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These products are categorized complementary and alternative medicine as dietary supplements, not as drugs. According to current FDA regulations, that means nobody has to prove that they work. "The number and quality of good, randomized, double-blind [studies] that really explore the question of efficacy are very limited for these herbal products complementary and alternative medicine and dietary supplements," Steven Heymsfield, MD, tells WebMD. "That's virtually true for the entire category of [weight loss] products." Heymsfield is a professor of medicine at Columbia University and deputy director of the New York Obesity Research Center at St. Luke's-Roosevelt in New York. He says there's complementary and alternative medicine no scientific proof the pills work -- but what's the word on the street? Personal trainer Todd Person, owner of Metabolic Project, a personal training facility in Los Angeles, says that when used in combination with diet and exercise, they do help speed people along to their fitness goals.
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