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Doing your own research (1 Viewer)

I googled 2 countries which I don't think have obesity problems, japan and norway. I used the search string "norway(or japan) sugar consumption per capita by year"

Japan's sugar intake has been on general decline since 1972!

Norway is at lowest sugar intake in last 44 years, or at least they were 5 years ago, which is probably good enough for this discussion.


I am quoting my post to argue with myself. I was wrong, i dont think it is caused by sugar.Norway the sugar has gone down, however their obesity rate has gone up a very significant amount.

The number of obese people in Norway has tripled since 1980 even though their sugar consumption has declined during that same timeframe.



specific image:
 

I dropped this link earlier, but it may have been overlooked or skipped. I think it's important to some of the questions asked. If it's a crap study I'd be interested to hear why if anyone minds critiquing it.
 
This is where anecdotes are unhelpful and derail answering the questions posed. It doesn't really help to know that personal experiences suggest a negativity towards sugar. What does help is understanding that the average person consumed about 4 lbs of sugar a year in the 1950s and that skyrocketed to over 100 lbs of sugar a year in the early 2000s. Silver lining is, we are down slightly from that peak. THERE is a major reason we have obesity problems. Where is all that sugar coming from? All those foods in boxes and bags and wrappers.

Thanks. Can you please share your link for "the average person consumed about 4 lbs of sugar a year in the 1950s"?

I did a quick search and found:


In 1776—at the time of the American Revolution—Americans consumed about 4 lbs of sugar per person each year. By 1850, this had risen to 20 lbs, and by 1994, to 120 lbs.
I don't have a link. I learned it in college in a nutrition class. Stat always stuck with me from 3ish years ago.

Thanks. It would be good to have a source. The only one I can find is from Instagram. And people on that instagram post are asking for a source.

The nih.gov link above suggests something quite a bit different.

If accurate, we were consuming 120 pounds of sugar a year per person in 1994. But the obesity rates were "just" 22.5% Link

Recently published trend data from the National Health and Nutrition Examination Surveys (NHANES) show the percentage of obese persons has increased from 14.5% in the years 1976-1980 to 22.5% in 1988-1994.<a href="https://jamanetwork.com/journals/jama/fullarticle/192036#REF-JOC91119-3" data-tab-toggle=".tab-nav-references">3</a>
Let the research commence then. Seems to be the desired approach of this thread, so have at it. And it would NEVER occur to me to go to instagram for anything like this.

And I want to be clear again. I said very clearly above that this A factor, not THE factor before people start twisting my words like they usually do. FWIW, AI has a fitting summary of our habitual changes to nutrition. It's worth the read. Another large factor is the increase in sedentary lifestyle that has exploded in the last 40 years. Again, AI can provide a pretty decent summary if you choose to research.

Hopefully this is an open source document on PubMed. Good starting point of research if you want to dig in: https://pmc.ncbi.nlm.nih.gov/articles/PMC6959843/#:~:text=Since these estimations were made,consumption [USDA, 2017].

I caution people using the pages there because the sourcing should matter and people don't dig into those prior to reading the articles/studies/findings. This one seems on the up and up.

Thanks. Can you see if your statement about the average person consumed about 4 lbs of sugar a year in the 1950s is accurate?

It would be helpful to know looking at how that has changed over the years.
Did you not read the link I provided?

It's a long study at the link. https://pmc.ncbi.nlm.nih.gov/articles/PMC6959843/

Could you please quote the part about where the average person consumed about 4 lbs of sugar a year in the 1950s? Thank you.
I'm not sure why there's such a fascination with this one particular fact that you're looking to have verified, but here's a link that addresses it.

He has it wrong as the 4 pounds per day was in 1750, not 1950.

But the bigger point still remains that sugar consumption has drastically increased from the 1960s to today which has coincided with the obesity epidemic. The specific number is far less relevant than the percentage increase, which is significant.

And the reason for my comment above..... You asked for a link, weren't too busy to ask if it was in the link after he provided it, but yet too busy to actually look a little.


