I know Madonna is in great shape with diet and exercise; I don't know if she takes any type of chemical pill for her workouts..This is what heloed me..I weighed 177lbs 44 inch waist..2years later, today..Diet and exercise alone I still weigh 177 lbs only i have a 35 inch waist...Once again, I don't know what Madonna would say if she read this..I hope it helps..