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I've just been prescribed orlistat but I'm really worried about the side effects that some have experienced (oily spotting, flatulence etc.). I know that these are more likely seen if you've eaten a high fat content meal. So could I omit a dose if I know I've eaten a really fatty meal, to reduce inevitable side effects. Will this work? I know this is counter-productive (i.e. orlistat in part works by conditioning one to eat healthily to avoid such side-effects) but this might help stop an isolated, potentially embarassing situation.
For example, I've got a wedding meal coming up next weekend (it's an Indian wedding so I know there will be ghee-laden curries, poppadoms, the lot). It'd be rude not to eat the meal etc. I know this will cause the side-effects, so surely for this one-off I should lay off the orlistat?..
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