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China mainlines “Musk’s miracle medicine”, at a fraction of the cost in America

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IT IS KNOWN in China as “Musk’s miracle medicine”. In 2022 the boss of Tesla and new owner of Twitter, now X, gave credit for his slimmer figure to Wegovy, a drug manufactured by Novo Nordisk, a Danish firm. News about the drug quickly went viral on Chinese social media, where Mr Musk is wildly popular. The hype was, unusually, justified. Wegovy’s active ingredient, semaglutide, belongs to a class of drugs known as GLP-1 receptor agonists. GLP-1s help control blood sugar and promise to bring many other benefits as well.

But for a long time China’s people struggled to get hold of Wegovy because the country’s regulators had not approved it. Some persuaded their doctors to give them Ozempic, another semaglutide-based drug, intended to treat diabetes. Others bought knock-off versions online. Then on November 17th, after getting the nod from officials, Novo Nordisk at last started to sell Wegovy in China. Some hospitals in Shanghai have already written prescriptions. Netizens are discussing whether they can rely on the drug to lose weight in time for family reunions at Chinese New Year, which falls in late January.

A miracle medicine for weight-loss would certainly be welcomed by huge numbers of people in China. Although the country suffered famines as recently as the 1960s, rapid economic development since then has brought more sedentary jobs, richer food and bigger waistlines. Today about half of Chinese are overweight or obese, according to state-run media. By 2030 that share may have climbed to about 63%, according to the government’s National Health Commission.

All this is straining China’s health-care system. By 2030 the treatment of heart disease and other conditions linked to obesity could suck up a fifth of China’s total health spending, according to a 2021 study published in the Lancet, a journal. China’s health authorities are alive to the risks. In recent months they have launched a three-year campaign against obesity and published China’s first set of official guidelines on how doctors should diagnose and treat the condition. The guidelines give weight-loss drugs, alongside healthier lifestyles, a vital part to play.

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⇒All of our China coverage

Not everyone will have access to them at first. Novo Nordisk has said it will limit initial sales of Wegovy in China so as not to affect the supply to other markets. A month’s supply of the drug will cost 1,400 yuan ($190), according to local media. That is a fraction of the $1,350 it costs in America, but still a substantial expense for many Chinese. They would also have to pay it out of pocket, as Wegovy is not available on the public health-insurance system.

Nevertheless, Nomura, a bank, estimates that by 2033 the Chinese weight-loss-drug market might be worth over $11bn a year. Wegovy will be only one part of the picture. Eli Lilly, an American pharmaceutical company, is expected to market its own GLP-1 drug in China soon (it already has regulatory approval). And in 2026 Novo Nordisk’s patent for semaglutide will expire in China, allowing local firms to sell cheap generic versions of Wegovy. At least 11 such drugs are going through clinical trials, according to a count in June by Reuters, a news agency. Supply may begin to catch up with demand. ■

Subscribers can sign up to Drum Tower, our new weekly newsletter, to understand what the world makes of China—and what China makes of the world.

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China.css-2x8c4j{margin:0.875rem 0;}.css-2x8c4j .e12sz0jx0+*{margin-top:0.875rem;}.el1rg701+.css-2x8c4j{margin-top:0;}.css-1aogxph{color:var(–mb-colour-greyscale-london-20);font-family:var(–mb-typeface-sans);font-size:var(–mb-typestyle-label-2-size);font-variant:var(–mb-typestyle-label-2-figures);line-height:var(–mb-typestyle-label-2-leading);}.css-1aogxph s,.css-1aogxph del{-webkit-text-decoration:line-through;text-decoration:line-through;text-decoration-thickness:0.0625rem;}.css-1aogxph b{font-weight:var(–mb-font-weight-semibold);}.css-1aogxph i{font-style:italic;}.css-1aogxph sup{font-feature-settings:’sups’ 1;}.css-1aogxph sub{font-feature-settings:’subs’ 1;}.css-1aogxph u{text-decoration-thickness:0.0625rem;}.css-1aogxph a{color:var(–mb-colour-greyscale-london-20);-webkit-text-decoration:underline;text-decoration:underline;text-decoration-thickness:0.0625rem;text-underline-offset:0.1875rem;}.css-1aogxph a:hover,.css-1aogxph a:focus,.css-1aogxph a:active{text-decoration-thickness:var(–mb-spacing-3xs);}.css-1aogxph a:hover{color:var(–mb-colour-base-chicago-30);}.css-1aogxph a:hover span{text-decoration-color:var(–mb-colour-base-chicago-30);}.css-1aogxph a:focus{background-color:var(–mb-colour-base-chicago-90);color:var(–mb-colour-greyscale-london-5);text-decoration-color:var(–mb-colour-greyscale-london-5);outline:none;}.css-1aogxph a:active{background-color:var(–mb-colour-base-chicago-90);color:var(–mb-colour-base-chicago-30);text-decoration-color:var(–mb-colour-base-chicago-30);}

This article appeared in the China section of the print edition under the headline “The weight is over”

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China

November 30th 2024

• →China suffers eruptions from its simmering discontents
• →China’s government is badgering women to have babies
• →Wegovy hits the People’s Republic, at last

