Orlistat results: What to expect on your first week (and beyond)
Plus, how you can make the most of your treatment.

Key takeaways
Starting a new weight loss medication can feel like diving into the unknown, especially when it comes with promises of burning fat while helping you shed pounds along the way.
If youâre considering Orlistat, you might be wondering, What can I actually expect? Well, weâve got the inside scoop on what happens during that first week, when results tend to kick in, and how you can make the most of Orlistat.
How does Orlistat work for weight loss?
Orlistat isnât your typical weight loss medication. Instead of directly curbing your appetite, Orlistat gets right into the nitty-gritty of digestion.
Hereâs the science part: Orlistat works by blocking enzymes in your digestive tract that break down dietary fat. It works by inhibiting a particular enzyme lipase and blocks the function of both gastric lipase and pancreatic lipase [1].
Normally, these enzymes would take the fats you eat, break them down, and store them for future energy (or as extra pounds).
With Orlistat, about 30% of the fat you eat goes unabsorbed, passing straight through your digestive system instead of sticking around [1].
No magic wands here, though â Orlistat only works when youâre sticking to a lower-fat diet. Itâs recommended to stick to a mildly hypocaloric diet, with no more than 30% of calories from fat [2].
In other words, if youâre pairing your Orlistat with high-fat meals, you might notice some less-than-pleasant digestive side effects (more on that later).
For those ready to team up with a reduced-fat diet, Orlistat can be a powerful ally on your weight loss journey.
Orlistat 101
- Available over-the-counter or by GP prescription. Orlistat comes in pill form.
- Best paired with a low-fat diet and some regular exercise. Orlistat works best with a balanced approach, so donât ditch the veggies just yet.
- Timing matters. Take one Orlistat capsule with each main meal (breakfast, lunch, and dinner) for the best results.
- Forgot a pill? No problem. You can still take Orlistat up to an hour after eating, but consistency is key for it to work like a charm.
- Donât forget the multivitamins. Orlistat blocks some fat-soluble vitamins (A, D, E, K) and beta-carotene, so remember to take a daily multivitamin to keep up with the essentials.
How effective is Orlistat?
Orlistatâs approach to weight loss is backed by solid evidence showing it can indeed be effective. [3]
Studies show that when combined with a low-fat, reduced-calorie diet, Orlistat can help people lose up to 8â10% of their body weight in 6 months â almost double that expected from exercise and diet alone [4].
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While that may not seem like a lot, every pound counts when it comes to establishing and maintaining a healthy lifestyle.
Bear in mind, itâs not all about numbers on the scale. Orlistatâs method of reducing fat absorption can also lower body fat percentage and help manage certain health risks linked to weight, like heart disease and high blood pressure [2].
Itâs about creating a healthier body overall while keeping an eye on weight goals.
What can you expect on your first week on Orlistat?
The first week on Orlistat can be a bit of an adjustment, and, if weâre being honest, it might even include a few surprises.
Orlistat works directly in the digestive tract, so expect your digestive system to take notice. Hereâs what that might look like:
1. Changes in your digestive system
Orlistatâs effects on fat absorption mean that unabsorbed fat will pass through your system. This can lead to whatâs politely called gastrointestinal side effects, especially if youâre eating more fat than the recommended amount.
You may notice more frequent trips to the bathroom, softer stools, or even a bit of oily spotting after eating higher-fat meals [1].
This is perfectly normal, though a tad inconvenient â your body is simply adjusting to processing undigested fat.
2. Initial weight fluctuations
While itâs natural to feel excited and want results right away, remember that the first week is just the beginning. Some people see slight changes on the scale in the first week, but others may find it takes longer for Orlistat to kick in [5].
Stay consistent with your low-fat diet and donât worry if the scale doesnât show immediate results.
3. Adjusting to a lower-fat diet
Orlistat doesnât just help you lose weight; it encourages new habits, particularly around fat intake. During your first week, you might find yourself more conscious of food labels and fat content.
Think of it as a learning curve â a week of experimenting with new foods and seeing how your body responds. Itâs all about finding the right balance!
How long does it take to start seeing results?
Losing weight with Orlistat isnât an overnight miracle, but most people start seeing results within a few weeks. By the second or third week, many users begin to notice changes in how their clothes fit, and the scale may start to show a steady decrease.
Generally, Orlistatâs impact becomes more noticeable around the 4-week mark, with gradual weight loss continuing over the next few months [5].
Since Orlistat works with your bodyâs natural processes, results tend to be steady rather than dramatic, making it easier to maintain a healthy weight for the long haul.
How much weight can you lose on Orlistat?
