When will ozempic be available to the rest of us?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:We didn’t have this obesity problem 30 years ago. Cook your food. Stop buying processed food. Stop wanting to use medication as a crutch. Pay $1K/month to get it. You want insurance to pay, right. That’s what you really meant. Stop stuffing your face. Really exercise. Really.

another super ignorant and uneducated post. Food and lifestyles have changed dramatically over the past 30 years. Yes, of course I want insurance to pay. Why would I not? By your logic insurance should not pay for any medications. They are just crutches and quick fixes after all.

You just said the same thing and then I added the excuse in the end. Tomatoes haven’t changed in 30 years. Maybe buy some of those instead of stuff that has 10,000 ingredients.

When did we start genetically modifying our veggies and fruits?

If you’re talking about the current working definition of GMO, genetically engineered tomatoes were first sold in 1994, though it isn’t correct to say that tomatoes haven’t changed since then.

Regardless of whether tomatoes have changed or not, the argument that Americans should just stop buying heavily processed foods and buy more fruits and vegetables in order to address obesity is akin to telling people to just walk everywhere to stay in shape. It’s a facile argument and unrealistic in our society. There are food deserts and affordability to consider, plus cultural differences and genetics. But it is primarily meant as an insult in any case.

Many people can and have changed their eating habits for the better permanently, but on a societal scale the US has a significant and costly obesity problem. It won’t be fixed by telling people to buy tomatoes. If lots of people lose weight and improve their health outcomes via meds, that is fantastic for all of us. And since these meds reduce cravings and mindless snacking, they make it easier to “just eat a tomato.” Win win.

Effectively zero people that participate in this forum live in a food desert. Exactly zero of the people asking when these branded drugs will be available for the purpose OP is asking live in a food desert. It’s insulting to appropriate that harsh reality. People asking for these novel drugs for garden variety obesity just don’t want to change and do the work. Expecting 40% of the US population to solve a mostly self inflected problem through novel pharmaceutical intervention is incredibly dumb.

The post you quote is perfectly clear that it is referencing American society in general. Your appropriation comment is laughable.

Fortunately these novel drugs won’t be novel for long; this has been widely covered in the media. Several obesity drugs are in the pipeline in addition to those already available. In less than 10 years patents will start expiring and generics will flood the market.

Regardless of your opinion of people who use or will use these drugs, they are extremely clinically valuable and have improved and will continue to improve the quality of life for millions of Americans.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:We didn’t have this obesity problem 30 years ago. Cook your food. Stop buying processed food. Stop wanting to use medication as a crutch. Pay $1K/month to get it. You want insurance to pay, right. That’s what you really meant. Stop stuffing your face. Really exercise. Really.

another super ignorant and uneducated post. Food and lifestyles have changed dramatically over the past 30 years. Yes, of course I want insurance to pay. Why would I not? By your logic insurance should not pay for any medications. They are just crutches and quick fixes after all.

You just said the same thing and then I added the excuse in the end. Tomatoes haven’t changed in 30 years. Maybe buy some of those instead of stuff that has 10,000 ingredients.

When did we start genetically modifying our veggies and fruits?

If you’re talking about the current working definition of GMO, genetically engineered tomatoes were first sold in 1994, though it isn’t correct to say that tomatoes haven’t changed since then.

Regardless of whether tomatoes have changed or not, the argument that Americans should just stop buying heavily processed foods and buy more fruits and vegetables in order to address obesity is akin to telling people to just walk everywhere to stay in shape. It’s a facile argument and unrealistic in our society. There are food deserts and affordability to consider, plus cultural differences and genetics. But it is primarily meant as an insult in any case.

Many people can and have changed their eating habits for the better permanently, but on a societal scale the US has a significant and costly obesity problem. It won’t be fixed by telling people to buy tomatoes. If lots of people lose weight and improve their health outcomes via meds, that is fantastic for all of us. And since these meds reduce cravings and mindless snacking, they make it easier to “just eat a tomato.” Win win.

Effectively zero people that participate in this forum live in a food desert. Exactly zero of the people asking when these branded drugs will be available for the purpose OP is asking live in a food desert. It’s insulting to appropriate that harsh reality. People asking for these novel drugs for garden variety obesity just don’t want to change and do the work. Expecting 40% of the US population to solve a mostly self inflected problem through novel pharmaceutical intervention is incredibly dumb.

The post you quote is perfectly clear that it is referencing American society in general. Your appropriation comment is laughable.

Fortunately these novel drugs won’t be novel for long; this has been widely covered in the media. Several obesity drugs are in the pipeline in addition to those already available. In less than 10 years patents will start expiring and generics will flood the market.

Regardless of your opinion of people who use or will use these drugs, they are extremely clinically valuable and have improved and will continue to improve the quality of life for millions of Americans.

You do realize drug patents last 20 years, right?

That said, I do hope competition drives down prices and gives insurance companies the ability to negotiate.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:We didn’t have this obesity problem 30 years ago. Cook your food. Stop buying processed food. Stop wanting to use medication as a crutch. Pay $1K/month to get it. You want insurance to pay, right. That’s what you really meant. Stop stuffing your face. Really exercise. Really.

another super ignorant and uneducated post. Food and lifestyles have changed dramatically over the past 30 years. Yes, of course I want insurance to pay. Why would I not? By your logic insurance should not pay for any medications. They are just crutches and quick fixes after all.

You just said the same thing and then I added the excuse in the end. Tomatoes haven’t changed in 30 years. Maybe buy some of those instead of stuff that has 10,000 ingredients.

When did we start genetically modifying our veggies and fruits?

If you’re talking about the current working definition of GMO, genetically engineered tomatoes were first sold in 1994, though it isn’t correct to say that tomatoes haven’t changed since then.

