Saturday, June 23, 2007

Why Your Diet May Not Be Working

By - Nishanth Reddy
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Why Your Diet May Not Be Working
Jennifer, a middle-aged single mother with one six-year-old daughter, has been skipping sweets for a few weeks now. She’s also become a stickler for portion control. She feels as if she’s eating less than ever, and she’s been diligently exercising for an hour at a time at least four days a week. Yet, she hasn’t lost a single pound. The question is, “Why?”

This is a dilemma which affects dieters the world over. They think they are taking the steps necessary to lose weight, but nothing seems to be happening. In essence, they are trapped in a dieting rut and they don’t know how to free themselves. As a result, they become frustrated and depressed and may then engage in binge eating.

One of the problems with diets is that they are often standardized. As a result, they don’t take into consideration your individual physiology and metabolism. They provide a cookie-cutter approach to weight loss—an approach which may not work in your individual case. As a result, an increasing number of people are turning to dieticians to formulate a person weight loss strategy for them. This process has been made easier through the Internet, where you can correspond with a dietician any time of the day or night via e-mail. The dietician can also act as your personal coach, helping you through your dieting dilemmas.

Another reason that you may be failing at your diet is because of a lack of support. You may have family members who can eat whatever they want and seemingly not gain a pound. As a result, they may fill your refrigerator with junk food, leading you into temptation. Also, you may feel as if you have no one to turn to in order to discuss your weight problems. In order to solve this problem, many individuals look to psychotherapists to help them with their food-related issues. This can be particularly important if an individual has turned to purging in an effort to combat their weight problems. Bulimia is a serious disease which must be treated in order to ensure the good health of the patient. Thankfully, there are a number of treatment programs throughout the U.S. specifically focusing on bulimia.

Yet another reason for diet failure is hidden calories. You may literally be consuming calories and not even realize it. For instance, the frappucinos that are so popular today are loaded with calories—as many as 600 in a single serving! You may also be indulging in sugary sodas—another source of extra calories. By taking a few simple steps, such as eliminating the exotic coffee drinks from your diet and substituting skim milk for whole milk, you may be able to eliminate the hidden calories that are denying you dieting success.

Lack of consistency can also be a diet-killer. You might go on a diet for a while, then quit before you’ve made any measurable progress. It’s only natural to want to see quick results. The problem is that healthy weight loss involves losing only a couple of pounds a week. That means you’ll have to stay on your diet for months before you see appreciable weight loss. Discouraging? It can be, but if you keep a positive attitude you can achieve your ideal weight.

You may also be more successful in your dieting if you consider it to be a lifestyle change. Therefore, your diet becomes a meal plan for life. This means that you must change the way you look at food. It is designed to be fuel for your body, and nothing more. As a result, you should not turn to food to make you feel better or to provide you with a sense of comfort. A lifestyle change implies commitment; it means that you are prepared to follow the plan for the long haul. If you feel as if you cannot be on your diet for any appreciable length of time, perhaps it’s time to consider a different diet. Your aim ultimately should be not simply to lose weight, but to become healthier. A fad diet will not allow you to reach that milestone. Therefore, you must choose your diet carefully.

About the Author
Nishanth Reddy is an Author and Publisher of various health related websites. For more articles on Weight Loss Diet Tips visit http://www.weightloss-diettips.com.

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Friday, June 22, 2007

Is Bariatric Surgery The Answer To Obesity?

By - David Johnson LLB
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Introduction

Against a background of widespread obesity among all US age-groups, and the relative failure of conventional weight loss methods, doctors are increasingly resorting to gastrointestinal surgery in order to curb the rise of weight-related disease, and associated costs. An estimated 170,000 weight loss surgeries will be performed in 2005, and although the average bariatric surgery patient is a woman in her late 30s who weighs approximately 300 pounds, operations such as vertical banded gastroplasty and roux-en-Y bypass are now being successfully conducted on patients as young as 13 years.

But Does Bariatric Surgery Work?

While the increasing popularity of obesity surgery is a clear reflection of the inability of most obese patients to comply with conventional dietary treatments, the question remains: does this type of surgical treatment offer an effective solution for severe clinical obesity? To understand the issues raised by this question, let us examine the problem of obesity and how surgery attempts to reduce it.

How Widespread is Obesity?

