My doctor recently put me on tirzepatide. It needed a prior auth from my insurance despite me being under treatment for type 2 diabetes for the last five years. My pharmacy benefits plan requires all prescriptions be sent to a mail order pharmacy, so I asked him to send in there. The mail order pharmacy accepted the script and offered to fill it for $3,000 for a one month supply. I asked them why, and they said that prior auth was still pending. Two days later, prior auth was denied with no reason given when I called.
Two days after that, prior auth was approved and the mail order pharmacy now wanted to charge me $25 for a three month supply.
Access to this drug for most people will be a nightmare, even for those that could benefit from its on-label use for type 2 diabetes.
I definitely empathize. Something similar is going on with amphetamine in the US due to DEA drug controls. People who need the drug are having access problems, and it's leading to the same tired "But do people really need it or are they just lazy?" and "Who needs it more?" discussions.
These obesity drugs are far more expensive though, sheesh.
2. People who think it's an unfair shortcut to lose weight with a pill. That fatties should just have to exist until they can make the identity level genetic changes on their own to lose it.
Both cases are sad to see especially if you've been someone who has- or watched a loved one- struggle to lose weight their whole life.
> People who think it's an unfair shortcut to lose weight with a pill. That fatties should just have to exist until they can make the identity level genetic changes on their own to lose it.
That's quite the straw man. The actual position is "while there's a shortage of these drugs, people who merely want them as a substitute for self-control should have to wait in line behind everyone who actually needs them for what they're meant to treat".
And then there's the plot twist. On-label use is for type 2 diabetes, which is considered a consequence of obesity. So it's actually about prevention vs treatment.
#2 seems to be a perennial favorite for people that morally judge fat people, and it actually seems worse from other fat people.
My partner got gastric sleeve surgery, and she got an inordinate amount of shit about how it was "cheating" to lose weight from some of her fatter friends as well as a bunch of her skinny friends. It's weird like that.
> That fatties should just have to exist until they can make the identity level genetic changes on their own to lose it.
Or just eat less and exercise more..
What happens when they come off of this drug? Does the weight just go back on again?
Underlying lifestyle changes are the proper way to lose weight and keep it off. The sort of lifestyle changes that most non-fat people have been making all of their lives. That's why many people criticise shortcuts like this. It's a lazy solution to (mostly) laziness.
Absolute bollocks. Saying weight gain or difficulty with losing weight is genetic is (for the vast majority of people) a coping mechanism for lack of willpower.
If you're arguing that weight gain or a sense of willpower are entirely genetic, I think the onus is on you to provide proof.
Introducing the likening of weight loss, something that everybody is capable of, to changing skin colour and changing your gender/sex is absurd.
Eating below your energy expenditure will cause you to lose weight. Every time somebody decides to eat a (or many) burger or a donut, they have the choice not to do that. Genetics aren't forcing anyone.
>Tirzepatide, an Eli Lilly and Co. drug approved to treat type 2 diabetes under the brand name Mounjaro, helped people with the disease who were overweight or had obesity lose up to 16% of their body weight, or more than 34 pounds, over nearly 17 months, the company said on Thursday.
Is 34 pounds over 17 months really that significant? I lost that much in 6 months on a ketogenic diet, even with a lot of cheating (alcohol, fried chicken).
My doctor recently put me on tirzepatide. It needed a prior auth from my insurance despite me being under treatment for type 2 diabetes for the last five years. My pharmacy benefits plan requires all prescriptions be sent to a mail order pharmacy, so I asked him to send in there. The mail order pharmacy accepted the script and offered to fill it for $3,000 for a one month supply. I asked them why, and they said that prior auth was still pending. Two days later, prior auth was denied with no reason given when I called.
Two days after that, prior auth was approved and the mail order pharmacy now wanted to charge me $25 for a three month supply.
Access to this drug for most people will be a nightmare, even for those that could benefit from its on-label use for type 2 diabetes.