Regardless of whether tomatoes have changed or not, the argument that Americans should just stop buying heavily processed foods and buy more fruits and vegetables in order to address obesity is akin to telling people to just walk everywhere to stay in shape. It’s a facile argument and unrealistic in our society. There are food deserts and affordability to consider, plus cultural differences and genetics. But it is primarily meant as an insult in any case.

Many people can and have changed their eating habits for the better permanently, but on a societal scale the US has a significant and costly obesity problem. It won’t be fixed by telling people to buy tomatoes. If lots of people lose weight and improve their health outcomes via meds, that is fantastic for all of us. And since these meds reduce cravings and mindless snacking, they make it easier to “just eat a tomato.” Win win.

Effectively zero people that participate in this forum live in a food desert. Exactly zero of the people asking when these branded drugs will be available for the purpose OP is asking live in a food desert. It’s insulting to appropriate that harsh reality. People asking for these novel drugs for garden variety obesity just don’t want to change and do the work. Expecting 40% of the US population to solve a mostly self inflected problem through novel pharmaceutical intervention is incredibly dumb.

The post you quote is perfectly clear that it is referencing American society in general. Your appropriation comment is laughable.

Fortunately these novel drugs won’t be novel for long; this has been widely covered in the media. Several obesity drugs are in the pipeline in addition to those already available. In less than 10 years patents will start expiring and generics will flood the market.

Regardless of your opinion of people who use or will use these drugs, they are extremely clinically valuable and have improved and will continue to improve the quality of life for millions of Americans.

You do realize drug patents last 20 years, right?

That said, I do hope competition drives down prices and gives insurance companies the ability to negotiate.

A large number of people who had coverage for these drugs and have lost it, plus those whose coverage excludes the medications entirely, are turning to compounded versions of the medications. Shouldn't that be an incentive for the manufacturers to compromise on pricing to maintain their market share? I'm hoping that the increasingly widespread use of compounded versions will lead to more affordable prices in the near term.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:We didn’t have this obesity problem 30 years ago. Cook your food. Stop buying processed food. Stop wanting to use medication as a crutch. Pay $1K/month to get it. You want insurance to pay, right. That’s what you really meant. Stop stuffing your face. Really exercise. Really.

another super ignorant and uneducated post. Food and lifestyles have changed dramatically over the past 30 years. Yes, of course I want insurance to pay. Why would I not? By your logic insurance should not pay for any medications. They are just crutches and quick fixes after all.

You just said the same thing and then I added the excuse in the end. Tomatoes haven’t changed in 30 years. Maybe buy some of those instead of stuff that has 10,000 ingredients.

When did we start genetically modifying our veggies and fruits?

If you’re talking about the current working definition of GMO, genetically engineered tomatoes were first sold in 1994, though it isn’t correct to say that tomatoes haven’t changed since then.

Regardless of whether tomatoes have changed or not, the argument that Americans should just stop buying heavily processed foods and buy more fruits and vegetables in order to address obesity is akin to telling people to just walk everywhere to stay in shape. It’s a facile argument and unrealistic in our society. There are food deserts and affordability to consider, plus cultural differences and genetics. But it is primarily meant as an insult in any case.

Many people can and have changed their eating habits for the better permanently, but on a societal scale the US has a significant and costly obesity problem. It won’t be fixed by telling people to buy tomatoes. If lots of people lose weight and improve their health outcomes via meds, that is fantastic for all of us. And since these meds reduce cravings and mindless snacking, they make it easier to “just eat a tomato.” Win win.

Effectively zero people that participate in this forum live in a food desert. Exactly zero of the people asking when these branded drugs will be available for the purpose OP is asking live in a food desert. It’s insulting to appropriate that harsh reality. People asking for these novel drugs for garden variety obesity just don’t want to change and do the work. Expecting 40% of the US population to solve a mostly self inflected problem through novel pharmaceutical intervention is incredibly dumb.

You don’t know that. Among the Pure Barre or Orangetheory crowd, sure. But this is a regional board and DC has food deserts FFS. And it’s really insulting to imply that people who live in a food desert (or who have a limited income and may as well live in food desert because they can’t afford Whole Foods) within the DMV don’t care enough about their health to spend 20 minutes reading this forum. Check your privilege please.

Bolded statement indicates you are not a serious person and you have nothing worth saying.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:We didn’t have this obesity problem 30 years ago. Cook your food. Stop buying processed food. Stop wanting to use medication as a crutch. Pay $1K/month to get it. You want insurance to pay, right. That’s what you really meant. Stop stuffing your face. Really exercise. Really.

another super ignorant and uneducated post. Food and lifestyles have changed dramatically over the past 30 years. Yes, of course I want insurance to pay. Why would I not? By your logic insurance should not pay for any medications. They are just crutches and quick fixes after all.

You just said the same thing and then I added the excuse in the end. Tomatoes haven’t changed in 30 years. Maybe buy some of those instead of stuff that has 10,000 ingredients.

When did we start genetically modifying our veggies and fruits?

If you’re talking about the current working definition of GMO, genetically engineered tomatoes were first sold in 1994, though it isn’t correct to say that tomatoes haven’t changed since then.

Regardless of whether tomatoes have changed or not, the argument that Americans should just stop buying heavily processed foods and buy more fruits and vegetables in order to address obesity is akin to telling people to just walk everywhere to stay in shape. It’s a facile argument and unrealistic in our society. There are food deserts and affordability to consider, plus cultural differences and genetics. But it is primarily meant as an insult in any case.

Many people can and have changed their eating habits for the better permanently, but on a societal scale the US has a significant and costly obesity problem. It won’t be fixed by telling people to buy tomatoes. If lots of people lose weight and improve their health outcomes via meds, that is fantastic for all of us. And since these meds reduce cravings and mindless snacking, they make it easier to “just eat a tomato.” Win win.