According to current statistics, 61.3 million American adults (30.5 percent) are obese. In addition, an estimated 10-15 percent of children (ages 6?11) and 15 percent of teenagers are overweight and at risk of developing weight-related disorders. Severe obesity is also on the rise. Six million American adults are morbidly obese (BMI 40+), while another 9.6 million have a BMI of 35-40. (Source: US Census 2000; NHANES III data estimates)

How Does Obesity Affect Health?

Excess body fat associated with high body mass index (BMI) carries an increased risk of premature death. Obese patients (BMI 30+) have a 50-100 percent increased risk of death from all causes, compared with individuals of normal weight (BMI 20?25). Morbid obesity (BMI 40+) and super-obesity (BMI 50+) carries a still higher risk of dying younger. Most of the increased risk is due to co-morbid conditions like cardiovascular disease (atherosclerosis, heart attack or stroke). The effects of severe obesity on longevity are dramatic. Obese white males between 20 and 30 years old (BMI > 45) can shorten their life expectancy by 13 years. African-American men of similar age and BMI can lose up to 20 years of life. Obese white females between 20 and 30 years old (BMI > 45) can shorten their life expectancy by 8 years. African-American women of similar age and BMI can lose up to 5 years of life.

Research Into Obesity and Premature Death

A 12-year study of 330,000 obese men and 420,000 obese women, revealed that premature mortality rates for morbidly obese men were twice the normal: 500 percent higher for diabetics and 400 percent higher for those with digestive tract disease. In severely obese women, the mortality was also increased two fold, while in female diabetics the mortality risk increased eight fold and three fold in those with digestive tract disease. Another study of 200 men aged 23-70 years with severe clinical obesity, showed a 1200 percent increase in mortality in the 25-34 year age group and a 600 percent increase in the 35-44 year age group. Average cancer mortality rates are 150-500 percent higher in obese patients.

Other Obesity-Related Diseases

Aside from premature death, obesity is strongly associated with a wide range of health disorders. 80 percent of patients with type 2 diabetes are obese, while almost 70 percent of diagnosed heart disease is obesity-related. Other obesity-related disorders include: high blood pressure, cancer, carpal tunnel syndrome, depression, gallstones, gastroesophageal reflux (GERD), insulin resistance, low back pain, obstructive sleep apnea, musculoskeletal complaints and osteoarthritis, respiratory problems, stroke, and vein disorders.

Why is Surgical Treatment is Needed?

As the facts demonstrate, obesity is an independent risk factor for a number of serious diseases. Severe obesity, if left untreated, leads to life-threatening disorders and possible premature death. It is against this background that the viability of bariatric surgery should be assessed. Three key questions are: (1) Does bariatric surgery lead to a significant loss of weight? (2) What are the health benefits of surgery? (3) What are health risks?

Does Bariatric Surgery Lead To A Significant Loss of Weight?

Yes. According to most patient-surveys the health and weight reduction benefits of bariatric surgery exceed all other treatment methods by a wide margin. Weight loss surgery is considered successful when excess weight is reduced by 50 percent and the weight loss is sustained for five years. At present, average excess weight reduction at five years is 45-75 percent after gastric bypass and 40-60 percent after vertical banded gastroplasty. In a statistical review of over 600 bariatric patients following gastric bypass, with 96 percent follow-up, mean excess weight loss still exceeded 50 percent of initial excess weight at fourteen years. Another 10 year follow-up study from the University of Virginia reports weight reduction of 60 percent of excess weight at 5 years and in the mid 50's between years 6 and 10. A significant percentage of less-committed patients do regain weight 2-5 years after having surgery, especially those who undergo the less drastic stomach banding procedure, but if the patient is well motivated and given proper post-operative support, the weight loss is usually permanent. By comparison, according to one 4-year study of non-surgical weight loss programs involving obesity medication, behavior modification, diet and exercise, average weight reduction was 3 pounds in those subjects who were followed for the four years of the study.

What Are The Health Benefits of Surgery?

According to the International Federation for the Surgery of Obesity (IFSO), weight reduction caused by gastric reduction surgery improves longevity and reduces rates of premature death. In addition, hypertension is cured in about 50 percent of patients, while measurements of cholesterol and other blood fats show visible improvements, all leading to a reduction in the risk of heart disease. Type 2 diabetes is cured in 80 percent of diabetic patients while hyperglycemia and associated conditions such as hyperinsulimia and insulin resistance are even more likely to benefit from gastric bypass. Obstructive sleep apnea is cured in about 75 percent of patients, shortness of breath is relieved in 75-80 percent of cases, while asthma attacks are significantly reduced, particularly when associated with gastroesophageal reflux disease. Obesity surgery also relieves low back pain and arthritis, heartburn, urinary incontinence, and lower limb venous disorders.