When it comes to weight loss with Orlistat, results can vary from person to person based on factors like starting body weight, daily fat intake, and adherence to a low-fat diet. Hereâs a rough breakdown of what you might expect.
Week 1: Initial adjustments
During the first week, noticeable weight loss might be minimal as your body adjusts to the medication.
You may drop a pound or two, but for many, this week is more about settling into the rhythm of Orlistat, adapting to the diet changes, and preparing for the road ahead.
Weeks 2-4: Steady progress
By the second week, results may become more visible as your body adjusts to absorbing less fat. Many people report losing between 0.5-1kg per week during this period [5].
By week 4, you might have lost anywhere from 2-4kg, depending on how closely youâre following the programme.
Months 1-3: Building momentum
If youâre using Orlistat capsules consistently and sticking to a low-calorie, low-fat diet, you can expect gradual and sustainable weight loss.
Most users lose between 1-3kg per month during this period. The numbers may seem slow but remember, sustainable weight loss is often the most successful in the long run.
Beyond 3 months: Long-term results
Orlistat is designed for gradual weight loss, and many people find their best results when they stay consistent over time.
After 3 months, itâs common to see a total weight loss of 5-10% of your starting body weight, which can make a noticeable difference in how you look and feel [2].
Tips for maximising your results on Orlistat
If youâre keen to make the most out of your Orlistat journey, here are some tried-and-true tips to keep things moving in the right direction:
1. Stick to a low-fat, reduced-calorie diet
Orlistat works by blocking the absorption of dietary fat, so it only makes sense to reduce fat intake as much as possible. Aim for meals that are naturally low in fat and packed with whole grains, lean proteins, and plenty of fruits and vegetables [6].
Avoid high-fat foods, as they can lead to those unpleasant digestive side effects we talked about.
2. Choose your fats wisely
While a low-fat diet is key, not all fats are bad! Incorporate small amounts of healthy fats, like those found in avocados, nuts, and olive oil, to keep your meals satisfying and nutritious.
Just keep portions small to avoid overwhelming your digestive system.
3. Drink plenty of water
Hydration is crucial when taking Orlistat, especially since the medication can affect your bowel movements.
Drinking plenty of water supports digestion and keeps things moving smoothly. Plus, staying hydrated can help curb hunger and support your weight loss goals.
4. Keep an eye on portions
Although Orlistat helps block fat, portion control is still essential. Eating large portions, even low-fat foods, can slow down your progress, as itâs recommended to maintain a slight calorie deficit while on Orlistat [2].
Try using smaller plates, paying attention to hunger cues, and not eating to the point of feeling stuffed, and keep an eye out for those empty calories.
5. Exercise regularly
While Orlistat helps manage fat absorption, combining it with regular physical activity can amplify your results.
Exercise not only helps burn more calories but also boosts metabolism and improves overall health. Aim for a mix of cardio and strength training exercises each week for the best results.
6. Track your progress
Keeping track of your weight loss journey can be incredibly motivating. Try recording your weight, measurements, and even how you feel each week.
Seeing the small changes can boost your morale and remind you that your hard work is paying off.
7. Consult with Juniperâs health professionals
If youâre part of Juniperâs Weight Reset Programme, make the most of the free, unlimited consultations with healthcare professionals. They can help you tailor your diet, answer questions about Orlistat, and offer guidance on maintaining steady progress. With their support, youâre never in it alone!
Orlistat can be a powerful addition to your weight loss journey, giving you a leg up in achieving your goals.
While the first week might come with a few adjustments (and maybe a couple of extra trips to the bathroom), staying consistent with a low-fat diet and a reduced-calorie intake can lead to impressive, sustainable results over time.
Juniperâs Weight Reset Programme is here to provide all the support you need, from personalised consultations to tailored health advice.
Whether youâre just starting with Orlistat â or other weight loss treatments like Wegovy or Mounjaro â remember that slow, steady progress is often the key to long-term success.
So, stay committed, keep those high-fat foods in check, and let Orlistat work its magic â one step at a time.
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- https://www.tandfonline.com/doi/full/10.2147/vhrm.s12187420Â
- https://www.sciencedirect.com/science/article/abs/pii/S001429990201422XÂ
- https://link.springer.com/article/10.2165/00003495-200666120-00012Â
- https://journals.lww.com/indjem/fulltext/2011/15020/Evaluation_of_efficacy_and_safety_of_orlistat_in.6.aspxÂ
- https://onlinelibrary.wiley.com/doi/full/10.1038/oby.2011.143Â
- https://www.nhs.uk/live-well/eat-well/how-to-eat-a-balanced-diet/eat-less-saturated-fat/