There are clinically effective weight-loss medications today, but they're prescription treatments - not internet "miracles." Use them only with medical oversight and lifestyle changes.
Losing 20 pounds is achievable with steady, sustainable changes: a moderate calorie deficit, strength training to preserve muscle, sleep and stress management, and ongoing habits to prevent regain. Medical therapies can help but should be used with clinical guidance.
Updated 2025 review: diet pills now span prescription drugs with clinical evidence (GLP-1s, orlistat, phentermine), cheaper OTC options, and unregulated supplements. Effects, risks, cost, and the need for medical supervision vary - medication is most effective when combined with lifestyle changes.
Weight-loss pills range from evidence-backed prescriptions to unproven supplements. Consult a clinician, watch for side effects, buy from licensed sources, and combine medication with lifestyle changes for safe, lasting results.