What Are The Health Risks?

Generally speaking, the health complications of bariatric surgery divide into three classes. First, during the operation itself, patients are subject to the normal health dangers of any serious surgical procedure. Risk factors include: patient condition, the expertise of the bariatric surgeon and anesthesiologist and the quality of operating room services. Premature death occurs in about 1-2.5 percent of bariatric cases. Second, there are well-documented post-operative health risks, which largely depend on the type of procedure performed.

Post-Operative Health Problems of Gastric Banding

Restrictive procedures like gastric-banding and stomach stapling carry a number of short-term post-operative health risks, including: (1) Risk of hernia. About 10-20 percent of patients require additional surgery to fix problems like abdominal hernias caused by excessive straining after surgery before the incision heals. Laparoscopic surgery reduces this risk. (2) Risk of blood clots. About 1 percent of patients contract blood clots in the legs. (3) Risk of infection. On average, there is a 5 percent risk of infection in the incision area. (4) Risk of gastric staple breakage. This occurs in bariatric operations like vertical banded gastroplasty, that use staples to reduce stomach size. (5) Risk of band slippage and saline leakage. A routine complication, this occurs after lap band or other forms of adjustable gastric banding. (6) Risk of bowel obstruction. This rare complication may occur due to adhesions caused by scar tissue. (7) Risk of stomal stenosis and marginal ulcers.

Post-Operative Health Problems of Gastric Bypass

Post-operative health dangers of bypass procedures like roux-en-y or biliopancreatic diversion include: (1) Corrective operations. About 15-20 percent of bypass patients require follow-up gastrointestinal operations to correct complications (eg. hernias). These follow-up operations tend to carry higher risk of complication and death. (2) Dumping Syndrome. Caused by overeating or over-rapid eating, dumping, is not a real health danger, but symptoms (nausea, faintness, sweating and diarrhea) can be distressing. (3) Risk of nutritional deficiency. Since stomach bypass surgery involves bypassing the duodenum and part/all of the jejunum, causing insufficient absorption of vitamins and minerals, patients can develop deficiencies in nutrients like: iron, calcium, vitamin D and B12 deficiency. This can be easily corrected by a program of nutritional supplementation. (4) Risk of gallstones. About one-third of bypass patients develop gallstones. (5) Bowel Disorders. After all bypass operations, there is a period of intestinal adaptation during which bowel movements can be liquid and frequent. Typically accompanied by bloating, gas and foul smelling stools, this complaint may reduce with time, but occasionally becomes a permanent condition.

Bariatric Surgery is No Easy Answer To Obesity

Even though surgical methods are becoming more and more successful for the reduction of severe obesity, it would be misleading to present surgery as an easy option. To begin with, its success depends entirely on patient compliance with post-operative guidelines. And pressures to overeat do not disappear after surgery. If patients adhere to instructions, they tend to lose weight without regain. If they "cheat", they tend to regain most of their weight loss and may end up in a worse condition than before. Second, due to cost and availability issues, bariatric surgery can only ever treat a tiny percentage of the population who are severely obese. Third, we lack long term feedback on the success of these operations. For these reasons, it seems that bariatric surgery is no easy solution to our obesity epidemic.

More Information
Bariatric Surgery
Gastric Bypass

About the Author
David Johnson, LLb., is the senior researcher at www.bariatric-surgery.info which offers a range of information about gastric banding, stomach bypass and other weight-related surgeries to more than 2 million unique visitors per year.

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Thursday, June 21, 2007

Two Unique Products to assist in Weight Loss

Press Release Date - 6/21/07

Two Unique Products to assist in Weight Loss Now Available in One Convenient Package including Fiber Supplement and Green Tea Diet Formula promote health and regularity and assist with a weight management program.

Easton, MD (PRWEB) June 21, 2007 -- Konsyl Pharmaceuticals, Inc., a leading producer of high quality, natural supplements for intestinal and digestive health, has introduced a new Weight Management Package. This package consists of one 300g Konsyl Balance Orange Fiber Supplement and Green Tea Diet Formula, 90 count.

