It's the ultimate philosopher's stone in weight loss - finding a pill that can trick your body into thinking it has eaten a lot.
But scientists may be one step closer to creating one after early tests proved successful.
In tests on mice it effectively halted weight gain, lowered cholesterol, controlled blood sugar, and reduced levels of unhealthy white fat.
US lead scientist Dr Ronald Evans, director of the Salk Institute's Gene Expression Laboratory in La Jolla, California, said: "This pill is like an imaginary meal. It sends out the same signals that normally happen when you eat a lot of food, so the body starts clearing out space to store it. But there are no calories and no change in appetite."
The drug, fexaramine, activates a protein called the farensoid X receptor (FXR) that plays a role in how the body releases bile acids from the liver, digests food and stores fats and sugars.
At the start of a meal, FXR prepares for an influx of food, not only triggering bile acid release but also altering blood sugar levels and instigating the burning of some fats.
Other drugs have been developed that act on FXR pathways, but they affect several organs and have unwanted side effects. An important feature of fexaramine is that it only functions in the gut and does not dissolve into the blood like appetite suppressants or caffeine-based diet drugs.
Since it does not reach the bloodstream it is likely to be safer than other FXR-targeting drugs, say the researchers who are working to set up clinical trials that will test fexaramine's effectiveness in human patients.
Obese mice given a daily dose of the drug for five weeks stopped gaining weight, lost fat, and had lower blood sugar and cholesterol levels than untreated mice.
They also experienced a rise in body temperature, a sign that their metabolism was ramping up. Some of the deposits of white fat in their bodies were converted into the healthier form of calorie-burning "brown" fat.
The drug even affected bacteria in the guts of the mice, although what these changes mean is not yet clear.
Dr Evans compared fexaramine's effect in the intestine to the start of a relay race.
"The body's response to a meal is like a relay race, and if you tell all the runners to go at the same time, you'll never pass the baton," he said. "We've learned how to trigger the first runner so that the rest of the events happen in a natural order."
Ideally the drug, would work in conjunction with diet and lifestyle changes to combat obesity, said the scientists, whose research is reported in the journal Nature Medicine.
US News Best Diets 2015
1. DASH Diet(01 of35)
Open Image Modal2. TLC Diet (02 of35)
Open Image Modal3. (Tie) Mayo Clinic Diet(03 of35)
Open Image Modal3. (Tie) Mediterranean Diet (04 of35)
Open Image Modal3. (Tie) Weight Watchers Diet(05 of35)
Open Image Modal6. (Tie) Flexitarian Diet(06 of35)
Open Image Modal6. (Tie) Volumetrics Diet(07 of35)
Open Image Modal8. Jenny Craig Diet(08 of35)
Open Image Modal9. (Tie) Biggest Loser Diet (09 of35)
Open Image Modal9. (Tie) Ornish Diet (10 of35)
Open Image Modal11. (Tie) Traditional Asian Diet(11 of35)
Open Image Modal11. (Tie) Vegetarian Diet(12 of35)
Open Image Modal13. (Tie) Anti-Inflammatory Diet(13 of35)
Open Image Modal13. (Tie) Slim-Fast(14 of35)
Open Image Modal13. (Tie) Spark Solution Diet(15 of35)
Open Image Modal16. (Tie) Flat Belly Diet(16 of35)
Open Image Modal16. (Tie) HMR Diet(17 of35)
Open Image ModalThe HMR Diet received moderate scores in most measures. It did particularly well in categories such as short-term weight loss, nutrition, safety and healthiness. Still, some experts weren't convinced the costly meal-replacement program is necessary. "I would only suggest this under extreme circumstances," one said. "It's very expensive and not practical for most people."
Overall score: 3.2 out of 5 (credit:Amazon.com)
16. (Tie) Nutrisystem(18 of35)
Open Image Modal19. (Tie) Abs Diet (19 of35)
Open Image Modal19. (Tie) Engine 2 Diet(20 of35)
Open Image Modal19. (Tie) South Beach Diet(21 of35)
Open Image Modal19. (Tie) Vegan Diet (22 of35)
Open Image Modal24. (Tie) Zone Diet(23 of35)
Open Image Modal24. (Tie) Eco-Atkins Diet (24 of35)
Open Image Modal24. (Tie) Glycemic-Index Diet (25 of35)
Open Image Modal26. (Tie) Macrobiotic Diet (26 of35)
Open Image Modal26. (Tie) Medifast(27 of35)
Open Image Modal28. (Tie) Acid Alkaline Diet(28 of35)
Open Image Modal28. (Tie) Supercharged Hormone Diet(29 of35)
Open Image ModalExperts were not eager to recommend the Supercharged Hormone Diet, which received mediocre marks in all categories. It performed particularly poorly in areas such as easiness to follow; long-term weight loss; nutrition; and effect on diabetes and heart health. "The premise of this diet is ridiculous – and it doesn't promote long-term weight loss or improved eating behavior," one expert concluded.
Overall score: 2.6 out of 5 (credit:Amazon.com)
30. (Tie) Body Reset Diet(30 of35)
Open Image ModalExperts were unenthusiastic about the Body Reset Diet, which received mediocre marks in all categories. It performed particularly poorly in areas such as long-term weight loss and easiness to follow. "It's a gimmick -- an unhealthy weight loss diet," one expert noted. "It's not a way of sustainable eating."
Overall score: 2.5 out of 5 (credit:Amazon.com)
30. (Tie) The Fast Diet(31 of35)
Open Image Modal32. (Tie) Atkins Diet(32 of35)
Open Image Modal32. (Tie) Raw Food Diet (33 of35)
Open Image Modal34. (Tie) Dukan Diet (34 of35)
Open Image Modal34. (Tie) Paleo Diet (35 of35)
Open Image Modal