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Share on Pinterest In addition to the high price tag associated with drugs like Ozempic, Wegovy, and Mounjaro, several other costs you may not have anticipated can accumulate while youre taking weight loss medications. Phynart Studio/Getty ImagesSemaglutides like Wegovy and Ozempic reduce appetite and aid in weight loss and diabetes management. Walmart CEO John Furners comments about customers buying fewer units of food sent snack shares tumbling.Furner recently walked back comments, saying customers are purchasing more overall.Experts say people taking semaglutides may spend money on medications to manage side effects, new clothing that fits, and fitness equipment. However, doctors say that these potentially unexpected expenses are a drop in the bucket compared to the costs of the medications and access issues patients face.

Medications like semaglutide (sold under the brand names Ozempic and Wegovy), have skyrocketed in popularity due to their ability to help people lose weight.

In fact, research from 2021 suggested that a 2.4 mg dose of semaglutide (Wegovys dosing) could lower body weight when combined with lifestyle changes.

Anti-obesity medications like semaglutide, or Wegovy, fight the bodys physiological anti-starvation mechanisms by targeting the energy regulatory center of the brain, the hypothalamus, and addressing obesity-driven dysregulation in signaling pathways and hormone production, Dr. Katherine H. Saunders, DABOM, an obesity expert, co-founder of Intellihealth and clinical assistant professor of Medicine at Weill Cornell Medicine. Individuals who take semaglutide generally think about food differently, feel less hungry, feel full faster, and stay full for longer.

And thats how Walmart recently entered the discussion.

In early October, CEO John Furner told Bloomberg that shoppers taking semaglutide are purchasing less units, slightly less calories.

Business Insider noted that shares of Walmart snacks fell amid the news. Furner reportedly walked back statements in discussions with Morgan Stanley analysts, saying people taking the drug are spending more overall on items like medications to relieve side effects and lifestyle and fitness products.

Prescription drugs that aid with weight loss like Ozempic, Wegovy, and Mounjaro already come with a high price tag (around $1,000 a month without insurance), but people may not realize the cost of taking these medications likely wont end with the price of the drug alone.

For most patients, the benefits of the medication will likely outweigh most of these concerns, but its vital that patients understand the costs that could accumulate during treatment, says Dr. Christopher McGowan, a gastroenterologist, obesity medicine specialist, and the founder of True You Weight Loss. Are customers on weight-loss drugs spending less on food?

Early anecdotal evidence indicates that food companies are concerned or noticing shoppers taking drugs like Wegovy and Ozempic may be spending less on food.

Steve Cahillane, the CEO of Kellanova (Cheez-It, Pringles, and Rice Krispies Treats), said in an interview with Bloomberg that the business is assessing changes weight-loss medications may have on consumer behavior. In an interview with the Wall Street Journal, Smuckers CEO Mark Smucker made similar comments.

In the spring, the New York Post reported restaurants are changing menus and trimming portion sizes to adapt to customer eating habits amid a rise in semaglutide use, and that drumbeat has only grown louder.

Semaglutide changes appetites. Is it feasible that customers are spending or will spend less on food?

Its plausible.

It adds up that patients would consume less foods and, in that regard, buying less perishable items fits that story, says Dr. Konstantinos Spaniolas, the chief of the Division of Bariatric, Foregut, and Advanced GI Surgery at Stony Brook Medicine and the director of the Stony Brook Bariatric and Metabolic Weight Loss Center.

However, its also nuanced and too early to tell.

Individuals on semaglutide might spend less money on food because they eat less, but there are so many factors involved maybe theyre going out to eat more or eating higher quality or more expensive foods, Saunders says. Are there really hidden costs of Ozempic and Wegovy?

This answer also requires nuance.

First, experts say its important to discuss the benefits of weight-loss drugs.

In addition to weight loss, a 2023-published randomized control trial of 529 participants with obesity and heart failure suggested that those who took a 2.4 mg dose of semaglutide once weekly for 52 weeks had substantial improvements in symptoms and ability to function physically than the placebo group.

Novo Nordisk, which manufactures Ozempic, stopped a study on kidney failure in people with diabetes early because an independent data monitoring board recommended the evidence was strong enough to show it would succeed in helping this population.

