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Zepbound Copycats Remain Online Despite FDA Ban

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Zepbound Copycats Remain Online Despite FDA Ban

Compounding Pharmacies Defy FDA Ban on Copycat Versions of Weight-Loss and Diabetes Drugs

This week was supposed to mark the end of compounding pharmacies making copycat versions of Eli Lilly’s weight-loss drug Zepbound and diabetes drug Mounjaro. However, online, it doesn’t look like much has changed.

Popular websites like Amble, EllieMD, Willow, and Mochi Health are still advertising versions of tirzepatide, the active ingredient in Zepbound. Some, like Ivim, have stopped taking new patients. Mochi Health, however, has no plans to stop, and neither do the four pharmacies it uses to supply patients with the medications. The company uses a network of about 500 providers to write prescriptions for weight-loss drugs, including compounded versions.

Personalization is Key

According to Mochi CEO Myra Ahmad, offering personalized versions of the drugs will keep the company out of the crosshairs. "It can be different dosing schedules … some patients prefer to go up in dosage much more slowly," she said. "Some patients like to mix a number of other medications into their compounded formulations, depending on the side effects that they’re having. Some patients have side effects with any additives and brand name formulations. Compounding really opens up the door for so much personalization."

What is Compounding?

Compounding is where pharmacies mix ingredients of a drug to create a specialized version for specific patients. Say someone is allergic to a dye in a branded medication or needs a liquid form and the main manufacturer only sells capsules. In that case, the patient can turn to a compounded version. When drugs are in short supply, they can be compounded in larger quantities to help fill the gap.

FDA Guidance

The FDA has been clear about what is and is not a copy. According to the agency, a copy is a product that has a dosage within 10% of the commercially available drug or combines two or more commercially available drugs. Mochi insists all of its prescriptions are personalized, including doses that differ from the standard Zepbound strengths. Other websites like EllieMD are advertising tirzepatide mixed with vitamin B12.

What’s Next?

The next two months will be informative. Mass compounding of semaglutide, the active ingredient in Novo Nordisk’s Ozempic and Wegovy, needs to stop by the end of May, according to the FDA. Hims & Hers Health has already said it will stop selling commercially available doses of semaglutide when the time comes. Customers who have a personalized dosing regimen will be able to continue without any change.

Conclusion

The FDA’s ban on mass compounding of tirzepatide and semaglutide has left many pharmacists and patients in a difficult position. While some pharmacies like Mochi Health have found a way to continue offering personalized versions of the drugs, others like Ivim have stopped taking new patients. The next few months will be crucial in determining the future of compounding pharmacies and their role in the healthcare industry.

FAQs

Q: What is compounding?
A: Compounding is where pharmacies mix ingredients of a drug to create a specialized version for specific patients.

Q: Why are some pharmacies still offering copycat versions of Zepbound and Mounjaro?
A: Some pharmacies believe that offering personalized versions of the drugs will keep them out of the crosshairs.

Q: What is the FDA’s stance on compounding?
A: The FDA sees copies as products that have a dosage within 10% of the commercially available drug or combine two or more commercially available drugs.

Q: What happens if pharmacies continue to offer copycat versions of tirzepatide and semaglutide?
A: Pharmacies that continue to offer copycat versions of the drugs may be putting themselves at risk of legal action from the FDA and drug manufacturers.

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Global Trends and Politics

Bullying in the Workplace: A Growing Concern for Employees

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Bullying in the Workplace: A Growing Concern for Employees

As we go about our daily lives, we often assume that our workplace is a safe and welcoming environment. However, the reality is that bullying in the workplace is a growing concern for many employees worldwide. Despite the importance of creating a positive and inclusive work environment, bullying remains a persistent issue that can have serious consequences for employees, organizations, and the economy as a whole.

The Definition of Workplace Bullying

Before we delve into the consequences of workplace bullying, it’s essential to define what it means. Workplace bullying is a form of aggressive behavior that is repeated over time and is intended to harm, intimidate, or humiliate an individual. It can take many forms, including verbal abuse, intimidation, exclusion, and physical violence. It’s important to note that workplace bullying is not limited to direct supervisors or managers, but can also come from colleagues, clients, or even customers.

The Prevalence of Workplace Bullying

The statistics are alarming. According to a survey conducted by the American Psychological Association (APA), 35% of employees in the United States have experienced bullying in the workplace. Another survey conducted by the Workplace Bullying Institute found that 27% of employees have experienced bullying, while 11% have been bullied to the point of quitting their job. These numbers are staggering, and it’s clear that workplace bullying is a widespread issue that requires immediate attention.

The Consequences of Workplace Bullying

Workplace bullying can have severe consequences for employees, including:

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Physical and Mental Health Issues

+ Increased stress, anxiety, and depression
+ Sleep disturbances
+ Chronic pain and fatigue
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Productivity and Performance

+ Decreased job satisfaction
+ Reduced motivation and engagement
+ Decreased productivity and performance
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Turnover and Absenteeism

+ Increased turnover rates
+ Absenteeism and tardiness
+ Decreased job retention

The consequences of workplace bullying are far-reaching, and it’s essential that organizations take immediate action to prevent and address this issue.

