Yes from what I have read on this board, you have to eat around 15 grams of fat for Alli to do any good, SO if you are eating a low or no fat breakfast then skip the pill and wait for the next meal.
I already eat low and or no fat so I only take a pill when I know I am upwards of 15grams. Actually on My Alli plan it tells me I can have 19 per meal. I know I would probably have "effects" if I did that.
So I am thinking that if I eat low/no fat the pill will do nothing for me, I will save the pills for times when I am eating 10 or more grams of fat. I am on Weight Watchers so will not show any big numbers as far as loosing not at one time anyway.
This pill binds with fat only and will get 25% of the fat you eat out of you and trust me it works. I ate 2 tacos the other night, it most certainly works.
Betty also said you can take the pill when you eat or up to one hour after to cover that meal. I think thats a good thing so if you see you went over or up to 15gr then take the pill, it will remove that 25% of fat from you.
I have 75 pounds to loose and have 25 off so far, this I have acheived with WW.