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Nature:有人靠“胃折叠术”告别司美格鲁肽,“肠道升温”真能逆转代谢吗?
GLP1减重宝典· 2026-01-28 10:35
Core Insights - The article discusses the challenges faced by millions who stop using GLP-1 weight loss drugs due to side effects, high costs, or supply issues, and highlights emerging alternatives for weight management [11][12]. Group 1: Demand for Alternatives Due to GLP-1 Drug Discontinuation - GLP-1 drugs like Semaglutide (Ozempic, Wegovy) and Tirzepatide (Zepbound) have a high discontinuation rate of 37% to 81% within the first year, prompting patients to seek sustainable alternatives [12]. - Factors such as unstable drug supply, annual costs averaging tens of thousands of dollars, and side effects like nausea are driving patients towards traditional weight loss methods [12]. - The popularity of GLP-1 drugs has led to renewed interest in traditional weight loss methods, creating a new treatment paradigm of "drug initiation followed by diverse follow-up" [12]. Group 2: Innovations in Surgical and Endoscopic Techniques - Traditional weight loss surgeries, such as gastric bypass and sleeve gastrectomy, have been shown to achieve long-term weight loss of 30% to 50%, but global surgical penetration remains below 1% due to patient concerns about surgical trauma [13]. - The 2022 international guidelines lowered the BMI threshold for surgery, and institutions like the Mayo Clinic are exploring "drug-surgery sequential treatment" to enhance weight loss outcomes [13]. - Endoscopic techniques are gaining attention, including Endoscopic Sleeve Gastroplasty (ESG) and Gastric Mucosal Ablation (GMA), which are less invasive and have shown promising results [14][15]. Group 3: Challenges in Popularization and Payment Systems - Despite the potential of endoscopic techniques, their global adoption faces challenges such as limited insurance coverage and the need for standardized operational techniques [16]. - The average out-of-pocket cost for ESG is around $6,000, and GMA is not yet covered by insurance [16]. - Establishing multidisciplinary weight management centers is being promoted in countries like Brazil to integrate drug, endoscopic, and surgical resources, enhancing overall treatment quality [16].
Fresenius SE & Co. KGaA (FSNUY) Presents at 44th Annual J.P. Morgan Healthcare Conference Transcript
Seeking Alpha· 2026-01-14 19:26
Core Viewpoint - The presentation emphasizes the importance of the healthcare industry and the comprehensive portfolio of Fresenius SE, which includes hospitals, pharmaceuticals, and medical technology, highlighting their commitment to healthcare innovation and services [2][3]. Group 1: Company Overview - Fresenius SE operates across a wide spectrum of healthcare services, including hospitals, pharmaceuticals, and medical technology, showcasing a holistic approach to health care [2]. - The company positions itself as a leader in the healthcare sector, with a focus on innovative products and services that cater to various health needs [2]. Group 2: Industry Context - The timing of the conference is noted as particularly significant due to the ongoing changes in the healthcare landscape, indicating a dynamic environment that necessitates collaboration and discussion among industry leaders [3].