Are Laxatives Safe for Weight Loss?

Written by Clark on January 3, 2025 — Medically Reviewed by Clark

Laxatives for weight loss

Indeed, millions of people use laxatives for the weight loss or more correctly, to lose weight quickly.  But are they really effective for their intended use?

Now we will look on what laxatives are, how they function as well as effectiveness of using them in your weight loss program.

What Are Laxatives?

Laxatives are those agents, which are used to ease the bowel movement or, in the treatment of constipation. Constipation is condition whereby bowel movements occur less frequently than usual or are difficult.

There are six main types of laxatives, each working differently:

  • Stimulant laxatives increase the movement of digestive system.
  • Osmotic laxatives cause the stool to be softened because water is pulled in to the intestines.
  • The reason that bulk-forming laxatives are used is because they swell when in contact with water and therefore increase the volume of the stools.
  • Saline laxatives draw water into the small intestine to stimulate the bowel movements.
  • Lubricant laxatives can cover stool and the surface of the colon thus facilitating passage of stools.
  • Stool softeners help the stools to become hydrated so that passing of stools becomes easier.

Though laxatives have their central role in the treatment of constipation it has many controversies regarding their usage for the purpose of weight loss.

How Effective Are Laxatives to Make You Lose Weight? 

People have a tendency of taking laxatives with an aim of losing a few pounds within a very short span of time, what they do not know is that the few pounds that they are likely to shed are mostly water-balance and the accumulation is not long-term.  For instance, there are several researches to indicate that over 4% of the population abuses laxative products.

Laxatives that attract water to the intestines can give a feeling of weight loss after defecation, but what has been lost is just water and not fat.  This effect is temporary, and as the body tissue takes back fluids, the weight returns again with a vengeance.

The use of laxatives appears to be a poor strategy to manage body weight in a small sample of 30 participants with bulimia nervosa categorized by binge eating and purging. Other research studies showed that the overweight and obese adolescents were more inclined to use laxatives but these sources failed to support in losing fat. 

Risks of Using Laxatives

  • Dehydration

In particular, as the research stated that the side effects of laxatives have been proven to include dehydration mostly. Some of the laxatives have the ability of drawing water in the intestines, and then expelling it through feces.

If you don’t replace this loss through enough fluid intake, you may become dehydrated. The signs of dehydration include headaches, feeling of fatigue, dry skin, dizziness and excessive thirst.

  • Electrolyte Imbalance

Sodium, potassium and magnesium which are electrolytes are an important component in the normal functioning of the body. Laxatives also affect the electrolyte balance of the body resulting in some of the more familiar side effects such as muscle weakness, arrhythmia and confusion.

Laxatives cause side effects of losing some vital electrolytes in the body. This may lead to uneven level of electrolyte which is one of the worst effects that come along with the abuse of laxatives.

A 24 patient study revealed that these laxatives altered the procedure of sodium and potassium levels.  In another study of 2270 patients, it was established that a common type of laxatives for colonoscopy raised the odds of developing an abnormality in this compound. 

  • Dependency

While it is acceptable that people will take some kinds of the laxatives especially if used for short term, the perception that will always associate itself with dependency when taken in long term is actually true.

This could be particularly so with products termed as stimulant laxatives, which belong to a class of drugs intended to make muscles in intestinal tracts to contract in view of initiating bowel movement.

However, the vast majority of evidence in support of laxative dependency is primarily anecdotal evidence only.

Other Possible Side Effects of Laxatives

Laxative use has been associated with a number of other dangerous side effects, including:

  • Muscle Breakdown (rhabdomyolysis): A case that associating abuse of laxatives with muscle tissue damage as well as leakage of toxic protein in the blood was shown.
  • Digestive Issues: If taken on a consistent basis, a laxative begins to affect the function of the GI tract as was evidenced by the patients with the recovered anorexia.
  • Liver Damage: According to the authors of the case study, one of the patients was adversely affected by laxatives and suffered liver injury.
  • Kidney Failure: Another case study showed that the abuse of laxatives appeared to put the patient in severe acute kidney injury that needed dialysis to filter wastes and toxins in bloodstream.

Safer Alternatives for Weight Loss

If you are employing unhealthy techniques of losing weight such as the use of laxatives, purging or severely restricting your diet then you should stop and talk to your doctor.

There are many alternatives, safer and more effective methods of getting slim without risking your health.

  • Eat more fruits and vegetables: It does not have many calories, but has a lot of fiber. Looking at the facts it is possible to draw a conclusion that if a person uses many fruits and vegetables then, most probably, his or her weight will be low.
  • Increase your physical activity: Weight loss and prevention of regaining it, is possible with aerobic exercise; that should be done several times a week.
  • Reduce your portion sizes: Less food means fewer calories, and thus less fat, less sugar, less salt etc. It also said that even using the small plates can make people eat less.
  • Eat a high-protein breakfast: Usually, those who take their protein in the morning can actually decrease their hunger and the meals they take in the entire day.
  • Decrease your intake of added sugars: Most sugar products contain many calories, and are low in almost all nutrients and lead to weight gain.  Studies have noted that consumers of SSB are likely to become obese.

The Bottom Line

Laxatives are one of the best cure for the constipation issue because one is able to pass stool frequently.  That means, the use of laxatives cannot create the necessary effect for patients to lose weight sustainably.

