I've been using Alli for about 6 months, and I can't really say it has done much for me. Maybe without it I would have actually gained instead of staying the same? The side effects for me have been mild and manageable. I think my caloric intake is more of my problem than the grams of fat I end. (That's probably why my side effects have been so minor.) I just bought another bottle, so I'm still hopeful I'll get some results from it.
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