Hi Tiny toes
Two problems with ephedrine as a slimming aid (for which it is commonly used in the US - it's also known as Ma Huang)
1) It doesn't work
2) It has unpleasant and occasionally dangerous side effects - it causes palpitations, increases blood pressure, and has been implicated in heart attacks and bleeds into the brain. It's particularl;y risky in people with migraine or heart disease.
If you won't diet (no such word as can't in this context, I'm afraid), there's nothing in a bottle likely to help either. Of the two products licensed in this country, Orlistat (Xenical) has to be taken in combination with a very strict low-fat diet or you'll be squitting orange oily stuff on to your mate's white sofa. Sibutramine (Reductil) is a distant relative of the old amphetamine-based appetite suppressants and has been withdrawn in Italy on safety grounds. I've prescribed Orlistat occasionally, with some success, but it isn't much more effective than diet alone and certainly isn't a substitute for diet. The word "Sibutramine" will not roll off my pen on to a prescription until I am more convinced that it is safe and that it works.
I am sure you could easily get both from dodgy "clinics", but if they were good drugs and suitable for you, you'd get them on the NHS. The government recognises the problem of obesity.
More importantly, I have never come across anyone whose life went from miserable to happy because they'd lost a relatively modest amount of weight. Are you sure your weight is the problem?
If so, grit your teeth and accept that you're going to have to put up with a bit of hunger. Get your walking shoes on and pound the pavements. Hit the pool and swim. Join a commercial slimming group. You can deal with your weight - many of us here are having to do just that - and you will feel a million times better when you realise that you can do it by yourself and for yourself.
Sorry - bit of a rant. I have strong feelings about the unregulated side of the slimming industry.
Cheers, V-rap.