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Correspondence
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Volume 342:1141-1142 April 13, 2000 Number 15
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Reduction in Blood Cyclosporine Concentrations by Orlistat

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To the Editor: A 10 percent increase in body weight during the first year after organ transplantation is common, and many patients become obese (body-mass index [the weight in kilograms divided by the square of the height in meters], >30) within two years after the procedure.1,2

In April 1999, the Food and Drug Administration (FDA) approved orlistat for the treatment of obesity. Orlistat partially inhibits the absorption of dietary fat by binding to pancreatic lipase in the gastrointestinal tract. Since its approval, the FDA has received six reports of transplant recipients who had subtherapeutic blood cyclosporine concentrations soon after the . . . [Full Text of this Article]

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