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Guilt-free is in, especially when it comes to losing weight. What could be better than something that allows you to have your cake yet prevents it from streaking straight to your belly or hips?
 

In fact, this fat-blocking approach to weight loss is not a mere pie-in-the-sky scheme. The Food and Drug Administration (FDA) has recently approved a prescription drug (orlistat; Xenical) for weight loss that works by reducing the body's ability to absorb fat from food. Orlistat has met with limited success, perhaps in part due to embarrassing side effects such as excess gas and oily, uncontrolled bowel movements.

On This Page
Chitosan
What Are Chitinosans?
Find It and Bind It
Studies in Dispute
Fewer Questions About Safety
Tips for Optimizing the Effects of Chitinosans

Chitin and chitosan ("chitinosans") are calorie-free, animal-derived fiber supplements that mostly pass through the body without being digested.   Chitinosans are widely taken and promoted for their presumed orlistat-like fat-denying approach to weight loss, although government regulators hotly dispute their effectiveness. While studies suggest that, at best, chitinosans' fat-binding effects are less dramatic compared to orlistat, natural practitioners note that the supplement compares favorably in terms of factors such as side effects, cost, and availability. Chitinosans may also offer added health benefits, such as improving blood cholesterol profiles.

What Are Chitinosans? Chitin (pronounced kite-in) and chitosan (kite-o-san) are fibers derived from marine animals. Chitin is a polysaccharide—a string of sugar molecules—that naturally occurs in the hard outer shell of insects, shellfish such as crab, lobster, and shrimp, and marine coral. Chitin is chemically similar to cellulose and starch, the abundant plant fibers. It is used to make various other substances, including chitosan, which is derived from chitin by heating it with a chemical solution. Chitosan has the advantage of being more soluble in water compared to chitin. Scientists have intensively investigated the properties and uses of chitin/chitosan and their derivatives—collectively they are the subjects of approximately 1,000 scientific studies and hundreds of patents. Most of this attention originated in Asia, but in recent decades Westerners have begun to take chitin and chitosan as nutritional supplements and major corporations have jumped on the research bandwagon.

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Find It and Bind It
Chitinosans are made up of large, complex polysaccharide molecules. They carry a strong positive charge that allows them to chemically bond with certain compounds. This binding action had drawn the interest of numerous industries, ranging from food and cosmetics (chitinosans can stabilize colors and retain moisture) to wastewater treatment (chitinosans can be spread on water to absorb grease and other potentially toxic substances).

Chitinosans' various actions in the body are still being investigated, including whether chitinosan supplements can bind with fats in the digestive tract. Some evidence does suggest that chitinosans dissolve in the stomach and change to a gelled form, which entraps fat (and cholesterol) in the intestine and prevents it from being absorbed and digested. This action could not only improve bowel function but also promote weight control. Proponents claim that chitinosans can bind with and help expel approximately four times their weight in fat. Thus, for example, taking 2 grams of chitinosans per day before meals could reduce a 40-grams-of-fat-per-day diet to the equivalent fat intake of 32 grams.

These claimed fat-fighting properties have made chitinosan products wildly popular as weight-loss agents in Japan, where annual sales are estimated to approach $1 billion. Sales have also boomed in recent years in the U.S., spurred in part by aggressive advertising on the part of a few companies. For example, television infomercials featuring former Los Angeles Dodger baseball player Steve Garvey extol the wonders of the chitinosan product Fat Trapper. Testimonials abound about how one chitinosan product or another helped the user lose weight while not having to make any changes to his or her diet or lifestyle.

Not surprisingly, claims along the lines of "Blast 50 pounds off in a month!" and "lose weight while still eating fatty foods" by some chitinosan producers have attracted the attention of government regulators. In 1999 the Federal Trade Commission (FTC) won a court case against the company SlimAmerica for making over-the-top chitin claims. In April of this year the marketers of Fat Trapper agreed to pay the FTC $10 million to settle charges of deceptive advertising. The settlement prohibits the company from making unsubstantiated claims for Fat Trapper, including that it "maintains weight loss or avoids weight gain without dieting or exercise, prevents fat absorption, increases metabolism, burns fat, or allows weight loss even if users eat high fat foods." State officials have also weighed in: two district attorneys in California have filed lawsuits against five chitinosan producers, including the makers of Fat Trapper. The D.A.s contend that any claims that chitinosan products promote weight loss are unsubstantiated.
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Studies in Dispute

As is often the case, scientific research supplies some ammo to both critics and proponents of this natural product. An obesity expert who testified for the FTC in the case against SlimAmerica has said that there are "no high-quality, randomized, double-blind, placebo-controlled trials to support the efficacy of the product." Chitinosan proponents counter that a number of studies have supported the basic fat-busting mechanism.
Most of the studies relating to chitinosans and weight loss have been conducted on animals. Researchers have looked at the effects of chitinosans on mice, rats, chicken, and other animals. Some results do support the claim that chitinosans can in fact inhibit fat absorption. For example, in a study published in 1999, Japanese researchers found that mice fed a high-fat diet experienced a reduction in fat storage when treated with a chitinosan. The supplement prevented the increase in body weight normally induced by a high-fat diet. The researchers concluded, "The anti-obesity effects of chitin-chitosan in high-fat diet-treated mice might be partly due to the inhibition of intestinal absorption of dietary fat." A 1997 study found that feeding a chitosan-rich diet to chickens significantly reduced body weights and feed intakes compared with animals fed on control or pectin-rich diets.