However, the side effects and results from the drug may prompt consumers to purchase other items. The cost of managing side effects

Spaniolas says GI discomfort, including bloating and nausea, is a common side effect of patients on semaglutide. Another expert agrees and says additional medications arent the first-line treatment for managing these side effects.

For the vast majority of people, its manageable by lifestyle change, Dr. Angela Fitch, FACP, FOMA, the president of the Obesity Medicine Association and chief medical officer of knownwell, a weight-inclusive healthcare company. If you drink too much alcohol or eat too much for dinner, youll feel worse.

Fitch says fried foods like chicken and French fries can also make patients feel nauseous because they sit in the stomach longer.

For patients needing additional assistance managing side effects, medications may be necessary.

McGowan says he prescribes anti-nausea medications like ondansetron (brand-name for generic Zofran), which can retail for around $141 for a bottle of 20 pills.

Some patients may have severe gastrointestinal symptoms that necessitate emergency room visits, clinic appointments, and the need for IV hydration, McGowan says. Missed work due to side effects may result in financial impact.

ER visits can cost more than $1,000, according to American Family Care.

Fitch says that having an attentive care team that can adjust dosing and give insights on side effects and how to manage them can help prevent these costly ER visits. The cost of lifestyle products associated with weight loss drugs

Research indicates that semaglutide and similar medications are effective in helping patients living with overweight or obesity lose and maintain weight when combined with lifestyle changes.

Providers say these changes include physical activity. This need can come at a cost, too.

They also spend money on fitness equipment and gym memberships because cardio and strength training are critical strategies to preserve muscle mass and maintain weight loss long-term, Saunders says.

Costs of gym memberships vary based on the gym a person joins and the state, but Statista data from 2021 indicates monthly fees can range from $38 in Wyoming to more than $75 in New York.

Fitch says consumers may also purchase equipment for their homes.

The more you are losing weight, the better you feel, and you may buy a treadmill, Peloton, or hand weights, Fitch says. I can see a potential for an increase in those things.

Peloton bikes start at around $1,500, plus a membership fee that starts at $12.99 for the app. Prices on hand weights vary but can cost as low as $7 for a set of one, while larger sets can carry three-figure price tags.

Ultimately, Fitch says these costs are typically perceived as investments in health.

I think the data will be positive on quality and length of life, enjoyment of life, and being active, Fitch says.

For instance, the drugs and increased activity might also reduce costs associated with medical care for heart disease.

A new wardrobe may also be necessary to accommodate weight loss.

Our patients definitely sped money on new clothing as they lose weight, Saunders says. One inch on the waist is roughly equivalent to 8 pounds of lost weight.

But Saunders says patients are excited about the weight loss, and Fitch points out, You buy new clothes every time you gain weight.Accessing weight loss medication may cost you a lot of time too

Experts share that the most significant hidden cost of semaglutide (besides the drugs themselves) is time.

Given the supply shortages, patients frequently tell me they are forced to spend many hours contacting or driving to multiple pharmacies to acquire their medications or risk missing doses, which could jeopardize their progress, McGowan says.

Fitch has also noticed this issue.

To stay on Wegovy is like a full-time job. Fitch says, recalling a recent discussion with a patient whose mother stays home and found the drug for them. Thats not going to happen when you have three jobs and can barely make ends meet. Youre not going to call around to five pharmacies to access Wegovy.

And thats a problem.

These medications are not intended or designed for someone to take the medication to lose 20 or 30 pounds, and then once they lose it, you can stop your medications and move on with life, Spaniolas said. Once you stop them, the weight usually comes back.

Indeed, a trial of almost 2,000 people published in 2022 suggested that people who ceased use of 2.4 mg semaglutide doses had regained two-thirds of the lost weight within one year. The most significant cost: The semaglutide prescription itself

It doesnt help that insurance will not always cover these drugs for weight loss, and more companies are dropping coverage.

A 2003 law bars Medicare from covering weight loss drugs.

Without insurance coverage, the cost of the GLP-1 medications is prohibitive, McGowan says. The average retail price of Wegovy is $1,349. Its essential to keep in mind that that number is monthly every month.

That means a person will spend more than $16,000 annually out-of-pocket on Wegovy, a drug meant for long-term use.