Effectively zero people that participate in this forum live in a food desert. Exactly zero of the people asking when these branded drugs will be available for the purpose OP is asking live in a food desert. It’s insulting to appropriate that harsh reality. People asking for these novel drugs for garden variety obesity just don’t want to change and do the work. Expecting 40% of the US population to solve a mostly self inflected problem through novel pharmaceutical intervention is incredibly dumb.

The post you quote is perfectly clear that it is referencing American society in general. Your appropriation comment is laughable.

Fortunately these novel drugs won’t be novel for long; this has been widely covered in the media. Several obesity drugs are in the pipeline in addition to those already available. In less than 10 years patents will start expiring and generics will flood the market.

Regardless of your opinion of people who use or will use these drugs, they are extremely clinically valuable and have improved and will continue to improve the quality of life for millions of Americans.

You do realize drug patents last 20 years, right?

That said, I do hope competition drives down prices and gives insurance companies the ability to negotiate.

A large number of people who had coverage for these drugs and have lost it, plus those whose coverage excludes the medications entirely, are turning to compounded versions of the medications. Shouldn't that be an incentive for the manufacturers to compromise on pricing to maintain their market share? I'm hoping that the increasingly widespread use of compounded versions will lead to more affordable prices in the near term.

I wouldn’t count on it. Compounding is only legal (in some cases) because these drugs are in such shortage. There is huge unmet demand, and scaling up production of injectables is projected to take time— measured in years, not months. For the last year, it’s been almost impossible to start brand name Wegovy because the starting doses were intentionally throttled. They are throwing everything they can at just maintaining the people who started before spring 2023. Zepbound started as available, but my online weight loss support group is starting to report shortages in lower doses of that med too. And my best friend was switched off Saxenda to a maintenance dose (not starting dose) of Wegovy because Saxenda was impossible to find.

And these drugs are only being prescribed in the US (and some in Britain) right now. The rest of the world is still waiting. I’d love prices to go down. But as long as demand is so much greater than supply, Adam Smith says it’s unlikely.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:We didn’t have this obesity problem 30 years ago. Cook your food. Stop buying processed food. Stop wanting to use medication as a crutch. Pay $1K/month to get it. You want insurance to pay, right. That’s what you really meant. Stop stuffing your face. Really exercise. Really.

another super ignorant and uneducated post. Food and lifestyles have changed dramatically over the past 30 years. Yes, of course I want insurance to pay. Why would I not? By your logic insurance should not pay for any medications. They are just crutches and quick fixes after all.

You just said the same thing and then I added the excuse in the end. Tomatoes haven’t changed in 30 years. Maybe buy some of those instead of stuff that has 10,000 ingredients.

When did we start genetically modifying our veggies and fruits?

If you’re talking about the current working definition of GMO, genetically engineered tomatoes were first sold in 1994, though it isn’t correct to say that tomatoes haven’t changed since then.

Regardless of whether tomatoes have changed or not, the argument that Americans should just stop buying heavily processed foods and buy more fruits and vegetables in order to address obesity is akin to telling people to just walk everywhere to stay in shape. It’s a facile argument and unrealistic in our society. There are food deserts and affordability to consider, plus cultural differences and genetics. But it is primarily meant as an insult in any case.

Many people can and have changed their eating habits for the better permanently, but on a societal scale the US has a significant and costly obesity problem. It won’t be fixed by telling people to buy tomatoes. If lots of people lose weight and improve their health outcomes via meds, that is fantastic for all of us. And since these meds reduce cravings and mindless snacking, they make it easier to “just eat a tomato.” Win win.

Effectively zero people that participate in this forum live in a food desert. Exactly zero of the people asking when these branded drugs will be available for the purpose OP is asking live in a food desert. It’s insulting to appropriate that harsh reality. People asking for these novel drugs for garden variety obesity just don’t want to change and do the work. Expecting 40% of the US population to solve a mostly self inflected problem through novel pharmaceutical intervention is incredibly dumb.

The post you quote is perfectly clear that it is referencing American society in general. Your appropriation comment is laughable.

Fortunately these novel drugs won’t be novel for long; this has been widely covered in the media. Several obesity drugs are in the pipeline in addition to those already available. In less than 10 years patents will start expiring and generics will flood the market.

Regardless of your opinion of people who use or will use these drugs, they are extremely clinically valuable and have improved and will continue to improve the quality of life for millions of Americans.

You do realize drug patents last 20 years, right?

That said, I do hope competition drives down prices and gives insurance companies the ability to negotiate.

You do realize that the Semaglutide patent expires in the US in less than 10 years, right? Earlier in other countries.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Eat healthy. Exercise. Done.

Yup. This trend of salivating for drugs instead of just doing what you’re supposed to be doing is bonkers.

NP. Americans are lazy. They consume high amount of carbs, sugar and calories. They have high cholesterol, pre diabetes or diabetes, but at the same time want to stay thin. Lol

That "lol" at the end really conveyed your point

Presumably you are thin, healthy and smart, so why are you on this thread? Oh I know, because you're just nasty and jealous.

Jealous of what? OP coveting a drug to change their biochemistry to promote weight loss instead of acting like a normal human was designed, which avoids the weight gain in the first place? Or jealous of the other people in this thread that think innovation should be free. I’m sure all those posters also work for free.

Again, why are you here? Just to gloat about how perfect you are. We get it. You are sooooooooo much better than us fatties looking for a drug to fix us. Does that make you feel better?

Its a discussion forum. You know, for discussion.