ETA -- Relevant section:

Change in beverage intake
Sugar intake has increased considerably in the past 40 y (6). The soft drinks that were developed more than a century ago now provide a significant source of energy and added sugars. Sugar intake has shown a remarkable increase since the time of the American Revolution, and sugar-sweetened beverages have been an outlet for this sugar in the 20th century. In 1750, the average American consumed 4 pounds (1.81 kg) of sugar per year. This increased to 20 pounds (9.1 kg) per capita by 1850 and showed a further increase to 120 pounds (54.4 kg) per capita by 1994. By the early 21st century, it exceeded 160 pounds (72.6 kg) per capita. The NHANES found that soft drinks and fruit drinks provided >40% of the “sugars” that are added to the diet (7). Between 1950 and 2000, the consumption of soft drinks had increased from 10 gallons (37.9 L) per person per year to just more than 50 gallons (189.3 L) per person per year (8) (Fig. 1)
Simple enough. This is about gotcha over all else. I apologize for the timeframe in the poundage error. The link I provided (that no one seemed to read) even had it correct and I still botched it. I lumped it in with the gallon stat which I posted above and you confirmed here as being part of the same timeframe (as did my link). Take away? The problem started earlier than I remembered. This is just on ONE source of sugar. We haven't even talked about the foods we eat that have sugar in them.

Sorry but no. Zero about some sort of "gotcha". 100% about getting information correct.
Can you explain to me why you think focus on this error has anything to do with the point?
My man, you referenced something that you learned in college that was actually eye opening. Why is it unreasonable to say "holy schnikes, can I see the data behind that, its eye opening". You then proceeded to provide data that did not substantiate your original data.

Nobody is trying to come out of this and say sugar is not bad, but jeez you can't just drop misinformation and then be like oh why do you care.
I didn't ask why he cared. I know why he cares about the problem. I asked why he thinks this particular data point matters. If it's 400% increase from 1700 or 100% increase since 1950(made up percentages to illustrate the point), the reality is we are sitting at 180 lbs average consumption of sugar a year either way. That's a HUGE impactful number regardless of the history and it's easy to see how/why it impacts current day problems we see, especially when we know it is one facet of many contributing to the problem. It seems to be rather obvious that the tipping point quantity the typical body can process with minimal impact has been hit between the 50s/60s and now., and yet, our consumption continues to grow.
 
Yeah there's a lot of debate on actual percentages and timeframes taking away from the main point, which is a large sugar increase over time is likely a significant cause of obesity. I don't get why it has to be deeper than that. If someone thinks sugar isn't a big factor then speak up and that discussion can be had. If there are other factors in addition to sugar, we can discuss those too.
 
This is where anecdotes are unhelpful and derail answering the questions posed. It doesn't really help to know that personal experiences suggest a negativity towards sugar. What does help is understanding that the average person consumed about 4 lbs of sugar a year in the 1950s and that skyrocketed to over 100 lbs of sugar a year in the early 2000s. Silver lining is, we are down slightly from that peak. THERE is a major reason we have obesity problems. Where is all that sugar coming from? All those foods in boxes and bags and wrappers.

Thanks. Can you please share your link for "the average person consumed about 4 lbs of sugar a year in the 1950s"?

I did a quick search and found:


In 1776—at the time of the American Revolution—Americans consumed about 4 lbs of sugar per person each year. By 1850, this had risen to 20 lbs, and by 1994, to 120 lbs.
I don't have a link. I learned it in college in a nutrition class. Stat always stuck with me from 3ish years ago.

Thanks. It would be good to have a source. The only one I can find is from Instagram. And people on that instagram post are asking for a source.

The nih.gov link above suggests something quite a bit different.

If accurate, we were consuming 120 pounds of sugar a year per person in 1994. But the obesity rates were "just" 22.5% Link

Recently published trend data from the National Health and Nutrition Examination Surveys (NHANES) show the percentage of obese persons has increased from 14.5% in the years 1976-1980 to 22.5% in 1988-1994.<a href="https://jamanetwork.com/journals/jama/fullarticle/192036#REF-JOC91119-3" data-tab-toggle=".tab-nav-references">3</a>
Let the research commence then. Seems to be the desired approach of this thread, so have at it. And it would NEVER occur to me to go to instagram for anything like this.

And I want to be clear again. I said very clearly above that this A factor, not THE factor before people start twisting my words like they usually do. FWIW, AI has a fitting summary of our habitual changes to nutrition. It's worth the read. Another large factor is the increase in sedentary lifestyle that has exploded in the last 40 years. Again, AI can provide a pretty decent summary if you choose to research.

Hopefully this is an open source document on PubMed. Good starting point of research if you want to dig in: https://pmc.ncbi.nlm.nih.gov/articles/PMC6959843/#:~:text=Since these estimations were made,consumption [USDA, 2017].