The GLP-1 medications are chronic treatments intended to be used long-term, McGowan says. Therefore, that is not a cost-effective proposition. Tips to help manage the cost of weight loss drugs and related expenses

Not everyone can afford weight-loss drugs, and Saunders says that increased insurance coverage, lower prices, and shoring-up supply chain issues are among the greatest systemic issues that need to change.

Fitch says weight bias also plays a role in the approach to these drugs, including insurance coverage.

Were not asked to prove cost-effectiveness with any other disease, Fitch says. Its not cost-effective to treat cancerbut we dont let people die. But theres so much with obesity. Its a journey. Its a chronic disease, too.

In the interim, Saunders recommends patients:Speak with providers about ways to treat side effects other than medications, including eating habits.Invest in a fitness routine you can sustain, including aerobic and strength training that works for you.Find a care team that supports you. Even if you got lucky and lost weight relatively easily, you will inevitably hit bumps in the road during your weight journey, and youll need your care team to help you get back on track each time, Saunders says.

Spaniolas suggests giving yourself a whole serving of grace about expenses and access.

Youre doing the best you can with what is available to you, Spaniolas says. Takeaway

Food industry and retail executives and weight loss experts agree that its possible that weight loss drugs like Wegovy, Ozempic, and Mounjaro may influence purchasing behaviors.

Customers may spend less on food because of appetite reductions and more on fitness products, new clothes, and managing side effects of the drugs.

However, few people will lament this investment, McGowan says.

Experts say the most significant costs of these medications stem from supply-chain issues that have triggered drug shortages, making accessing them a full-time job. And thats if you can afford them.

Insurances do not always cover these drugs for weight loss, which cost more than $1,000 per month out of pocket, and more are announcing they will drop them.

Experts share this needs to change so people can access these drugs, which can better health outcomes beyond weight loss, including a reduction in heart disease symptoms.

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Council finances are becoming unsustainable and whole system overhaul is required, watchdog warns

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Council finances are becoming unsustainable and whole system overhaul is required, watchdog warns

From bin collections and parks to social care, it’s estimated local authorities in England provide more than 800 services for residents, touching on many different aspects of our lives all the way from childhood to elderly care.

A National Audit Office report found spending on services increased by £12.8bn – from £60bn to £72.8bn – between 2015-16 and 2023-24, a 21% increase in real terms.

Most of this increased spending – £10.3bn – has gone to adult and children’s social care, which represents councils’ biggest spend, increasing as a share of overall spending from 53% to 58% over the period.

Previous central funding cuts and an increasing population mean that spending power per person has largely stagnated, however, and remains 1% lower per person than in 2015/16, the report said.

This is a measure of the funding available to local authorities from central government grants, council tax and business rates. Though grant funding has increased in recent years, it has not yet made up for pre-2020 government cuts.

Complex needs

The population in England has increased by 5% over the period, accounting for some of this increased pressure, but it’s not the only driver.

In many areas, demand has outpaced population growth, as external events and the complexity of people’s needs has shifted over time.

The rapid increase in costs of temporary accommodation, for example, has been driven by the large increases in people facing homelessness because of inflationary pressures and housing shortages.

At the same time, demand for new adult social care plans has increased by 15%.

As life expectancies have increased, the length of time in people’s lives during which they suffer from health problems has also increased.

“We see that in adult social care that people have multiple conditions and need more and more support and often will be appearing as if they’re frailer at an earlier age. So that’s an important trend,” explained Melanie Williams, president of the Association of Directors of Adult Social Services.

“We’re constantly focusing on most urgent things at the expense of not doing the preventative work,” she added.

“When we’re just focusing on getting people home from hospital, we’re not doing that piece of work to enable them not to go there in the first place.”

Budget cliff edge over SEND spending

Meanwhile, demand for education, health and care (EHC) plans, for children with more complex special educational support needs has more than doubled, increasing by 140% to 576,000.

Budgets for special educational needs and disabilities (SEND) have not kept pace, meaning local authority spending has consistently outstripped government funding, leading to substantial deficits in council budgets.

Most authorities with responsibilities for SEND have overspent their budget as they have been allowed to until March 2026 on a temporary override, but they will need to draw on their own reserves to make these payments in a year.

One in three councils will have deficits that they can’t cover when the override ends.

Cuts to services

In the latest figures for 2023/24, the NAO found £3 in every £5 of services spending by English local authorities went towards social care and education, totalling £42.3bn.

