Your doctor can also offer advice on losing weight, provide support, monitor your progress or refer you to a dietitian. The average weight loss in the placebo group was 0.9 pounds (0.4 kilograms). These differences in research, production and marketing can make it difficult to make informed decisions about products. The standards for regulating the production and marketing of these two types of treatments are different. For example, a 2016 study reviewed 28 long-term trials of prescription drugs for treating obesity.

Some sources caution against long-term use due to possible adverse effects on blood lipids and glucose. Chitosan may cause allergic reactions if you have a shellfish allergy. It has also been known to cause side effects such as bloating, gas, constipation, indigestion, heartburn, and nausea. Normal amounts of apple cider vinegar in cooking shouldn't pose a problem for most people.
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