Within the past few years researchers have also begun to conduct clinical trials on humans. So far, the results have been mixed. A few human studies done in Norway and Italy have shown modest weight losses (such as 8 percent of bodyweight) from taking chitosan, though these studies have been criticized as poorly controlled. A more recent British study done on 34 overweight subjects found no weight loss from taking four capsules of chitosan twice a day for four weeks. Though well-controlled, this study can be criticized for its limited duration. Another human study, which was presented at a November 1999 meeting of the North American Association for the Study of Obesity, compared chitosan to orlistat. The researchers said that chitosan was much less effective, with 750 mg of the fiber supplement reducing post-meal fat absorption by only 4.5 percent compared to 30 percent for orlistat. The 750 mg dose, however, is less than the 1-2 gram dose usually recommended for at least a modest effect. And although the effect was small, this study did find that chitinosans could reduce fat absorption in humans.

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Fewer Questions About Safety
Less debate seems to surround the question of chitinosans' safety, with studies and users' experiences generally suggesting that chitinosans are relatively safe. The authors of the British study that found no weight-loss effects reported that "no serious adverse effects were reported." Only very infrequently do users experience side effects. The FDA's Special Nutritionals Adverse Event Monitoring System lists only two adverse events for chitosan (constipation and premature heart contractions), and even these are not proven but merely reported from consumers or health professionals. Although chitinosan are considered non-allergenic, people with shellfish allergies should not take them, nor should children or pregnant or breastfeeding women.
Because chitinosans are fibrous substances, it is important to take the same precautions for safe use that apply to other types of fiber. To prevent intestinal blockage, always drink at least a full eight-ounce glass of water with each dose.

Check with your doctor if you are taking medication, since chitinosans may bind with certain drugs and reduce their absorption and effectiveness. Chitinosans can also reduce the absorption of the fat-soluble vitamins (A, D, E and K) and essential fatty acids. (those taking chitinosan products should increase their vitamins intake).

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Tips for Optimizing the Effects of Chitinosans
Follow these guidelines to increase the likelihood that chitinosans will help you lose weight:
Take chitinosans approximately one-half hour before each meal, or before any high-fat meals. If you're already eating a relatively low-fat diet, chitinosans may not have much weight-loss effect.
To avoid absorption problems, if you take a multivitamin or an essential fatty acid supplement (and you should, especially if you're trying to lose weight), don't take it at the same time as you take your chitinosan. For example, if you take a chitinosan before two meals, take these other supplements with your third meal.
Most chitinosan labels suggest taking 1-2 grams twice a day, but higher dosages (such as 3-5 grams before any high-fat meal) may optimize results. Increase fluid consumption accordingly.
Chitinosans may also be more effective when used in conjunction with diet and weight-loss supplements that increase fat burning or have other weight-loss effects, such as ephedra/caffeine products, pyruvate, CLA, or Lipotropic.
Some research suggests that taking vitamin C with chitinosans may boost their weight-loss effects.
To be effective, weight-loss programs must include lifestyle adjustments that incorporate adequate exercise or physical activity; a healthful, mostly whole, unprocessed foods, reduced-calorie diet; and attention to mood and stress level.
 
References
Chiang, M.T., et al., "Effect of dietary chitosans with different viscosity on plasma lipids and lipid peroxidation in rats fed on a diet enriched with cholesterol," Biosci Biotechnol Biochem, 64(5):965-71 May 2000
Deuchi, K., et al., "Effect of the viscosity or deacetylation degree of chitosan on fecal fat excreted from rats fed on a high-fat diet," Biosci Biotechnol Biochem, 59(5):781-85 1995 May
Han, L.K., et al., "Reduction in fat storage during chitin-chitosan treatment in mice fed a high-fat diet," Int J Obes Relat Metab Disord, 23(2):174-79 1999 Feb
Kanauchi, O., et al., "Mechanism for the inhibition of fat digestion by chitosan and for the synergistic effect of ascorbate," Biosci Biotechnol Biochem, 59(5):786-90 1995 May
Muzzarelli, R.A.A., "Clinical and biochemical evaluation of chitosan for hypercholesterolemia and overweight control," Chitin and Chitinases, 87:293-304 1999
Pittler, M.H., et al., "Randomized, double-blind trial of chitosan for body weight reduction," Eur J Clin Nutr, 53(5):379-81 1999 May
Razdan, A., et al., "Broiler chicken body weights, feed intakes, plasma lipid and small-intestinal bile acid concentrations in response to feeding of chitosan and pectin," Br J Nutr, 78(2):283-91 1997 Aug
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