Abstract

Weighlevel, a mixture of extract of four plants used in traditional Arabic and Islamic medicine as well as in European herbal medicine, was prepared and assessed for its safety and efficacy in weight loss. Leaves of Alchemilla vulgaris, Olea europaea and Mentha longifolia L., as well as seeds of Cuminum cyminum, were used. Cultured human fibroblasts treated with Weighlevel did not exhibit any sign of toxicity as evidenced by lactate dehydrogenase release. These results were confirmed in experimental studies on rats where an LD50 of 15.3 g kg−1 was observed. Significant antioxidant properties were seen at very low concentrations of Weighlevel (10 μg ml−1) as measured by the lipid peroxidation method. Progressive and significant weight loss was observed in chickens given this mixture weekly for 4 weeks compared with controls. Furthermore, a 3-fold increase in the thermogenesis was seen in rat interscapular brown adipose tissue following exposure to different concentrations of Weighlevel extract as determined by measurement of increased oxygen consumption. In addition, a clinical study was carried out among 80 human volunteers with a body mass index (BMI) of 30.67 ± 2.14 kg m−2. All 80 subjects were asked to continue their usual diet but to eat only three main meals daily and to take one Weighlevel tablet 30 min before each meal. Fourteen subjects were excluded for not following the protocol, and 66 subjects were all evaluated for efficacy and tolerability of Weighlevel monthly for 3 months. Weighlevel was well tolerated by all subjects, and no side effects were reported. A progressive and significant weight loss was seen in these subjects during the whole study period. Higher levels of weight loss were seen in people with BMI of 25–30 kg m−2 (overweight) compared to people with BMI >30 kg m−2 (obese). The BMI was reduced after 3 months from 28.5 ± 1.2 and 32.1 ± 1.8 kg m−2 to 24.5 ± 1.4 and 27.5 ± 2.2 kg m−2 in overweight and obese group, respectively. Results indicate safety, tolerability and efficacy of Weighlevel.

Highlights

  • Overweight is a major health challenge in the Western world with serious clinical complications such as type 2 diabetes mellitus, cerebrovascular and ischemic heart diseases

  • A 3-fold increase in the thermogenesis was seen in rat interscapular brown adipose tissue following exposure to different concentrations of Weighlevel extract as determined by measurement of increased oxygen consumption

  • The body mass index (BMI) was reduced after 3 months from 28.5 ± 1.2 and 32.1 ± 1.8 kg m−2 to 24.5 ± 1.4 and 27.5 ± 2.2 kg m−2 in overweight and obese group, respectively

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Summary

Introduction

Overweight is a major health challenge in the Western world with serious clinical complications such as type 2 diabetes mellitus, cerebrovascular and ischemic heart diseases. Effective management of overweight seems to be of utmost importance especially if modern science can utilize safe plants derived from traditional medicine to fill the gap and supplement currently used pharmacological products. Mild overweight was generally accepted in ancient Arab societies and considered a reflection of a high socioeconomic level and part of the desired beauty standards in those days. This fact was expressed in the minimal effort to discover antiobesity remedies compared with other medical fields. “Tradition and perspectives of Arab herbal medicine: a review,” Evidence-Based Complementary and Alternative Medicine, vol 2, no. “The status of traditional Arab medicine and medicinal herbs of the Middle Eastern region: review,” Evidence-Based Complementary and Alternative Medicine, vol 3, pp. “The status of traditional Arab medicine and medicinal herbs of the Middle Eastern region: review,” Evidence-Based Complementary and Alternative Medicine, vol 3, pp. 229–235, 2006

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