A friend in Omaha is doing her hospital bariatric program that uses the New Direction Weight Loss System: http://www.jcmg.org/jcmg.nsf/web/New...iet-%28VLCD%29 (this is another hospital in the midwest describing it)

She's mid-300 pounds though and it's a liquid diet, etc. don't know about pills or commercial stuff (the New Direction stuff is only on sale to doctors/hospital programs).

I guess if I were doing something like that I'd ask my primary care physician what they liked/recommended and/or I'd visit the 2-3 different places I could find closest to me and see how they impressed me, what they did, talk to customers coming out, etc.

Reviews I've read of alli and from consumers, I don't like the side effects, would rather be overweight than take that :-) I get a lot of my online medical information from the Mayo Clinic articles: http://www.mayoclinic.org/healthy-li...s/art-20044832