The ones that are legit  74a   target real actual medical conditions, there isn't really a lose weight pill. There are pills for curbing appetite, or caffeine to amp you up and make you run some laps, but there isn't a magic fat disappears and never forms again pill. It's like you have different military divisions for different scenarios but if the thing you are fighting just keeps dropping nukes, it doesn't matter how good you are at combatting on the front lines.