I caution people using the pages there because the sourcing should matter and people don't dig into those prior to reading the articles/studies/findings. This one seems on the up and up.

Thanks. Can you see if your statement about the average person consumed about 4 lbs of sugar a year in the 1950s is accurate?

It would be helpful to know looking at how that has changed over the years.
Did you not read the link I provided?

It's a long study at the link. https://pmc.ncbi.nlm.nih.gov/articles/PMC6959843/

Could you please quote the part about where the average person consumed about 4 lbs of sugar a year in the 1950s? Thank you.
I'm not sure why there's such a fascination with this one particular fact that you're looking to have verified, but here's a link that addresses it.

He has it wrong as the 4 pounds per day was in 1750, not 1950.

But the bigger point still remains that sugar consumption has drastically increased from the 1960s to today which has coincided with the obesity epidemic. The specific number is far less relevant than the percentage increase, which is significant.

And the reason for my comment above..... You asked for a link, weren't too busy to ask if it was in the link after he provided it, but yet too busy to actually look a little.


ETA -- Relevant section:

Change in beverage intake
Sugar intake has increased considerably in the past 40 y (6). The soft drinks that were developed more than a century ago now provide a significant source of energy and added sugars. Sugar intake has shown a remarkable increase since the time of the American Revolution, and sugar-sweetened beverages have been an outlet for this sugar in the 20th century. In 1750, the average American consumed 4 pounds (1.81 kg) of sugar per year. This increased to 20 pounds (9.1 kg) per capita by 1850 and showed a further increase to 120 pounds (54.4 kg) per capita by 1994. By the early 21st century, it exceeded 160 pounds (72.6 kg) per capita. The NHANES found that soft drinks and fruit drinks provided >40% of the “sugars” that are added to the diet (7). Between 1950 and 2000, the consumption of soft drinks had increased from 10 gallons (37.9 L) per person per year to just more than 50 gallons (189.3 L) per person per year (8) (Fig. 1)
Simple enough. This is about gotcha over all else. I apologize for the timeframe in the poundage error. The link I provided (that no one seemed to read) even had it correct and I still botched it. I lumped it in with the gallon stat which I posted above and you confirmed here as being part of the same timeframe (as did my link). Take away? The problem started earlier than I remembered. This is just on ONE source of sugar. We haven't even talked about the foods we eat that have sugar in them.

Sorry but no. Zero about some sort of "gotcha". 100% about getting information correct.
Can you explain to me why you think focus on this error has anything to do with the point?
My man, you referenced something that you learned in college that was actually eye opening. Why is it unreasonable to say "holy schnikes, can I see the data behind that, its eye opening". You then proceeded to provide data that did not substantiate your original data.

Nobody is trying to come out of this and say sugar is not bad, but jeez you can't just drop misinformation and then be like oh why do you care.
I didn't ask why he cared. I know why he cares about the problem. I asked why he thinks this particular data point matters. If it's 400% increase from 1700 or 100% increase since 1950(made up percentages to illustrate the point), the reality is we are sitting at 180 lbs average consumption of sugar a year either way. That's a HUGE impactful number regardless of the history and it's easy to see how/why it impacts current day problems we see, especially when we know it is one facet of many contributing to the problem. It seems to be rather obvious that the tipping point quantity the typical body can process with minimal impact has been hit between the 50s/60s and now., and yet, our consumption continues to grow.
Because data and relative size matters, and conceptually a 100% increase would seem to be an easier solve than a 400% increase. Data and relative size can matter in terms of the solve and the magnitude of solve...while still affirming the underlying issue (which Joe is doing).

If we were talking budget deficit and the difference was trying to retreat from a 400% increase in annual deficit vs a 100% increase...one seems exponentially more insurmountable than the other.

This is the do your own research thread...seems kinda obvious we'd attract a crowd that was generally more curious about data and sourcing.
 
This is where anecdotes are unhelpful and derail answering the questions posed. It doesn't really help to know that personal experiences suggest a negativity towards sugar. What does help is understanding that the average person consumed about 4 lbs of sugar a year in the 1950s and that skyrocketed to over 100 lbs of sugar a year in the early 2000s. Silver lining is, we are down slightly from that peak. THERE is a major reason we have obesity problems. Where is all that sugar coming from? All those foods in boxes and bags and wrappers.

