need for respite from their lives. Indeed, figures released this week show that this year alone there have been seven deaths linked to the drug used in the little blue pill. 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