They "work" by limiting the amount of fat your body absorbs. One side effect of that pill is "anal leakage"...if you kwim. So you'd have to drastically change your diet to get rid of a LOT of fatty foods, and in doing so you'd already be doing the right thing so what would be the point of spending money on pills?
Eat fewer calories than you burn, (but don't severly limit your caloric intake, or else your body will go into "starvation mode" and will hoard every calorie you consume!) get exercise, (gain MUSCLE...it burns fat faster), and don't forget to get lots of water and REST too.
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