The suggestion anyone is jealous of any of this is constant, yet exceptionally dumb. Similarly, the entire post's concept reeks of entitlement. Why exactly would a novel pharaceutical that is being now being used beyond its original indication to treat a self-inflicted disease be ready available "for the rest of us" at effectively no cost? How does that make any amount of sense? Do you work for free? The answer is you don't. And, that attitude of entitlement probably landed you in whatever predicament you are in with regard to your weight and lack of self control anyways.

Presumably, people discuss things that affect them or they have experience in. By your own admission this has ZERO bearing on your life, so why are you here if not to shit on people doing their best to lose the weight? Because you are a shit person, an anonymous keyboard warrior sticking it to us fatties on the internet trying to make yourself feel better.

Everything else you said is pure shit and you should read on about these drugs if you wish to "discuss."

I am not the PP with whom you are responding, but I do agree this is a discussion board, and comments like “people doing their best to lose the weight” via a drug is not doing your best. It’s the easy way out. Taking care of your body is a commitment and doesn’t just magically happen with a miracle drug.

You also do not know what you are talking about. Please educate yourself before “discussing” these drugs. And I ask you the same, why are you here if not to shit on people? Because you’re certainly not contributing anything of substance.

NP. Jeez do you lash out in real life whenever someone disagrees with you? This is dcum, a place where people can post however they please. I'm willing to bet that you've posted quite a bit on threads that had nothing to do with you. You don't like his/her commentary but they're being honest and adding some value to this discussion imo.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Eat healthy. Exercise. Done.

Yup. This trend of salivating for drugs instead of just doing what you’re supposed to be doing is bonkers.

NP. Americans are lazy. They consume high amount of carbs, sugar and calories. They have high cholesterol, pre diabetes or diabetes, but at the same time want to stay thin. Lol

That "lol" at the end really conveyed your point

Presumably you are thin, healthy and smart, so why are you on this thread? Oh I know, because you're just nasty and jealous.

Jealous of what? OP coveting a drug to change their biochemistry to promote weight loss instead of acting like a normal human was designed, which avoids the weight gain in the first place? Or jealous of the other people in this thread that think innovation should be free. I’m sure all those posters also work for free.

Again, why are you here? Just to gloat about how perfect you are. We get it. You are sooooooooo much better than us fatties looking for a drug to fix us. Does that make you feel better?

Its a discussion forum. You know, for discussion.

The suggestion anyone is jealous of any of this is constant, yet exceptionally dumb. Similarly, the entire post's concept reeks of entitlement. Why exactly would a novel pharaceutical that is being now being used beyond its original indication to treat a self-inflicted disease be ready available "for the rest of us" at effectively no cost? How does that make any amount of sense? Do you work for free? The answer is you don't. And, that attitude of entitlement probably landed you in whatever predicament you are in with regard to your weight and lack of self control anyways.

Presumably, people discuss things that affect them or they have experience in. By your own admission this has ZERO bearing on your life, so why are you here if not to shit on people doing their best to lose the weight? Because you are a shit person, an anonymous keyboard warrior sticking it to us fatties on the internet trying to make yourself feel better.

Everything else you said is pure shit and you should read on about these drugs if you wish to "discuss."

I am not the PP with whom you are responding, but I do agree this is a discussion board, and comments like “people doing their best to lose the weight” via a drug is not doing your best. It’s the easy way out. Taking care of your body is a commitment and doesn’t just magically happen with a miracle drug.

You also do not know what you are talking about. Please educate yourself before “discussing” these drugs. And I ask you the same, why are you here if not to shit on people? Because you’re certainly not contributing anything of substance.

NP. Jeez do you lash out in real life whenever someone disagrees with you? This is dcum, a place where people can post however they please. I'm willing to bet that you've posted quite a bit on threads that had nothing to do with you. You don't like his/her commentary but they're being honest and adding some value to this discussion imo.

DP. I'm curious - for anyone who has either never been overweight or obese or never taken these drugs, how do you know how hard or easy it is to lose weight - with or without the drugs?
And if you don't know, why is it so important to judge? For those who are so deeply committed to health, it's perplexing why there is so much resistance to medication that is actually helping people make healthier choices, exercise more, and reduce health risks associated with obesity. Isn't that the goal? It sounds like many people prefer that "fatties" suffer and fail because they don't deserve an approved medication to promote a healthier lifestyle.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Eat healthy. Exercise. Done.

Yup. This trend of salivating for drugs instead of just doing what you’re supposed to be doing is bonkers.

NP. Americans are lazy. They consume high amount of carbs, sugar and calories. They have high cholesterol, pre diabetes or diabetes, but at the same time want to stay thin. Lol

That "lol" at the end really conveyed your point

Presumably you are thin, healthy and smart, so why are you on this thread? Oh I know, because you're just nasty and jealous.

Jealous of what? OP coveting a drug to change their biochemistry to promote weight loss instead of acting like a normal human was designed, which avoids the weight gain in the first place? Or jealous of the other people in this thread that think innovation should be free. I’m sure all those posters also work for free.

Again, why are you here? Just to gloat about how perfect you are. We get it. You are sooooooooo much better than us fatties looking for a drug to fix us. Does that make you feel better?

Its a discussion forum. You know, for discussion.

The suggestion anyone is jealous of any of this is constant, yet exceptionally dumb. Similarly, the entire post's concept reeks of entitlement. Why exactly would a novel pharaceutical that is being now being used beyond its original indication to treat a self-inflicted disease be ready available "for the rest of us" at effectively no cost? How does that make any amount of sense? Do you work for free? The answer is you don't. And, that attitude of entitlement probably landed you in whatever predicament you are in with regard to your weight and lack of self control anyways.

