<<> My friend is taking Xenical and she just added a carb blocker, how safe > can this be? One is blocking 30% fat grams, the other is blocking 38 carb > grams. > Plus, she said her Dr. does not know she is taking the carb blocker. > Together we have been trying to search the internet for information on > taking both blockers, but have found none. Can anyone offer an input on > this?>> Hi Trish, The thing they are calling a carb blocker contains alpha-amylase. It is an enzyme that breaks down large starch molecules to dextrins and then to maltose. Maltose then is said to break down into glucose. Our pancreas secretes this enzyme when we eat starches (corn, potatoes, bread, pasta, etc.) Generally, these products contain Phaseolus Vulgaris (the alpha-amylase comes from here) Ginkgo Biloba, Panax Ginseng, Rosmarinus Officinalis, Vit A, Vit C, and Vit E I'd be more concerned about the Xenical (Orlistat). Orlistat is a potent, specific and long-acting lipase inhibitor. It exerts its therapeutic activity in the lumen of the stomach and upper small intestine by forming a covalent bond with the active serine site of gastric and pancreatic lipases. The inactivated enzyme is thus rendered unable to hydrolyze dietary fats in the form of triglycerides into absorbable free fatty acids and monoglycerides. As undigested triglycerides cannot be absorbed, a caloric deficit arises which has a positive effect on weight control. Here is a list of side effects of Xenical: Gastrointestinal tract: abdominal pain/discomfort, flatulence, liquid stools, soft stools, rectal pain/discomfort, tooth disorders, gingival disorders; respiratory tract: upper respiratory tract infection, lower respiratory tract infection; immune system: influenza; central nervous system: headache; reproductive disorders: menstural disorders; psychiatric disorders: anxiety, general: fatigue; urinary tract: urinary tract infection. There is also a decreased absorption of vitamins D, E, and beta-carotine. Siobhan