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The World Has More GLP-1s but Who Can Afford Them? Part 2

This week’s GLP-1 news had us thinking about access. Oral Wegovy launched in Germany, and Hims & Hers expanded its GLP-1 services into Australia. But in the U.S., PepsiCo announced it would cut obesity medication coverage while 600,000 people signed up for the new Medicare GLP-1 Bridge program. That is less than 1% of all Medicare beneficiaries, although we still do not know how many were approved or received medication.

Four years after Mounjaro launched, are GLP-1s becoming easier to find but harder to get covered? It felt like the right time to revisit this Season 4 conversation with Dr. Michael “Mick” Crotty and Belinda Hogan about GLP-1 access, obesity care and weight bias around the world.

In Part 2, we discuss:

• Managing daily life and side effects on GLP-1 medication
• Why weight loss slows and plateaus happen
• How the body’s set point may affect weight
• What GLP-1 maintenance really means
• Balancing continued weight loss with stabilization
• Adjusting treatment for long-term care
• What Ireland could learn from the U.S. rollout of GLP-1 medications

Dr. Crotty is a GP, co-founder and clinical lead of My Best Weight in Ireland. Belinda shares her lived experience navigating GLP-1 side effects, plateaus, maintenance and long-term treatment.

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Dr. Michael “Mick” Crotty

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https://www.mybestweight.ie/

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https://ie.linkedin.com/in/drmichaelcrotty

Belinda Hogan

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The Dose with Paddy and Belinda
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SOURCES

Oral Wegovy launches in Germany
https://www.reuters.com/legal/litigation/novo-nordisk-launches-wegovy-weight-loss-pill-germany-2026-09-01/

Hims & Hers expands its GLP-1 services into Australia
https://www.reuters.com/business/healthcare-pharmaceuticals/hims-hers-offers-glp-1-weight-loss-drugs-mens-health-treatments-australia-2026-08-31/

600,000 people sign up for the Medicare obesity drug program
https://www.reuters.com/legal/litigation/600000-seniors-have-signed-up-obesity-drugs-under-new-medicare-program-2026-08-31/

Employer GLP-1 coverage fell in 2026
https://www.reuters.com/legal/litigation/more-us-employers-drop-weight-loss-drugs-2027-healthcare-costs-increase-2026-08-25/

PepsiCo and other employers cut GLP-1 coverage
https://abcnews.com/Health/companies-offering-coverage-glp-1-weight-loss-drugs/story?id=135999790

Medicare enrollment data
https://data.cms.gov/summary-statistics-on-beneficiary-enrollment/medicare-and-medicaid-reports/medicare-monthly-enrollment

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