What Can Be Done?

Preventing and addressing workplace bullying requires a multifaceted approach. Here are some strategies that organizations can implement:

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Develop a Zero-Tolerance Policy

+ Create a clear policy that outlines the consequences of bullying behavior
+ Ensure that all employees are aware of the policy and its implications
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Train Employees

+ Provide regular training on recognizing and reporting bullying behavior
+ Educate employees on the impact of bullying on individuals and the organization
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Encourage Open Communication

+ Create an open-door policy for employees to report bullying behavior
+ Encourage employees to speak up and seek help when needed
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Hold Bullies Accountable

+ Address bullying behavior promptly and consistently
+ Take appropriate disciplinary action against perpetrators

Conclusion

Workplace bullying is a serious issue that requires immediate attention and action. By understanding the definition, prevalence, and consequences of bullying, we can work towards creating a positive and inclusive work environment. By implementing strategies to prevent and address bullying, we can reduce its impact and improve the well-being of employees. It’s time for organizations to take a proactive approach to addressing bullying and creating a culture of respect and inclusion.

FAQs

What are the most common forms of workplace bullying?

+ Verbal abuse
+ Intimidation
+ Exclusion
+ Physical violence

What are the most common triggers of workplace bullying?

+ Conflict or competition for recognition or resources
+ Power imbalance or authority issues
+ Personality clashes or differences
+ External pressures or stressors

How can employees report workplace bullying?

+ Speak up and report to HR or management
+ Use online reporting platforms or hotlines
+ Seek support from colleagues or mentors

What can organizations do to prevent workplace bullying?

+ Develop a zero-tolerance policy
+ Provide regular training on recognizing and reporting bullying behavior
+ Encourage open communication and reporting
+ Hold bullies accountable and take disciplinary action

By understanding the complexities of workplace bullying, we can work towards creating a culture of respect, inclusivity, and positivity. It’s time to take action and address this growing concern.

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Global Trends and Politics

Tariff Fears Raising Construction Costs

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Tariff Fears Raising Construction Costs

Uncertainty Over Tariffs and Immigration Policy Causes Construction Costs to Soar

Related Group CEO Jon Paul Pérez says contractors are already increasing prices by up to 20% to offset potential tariffs, a move that could lead to higher costs for new condos and homes.

President Donald Trump’s 25% tariffs on certain goods from Canada and Mexico, including steel and aluminum, are set to take effect on April 2, and even before that, uncertainty over tariffs and inflation is causing many contractors to raise real estate project costs.

"We’re seeing [subcontractors] throw an additional cushion into their numbers anticipating tariffs," Pérez said. "It could be as much as 20%, depending on what material they’re getting from another country."

Tariff Fears Drive Up Construction Costs

Pérez noted that the price hikes are driven by the anticipation of higher costs, rather than current levels, and that it’s unclear how the higher costs will be divided between contractor and developer.

"When you go through their numbers in detail and you start negotiating, you quickly find out they’re just kind of padding to protect themselves," he said.

As a result, tariff fears could add further upward pricing pressure on a housing market that’s already crippled by high prices and elevated mortgage rates.

The Impact on Homebuyers

According to a survey from the National Association of Home Builders, rising prices for construction materials could add $9,200 to the cost of a typical home.

Related Group’s Experience

Related Group is one of the largest and most prominent developers in the U.S., with more than 90 projects in various stages of development, including rentals, affordable housing units, mixed-use developments, and luxury condos. The company’s founder and chairman, Jorge Pérez, said that in addition to tariff concerns, the Trump administration’s crackdown on immigration could also drive up prices for developments, since the construction industry relies heavily on workers from overseas.

"There will absolutely be a cost effect in our industry, in particular the construction industry," he said. "Losing these people will have an inflationary effect."

High-End Market Remains Strong

Despite the uncertainty, the high-end of the real estate market remains strong, with a recent sale of two condo penthouses at Related’s new development on Fisher Island near South Beach, Miami, for a total of $150 million.

Middle Market Takes a Wait-and-See Approach

However, the "middle market" is taking a more cautious approach, with many buyers in the $1 million to $3 million range waiting to see how the tariffs and immigration policies play out.

Conclusion

The uncertainty surrounding tariffs and immigration policy is already having a significant impact on the construction industry, with contractors increasing prices to offset potential costs. As the market continues to evolve, it’s clear that homebuyers and developers alike will need to be prepared for the potential consequences of these changes.

Frequently Asked Questions

Q: What are the potential implications of tariffs on the construction industry?
A: Tariffs could lead to higher construction costs, which could be passed on to homebuyers, leading to increased prices for new condos and homes.

Q: How are contractors responding to tariff concerns?
A: Contractors are already increasing prices by up to 20% to offset potential tariffs, according to Related Group CEO Jon Paul Pérez.

Q: What is the impact of immigration policy changes on the construction industry?
A: The Trump administration’s crackdown on immigration could also drive up prices for developments, since the construction industry relies heavily on workers from overseas.

