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There are gray market microlabs that will already make it for 1/3 the cost. Since so many insurance companies deny Ozempic for people who are pre-diabetic (which would keep them from becoming diabetic) and Wegovy for people who are obese and have cholesterol issues (again, can actually help with this) but they are not morbidly obese, people turn to these places.
Doctors say you need it and will help you, but insurance companies tell you “nah”. Yet for some reason they cover it for the endless amounts of yoga Karens who don’t need it at all.
And I'm proposing that drug production could be largely (not entirely - sometimes you need that weird ass ingredient with a supply chain that circles the globe like shibari, or a huge piece of equipment) moved to a local community context. Fuck the companies, cut them out entirely.