Presumably, people discuss things that affect them or they have experience in. By your own admission this has ZERO bearing on your life, so why are you here if not to shit on people doing their best to lose the weight? Because you are a shit person, an anonymous keyboard warrior sticking it to us fatties on the internet trying to make yourself feel better.

Everything else you said is pure shit and you should read on about these drugs if you wish to "discuss."

I am not the PP with whom you are responding, but I do agree this is a discussion board, and comments like “people doing their best to lose the weight” via a drug is not doing your best. It’s the easy way out. Taking care of your body is a commitment and doesn’t just magically happen with a miracle drug.

You also do not know what you are talking about. Please educate yourself before “discussing” these drugs. And I ask you the same, why are you here if not to shit on people? Because you’re certainly not contributing anything of substance.

NP. Jeez do you lash out in real life whenever someone disagrees with you? This is dcum, a place where people can post however they please. I'm willing to bet that you've posted quite a bit on threads that had nothing to do with you. You don't like his/her commentary but they're being honest and adding some value to this discussion imo.

DP. I'm curious - for anyone who has either never been overweight or obese or never taken these drugs, how do you know how hard or easy it is to lose weight - with or without the drugs?
And if you don't know, why is it so important to judge? For those who are so deeply committed to health, it's perplexing why there is so much resistance to medication that is actually helping people make healthier choices, exercise more, and reduce health risks associated with obesity. Isn't that the goal? It sounds like many people prefer that "fatties" suffer and fail because they don't deserve an approved medication to promote a healthier lifestyle.

PP quoted in this gigantic string in here somewhere. Yes, was obese and turned myself around. Extremely unhealthy. No, did not use drugs. Unless you qualify water and exercise and actually eating real food in normal quantities a drug.

Yes, I do have a problem with paying for expensive pharmaceutical intervention via insurance or any other subsidy, many times being used outside of their indications, where people won’t do the work to change their life. Totally fine if they want to pay out of pocket cash.

I also think the arguments about “well it’s better than X” are weak. like negotiating with a terrorist and them saying they will only blow up and small building instead of a big one. How about fix the behavior and environment that landed you in the spot you are in? It isn’t impossible. Hard, yes. Impossible, no.

And the OP is really rich. Near normal BMI and wondering when these will be more widely available? JFC

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:We didn’t have this obesity problem 30 years ago. Cook your food. Stop buying processed food. Stop wanting to use medication as a crutch. Pay $1K/month to get it. You want insurance to pay, right. That’s what you really meant. Stop stuffing your face. Really exercise. Really.

Yes! I see so many older women out with their daughters and the moms are all slim and the daughter's all overweight or obese!!! Americans got lazy.

Yep. My mom sent a photo of --her, my brother and sister when we were 12, 15, and 17 and she was around 40-42 at the beach. My god we were so thin--though I never was thought of as 'thin'. Even my mom was thin by today's standards and she wasn't one of the 'small' moms. It was pretty crazy to see. That was the late 70s/early-mid 80s. I can't remember a single fat person in my high school and the kids we thought were fat---were nowhere even considered chubby today.

My teen sons have always been very fit ---16 year old is too skinny. 18 year old all muscle.

My husband and I workout together all the time. Today the 16 year old had off so he came to our crossfit-type gym class with us.

We always work out. I was a college soccer player and ran marathons for years after. Then every kind of fitness fad there was. My diet ok--not a complete health nut. Same weight since I was 25.

Husband is also an athlete.

Working out is like brushing your teeth in our family. It's something to be done daily. And, if you don't you still get out and get fresh air. We also buy groceries at Whole Foods and don't have soda or too much crap around the house. Chips for the boys some, etc.

And by the logic of this thread we should be obligated to subsidize an active lifestyle with a $1k/month stipend. Maybe buy a new carbon bike every five months. Makes total sense.

I keep asking people like the two of you: WHY ARE YOU ON THIS THREAD? you don’t need the meds. This does not concern you.

It does because you are demanding somebody cover your own expenses. Pay out of pocket and we don't care. Demand extensive and subsidized access to these expensive medications and people are going to have an interest in that debate.

Interesting. If we are looking at this from a purely economic angle, then it follows that you should be in favor of coverage.
In the aggregate, obesity costs the American healthcare industry 260 billion dollars. Interventions through medication prior to the onset of the obesity-related conditions should reduce that overall cost, particularly if demand increases and costs come down, as they should be expected to.

https://www.jmcp.org/doi/full/10.18553/jmcp.2021.20410

NP here.

First, this must be a new economic principle - demand increases and costs go *down.* Fascinating.

Regardless, you're probably right that drug intervention could bring the costs of obesity down, and it would be a net gain for the system. But insurance companies don't deal in the overall, aggregate health costs - they deal with the health costs of their own insureds. And people change health insurance often - they change jobs, get a different plan in the Exchange, etc. Moreover, virtually everyone is off private coverage, and on Medicare, when they turn 65. So if an insurance company pays for a weight loss drug simply so people can lose weight - which is what many are suggesting here - it may pay dividends down the road. But it won't pay dividends to that insurer if the insured has changed plans. And companies know they won't get any returns if formerly obese people's health improves when they are elderly.

Insurance companies pay actuaries a lot of money, and I'm pretty sure if they could establish that they'd save on claims if they covered all weight loss drugs for everyone, they'd do it. Or are you suggesting that they know they could save money but are choosing not to?

I am astonished, and disheartened, that this has to be explained.

I am not sure what you think you explained. Someone made the argument that insurance should not cover weight loss medication because the costs of that medication eventually "trickle down" to the person paying the insurance premiums. That is true in an abstract long term sense. It is ALSO true that the cost of claims made as a result of obesity eventually trickle down to the individual paying the insurance premiums. Medication to treat obesity reduces claims from resulting conditions so is at best a wash. So no need for anyone paying insurance premiums to worry about cost to them.