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Global Trends and Politics

More Fast-Food Chains Adopt Fun, Flavored Drinks

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More Fast-Food Chains Adopt Fun, Flavored Drinks

Chick-fil-A’s Pineapple Dragonfruit Beverages: A New Era of Drink Innovation in Fast Food

Fast-food chains are going all in on fun beverages to attract younger consumers. Chick-fil-A, known for its straightforward menu of fried chicken and waffle fries, is selling seasonal Pineapple Dragonfruit drinks. Yum Brands’ Taco Bell installed a beverage concept called Live Mas Café inside one of its California locations. McDonald’s is in its second year of testing its drinks-focused spinoff, CosMc’s.

Restaurant operators are betting that drinks with exotic flavors, bright colors, and high caffeine and sugar counts will mean higher sales – and better margins. Fast-food chains are increasingly adding beverage options and widening the number of items within that segment. Refreshers and agua frescas are increasingly showing up on menus, while fast-food chains expand their specialty iced coffee, hot chocolate, and energy drink options, according to market research firm Datassential.

Fast-food chains’ recent focus on drinks mirrors the broader restaurant industry as the number of beverage-focused concepts climbs. More regional coffee shops are coming for Starbucks’ crown. Plus, consumers have embraced buying drinks beyond coffee, such as bubble tea and "dirty soda," the Utah trend of adding syrups, creamers, and juice to soda that has spread nationwide.

More and more full-scale establishments are basing their entire businesses on the growing segment. Beverage chains Swig, 7 Brew Drive Thru Coffee, and Gong Cha are among the 10 fastest-growing quick-service restaurant chains by sales, according to restaurant market research firm Technomic.

The trend also follows the decades-long decline in soda consumption since its peak in 2000.

"At the consumer moves away from the traditional soda, there’s an opportunity for operators and different brands to bring something signature to the table that is more in line with their brand in certain instances, but also an opportunity to potentially charge a little more," said Michael Parlapiano, managing director of the Culinary Edge, a consulting firm that has helped Noodles & Company, McDonald’s, and First Watch on menu offerings.

Attracting Gen Z

Restaurants are hoping hot chocolate and flavored lemonades can help build loyalty with Gen Z consumers.

Compared to previous generations, Gen Z is the most open to new flavors and comes from the most diverse backgrounds. Gen Z’s openness gives fast-food chains more latitude to explore more unusual offerings, such as butterfly pea or ube, according to Parlapiano. Monin, a French company best known for its flavored syrups, tapped yuzu, an East Asian citrus fruit, as its flavor of the year for 2025.

Traditionally, large fast-food chains are less likely to experiment with such audacious flavors, but even they have stepped outside of their comfort zones. For example, Wendy’s current lemonade lineup includes blueberry pomegranate and pineapple mango – two choices that have paid off for the burger giant.

"Our premium craft lemonades are also incredibly loved by our customers, and this product over-indexes with Hispanic consumers and Gen Z," Wendy’s U.S. Chief Marketing Officer Lindsay Radkoski said at a recent investor event.

Beyond the Soda Fountain

For some chains, beverages have taken center stage as an area for improvement – and future sales growth.

"We recognize that it’s not just about carbonated sodas anymore," El Pollo Loco CEO Liz Williams told CNBC. "So we did a deep dive in beverage innovation this year."

El Pollo Loco’s expanded drink offerings now include more flavors of its Aguas Frescas, which are fruit-infused waters. Future drink innovation could mean following the mashup trend, such as selling horchata coffee, Williams said.

Wendy’s also wants more of its customers to order drinks. Roughly 30% of Wendy’s customers do not add a beverage to their order, according to a recent investor presentation.

"This is an opportunity for growth when these are highly profitable," Wendy’s U.S. President Abigail Pringle told analysts.

In many cases, beverages generate higher profits and are easier to add to menus than a new food item. While a customer sees a new flavor, for the workers making the drinks, it’s just swapping out a syrup flavor or adding a new drizzle on top. With just a little more labor, restaurants can charge a lot more. Plus, syrups also usually have longer expiration dates than food items and are easier to store, according to Datassential’s Conaghan.

Conclusion

The rise of drinks with unique flavors, colors, and sugar counts is a game-changer for the fast-food industry. As consumers increasingly seek out new and exciting beverages, restaurants are stepping up their game to meet the demand. From pineapple dragonfruit to mango lassi, the possibilities are endless. With the potential for higher profits and increased customer loyalty, it’s no wonder that drinks are becoming a key area of focus for many restaurants.

FAQs

Q: What are some examples of unique flavors that fast-food chains are offering?
A: Examples include butterfly pea, ube, yuzu, and horchata.

Q: Why are fast-food chains focusing on drinks?
A: Fast-food chains are focusing on drinks as a way to attract younger consumers and increase sales.

Q: What are some popular drink trends in the fast-food industry?
A: Popular drink trends include flavored lemonades, iced coffee, and energy drinks.

Q: Why are consumers seeking out new and exciting beverages?
A: Consumers are seeking out new and exciting beverages because they offer a way to mix up their routine and try something new.

Q: What are some benefits of focusing on drinks for restaurants?
A: Focusing on drinks can lead to higher profits and increased customer loyalty.

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