Fiber has often been recommended by nutritionists for weight loss. Fiber helps to curb the appetite by creating a feeling of fullness. Konsyl Balance Orange provides 3.7 grams of dietary fiber per serving from two natural fiber sources; psyllium and inulin. Getting your daily 25-35 grams of fiber per day is one of the best ways to promote health and regularity, and assist with a weight management program.

Our Green Tea Diet Formula has a blend of natural herbal boosters and nutrients that, when used with a healthy diet plan, has a dual action effect on weight loss by helping to curb the appetite and enhance the body's fat burning ability. This formula also has extra benefits because of a Starch Blocker, Phase 2®¹ and a rich source of antioxidants.

Green Tea and Green Mate extracts are supplied by Frutarom, a multinational flavor house and producer of fine ingredients established in 1933. The Frutarom Group is committed to the highest standards. Herbal extracts are manufactured from plant raw materials by means of a 'very gentle extraction method and an exclusive filtering procedure' called the Flachsmann Method. Rigid quality control ensures the selection of superior raw materials and the highest consistent product quality. Frutarom is a subsidiary of ICC Industries Inc., a New York based global leader in manufacturing, marketing and trading Chemicals, Pharmaceuticals and Plastics.
Reasonably priced at $22.50, this Weight Management Package is available for sale online at http://www.addfiber.com/.

¹Phaseolamin 2250® is the registered trademark of Pharmachem Laboratories, Kearny, NJ.
*These statements have not been evaluated by the FDA. This product is not intended to diagnose, treat, cure, or prevent any disease.

Konsyl Pharmaceuticals, Inc. is a manufacturer and distributor of high quality, natural fiber supplements for improved intestinal and digestive health. The high fiber content of Konsyl products helps consumers to achieve dependable intestinal health. Konsyl fiber products are available in fine pharmacies and chain stores throughout the United States. For more information on Konsyl Pharmaceuticals, Inc. or its complete line of products, contact a company representative at 800-356-6795, or visit the company's website at http://www.konsyl.com/.

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Taking a Chance on Diet Pills

By - Abigail Franks
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There's no denying that anyone who has a weight problem truly desires a quick and easy solution. Just a thought of taking a pill and pounds melting away is enough for many of us to freely give our hard-earned money to those making such crazy claims. There are a number of products on the market that claim to be effective weight loss pills.

These medications, drugs or supplements all work to curb your appetite one way or another. They are far from being the magical weight loss pills we hope to obtain. Rather, these supplements and pills are designed as a diet aid and not as a solution themselves.

Let's be honest. The only way to lose weight is to eat less and be more active. All weight-loss products whether exercise equipment, diet pills, programs, and even surgery are all based on helping overweight people to the either eat less, or be more active

The problem with weight loss diet pills however, is that many of them have been associated with serious medical risks. A very popular prescription medication of the past decade, Fen/Phen, was found to cause heart valve damage and was pulled from the market. Unfortunately, this wasn't until after many people permanently damaged their health. Everything from increased risks of heart attack, heart abnormalities, stroke, seizures and even death have all been attributed to one or more weight loss diet pill options.

This is an especially difficult problem when considering over the counter medications and herbal remedies labeled specifically for weight loss. The great majority of weight loss supplements are not subject to the rigorous testing and research done by pharmaceutical companies for prescription drugs. That testing however, is also no guarantee that the weight loss diet pill you desire will live up to your expectations or be safe long term.

There are no guarantees in life as there are no magic pills that make fat melt away. You simply do not want to take the risk of damaging your long-term health by taking medications that promise fast weight loss. From ephedra marketed as a weight loss nutritional supplement to the prescription offering of Fen/Phen, long-term side effects and risks have not been adequately explored.

Your best bet to lose weight is to make long term, adjustments to your lifestyle that will result in more activity and the intake of fewer calories per day. Using this strategy you can lose the weight you want and never again worry about being on any type of diet. Use the link below and sign up for a list of over 100 simple and easy things you can do to lower your calories and increase your activity

It's possible to lose up to 20 pounds during the year by making just two or three small changes in your lifestyle. Isn't it worth the safety of making a simple lifestyle change rather than taking the risks associated with weight loss diet pills?

