'Last hope': Eager Germans are prepared to pay for weight-loss drug

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Danish drugmaker Novo Nordisk’s weight-loss drug Wegovy will be available in Germany from the end of July, and people seem willing to pay

A swift uptake could nevertheless further strain Novo'sWegovy's introduction in Germany is likely to stir the debate over what constitutes a medical need in a nation that doctors said often sees obesity as a "lifestyle choice" rather than a chronic disease.

Using the same active ingredient at a lower dose, Ozempic costs less per milligram of active substance than Wegovy. Without public health insurance for obesity drugs, and very limited payments for obesity-specific psychotherapy, treatment in Germany often means surgery for the most severe cases, with a BMI of around 50.All the doctors interviewed by Reuters said they intend to prescribe Wegovy alongside structured diet and exercise programmes.

Michael Wirtz, a civil engineering project manager from Winsen an der Luhe in Lower Saxony, had gastric bypass surgery in 2011 that helped him lose 70 kg."Without it, I would probably have to think about changing my job to ease the stress level, but that would of course mean a lower income," said Wirtz, adding that he might cancel some subscriptions to help afford the cost.

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