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AlternativeMed

Herbs for Weight Loss: Claims Checked

Do herbs and botanical fat burners help with weight loss? What reviews of green tea and other supplements found, plus hidden-drug, stimulant and liver risks.

Content last updated . This page has not been medically reviewed.

Safety first. Supplements can cause side effects and interact with medicines. Read mushroom safety and interactions before you use any mushroom product.

Weight-loss products carry some of the most serious hidden risks in the supplement aisle. The US FDA says many products sold as diet pills, fat burners, weight-loss supplements and teas are likely to be contaminated with dangerous hidden ingredients, and that its public list covers only a small fraction of them. [1] Green tea extract capsules have been linked to liver injury, and extracts can raise blood pressure. [2] Liver warning signs are listed in Liver Injury Warning Signs From Supplements and Herbs. If you feel in crisis, call or text 988 (US). Restrictive dieting and laxative misuse are covered in Eating Disorders, Weight-Loss Supplements and Laxative Misuse.

The claim as marketed

Labels promise that a plant "burns fat", "melts belly fat" or "speeds metabolism". Common ingredients include green tea (Camellia sinensis (L.) Kuntze [3]), bitter orange, Coleus forskohlii, glucomannan and psyllium. [4] This page checks the claim against reviews, not against product marketing.

What the evidence is

QuestionWhat the source foundStrength of evidence
Do dietary supplements and "alternative therapies" lead to weight loss?A systematic review found 315 randomized trials of 14 supplements or therapies. Only 52 were low risk of bias and sufficient to support efficacy, and of those only 16 showed a significant difference in weight (range 0.3 to 4.93 kg). [5]Mostly insufficient evidence
Natural supplements in people with obesityA critical review of bitter orange, capsinoid, carnitine, chromium picolinate, Coleus forskohlii, conjugated linoleic acid, glucomannan, green tea and psyllium found insufficient evidence of significant weight loss, with a possible exception for one glucomannan fiber form. [4]Insufficient evidence
Green tea preparations, 12 weeks or moreA Cochrane review found a small, non-significant weight loss that is unlikely to be clinically important. Outside Japan, the pooled difference was -0.04 kg. [6]No good evidence of meaningful benefit
Green tea catechins and caffeineNCCIH says they may have a modest effect on body weight, depending on the product and activity level. [2]Promising but limited
"Thermogenic" fat burners added to diet and exerciseA meta-analysis found limited benefit and responses less than diet and exercise without supplements. [7]Insufficient evidence
Aloe gel by mouthOne small study of a specific product found modest loss of weight and fat in adults with obesity or overweight who had diabetes or prediabetes. [8]Promising but limited (one small study)

Those review results come from many different plants, extracts and amounts, so none transfers to a different product.

What a reader can safely do

Check a product against the FDA lists, ask a pharmacist about your medicines, and talk to a clinician about weight, including medical care options in Weight-Loss Medications and Medical Care. The wider claim check is in Weight-Loss Supplements, Fat Burners, Detox Teas and Vinegar. For any supplement, tell your surgical team (before surgery).

Frequently asked questions

Does green tea help you lose weight?

A Cochrane review found only a small weight loss that was not statistically significant and not likely to matter clinically. [6]

Are there herbal fat burners that work?

A review of 315 trials found a limited high-quality evidence base for supplements and alternative therapies. [5] A meta-analysis of thermogenic supplements found limited benefit. [7]

Are weight-loss teas and capsules safe?

The FDA warns that many are likely to contain hidden ingredients. [1] Green tea extract capsules have been linked to liver injury. [2]

Can herbs for weight loss harm the liver or kidneys?

A critical review reported liver and kidney failure in some cases. [4]

Is a drink of green tea safe?

NCCIH reports no safety concerns for green tea as a beverage in adults, though it contains caffeine. [2]

More details: evidence, limits and cautions

The details behind this page: cautions, limits of the evidence and where sources disagree. Open any note to read it.

What regulators and agencies say
  • FDA: contaminated weight-loss products "pose a serious health risk and are not guaranteed to work." [1] See Hidden Drugs in Supplements.
  • NCCIH: green tea as a beverage has had no safety concerns reported for adults, although it contains caffeine. [2]
  • FDA (page current as of 2024): about 400 mg of caffeine a day is an amount not generally associated with negative effects for most adults, and caffeine can be added to dietary supplements. [9]
Risks to know
  • Liver and kidney. The critical review noted that most side effects were minor to moderate and stomach-related, but liver and kidney failure were seen in some cases. [4] Green tea extract liver injury is uncommon but reported, mostly with tablets or capsules. [2]
  • Medicines. High-dose green tea has lowered blood levels of the beta-blocker nadolol, and green tea extract has lowered levels of atorvastatin. [2] See medicine interactions.
  • Aloe latex taken by mouth can cause abdominal pain, cramps and diarrhea. [8]
  • Pregnancy. Caffeine should stay at moderate levels; ask your clinician. [2]
  • Stimulant herbs. See bitter orange, yohimbe and stimulant herbs and ephedra and other restricted ingredients.
References
Education, not medical advice. This page is for general information. It does not diagnose or treat any condition and is not a substitute for care from a qualified health professional. Natural does not automatically mean safe. Ask a clinician or pharmacist before changing your care, especially if you take medication, are pregnant or breastfeeding, or have a health condition.