About The Author
Abigail Franks has done extensive research into weight loss and what works. Find out valuable information about weight loss diet pills and successful weight loss

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How to Re-program Your Body to Lose Weight

By - Rick Duker
<)))

Most people at one time or another have seen themselves as overweight and so go on some type of calorie restricted diet. Most of these same people will lose some weight initially and then within a certain time frame will regain the weight, and perhaps some extra.

The initial weight lost will almost always consist of muscle mass and water. Little or no fat will be lost. However, when normal eating is resumed, the weight gained back is usually all fat, which means your body is worse off than before the diet! Why does our body resist attempts to lose fat?

Well, we have built in to our brain, in the region called the hypothalamus, a fat control center which regulates the amount of body fat we have. This fat regulating mechanism functions much like a thermostat. It has a set point which is analogous to a thermostat's temperature setting. If a person restricts their calories, the fat thermostat will do what is necessary to maintain the set point. There are several ways it will maintain the fat setting such as slowing down the base metabolism, making the person tired or lethargic so as to conserve calories, and to increase appetite to regain the lost calories. In the same way, if overeating occurs and excess calories are consumed, the fat regulator increases the metabolism to waste the excess calories and reduce the appetite to discourage the consumption of more calories.

Thus, over the short term, if you restrict calories or if you overeat, your body will maintain a fairly constant weight. This is your body's preservation system in action. Large weight fluctuations are undesirable. Your body is programmed to strive to maintain a stable weight and a certain amount of fat. So an individual will typically eat just enough to maintain their fat stores and their metabolic rate will be adjusted automatically to compensate for any caloric variations. So you see, if you want to lose weight permanently, your body will resist your efforts because it senses a threat to its emergency fat stores.

What can be done to overcome this fat set point, so that a person can permanently lose weight and maintain it at a healthy level? Three things can be done which we will go over in some detail:

First, increased physical activity is the only known way to naturally reduce the fat set point so that the body will adjust down its fat stores to operate more efficiently. How much and what kind of activity? The best is a combination of aerobic and weight-bearing exercise. Aerobic (with oxygen) exercises are activities such as walking, bicycling, running, deep breathing techniques and so on. These exercises oxygenate the blood, and increase endurance and breathing capacity. Weight-bearing exercises use weights or resistance bands or any kind of muscle resistance to build muscle mass. Increasing muscle mass increases metabolism which is what we want.

How much activity is needed to reduce the fat set point varies between individuals. For some, 30 minutes combined per day will be sufficient. For others, it will take an hour or more per day. Strive for 60 minutes, 5-6 days per week of total physical exercise that increases your breathing and works your muscle groups. Monitor your progress and be patient. Your body must be given time to adjust your weight down in response to the increased activity.

Secondly, when and what you eat is also important. Don't skip meals! Miss a meal or two and your metabolism will slow to a crawl. Stick with a staple diet of simple foods - wholesome and unprocessed. Most people eat too much sugar and flour products (simple carbohydrates) and too little fat and protein. This causes excess release of insulin which stores any excess blood sugar as fat in the fat cells.

Ideally, carbohydrates should only be consumed within two hours before and after exercise. Eating sufficient fat and protein will stabilize your blood sugar levels and prevent excess insulin release which can eventually lead to insulin resistance and type II diabetes. Also make sure you have an adequate intake of fiber and water. Sufficient fiber (24 g) per day will ensure that excess fat and waste material is removed from your body on a daily basis.

The third thing you can do to support your body's metabolic processes is to add a quality broad spectrum multi-nutrient supplement along with Omega 3 DHA from purified fish oil. It is important to choose a supplement with an enteric coating which will prevent the sensitive nutrients from being destroyed in the stomach by acid and enzymes. Don't go cheap on supplements. They have become a necessity since our food supply has been depleted of many important nutrients.

Remember, you must commit to these changes in lifestyle for the long term. Once your fat thermostat dial is turned down and you shed the excess pounds, you need to continue in order to maintain your ideal body weight. If you discontinue these healthy changes in activity and diet, your fat thermostat could rise again and with it, the unhealthy weight. So enjoy and embrace your new lifestyle and reap the benefits!


