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    Trillion Dollar Shot, Episode 4: The Disruptors

    enJune 09, 2024

    Podcast Summary

    • GLP1 drugs market disruptionGLP1 drugs, specifically from Eli Lilly, are disrupting the market with high demand, generating $5B in revenue, and requiring new plants for production. However, challenges like supply, price, insurance gaps, and side effects persist.

      The new weight loss medications, specifically those classified as GLP1s, are disruptors in the field of science and health. Eli Lilly, a pharmaceutical giant based in Indiana, is currently leading the market with its drugs terzepitide (for type 2 diabetes) and zepbound (for weight loss), which generated $5 billion in revenue last year. The demand for these drugs is so high that Eli Lilly is experiencing a shortage and is years away from meeting it. This success has even disrupted the company itself, requiring the construction of multiple new plants to increase production. However, challenges such as supply, price, insurance gaps, debates around body acceptance, retention, and side effects remain. Despite these hurdles, it's estimated that up to 9% of the US population, or 30 million people, could be using GLP1 drugs by 2030. This prologue marks just the beginning, as more potent and accessible drugs are on the horizon, and early research suggests potential health benefits beyond diabetes and weight loss.

    • Pharmaceutical industry shiftNew weight loss drugs are revolutionizing the pharmaceutical industry, creating significant changes for major players like Eli Lilly and requiring continuous innovation to maintain market position

      The success of new drugs like Monjaro and Terzepitide, which are transforming the lives of many people with weight issues, is creating a seismic shift in the pharmaceutical industry. Companies like Eli Lilly, which have been major players for decades, are facing significant changes as they struggle to meet the increased demand and adapt to the new spotlight on these drugs. The parallels with Eli Lilly's past blockbuster, Prozac, are striking, with both drugs revolutionizing the treatment of common conditions and changing the company's trajectory. However, companies must continue to innovate and develop new drugs to maintain their market position and avoid losing ground to generics once patents expire. Eli Lilly is moving quickly to stay ahead, working on new drugs like retrutide to build on their existing success and solidify their place in the industry.

    • New obesity drugsEli Lilly's new obesity drug, Reddit True-Tide, could potentially lead to an average of 24% weight loss in Phase 2 trials. Lilly is also working on an oral GLP-1 drug, Setmelanotide Pracel, to address production challenges and reach more people.

      Eli Lilly is developing a new obesity drug called Reddit True-Tide, which could potentially be the most effective one yet. This drug mimics three hormones and has shown promising results in Phase 2 trials, leading to an average of 24% weight loss. However, it's still in Phase 3 trials and won't be up for FDA approval for a few years. Additionally, Lilly is also working on an oral GLP-1 drug called Setmelanotide Pracel, which could help address production challenges and potentially reach more people as it doesn't require injections. Lilly's main rival, Novo Nordisk, is also developing a weight loss pill called Mektexxe, and the competition between the two companies is intense. Overall, the development of these new drugs represents a significant step forward in the treatment of obesity.

    • GLP-1 drugs competitionCompetition in the GLP-1 drugs market could lead to price reductions and increased access for various health issues, potentially disrupting the healthcare industry and broader economy

      The competition in the weight loss drug market, specifically GLP-1 drugs like Ozempic, is intensifying with numerous companies vying for a share. This competition could potentially lead to price reductions for patients and increased access to these medications for various health issues beyond weight loss, such as Alzheimer's, kidney disease, and addiction. Research is ongoing to explore the potential benefits of these drugs for a wide range of conditions, which could disrupt the healthcare industry significantly. The potential impact on the broader economy is also worth noting. The "bar lab" at the National Institutes of Health in Baltimore is an example of the innovative research being conducted in this area.

    • Semaglutide and Alcohol ReductionPreliminary results suggest that semaglutide, a drug used for diabetes and weight loss, may help reduce alcohol consumption by dampening reward centers in the brain, according to anecdotal evidence from participants.