Thanks. Can you please share your link for "the average person consumed about 4 lbs of sugar a year in the 1950s"?

I did a quick search and found:


In 1776—at the time of the American Revolution—Americans consumed about 4 lbs of sugar per person each year. By 1850, this had risen to 20 lbs, and by 1994, to 120 lbs.
I don't have a link. I learned it in college in a nutrition class. Stat always stuck with me from 3ish years ago.

Thanks. It would be good to have a source. The only one I can find is from Instagram. And people on that instagram post are asking for a source.

The nih.gov link above suggests something quite a bit different.

If accurate, we were consuming 120 pounds of sugar a year per person in 1994. But the obesity rates were "just" 22.5% Link

Recently published trend data from the National Health and Nutrition Examination Surveys (NHANES) show the percentage of obese persons has increased from 14.5% in the years 1976-1980 to 22.5% in 1988-1994.<a href="https://jamanetwork.com/journals/jama/fullarticle/192036#REF-JOC91119-3" data-tab-toggle=".tab-nav-references">3</a>
Let the research commence then. Seems to be the desired approach of this thread, so have at it. And it would NEVER occur to me to go to instagram for anything like this.

And I want to be clear again. I said very clearly above that this A factor, not THE factor before people start twisting my words like they usually do. FWIW, AI has a fitting summary of our habitual changes to nutrition. It's worth the read. Another large factor is the increase in sedentary lifestyle that has exploded in the last 40 years. Again, AI can provide a pretty decent summary if you choose to research.

Hopefully this is an open source document on PubMed. Good starting point of research if you want to dig in: https://pmc.ncbi.nlm.nih.gov/articles/PMC6959843/#:~:text=Since these estimations were made,consumption [USDA, 2017].

I caution people using the pages there because the sourcing should matter and people don't dig into those prior to reading the articles/studies/findings. This one seems on the up and up.

Thanks. Can you see if your statement about the average person consumed about 4 lbs of sugar a year in the 1950s is accurate?

It would be helpful to know looking at how that has changed over the years.
Did you not read the link I provided?

It's a long study at the link. https://pmc.ncbi.nlm.nih.gov/articles/PMC6959843/

Could you please quote the part about where the average person consumed about 4 lbs of sugar a year in the 1950s? Thank you.
I'm not sure why there's such a fascination with this one particular fact that you're looking to have verified, but here's a link that addresses it.

He has it wrong as the 4 pounds per day was in 1750, not 1950.

But the bigger point still remains that sugar consumption has drastically increased from the 1960s to today which has coincided with the obesity epidemic. The specific number is far less relevant than the percentage increase, which is significant.

And the reason for my comment above..... You asked for a link, weren't too busy to ask if it was in the link after he provided it, but yet too busy to actually look a little.


ETA -- Relevant section:

Change in beverage intake
Sugar intake has increased considerably in the past 40 y (6). The soft drinks that were developed more than a century ago now provide a significant source of energy and added sugars. Sugar intake has shown a remarkable increase since the time of the American Revolution, and sugar-sweetened beverages have been an outlet for this sugar in the 20th century. In 1750, the average American consumed 4 pounds (1.81 kg) of sugar per year. This increased to 20 pounds (9.1 kg) per capita by 1850 and showed a further increase to 120 pounds (54.4 kg) per capita by 1994. By the early 21st century, it exceeded 160 pounds (72.6 kg) per capita. The NHANES found that soft drinks and fruit drinks provided >40% of the “sugars” that are added to the diet (7). Between 1950 and 2000, the consumption of soft drinks had increased from 10 gallons (37.9 L) per person per year to just more than 50 gallons (189.3 L) per person per year (8) (Fig. 1)
Simple enough. This is about gotcha over all else. I apologize for the timeframe in the poundage error. The link I provided (that no one seemed to read) even had it correct and I still botched it. I lumped it in with the gallon stat which I posted above and you confirmed here as being part of the same timeframe (as did my link). Take away? The problem started earlier than I remembered. This is just on ONE source of sugar. We haven't even talked about the foods we eat that have sugar in them.

Sorry but no. Zero about some sort of "gotcha". 100% about getting information correct.
Can you explain to me why you think focus on this error has anything to do with the point?
My man, you referenced something that you learned in college that was actually eye opening. Why is it unreasonable to say "holy schnikes, can I see the data behind that, its eye opening". You then proceeded to provide data that did not substantiate your original data.