This has left little headroom for other services, many of which have experienced real-terms financial cuts over the same time period, with councils forced to identify other services like libraries, parks and the arts to make savings.

But, Williams warned, cultural and environmental services like these can play a vital role in wellbeing and may actually exacerbate demand for social care.

“For us to be able to safeguard both adults and children – so people that need extra support – we do need that wider bit for councils to do,” said Williams, who also serves as corporate director of adult social care for Nottingham County Council.

“It’s no good me just providing care and support if somebody can’t go out and access a park, or go out and access leisure, or go out and have that wider support in the community.”

Commenting on the report, Cllr Tim Oliver, chairman of the County Councils Network, said: “As we have warned, councils have little choice but to spend more and more on the most demand-intensive services, at the expense of everything else – leaving them providing little more than care services.

“It is market-specific cost pressures, mainly in adult social care, children’s services, and special educational needs, that are driving councils’ costs rather than deprivation. Therefore government must recognise and address these pressures in its fair funding review, otherwise it will push many well-run councils to the brink.”

Fighting fires

The NAO report describes a vicious cycle where councils’ limited budgets have resulted in a focus on reactive care addressing the most urgent needs.

More efficient preventative care that could lower demand in the long term has fallen to the wayside.

In one example cited by the NAO, the Public Health Grant, which funds preventative health services, is expected to fall in real terms by £846m (20.1%) between 2015/16 and 2024/25.

Other areas have seen a switch in funding from prevention to late intervention.

Councils’ funding towards homelessness support services increased by £1.57bn between 2015/16 and 2013/24, while money for preventative and other housing services fell by £0.64bn.

Financing overhaul needed

Since 2018, seven councils have issued section 114 notices, which indicate that a council’s planned spending will breach the Local Government Finance Act when the local authority believes it’s become unable to balance its budget.

And 42 local authorities have received over £5bn of support through the Exceptional Financial Support (EFS) framework since its introduction in 2020.

According to a recent Local Government Association survey referenced in the NAO report, up to 44% of councils believe they’ll have to issue a section 114 notice within the next two years should the UK government cease providing exceptional financial support.

Read more:
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Council tax to rise to pay for police funding increase
Councils to receive £1bn boost to tackle homelessness

Looking ahead to upcoming funding settlements, and the government’s planned reforms of local government, the NAO warns that short-term measures to address acute funding shortfalls have not addressed the systemic weaknesses in the funding model, with a whole system overhaul required.

Sir Geoffrey Clifton-Brown, chair of the Committee of Public Accounts, said: “Short-term support is a sticking plaster to the underlying pressures facing local authorities. Delays in local audits are further undermining public confidence in local government finances.

“There needs to be a cross-government approach to local government finance reform, which must deliver effective accountability and value for money for taxpayers.”


The Data and Forensics team is a multi-skilled unit dedicated to providing transparent journalism from Sky News. We gather, analyse and visualise data to tell data-driven stories. We combine traditional reporting skills with advanced analysis of satellite images, social media and other open-source information. Through multimedia storytelling we aim to better explain the world while also showing how our journalism is done.

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Victims of second Post Office scandal criticise ‘grinding wheels of bureaucracy’ as they try to get compensation

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Victims of second Post Office scandal criticise 'grinding wheels of bureaucracy' as they try to get compensation

Victims of ‘Capture’, a second faulty Post Office accounting system, say their redress scheme may not be in place until the autumn.

Former sub-postmasters and their relatives met with government representatives for an update on compensation.

While lawyers describe “positive steps”, some victims have told Sky News that they are disappointed with the timescale and described coming up against the “grinding wheels of bureaucracy”.

Capture software was an accounting system rolled out in Post Office branches between 1992 and 1999 and was likely to have caused false shortfalls.

It was the predecessor to Horizon, which led to hundreds of sub-postmasters being wrongly convicted of stealing between 1999 and 2015.

Former sub-postmaster Lee Bowerman, who was never accused of stealing but had to sell his Post Office business after using Capture, said the meeting was a “damp squib” and criticised “the grinding wheels of bureaucracy”.

He agreed that the proposed redress scheme would be “quicker than Horizon” but added “you can’t use them as a yardstick because at the end of the day …people still haven’t been paid out”.

Mr Bowerman added: “So don’t compare us to them when those schemes aren’t even fit for purpose.”

