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All participants received the same recommendation for diet and physical activity

That in itself would be a huge victory, Agarwal says

Mounjaro contains tirzepatide (a dual GIP/GLP-1 agonist by Eli Lilly) and Ozempic contains semaglutide (a GLP-1 agonist by Novo Nordisk)

It works by mimicking a naturally occurring hormone that helps regulate appetite and blood sugar levels, supporting gradual, sustainable weight loss when combined with a healthy diet and lifestyle

The Medicare GLP-1 Bridge, launching July 1, 2026 through December 31, 2027, gives eligible Medicare beneficiaries weight-loss access to Wegovy at $50/month outside the Part D benefit the $50 copay does not count toward the $2,100 OOP cap or TrOOP, and Extra Help cannot be applied

That sequence left Canada open to generic competition far earlier than other major markets