If the goal is weight loss, change the eating plan a little and be physically active most of the time.  Such solutions are less risky, possible and at times even better in the long run.

Join over 2500 Subscribers to Our Weekly Newsletter

Our newsletter has tips, guides & resources that are all about your health and weight loss.

19 sources
Feedback:
  • Merante, A., Gareri, P., Marigliano, N. M., De Fazio, S., Bonacci, E., Torchia, C., … & Ruotolo, G. (2010). Laxative-induced rhabdomyolysis. Clinical interventions in aging, 71-73.
  • Brown, N. W., Treasure, J. L., & Campbell, I. C. (2001). Evidence for long‐term pancreatic damage caused by laxative abuse in subjects recovered from anorexia nervosa. International Journal of Eating Disorders, 29(2), 236-238.
  • Wiegelmann, W., Borchard, F., & Irmscher, K. (1975). Liver damage caused by laxatives. A contribution to the hepatotoxicity of 4, 4′-(2-quinolylmethylene)-diphenol-hydrochloride. Arzneimittel-forschung, 25(6), 849-851.
  • Copeland, P. M. (1994). Renal failure associated with laxative abuse. Psychotherapy and psychosomatics, 62(3-4), 200-202.
  • Bertoia, M. L., Mukamal, K. J., Cahill, L. E., Hou, T., Ludwig, D. S., Mozaffarian, D., … & Rimm, E. B. (2015). Changes in intake of fruits and vegetables and weight change in United States men and women followed for up to 24 years: analysis from three prospective cohort studies. PLoS medicine, 12(9), e1001878.
  • Swift, D. L., Johannsen, N. M., Lavie, C. J., Earnest, C. P., & Church, T. S. (2014). The role of exercise and physical activity in weight loss and maintenance. Progress in cardiovascular diseases, 56(4), 441-447.
  • McClain, A. D., van den Bos, W., Matheson, D., Desai, M., McClure, S. M., & Robinson, T. N. (2014). Visual illusions and plate design: the effects of plate rim widths and rim coloring on perceived food portion size. International journal of obesity, 38(5), 657-662.
  • Leidy, H., & Racki, E. M. (2010). The addition of a protein-rich breakfast and its effects on acute appetite control and food intake in ‘breakfast-skipping’adolescents. International journal of obesity, 34(7), 1125-1133.
  • Ludwig, D. S., Peterson, K. E., & Gortmaker, S. L. (2001). Relation between consumption of sugar-sweetened drinks and childhood obesity: a prospective, observational analysis. The lancet, 357(9255), 505-508.
  • Paré, P., Bridges, R., Champion, M. C., Ganguli, S. C., Gray, J. R., Irvine, E. J., … & Collins, S. M. (2007). Recommendations on chronic constipation (including constipation associated with irritable bowel syndrome) treatment. Canadian Journal of Gastroenterology and Hepatology, 21, 3B-22B.
  • Kim, H. J., Yoon, Y. M., & Park, K. N. (1994). The changes in electrolytes and acid-base balance after artificially induced acute diarrhea by laxatives. Journal of Korean Medical Science, 9(5), 388-393.
  • Kan, W. C., Wang, H. Y., Chien, C. C., Tan, C. K., Lin, C. Y., & Su, S. B. (2012). Intermediate bioelectrolyte changes after phospho-soda or polyethylene glycol precolonoscopic laxatives in a population undergoing health examinations. Nephrology Dialysis Transplantation, 27(2), 752-757.
  • Boutelle, K., Neumark-Sztainer, D., Story, M., & Resnick, M. (2002). Weight control behaviors among obese, overweight, and nonoverweight adolescents. Journal of pediatric psychology, 27(6), 531-540.
  • Allison, S. (2004). Fluid, electrolytes and nutrition. Clinical medicine, 4(6), 573-578.
  • Baker, MD, E. H., & Sandle, MD, G. I. (1996). Complications of laxative abuse. Annual Review of Medicine, 47(1), 127-134.
  • Müller-Lissner, S. (1992). Side effects of laxatives. Zeitschrift fur Gastroenterologie, 30(6), 418-427.
  • Neims, D. M., McNeill, J., Giles, T. R., & Todd, F. (1995). Incidence of laxative abuse in community and bulimic populations: a descriptive review. International Journal of Eating Disorders, 17(3), 211-228.
  • Lacey, J. H., & Gibson, E. (1985). Does laxative abuse control body weight? A comparative study of purging and vomiting bulimics. Human Nutrition. Applied Nutrition, 39(1), 36-42.
  • Portalatin, M., & Winstead, N. (2012). Medical management of constipation. Clinics in colon and rectal surgery, 25(01), 012-019.

 

Read this Next

Can Vitamin D Help With Weight Loss?

Vitamin D is an essential micronutrient with many essential health benefits such as enhancing the body’s immune system and...

READ MORE

Fenugreek for Weight Loss, and Other Benefits

Fenugreek is an herb popular in many cultures and is commonly used in methods of traditional remedy. It is...

READ MORE

Turmeric for Weight Loss, and 10 Other Benefits

Turmeric, a bright yellow spice or color used in cooking and medicine, has become an interest for many scientists...

READ MORE

Science-Backed Ways to Promote Long-Term Fat Loss

Fat loss, as with any type of weight loss, is considered by most people as a difficult and laborious...

READ MORE