About The Author
Rick Duker is an independent health researcher. To obtain your FREE 42 page Special Report on healthy, permanent Weight Loss please visit the Articles section at... http://www.ultimatehealthboost.com/

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Ultrawellness Introduces Groundbreaking Weight Loss Program

Press Release Date - 6/13/07

The UltraSimple Diet Plan - a Medical Detox Program to Lose Weight and Improve Chronic Illness

LENOX, Mass.--(BUSINESS WIRE)--Obesity in the U.S. has almost tripled since the 1960s. Contrary to popular belief, according to Mark Hyman, M.D., one of the country’s foremost practitioners in a new groundbreaking field called functional medicine, eating carbohydrates may be the single most important thing people can do to for quick weight loss and improved health.

By simply adding foods that nourish and eliminating bad foods that poison, the body's natural intelligence takes over. As a pioneer in treatments that apply the natural power and interaction of bodily systems, Dr. Hyman believes the same things that make people sick also make them fat. After years of applying the latest scientific research on health and weight loss, Dr. Hyman’s findings address the two most important underlying causes of disease and obesity: toxicity and inflammation. Being overweight is actually a symptom of these underlying health problems and lead to chronic diseases such as heart disease, stroke, cancer, dementia and diabetes.

A scientifically grounded accelerated weight loss and health improvement plan, Dr. Hyman’s new book, The UltraSimple Diet, is a seven day program that, unlike other diets, is simple to do. Eating plenty of nourishing foods for seven days eliminates toxins and cools inflammation. This, in turn, kick-starts the metabolism and then the body takes care of things automatically. Dieters are no longer plagued with counting calories, fat grams or carbs. By focusing on detox and reducing inflammation, it is possible to revitalize health and to safely lose up to ten pounds in only seven days.

Nutritious vegetables and fruits, which many people forget are carbohydrates, contain powerful phytonutrients – natural chemical compounds found in plants - that provide extraordinary health benefits and act as a detox diet to help eliminate toxins and cool inflammation. Simply choose nutrient-dense, plant-based whole foods that are full of fiber, anti-inflammatory, sugar-balancing, detoxifying and quick and easy to prepare. In addition to healthy weight loss, followers of The UltraSimple Diet can expect to experience increased energy, fewer aches and pains, improved digestion, better mood and sleep, clearer skin and greater mental clarity.

The UltraSimple Diet is available in a $7.99 paperback that includes daily plans including shopping and check lists.

About the Author
Mark Hyman, M.D. is the author of the New York Times bestseller UltraMetabolism and co-author of The New York Times bestseller UltraPrevention. He is on the medical faculty of the Institute for Functional Medicine and was co-medical director of Canyon Ranch for ten years. He is the founder and medical director of The UltraWellness Center and also the Editor-in-Chief of Alternative Therapies in Health and Medicine and the Medical Editor of Alternative Medicine Magazine.



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“Alli”, First FDA-Approved OTC Weight Loss Product

Press Release Date - 6/13/07

“Alli”, First FDA-Approved OTC Weight Loss Product Coming to Local Drugstores Thursday; Bartell’s Offers Media Sneak Preview at University Village Location from Noon to 1 p.m. Wednesday, June 13
--(BUSINESS WIRE)--Bartell Drugs:

WHAT:

-- Alli is the first FDA-approved, over-the-counter weight loss product.It is now being shipped and will be on local pharmacy shelves beginning Thursday (June 14).

-- Seattle-based Bartell's will be one of the first chains in the market to carry the new product. Anticipating major national coverage for the roll-out of Alli, Bartell's is providing Seattle area media an advance interview/briefing opportunity to educate local consumers about the new product.

-- Though it is a OTC product, Bartell's pharmacists (and other pharmacists) may play a role in providing counsel regarding these of Alli.

WHEN/WHERE:

-- Noon to 1 p.m., Wednesday June 13; Bartell's location at University Village (across from Eddie Bauer and QFC)

NOTABLE:

-- This is not a "magic bullet" -- rather a product that must be used in conjunction with a low-fat diet and exercise program to work effectively.

-- GlaxoSmithKline has undertaken a major pre-introduction education effort (see www.myalli.com), providing consumers with an array of on-line resources for diet and lifestyle planning to accompany the launch.

-- For additional background, visit the press room link at www.myalli.com/Pressroom/Default.aspx

MEDIA CONTACTS:

Barry Bartlett, The Bartlett Group for Bartell Drugs,
cell: 206-335-4694, or barry@bartlettgrouppr.com

Rebecca Siegmund, Bartell Drugs, 206-763-2626


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