What I explained, and that you apparently still didn't get, is that the "abstract long term sense" and "Medication to treat obesity reduces claims from resulting conditions so is at best a wash" are completely irrelevant. Even if everything you are saying is correct (and it's all just speculation on your part), insurance companies don't make decisions based on the overall population, they make it based on their pool of insureds, and how *they* will benefit. Covering an expensive drug for a 62 yo likely won't result in much savings to them, because that person will be on medicare when the benefits are realized. Helping an otherwise healthy obese person lode weight with an expensive drug may or may not help their bottom line, because of job changes, etc.

Short version - it doesn't matter if widespread coverage of these drugs will help the overall health of the population and reduce nationwide health costs, because that's not what the coverage decision will be based on.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

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Anonymous wrote:

Anonymous wrote:Eat healthy. Exercise. Done.

Yup. This trend of salivating for drugs instead of just doing what you’re supposed to be doing is bonkers.

NP. Americans are lazy. They consume high amount of carbs, sugar and calories. They have high cholesterol, pre diabetes or diabetes, but at the same time want to stay thin. Lol

That "lol" at the end really conveyed your point

Presumably you are thin, healthy and smart, so why are you on this thread? Oh I know, because you're just nasty and jealous.

Jealous of what? OP coveting a drug to change their biochemistry to promote weight loss instead of acting like a normal human was designed, which avoids the weight gain in the first place? Or jealous of the other people in this thread that think innovation should be free. I’m sure all those posters also work for free.

Again, why are you here? Just to gloat about how perfect you are. We get it. You are sooooooooo much better than us fatties looking for a drug to fix us. Does that make you feel better?

Its a discussion forum. You know, for discussion.

The suggestion anyone is jealous of any of this is constant, yet exceptionally dumb. Similarly, the entire post's concept reeks of entitlement. Why exactly would a novel pharaceutical that is being now being used beyond its original indication to treat a self-inflicted disease be ready available "for the rest of us" at effectively no cost? How does that make any amount of sense? Do you work for free? The answer is you don't. And, that attitude of entitlement probably landed you in whatever predicament you are in with regard to your weight and lack of self control anyways.

Presumably, people discuss things that affect them or they have experience in. By your own admission this has ZERO bearing on your life, so why are you here if not to shit on people doing their best to lose the weight? Because you are a shit person, an anonymous keyboard warrior sticking it to us fatties on the internet trying to make yourself feel better.

Everything else you said is pure shit and you should read on about these drugs if you wish to "discuss."

I am not the PP with whom you are responding, but I do agree this is a discussion board, and comments like “people doing their best to lose the weight” via a drug is not doing your best. It’s the easy way out. Taking care of your body is a commitment and doesn’t just magically happen with a miracle drug.

You also do not know what you are talking about. Please educate yourself before “discussing” these drugs. And I ask you the same, why are you here if not to shit on people? Because you’re certainly not contributing anything of substance.

NP. Jeez do you lash out in real life whenever someone disagrees with you? This is dcum, a place where people can post however they please. I'm willing to bet that you've posted quite a bit on threads that had nothing to do with you. You don't like his/her commentary but they're being honest and adding some value to this discussion imo.

DP. I'm curious - for anyone who has either never been overweight or obese or never taken these drugs, how do you know how hard or easy it is to lose weight - with or without the drugs?
And if you don't know, why is it so important to judge? For those who are so deeply committed to health, it's perplexing why there is so much resistance to medication that is actually helping people make healthier choices, exercise more, and reduce health risks associated with obesity. Isn't that the goal? It sounds like many people prefer that "fatties" suffer and fail because they don't deserve an approved medication to promote a healthier lifestyle.

PP quoted in this gigantic string in here somewhere. Yes, was obese and turned myself around. Extremely unhealthy. No, did not use drugs. Unless you qualify water and exercise and actually eating real food in normal quantities a drug.

Yes, I do have a problem with paying for expensive pharmaceutical intervention via insurance or any other subsidy, many times being used outside of their indications, where people won’t do the work to change their life. Totally fine if they want to pay out of pocket cash.

I also think the arguments about “well it’s better than X” are weak. like negotiating with a terrorist and them saying they will only blow up and small building instead of a big one. How about fix the behavior and environment that landed you in the spot you are in? It isn’t impossible. Hard, yes. Impossible, no.

And the OP is really rich. Near normal BMI and wondering when these will be more widely available? JFC

So would you favor coverage for people who are doing the work and using the drug as part of changing their lives? Or is your believe that just because you did it, it should also be as hard as possible for everyone else, with most people failing?

Also, I'm curious - how old were you when you made this about face and lost all the weight? Male or female?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Eat healthy. Exercise. Done.

Yup. This trend of salivating for drugs instead of just doing what you’re supposed to be doing is bonkers.

NP. Americans are lazy. They consume high amount of carbs, sugar and calories. They have high cholesterol, pre diabetes or diabetes, but at the same time want to stay thin. Lol

That "lol" at the end really conveyed your point

Presumably you are thin, healthy and smart, so why are you on this thread? Oh I know, because you're just nasty and jealous.

Jealous of what? OP coveting a drug to change their biochemistry to promote weight loss instead of acting like a normal human was designed, which avoids the weight gain in the first place? Or jealous of the other people in this thread that think innovation should be free. I’m sure all those posters also work for free.

Again, why are you here? Just to gloat about how perfect you are. We get it. You are sooooooooo much better than us fatties looking for a drug to fix us. Does that make you feel better?

Its a discussion forum. You know, for discussion.

