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You can buy these pills with no prescription and enjoy the benefits of a proven weight loss solution. Xenical is the prescription-strength form of orlistat Xenical (Orlistat) Orlistat is a prescription drug marketed under the name Xenical that acts as a lipase inhibitor (decreases the gastrointestinal absorption of fat) to reduce caloric intake. Obscure Many people regain the weight they lost after they quit taking the medicines. Every pharmacy on that list has actually been checked and confirmed, so you can't fail no issue what your final choice is. Xenical is a prescription medication that was approved by the US Food and Drug Administration (FDA) in 1999. Drug class: Lipase inhibitors Alli is a 60-milligram, over-the-counter version of orlistat (Xenical), a 120-milligram prescription drug. Xenical is used to aid in weight loss, or to help reduce the risk of regaining weight already lost. , hypertension, diabetes, dyslipidemia). 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