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While Im a long-time advocate of people taking on consumer-style habits for health and well-being, as a health economist and long-time analyst of and advisor to the ecosystem of stakeholders, Ive always been a realist about the shortcomings of assuming health care consumerism was a unified field theory for all health citizens in the U.S

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However, its future trajectory is far from linear as many uncertainties remain, e.g., acceptance of obesity as a chronic disease, budget impact faced by payers and health systems willingness and ability to pay, the readout of further cardiovascular outcomes trials after the high profile results of 2023s SELECT trial for Wegovy, or new entrants challenging first generation therapies with alternative mechanisms of action (MoA) to address shortcomings such as gastrointestinal tolerability, current drugs being injectables, or the durability and quality of weight loss which distinguishes between fat and lean body mass

This report serves as an introduction to the issue.