re: Ozempic maker Novo Nordisk surges past Tesla with market value of $566B

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So let me get this right, this "miracle" drug works when people stop eating shitty food, overeating, and drinking alcohol? Who knew

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Yes.

It's truly wild. I guess people don't realize they can eat less food for free.

Has the halitosis been discussed yet ITT?

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It would need to start with some kind of test of the emergency system on every phone in America alerting as to what is actually healthy

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They wouldn’t pay attention. We need ozempic because the government won’t restrict ebt usage to healthy foods. shite. The government doesn’t even know what food is “healthy”.

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A healthy diet, exercise, mental health, addressing other social determinants of health should be the minimum standard and what's done first.

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How old are you? This has been the message to patients from doctors since the 80’s and obesity rates continued to rise drastically.

So your plan didn’t work for most of the population and our healthcare system regressed because of it

A message isn't a plan but you're right, the plan of leaning on big pharma has failed dramatically.

well the plan of telling people to just eat less and move more has too and its not because it isnt the correct advice it is but it falls on deaf ears

people dont know how or want to learn to

track calories
prioritize protein
track steps
progressive resistance training 2-3x per week

sorry as much as i would love for everyone to do that...not happening.

so what another solution to help people to do that?

this medicine

ICD-10 code Z91.1 for Patient's noncompliance with medical treatment and regimen is a medical classification.

TIL

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If we're going to say Z91.1 is a reason to justify pharmaceutical treatment at the expense of the healthcare system wouldn't it make more sense to allow those dollars to be spent on the compliant patients?

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You do realize the majority of healthcare would fall under this non compliance coding, right? I work in nephrology, 95 % of our patient load would not qualify for medical care under your terms. It’s just not feasible. Hell, 9/10 people would get turned away from the ER under those terms.

The system is frickED, there’s no denying that. But why is it okay for person 1, the non compliant diabetic with a BP of 190/110, to get the care he needs at no additional cost but person 2 shouldn’t get his ozempic filled because that is going to break the system… nahh those GLPs are a drop in the bucket compared to the millions wasted in healthcare on a daily basis.

Maybe some people will get the GLPs and still eat and drink like shite. But I’d be willing to bet over half will change their habits completely and hopefully avoid the predicament person 1 is in above. I believe some plans are already requiring a minimum % of weight loss during certain time frames while on the med, which is fine IMO.

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wasting too much money and resources on the non compliant who have zero desire to be compliant or accept the financial burdens of their non compliance.

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Again, this is happening every single minute of the day already. It’s happening in front of my eyes as I type this. It’s not something we can stop but maybe GLPs can slow it down. It’s definitely worth a shot because the current path isn’t sustainable.

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because the current path isn’t sustainable.

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I agree. It isn't working but yet again, it's the default.

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without enough emphasis opn patient accountability and healthier patients.

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In all due respect. You are talking out of your arse! It costs around $1000 per month. Trust me. Insurance companies are holding patients accountable. Hell Novo Nordisk even offers health coaches to the patients prescribed Ozempic. The compliance data is available to the insurance companies. If a patient does not use the Novo Nordisk health coach then the doctor gets a request for more documentation from the prescribing provider asking for proof that the patient met with nutritionist or dietician and their hemoglobin A1C is improving.

Also I have seen many cases where a noncompliant diabetic and obese patient (what the OT would call a Fatty McLazyass) get put on Ozempic and they lose 10 pounds or so in the first 2-3 months. All of sudden something clicks in their brain and their behavior starts to change. I saw a patient today who I started on Ozempic last year. Dude was the definition of a Fatty McLazzyass. He did not give a shite about his health. He was 26 had a BMI of 58 and hemoglobin A1C of 13.7%. He was on 3 blood pressure medications and it was only borderline controlled. He was so obese that he was getting disability payments just because of his weight and the fact that he could barely walk. He blamed his obesity on the fact that his whole family was fat, had always been fat, and just accepted the fact that he was going to need an amputation of one leg or both and be on dialysis by age 50. After he started losing weight and Ozempic did away with his appetite between meals he realized that he did not have to stay fat. He started really paying attention to what the nutritionist was telling him, joined a gym, hired a personal trainer and has lost over a 120 lbs. He is still obese but his BMI is down into the 40s and his blood pressure is now controlled with only an ARB which I am keeping him on for the renal and cardio protective benefits as much as for blood pressure effects. He has come off insulin and his A1C was 6.2% today. Oh and he is no longer on disability and medicaid because he now has a job with health insurance. His story is also a lot more common than you would think especially among younger diabetics which is the population group to target to lower the rate at which health care costs are increasing.