The suggestion anyone is jealous of any of this is constant, yet exceptionally dumb. Similarly, the entire post's concept reeks of entitlement. Why exactly would a novel pharaceutical that is being now being used beyond its original indication to treat a self-inflicted disease be ready available "for the rest of us" at effectively no cost? How does that make any amount of sense? Do you work for free? The answer is you don't. And, that attitude of entitlement probably landed you in whatever predicament you are in with regard to your weight and lack of self control anyways.

Presumably, people discuss things that affect them or they have experience in. By your own admission this has ZERO bearing on your life, so why are you here if not to shit on people doing their best to lose the weight? Because you are a shit person, an anonymous keyboard warrior sticking it to us fatties on the internet trying to make yourself feel better.

Everything else you said is pure shit and you should read on about these drugs if you wish to "discuss."

I am not the PP with whom you are responding, but I do agree this is a discussion board, and comments like “people doing their best to lose the weight” via a drug is not doing your best. It’s the easy way out. Taking care of your body is a commitment and doesn’t just magically happen with a miracle drug.

You also do not know what you are talking about. Please educate yourself before “discussing” these drugs. And I ask you the same, why are you here if not to shit on people? Because you’re certainly not contributing anything of substance.

NP. Jeez do you lash out in real life whenever someone disagrees with you? This is dcum, a place where people can post however they please. I'm willing to bet that you've posted quite a bit on threads that had nothing to do with you. You don't like his/her commentary but they're being honest and adding some value to this discussion imo.

DP. I'm curious - for anyone who has either never been overweight or obese or never taken these drugs, how do you know how hard or easy it is to lose weight - with or without the drugs?
And if you don't know, why is it so important to judge? For those who are so deeply committed to health, it's perplexing why there is so much resistance to medication that is actually helping people make healthier choices, exercise more, and reduce health risks associated with obesity. Isn't that the goal? It sounds like many people prefer that "fatties" suffer and fail because they don't deserve an approved medication to promote a healthier lifestyle.

PP quoted in this gigantic string in here somewhere. Yes, was obese and turned myself around. Extremely unhealthy. No, did not use drugs. Unless you qualify water and exercise and actually eating real food in normal quantities a drug.

Yes, I do have a problem with paying for expensive pharmaceutical intervention via insurance or any other subsidy, many times being used outside of their indications, where people won’t do the work to change their life. Totally fine if they want to pay out of pocket cash.

I also think the arguments about “well it’s better than X” are weak. like negotiating with a terrorist and them saying they will only blow up and small building instead of a big one. How about fix the behavior and environment that landed you in the spot you are in? It isn’t impossible. Hard, yes. Impossible, no.

And the OP is really rich. Near normal BMI and wondering when these will be more widely available? JFC

So would you favor coverage for people who are doing the work and using the drug as part of changing their lives? Or is your believe that just because you did it, it should also be as hard as possible for everyone else, with most people failing?

Also, I'm curious - how old were you when you made this about face and lost all the weight? Male or female?

For NOT garden variety obsesity or being overweight, as the drugs are indicated, sure. Otherwise, pay cash.

The rest of this I could have written out as the response I would have expected, and I am not going to engage. I could add dozens more responses that are trotted out. All of it can be summed up as everybody is a victim, including this ludicrous idea that other humans in an economy are obligated to effectively turn over their labor for free. I don't care to make anything hard for people. I do believe people really underestimate what they are capable of doing and changing.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Eat healthy. Exercise. Done.

Yup. This trend of salivating for drugs instead of just doing what you’re supposed to be doing is bonkers.

NP. Americans are lazy. They consume high amount of carbs, sugar and calories. They have high cholesterol, pre diabetes or diabetes, but at the same time want to stay thin. Lol

That "lol" at the end really conveyed your point

Presumably you are thin, healthy and smart, so why are you on this thread? Oh I know, because you're just nasty and jealous.

Jealous of what? OP coveting a drug to change their biochemistry to promote weight loss instead of acting like a normal human was designed, which avoids the weight gain in the first place? Or jealous of the other people in this thread that think innovation should be free. I’m sure all those posters also work for free.

Again, why are you here? Just to gloat about how perfect you are. We get it. You are sooooooooo much better than us fatties looking for a drug to fix us. Does that make you feel better?

Its a discussion forum. You know, for discussion.

The suggestion anyone is jealous of any of this is constant, yet exceptionally dumb. Similarly, the entire post's concept reeks of entitlement. Why exactly would a novel pharaceutical that is being now being used beyond its original indication to treat a self-inflicted disease be ready available "for the rest of us" at effectively no cost? How does that make any amount of sense? Do you work for free? The answer is you don't. And, that attitude of entitlement probably landed you in whatever predicament you are in with regard to your weight and lack of self control anyways.

Presumably, people discuss things that affect them or they have experience in. By your own admission this has ZERO bearing on your life, so why are you here if not to shit on people doing their best to lose the weight? Because you are a shit person, an anonymous keyboard warrior sticking it to us fatties on the internet trying to make yourself feel better.

Everything else you said is pure shit and you should read on about these drugs if you wish to "discuss."

I am not the PP with whom you are responding, but I do agree this is a discussion board, and comments like “people doing their best to lose the weight” via a drug is not doing your best. It’s the easy way out. Taking care of your body is a commitment and doesn’t just magically happen with a miracle drug.

You also do not know what you are talking about. Please educate yourself before “discussing” these drugs. And I ask you the same, why are you here if not to shit on people? Because you’re certainly not contributing anything of substance.

NP. Jeez do you lash out in real life whenever someone disagrees with you? This is dcum, a place where people can post however they please. I'm willing to bet that you've posted quite a bit on threads that had nothing to do with you. You don't like his/her commentary but they're being honest and adding some value to this discussion imo.