Nobody is trying to come out of this and say sugar is not bad, but jeez you can't just drop misinformation and then be like oh why do you care.
I didn't ask why he cared. I know why he cares about the problem. I asked why he thinks this particular data point matters. If it's 400% increase from 1700 or 100% increase since 1950(made up percentages to illustrate the point), the reality is we are sitting at 180 lbs average consumption of sugar a year either way. That's a HUGE impactful number regardless of the history and it's easy to see how/why it impacts current day problems we see, especially when we know it is one facet of many contributing to the problem. It seems to be rather obvious that the tipping point quantity the typical body can process with minimal impact has been hit between the 50s/60s and now., and yet, our consumption continues to grow.
Because data and relative size matters, and conceptually a 100% increase would seem to be an easier solve than a 400% increase. Data and relative size can matter in terms of the solve and the magnitude of solve...while still affirming the underlying issue (which Joe is doing).

If we were talking budget deficit and the difference was trying to retreat from a 400% increase in annual deficit vs a 100% increase...one seems exponentially more insurmountable than the other.

This is the do your own research thread...seems kinda obvious we'd attract a crowd that was generally more curious about data and sourcing.
How, in this case? Conceptually, I agree. Pragmatically it seems as significant as knowing if the shooter in a murder had killed anyone before when we have the gun, the bullet, the fingerprints on the gun and the accused shooter's fingerprints along with a signed letter of confession.

The problem in front of us is 180 lbs of sugar consumption per person. What it feels like because we compare it to something from another point in history seems irrelevant when talking about solutions on how to get out of the mess.

This is the do your own research thread where people want to be spoon fed. Doesn't really compute for me.
 
Another significant problem here (two sides of same coin) is the sedentary lifestyles we live along with technology advances throughout almost all aspects of our lives. Those are my three tent poles. My OPINION....no links.
 
I googled 2 countries which I don't think have obesity problems, japan and norway. I used the search string "norway(or japan) sugar consumption per capita by year"

Japan's sugar intake has been on general decline since 1972!

Norway is at lowest sugar intake in last 44 years, or at least they were 5 years ago, which is probably good enough for this discussion.


I am quoting my post to argue with myself. I was wrong, i dont think it is caused by sugar.Norway the sugar has gone down, however their obesity rate has gone up a very significant amount.

The number of obese people in Norway has tripled since 1980 even though their sugar consumption has declined during that same timeframe.



specific image:
Obesity is increasing nearly everywhere the standard American diet has been introduced (even Japan). Added sugar is a part of the problem, no doubt, but it's not the only issue with ultraprocessed foods, nor is it the sole cause of the obesity pandemic. This article explores some other possible contributors, besides the “big two” - changes in diet and physical activity.
The obesity epidemic is a global issue and shows no signs of abating, while the cause of this epidemic remains unclear. Marketing practices of energy-dense foods and institutionally-driven declines in physical activity are the alleged perpetrators for the epidemic, despite a lack of solid evidence to demonstrate their causal role. While both may contribute to obesity, we call attention to their unquestioned dominance in program funding and public efforts to reduce obesity, and propose several alternative putative contributors that would benefit from equal consideration and attention. Evidence for microorganisms, epigenetics, increasing maternal age, greater fecundity among people with higher adiposity, assortative mating, sleep debt, endocrine disruptors, pharmaceutical iatrogenesis, reduction in variability of ambient temperatures, and intrauterine and intergenerational effects, as contributing factors to the obesity epidemic are reviewed herein.
As I said before, many healthcare issues ate multifactorial. Obesity isn’t just a lack of willpower, and added sugar isn’t the only culprit either. But our brains like to form mental shortcuts, and oversimplify complex problems.

This tendency, along with confirmation bias, are additional pitfalls one might encounter in their “research.” And we’re all prone to making such errors, including healthcare providers. So it’s important to keep an open mind, and realize science is constantly evolving.
 
Another significant problem here (two sides of same coin) is the sedentary lifestyles we live along with technology advances throughout almost all aspects of our lives. Those are my three tent poles. My OPINION....no links.

Check out the link above from @The Longtime Lurker to a study that suggests otherwise. Very interesting.
Did I miss the link to the study? I see the MSN article.

There is a growing theory around the foods we eat. More importantly, what foods we eat when and its all predicated on the type of fat we are housing and the metabolic state/cycle the body is in. It wouldn't shock me at all if there is something .meaningful that comes from work like this.