      Researchers are conducting clinical trials to study if the drug semaglutide, used for diabetes and weight loss, can help reduce alcohol consumption. The study involves participants sniffing their alcohol of choice while listening to high and low tones, with the option to stop if cravings become too strong. Preliminary results from participants, like Kristin Kasurik, show promising anecdotal evidence of reduced desire for alcohol and even the cessation of other addictive behaviors. The drug works by dampening the reward centers in the brain linked to addictive substances. Novo and Eli Lilly are also exploring the potential of semaglutide in treating alcohol-related liver disease and other conditions beyond diabetes and weight loss. However, these developments could negatively impact businesses that rely on alcohol consumption.

    • Weight loss drugs impact on food industry salesWeight loss drugs have led to a decrease in sales for the food industry due to reduced food consumption by users, averaging 600-800 fewer calories daily. Food companies may respond by producing healthier options or smaller portion sizes instead of worrying about market encroachment.

      The food industry is closely monitoring the impact of weight loss drugs on consumer behavior and sales. According to a report, bariatric surgery, a weight loss procedure, has seen a decrease of 10 to 20% in the US due to these medications. Food companies, including Walmart, are studying the effects of these drugs on dietary habits and food consumption. On average, people consume 600 to 800 fewer calories a day when on these drugs, leading to less food purchases. Food companies are concerned about the potential loss of sales, particularly for unhealthy, high-calorie foods. However, some industry experts suggest that food companies could respond by producing healthier food options or offering smaller portion sizes. Dave Ricks, the CEO of Eli Lilly, which produces some of these weight loss drugs, has encouraged food companies to consider these options instead of worrying about the drugs encroaching on their market.

    • GLP-1 drugs impact on industriesGLP-1 drugs are leading to changes in food industry with focus on high-protein snacks and meals, Wall Street trying to determine winners and losers, Eli Lilly leading race to become first trillion-dollar pharma company, implications for obesity discourse, drug development, and healthcare systems.

      The rise of GLP-1 drugs for weight loss and appetite suppression is leading to significant changes across various industries. Food companies, such as Nestle and Canagra Brands, are responding by developing companion products and focusing on high-protein snacks and meals. Wall Street is also trying to determine the winners and losers in this new landscape. Eli Lilly, which produces one of these drugs, is currently leading the race to become the first pharmaceutical company valued at a trillion dollars. The impact of these drugs is still unfolding, with potential implications for obesity discourse, drug development, and healthcare systems. Overall, the future looks promising for companies that can effectively navigate this new terrain and provide value to patients.

    • Weight loss journey progressWeight loss journeys require dedication, resilience, and a willingness to embrace new experiences, as shown by Brad's commitment to extensive exercise, food consciousness, and summiting Mount Whitney

      Weight loss journeys are ongoing processes filled with challenges and discoveries. Brad, a previous guest on our series, shared his five-month progress since stopping using weight loss medication. Although his weight remains the same, he's been exercising extensively, spending an average of 1 hour and 40 minutes daily, which is a significant time commitment. He's also become more conscious of food and his relationship with it, recognizing the importance of not letting past regrets dictate his present. Brad's next goal is to summit Mount Whitney, a challenging one-day hike, as a test of his determination and ability to push beyond his comfort zone. The journey of managing weight and personal growth is a continuous one, requiring dedication, resilience, and a willingness to embrace new experiences.

    • Weight loss drugsThe complex and nuanced nature of weight loss drugs is explored in the 'Trillion Dollar Shot' podcast episode, revealing their potential benefits and risks through history, science, and personal experiences.

      Key takeaway from the "Trillion Dollar Shot" podcast episode is the complex and nuanced nature of weight loss drugs. The episode delves into the history, science, and personal experiences surrounding these drugs, revealing their potential benefits and risks. The production of the podcast is a collaborative effort, with contributions from various team members and interviewees. The podcast also acknowledges the importance of fact-checking and sound design in producing accurate and engaging content. Ultimately, the episode highlights the ongoing debate and research surrounding weight loss drugs, and encourages listeners to stay informed and curious. If you're interested in learning more, tune in to "The Journal" podcast for more insightful and thought-provoking episodes.

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