For a more compact and non-powered option, the Nomad Portable Cooling Cases use Biogel freeze packs to keep up 5 (big model) or 2 (medium model) Wegovy or Ozempic pens constantly refrigerated between 2-8C for up to 30 hours to travel
Overall, it seems that until the pricing edge is lost by the NVO/LLY duopoly its best to steer very clear of insurers but down the road once they are cheaper I would be quite interested in assessing the ones who have been hit hardest in the market for the highest volumes of early GLP-1 coverage as I believe they could make outsized returns on a comeback given the longer term benefits they will begin realizing on their bottom line sooner than peers
Orforglipron is an oral GLP-1 medication being developed by Eli Lilly that doesnt require the strict fasting protocol that Rybelsus does
Alcohol can do a number on our digestion as well, leading to stomach pain, acid reflux, nausea, and diarrhea
47,48 Iatrogenic injury is another recognized contributor, most commonly following manipulation of the ampulla or pancreatic duct during procedures such as endoscopic retrograde cholangiopancreatography (ERCP), which carries an estimated risk of 10%, 49 or more rarely after EUS, with a risk of less than 1%