DP. I'm curious - for anyone who has either never been overweight or obese or never taken these drugs, how do you know how hard or easy it is to lose weight - with or without the drugs?
And if you don't know, why is it so important to judge? For those who are so deeply committed to health, it's perplexing why there is so much resistance to medication that is actually helping people make healthier choices, exercise more, and reduce health risks associated with obesity. Isn't that the goal? It sounds like many people prefer that "fatties" suffer and fail because they don't deserve an approved medication to promote a healthier lifestyle.

PP quoted in this gigantic string in here somewhere. Yes, was obese and turned myself around. Extremely unhealthy. No, did not use drugs. Unless you qualify water and exercise and actually eating real food in normal quantities a drug.

Yes, I do have a problem with paying for expensive pharmaceutical intervention via insurance or any other subsidy, many times being used outside of their indications, where people won’t do the work to change their life. Totally fine if they want to pay out of pocket cash.

I also think the arguments about “well it’s better than X” are weak. like negotiating with a terrorist and them saying they will only blow up and small building instead of a big one. How about fix the behavior and environment that landed you in the spot you are in? It isn’t impossible. Hard, yes. Impossible, no.

And the OP is really rich. Near normal BMI and wondering when these will be more widely available? JFC

So would you favor coverage for people who are doing the work and using the drug as part of changing their lives? Or is your believe that just because you did it, it should also be as hard as possible for everyone else, with most people failing?

Also, I'm curious - how old were you when you made this about face and lost all the weight? Male or female?

For NOT garden variety obsesity or being overweight, as the drugs are indicated, sure. Otherwise, pay cash.

The rest of this I could have written out as the response I would have expected, and I am not going to engage. I could add dozens more responses that are trotted out. All of it can be summed up as everybody is a victim, including this ludicrous idea that other humans in an economy are obligated to effectively turn over their labor for free. I don't care to make anything hard for people. I do believe people really underestimate what they are capable of doing and changing.

Well luckily people who are lot smarter than you are deciding who gets these drugs prescribed and who pays for them.

[Anonymous]

Anonymous wrote:

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Anonymous wrote:

Anonymous wrote:We didn’t have this obesity problem 30 years ago. Cook your food. Stop buying processed food. Stop wanting to use medication as a crutch. Pay $1K/month to get it. You want insurance to pay, right. That’s what you really meant. Stop stuffing your face. Really exercise. Really.

another super ignorant and uneducated post. Food and lifestyles have changed dramatically over the past 30 years. Yes, of course I want insurance to pay. Why would I not? By your logic insurance should not pay for any medications. They are just crutches and quick fixes after all.

You just said the same thing and then I added the excuse in the end. Tomatoes haven’t changed in 30 years. Maybe buy some of those instead of stuff that has 10,000 ingredients.

When did we start genetically modifying our veggies and fruits?

If you’re talking about the current working definition of GMO, genetically engineered tomatoes were first sold in 1994, though it isn’t correct to say that tomatoes haven’t changed since then.

Regardless of whether tomatoes have changed or not, the argument that Americans should just stop buying heavily processed foods and buy more fruits and vegetables in order to address obesity is akin to telling people to just walk everywhere to stay in shape. It’s a facile argument and unrealistic in our society. There are food deserts and affordability to consider, plus cultural differences and genetics. But it is primarily meant as an insult in any case.

Many people can and have changed their eating habits for the better permanently, but on a societal scale the US has a significant and costly obesity problem. It won’t be fixed by telling people to buy tomatoes. If lots of people lose weight and improve their health outcomes via meds, that is fantastic for all of us. And since these meds reduce cravings and mindless snacking, they make it easier to “just eat a tomato.” Win win.

Effectively zero people that participate in this forum live in a food desert. Exactly zero of the people asking when these branded drugs will be available for the purpose OP is asking live in a food desert. It’s insulting to appropriate that harsh reality. People asking for these novel drugs for garden variety obesity just don’t want to change and do the work. Expecting 40% of the US population to solve a mostly self inflected problem through novel pharmaceutical intervention is incredibly dumb.

The post you quote is perfectly clear that it is referencing American society in general. Your appropriation comment is laughable.

Fortunately these novel drugs won’t be novel for long; this has been widely covered in the media. Several obesity drugs are in the pipeline in addition to those already available. In less than 10 years patents will start expiring and generics will flood the market.

Regardless of your opinion of people who use or will use these drugs, they are extremely clinically valuable and have improved and will continue to improve the quality of life for millions of Americans.

You do realize drug patents last 20 years, right?

That said, I do hope competition drives down prices and gives insurance companies the ability to negotiate.

A large number of people who had coverage for these drugs and have lost it, plus those whose coverage excludes the medications entirely, are turning to compounded versions of the medications. Shouldn't that be an incentive for the manufacturers to compromise on pricing to maintain their market share? I'm hoping that the increasingly widespread use of compounded versions will lead to more affordable prices in the near term.

I wouldn’t count on it. Compounding is only legal (in some cases) because these drugs are in such shortage. There is huge unmet demand, and scaling up production of injectables is projected to take time— measured in years, not months. For the last year, it’s been almost impossible to start brand name Wegovy because the starting doses were intentionally throttled. They are throwing everything they can at just maintaining the people who started before spring 2023. Zepbound started as available, but my online weight loss support group is starting to report shortages in lower doses of that med too. And my best friend was switched off Saxenda to a maintenance dose (not starting dose) of Wegovy because Saxenda was impossible to find.

And these drugs are only being prescribed in the US (and some in Britain) right now. The rest of the world is still waiting. I’d love prices to go down. But as long as demand is so much greater than supply, Adam Smith says it’s unlikely.

They are available in Canada as well.

[Anonymous]

Just because youre not obese doesnt automatically give you a medical degree? What makes all these folks think they know better than patients doctors and medical teams? Where did this ego come from?