Dr. Ken Spielvogel

We have strategies to lower the cost using Lilly Direct, which is an excellent program.

You sign up, you send the patient's information in, Lilly handles all the communication directly with the patient, mails them the medication,

you know, we've moved away now from these auto injector syringes that you can't be flexible with the dose.

So now it's just a vial.

You drop a dose, you like 3.5, you can draw that up and you, they send you the syringes, they send it in a, uh, cold pack.

So it's really great.

It's very, uh, it's very cost effective and, uh, they do a really nice job with that.

Now the compounding area of it, which are, you know,

essentially non-fda approved sources for getting these medications compounding pharmacies are manufacturing their own versions of terzapatide and semaglutide that you know would people want to do that and see it's going out and getting zep out cheap yeah but it's not as good is it um you know i think there's reputable there's repra

reputable pardon my french um compounding pharmacies where it is effective and it is good and you know it's an extra step of having to constitute it okay but if it's 150 to 250 bucks yeah that's going to be a game changer okay for the real stuff right how much is it for it's about the same it might be a little bit cheaper than that okay so why would anybody want

I think it's going to put them out of business.

I think that was their goal.

I don't know if it'll put them out of business.

They have other things they can sell.

They also do some interesting combinations.

They'll do combinations with other peptides that potentially work somewhat synergistically with these GLP-1s.

Because one of the biggest side effects, let's talk about this, is people that lose weight, they'll lose muscle in a larger proportion than they will fat.

And if you're not being counseled and taking the proper protein intake, complementing it with the proper supplements and not doing weight-bearing exercise, you are going to lose muscle mass.

Muscle is the largest endocrine organ in your body.

It deals with sugar.