ETA: yes, I missed it. Gonna read when I have time. Thanks!
 
No matter the tangent we’re on, these last few pages nicely illustrate the problems with DIY “research”: bias, unreliable sources, and inadequate effort reviewing the data, assuming one has the ability to understand it at all. On top of that, most health issues are multifactorial, such that they rarely distill to simple, definitive explanations/interventions.

Now imagine having scientific background, up to date clinical knowledge, and limited time. How would you prioritize entertaining these discussions?
From a general sense, I wouldn't. Minimize consuming processed anything, manage stress, exercise regularly, engage your mind on something new, get plenty of rest - both actual sleep and down time, and earn a liveable wage. Application to each individual isn't as simple as that one sentence, but the starting point is. I don't see the point arguing what's the optimal mix of all that, good health is not a one-size-fits-all, but this is the internet after all- you all do you.
 
which was legal when there was a shortage but now is not.
Are you sure about this? I feel like there's still loopholes that allow this. I know locally we have a wellness clinic that offers them and also a compounding pharmacy that is still offering them.
This is a good explanation: https://www.hchlawyers.com/blog/2025/june/glp-1-shortage-ended-can-you-still-legally-presc/

Anything that is “essentially a copy” is illegal. If it’s not “essentially a copy,” is it really a GLP-1?
Following up on this, Novo Nordisk issued a press release today in which they announced they expect slower -- but still very healthy -- growth in revenue and profit for the second half of this year in part because compounding, though now illegal, is still happening.

The lowered sales outlook for 2025 is driven by lower growth expectations for the second half of 2025. This is related to lower growth expectations for Wegovy® in the US obesity market, lower growth expectations for Ozempic® in the US GLP-1 diabetes market, as well as lower-than-expected penetration for Wegovy® in select IO markets.

For Wegovy® in the US, the sales outlook reflects the persistent use of compounded GLP-1s, slower-than-expected market expansion and competition.

Despite the expiry of the FDA grace period for mass compounding on 22 May 2025, Novo Nordisk market research shows that unsafe and unlawful mass compounding has continued, and that multiple entities continue to market and sell compounded GLP-1s under the false guise of ‘personalisation’. Novo Nordisk is pursuing multiple strategies, including litigation, to protect patients from knockoff ‘semaglutide’ drugs. Novo Nordisk is deeply concerned that, without aggressive intervention by federal and state regulators and law enforcement, patients will continue to be exposed to the significant risks posed by knockoff ‘semaglutide’ drugs made with illicit or inauthentic foreign active pharmaceutical ingredients.

As unsafe and unlawful mass compounding continues, the Wegovy® penetration within the cash channel has been lower-than-expected. Within this channel, NovoCare® Pharmacy was launched in March 2025. Wegovy® prescriptions via NovoCare® Pharmacy (including TeleHealth collaborations) amount to around 11,000 total weekly prescriptions, in addition to around 20,000 weekly prescriptions in the retail cash channel. Novo Nordisk will continue to invest in the expansion of direct-to-patient initiatives such as NovoCare® Pharmacy and further collaborations with telehealth organisations.

Within the insured channel, despite the initiation of new commercial activities of Wegovy® in the first half of 2025, the sales outlook also reflects lower-than-expected penetration for Wegovy®, mainly due to slower market expansion and competition. Novo Nordisk continues to engage in additional commercial initiatives and expects a regulatory decision around the Wegovy® MASH indication during the second half of 2025. Moreover, Novo Nordisk continues to expect a positive contribution from changes to the CVS national template formulary effective 1 July 2025, where Wegovy® is now the only GLP-1 medicine covered for obesity.

For Ozempic®, the updated outlook is negatively impacted by competition in the US. Novo Nordisk continues to invest in commercial activities and label updates towards driving further market penetration of Ozempic®.

Finally, while IO Wegovy® sales are growing at high rates and launches are progressing, the sales outlook reflects lower-than-expected penetration for Wegovy® in select IO markets due to slower market expansion and competition. With around 1 billion people living with obesity globally and only a few million on treatment, the outlook reflects a continued global rollout of Wegovy® to more markets.

 
Thanks for the follow up. I felt like i was missing something. We have friends that are getting this stuff from wellness clinics at a fraction of the price because their insurance won't cover it.
 

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