.css-ra48xw{font-family:var(–mb-typeface-serif);position:relative;}.css-duuyjs{display:-webkit-box;display:-webkit-flex;display:-ms-flexbox;display:flex;-webkit-flex-direction:column;-ms-flex-direction:column;flex-direction:column;-webkit-box-pack:column;-ms-flex-pack:column;-webkit-justify-content:column;justify-content:column;-webkit-align-items:center;-webkit-box-align:center;-ms-flex-align:center;align-items:center;text-align:center;-webkit-column-gap:var(–mb-spacing-lg);column-gap:var(–mb-spacing-lg);}.css-s61v3v{border-radius:0.125rem;box-shadow:-0.125rem 0.125rem 0.25rem 0 rgba(0,0,0,0.4);margin-bottom:0.75rem;min-width:10rem;max-width:12rem;}@media (min-width: 37.5rem){.css-s61v3v{min-width:12rem;}}.css-s61v3v img{display:block;max-width:100%;}.css-std7t4{max-width:16rem;}.css-nba04v{color:var(–mb-colour-greyscale-london-5);font-family:var(–mb-typeface-serif);font-size:var(–mb-typestyle-title-3-size);font-variant:var(–mb-typestyle-title-3-figures);font-weight:var(–mb-font-weight-medium);line-height:var(–mb-typestyle-title-3-leading);margin-bottom:0.25rem;}

From the November 30th 2024 edition

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Discover stories from this section and more in the list of contents

⇒Explore the edition.css-v7aorn{margin-top:0.875rem;}.css-v7aorn +.eq1asik0{margin-top:3rem;padding-bottom:0;}.el1rg701+.css-v7aorn{margin-top:0;}.css-9ejc71{position:relative;border-bottom:0;border-top:0.0625rem solid var(–mb-colour-greyscale-london-85);color:var(–mb-colour-greyscale-london-35);}.css-9ejc71 .ebxshaw0{margin-top:0;}.css-9ejc71 >.e5z0ibw0>*{padding:var(–mb-spacing-md) 0;}.css-9ejc71 >.e5z0ibw0>*:nth-of-type(2){border-top:0.0625rem solid var(–mb-colour-greyscale-london-85);}@media (min-width: 37.5rem){.css-9ejc71 >.e5z0ibw0>*:nth-of-type(2){border-top:0;}}.css-9ejc71 >.e5z0ibw0 .e5z0ibw0{gap:var(–mb-spacing-sm);}.css-yb4x8x{display:-webkit-box;display:-webkit-flex;display:-ms-flexbox;display:flex;-webkit-flex-direction:column;-ms-flex-direction:column;flex-direction:column;-webkit-align-items:stretch;-webkit-box-align:stretch;-ms-flex-align:stretch;align-items:stretch;-webkit-box-pack:start;-ms-flex-pack:start;-webkit-justify-content:flex-start;justify-content:flex-start;}@media (min-width: 37.5rem){.css-yb4x8x{-webkit-flex-direction:row;-ms-flex-direction:row;flex-direction:row;}}@media (min-width: 37.5rem){.css-yb4x8x{-webkit-align-items:center;-webkit-box-align:center;-ms-flex-align:center;align-items:center;}}@media (min-width: 37.5rem){.css-yb4x8x{-webkit-box-pack:end;-ms-flex-pack:end;-webkit-justify-content:flex-end;justify-content:flex-end;}}.css-1j1j36d{display:-webkit-box;display:-webkit-flex;display:-ms-flexbox;display:flex;-webkit-box-flex-wrap:wrap;-webkit-flex-wrap:wrap;-ms-flex-wrap:wrap;flex-wrap:wrap;row-gap:0.6rem;-webkit-column-gap:var(–mb-spacing-sm);column-gap:var(–mb-spacing-sm);}ShareReuse this content.css-169lzn0{position:relative;-webkit-align-self:auto;-ms-flex-item-align:auto;align-self:auto;display:none;}@media (min-width: 80rem){.css-169lzn0{grid-column-start:9;}}@media (min-width: 89rem){.css-169lzn0{grid-column-start:13;}}@media (min-width: 80rem){.css-169lzn0{grid-column-end:13;}}@media (min-width: 89rem){.css-169lzn0{grid-column-end:17;}}@media (min-width: 80rem){.css-169lzn0{grid-row-start:1;}}@media (min-width: 80rem){.css-169lzn0{grid-row-end:span 4;}}@media (min-width: 80rem){.css-169lzn0{display:block;}}.css-169lzn0:last-child::after{height:0;}.css-1y1zooy{display:inline;}.css-1y1zooy >*+*{margin-top:2rem;}.css-1y1zooy >*:only-child{margin-top:1.25rem;}.css-1y1zooy >*:last-child{position:-webkit-sticky;position:sticky;top:1.5rem;}.css-mqgbir{margin-top:6rem;}.css-mqgbir .ds-section-headline{margin-bottom:1rem;}

More from China

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Chinese authorities try to stop parents gaming the exam system (again)

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They will go to great lengths to try

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China’s alarming sex imbalance

By 2027 one in six young Chinese men won’t be able to find a partner

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Behind DeepSeek lies a dazzling Chinese university

It models itself on Stanford, and is in the tech hotspot of Hangzhou

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Panama symbolises the Sino-American struggle for influence

The superpowers use soft and hard power

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Tensions with the West are fuelling China’s anxiety about food supplies

Grain pains are growing

Hail China’s new “ice-and-snow economy”

The country is betting on winter sports and tourism to boost growth in its rustbelt

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Источник: www.economist.com