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    Introducing The Journal: Trillion Dollar Shot

    enJune 11, 2024

    Podcast Summary

    • Blockbuster drugs for weight lossThe rise of blockbuster drugs like ozempic for weight loss brings ease and excitement for some, but also concerns over cost and potential side effects, impacting America's obesity struggle and broader healthcare implications.

      The rise of blockbuster drugs like ozempic for weight loss is a game-changer, both in terms of health and business. These medications, which have exploded in popularity, make weight loss easier for some people, but their high cost and potential side effects have sparked excitement and skepticism. In this episode of The Journal's "Trillion Dollar Shot," Bradley Olson shares his personal experience of taking Moundjaro, a weight loss medication, and the feelings of ease and anxiety it brought him. The impact of these drugs on America's struggle with obesity and the broader implications for healthcare and society are still unfolding.

    • New approach to treating obesityNew drugs like Ozempic are revolutionizing obesity treatment with significant weight loss and craving management success, unlike previous methods like diet, exercise, or surgery.

      The new class of drugs, such as Ozempic, is revolutionizing the approach to treating obesity, a condition affecting one in three adults in the US and linked to various health issues and high healthcare costs. Unlike previous methods like diet and exercise or surgery, these drugs have shown significant success in helping people lose weight and manage their cravings. The conversation between a patient and a doctor about weight loss often feels like a theatrical performance where neither party truly believes in the proposed solutions. However, with these new drugs, there's a newfound confidence and certainty about their effectiveness. The development of Ozempic began in the 1990s by a young scientist named Lotta Bière Knudson at Novo Nordisk. Her work in the lab led to the creation of this groundbreaking medication, which is now changing the game in addressing obesity.

    • Determination and perseverance in researchA dedicated researcher's determination and perseverance, despite challenges and setbacks, led to the development of long-acting GLP1 hormone for diabetes treatment

      Determination and perseverance, even in the face of challenges and setbacks, can lead to breakthrough discoveries. This was exemplified by the story of a researcher named Lana, who was dedicated to making useful products for human beings and worked tirelessly to make GLP1, a hormone with the potential to treat diabetes, long-acting. Despite the hormone's short lifespan and the skepticism of her superiors, Lana continued to pursue the project. When her colleague and project leader went on maternity leave and later returned to find her team disbanded, Lana was left to lead the project alone. With the support of her lab technicians and the continued encouragement of Lotto, she persisted, eventually figuring out a way to make GLP1 last long enough to be effective. This discovery ultimately led to the development of a new class of drugs for diabetes treatment.

    • Liraglitide development challengesLiraglitide's development was a long process marked by limited resources, production capacity issues, and safety concerns, but the team's determination led to a compound that mimicked GLP1 and stayed in the body for 24 hours, eventually leading to FDA approval in 2010

      The development of Liraglitide, a drug for type 2 diabetes, was a long and challenging process for Lotta and her team at Novo Nordisk. Despite facing numerous obstacles, including limited resources, production capacity issues, and safety concerns, they persisted and eventually created a compound that mimicked the effects of GLP1 and stayed in the body for 24 hours. However, the drug faced setbacks, such as unpleasant side effects and cancer concerns in animal trials, which delayed its approval. The team's determination paid off when the FDA approved Liraglitide in 2010, and it went on sale as Victosa. Although it was a modest success, it served as a proof of concept for Lotta's GLP1 research and paved the way for the development of more potent drugs in the pipeline.

    • Diabetes drug innovationNovo Nordisk's dedication to innovation, effective marketing, and unexpected weight loss benefits led to the blockbuster success of their diabetes drug, Ozempic.

      Novo Nordisk's diabetes drug, Ozempic, gained significant popularity not just for managing diabetes, but also for its weight loss effects. This unexpected benefit led to a blockbuster success for the company. Novo Nordisk's dedication to innovation, as seen in their development of once-weekly semaglutide, and their effective marketing strategies, including the use of the iconic song "Magic," contributed to Ozempic's success. The drug's ability to lower blood sugar levels and aid in weight loss resonated strongly with patients and healthcare professionals. The company's focus on details, such as sock-wearing, reflects their commitment to precision and excellence in manufacturing. The combination of these factors transformed Ozempic into a household name and a game-changer in the diabetes and weight loss treatment landscape.

    • GLP-1 drugs for weight lossDespite initial intended use for diabetes, GLP-1 drugs gained popularity for weight loss due to celebrity endorsements and personal experiences, leading Novo Nordisk to pursue their development for obesity treatment.

      Ozempic, initially marketed as a diabetes drug, gained significant popularity for its off-label use in weight loss due to celebrity endorsements and word-of-mouth hype. Novo Nordisk, the company behind Ozempic, acknowledges the off-label use but emphasizes its intended use for diabetes. The company had been researching the use of GLP-1 drugs for weight loss for a long time but was cautious about promoting it publicly due to the history of failed weight loss drugs and potential social stigma. However, the personal impact of meeting individuals struggling with obesity and the commercial potential of the market eventually led Novo Nordisk to pursue the development of GLP-1 drugs for obesity treatment.

    • GLP-1 medications price and accessibilityThe demand for GLP-1 medications for weight loss has outpaced supply, leading to shortages and high prices, making them inaccessible for many people, causing some to seek riskier alternatives.

      The market for GLP-1 medications, specifically for weight loss, has exploded in recent years with the release of Novo Nordisk's Wigovii and Eli Lilly's Terzepitide, Mongero, and Zepbound. These drugs, which mimic gut hormones to help people lose weight, have been highly effective, with some patients losing up to 15% of their body weight in a year. However, the demand for these drugs has outpaced supply, leading to shortages and high prices, making them inaccessible for many people. Despite the benefits, affordability remains a major issue, causing some to turn to riskier alternatives. The competition between Novo Nordisk and Eli Lilly to become the first trillion-dollar pharmaceutical company has only intensified, leaving many patients struggling to access these life-changing drugs.

    • Podcast production complexityThe production of a podcast involves a team of contributors and intricate processes, resulting in engaging and insightful content for listeners.

      Key takeaway from the first episode of "Trillion Dollar Shot" from The Journal, hosted by Jessica Mendoza with Bradley Olson, is the intricacy and complexity behind the production of a podcast. The episode was produced by Matt Quang, with contributions from Jeeva Kavarma, Adrienne Marie Nielsen, Katherine Brewer, Sophie Hurwitz, Pete Ryan, Peter Leonard, Bobby Lorde, So Wiley, and many others. The series covers various topics and is available on podcast platforms. In the upcoming episode of "Trillion Dollar Shot," the focus shifts to the science of protein and its role in health and muscle growth. Meanwhile, listeners can enjoy the latest episode of "Science Versus," which delves into the science behind protein requirements. Stay tuned for more insightful and engaging podcasts from The Journal.

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