Around 100 Capture victims so far could be eligible for redress.

The scheme, however, would not apply to anyone currently convicted.

The Criminal Cases Review Commission (CCRC) have confirmed that they are now reviewing 27 Capture convictions.

Victims were told the government is considering a separate “fast track” redress scheme for anyone who has their conviction overturned in the future.

Lee Bowerman had to sell his Post Office business after using Capture
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Lee Bowerman had to sell his Post Office business after using Capture

Steve Marston’s case is among those being considered after he was convicted of stealing from his branch in 1996 following shortfalls of nearly £80,000.

“I don’t think it would be human nature not to be disappointed that [the redress scheme] is not being sorted out in the next couple of days even,” he said.

“But we are talking about the government, aren’t we? They’ve got to fill in a form in triplicate, get it rubber stamped three times and that’s for a box of paper clips,” he added.

“I mean it is what it is, we have got to roll with it, stick in there and keep pushing as much as we can”.

Clare Brennan, daughter of Peter Lloyd-Halt, who was a sub-postmaster accused of stealing whilst using Capture, said she and her mother Agnes found the meeting “positive”.

She went on to describe a “weight being lifted” after they were told that it had been officially recognised that Mr Lloyd-Halt had worked for the Post Office.

The family say all Mr Lloyd-Halt’s documents and evidence have been lost and it’s been a challenge to their case.

Lawyers for victims also described “positive steps” towards a new compensation scheme, following the government meeting.

Read more:
Sub-postmasters ‘still going through hell’
What is the Horizon Post Office scandal?

Agnes Lloyd-Holt and Clare Brennan
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Agnes Lloyd-Holt and Clare Brennan

Neil Hudgell, of Hudgell Solicitors, said that they were “reassured by the Department for Business and Trade today that good progress is being made with learnings taken from previous Post Office compensation schemes to form this one”.

He added that “there is a clear willingness to do right by those who have suffered at the hands of the Post Office in relation to Capture”.

“We always appreciate that redress can never come quick enough for these victims and we push as much as we can to take things forward.”

A spokesperson from the Department for Business and Trade said: “Officials met with postmasters today as part of the government’s commitment to develop an effective and fair redress process that takes into account the circumstances of those affected by Capture.

“Ensuring postmasters are treated with dignity and respect is our absolute priority and we will continue to update on the development of the redress mechanism as it progresses.”

The next meeting with Capture victims is due in April.

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Starmer was a charmer – but Zelenskyy meeting is the moment of truth

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Starmer was a charmer - but Zelenskyy meeting is the moment of truth

It feels like “the draft” has come six weeks early – the annual selection meeting in American football.

For three or four days, teams in the NFL attempt to woo players with the most lucrative contracts.

In a classic Emmanuel Macron manoeuvre, the French president deployed flattery in the Oval Office.

Three days later, Sir Keir Starmer the charmer upped the game, whipping out a letter from the King.

In their determination to entice the key player back onto Europe’s side, their tactical game was top-notch.

But President Volodymyr Zelenskyy’s arrival at the White House is the moment of truth for their charm offensive.

The Ukrainian leader has stressed the need for security guarantees before signing any agreement.

More on Donald Trump

President Donald Trump seems to be suggesting that a deal on rare earth minerals provides such security.

“Digging our hearts out,” as he put it, in an economic partnership, would certainly be ground-breaking diplomacy.

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‘What a beautiful accent’

This week’s flurry in Washington reflects Europe’s concern about Trump’s push to end the war.

Ten days ago, his apparent concessions to Russia sounded alarm bells across the Atlantic.

But his meetings with Macron and Starmer were more amicable than France and the UK dared hope.

Both fact-checked him in real time when he claimed European aid for Ukraine had been given as a loan.

Read more:
As it happened: Trump-Starmer visit
Starmer contradicts Vance over free speech claim
Read some of Trump’s letter from the King

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An ‘intense session’ but ‘pretty good outing’

But rather than retaliate, he appeared to have heard their concerns about his U-turn towards Moscow.

Asked by one journalist if he still thought Zelenskyy was a “dictator”, he replied: “Did I really say that?”

Don’t underestimate that joke.

It is the closest Donald J Trump would ever come to a climb-down.

The publication of the detail is a pivotal moment in assessing which team he has opted to play for.

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