GLP-1s Are a Bigger Business Than AI
GLP-1s Are a Bigger Business Than AI
YouTube1 hr 24 min
Watch on YouTube
Note: AI-generated summary based on third-party content. Not financial advice. Read more.
Quick Insights
  • Consider Eli Lilly (LLY) as a long-term way to gain exposure to GLP-1 growth: the discussion cited sales-volume gains that outweighed price declines, but offered no price target.
  • Novo Nordisk (NVO) is another major GLP-1 producer to watch; track patient adoption and pricing to gauge whether market growth translates into durable sales.
  • Treat the broader GLP-1 and direct-to-consumer healthcare themes as long-term opportunities, while monitoring affordability, tolerability, and whether increased volume offsets lower prices.
Detailed Analysis

GLP-1 Drugs and the Obesity-Treatment Market

  • The speaker is strongly bullish on GLP-1 medicines, arguing they address major chronic-disease risks and have helped flatten the U.S. obesity trend.
  • The drugs have expanded beyond diabetes into uses including obesity, heart disease, sleep apnea, liver disease, and kidney disease; other potential uses are still being studied.
  • The speaker predicted that more than 50% of people in the U.S. could use a GLP-1 within 10 years. This is a forecast, not a stated industry consensus.
  • Direct-to-consumer sales were presented as a force changing healthcare pricing: the speaker cited some prices falling from about $1,300 to $149. The discussion also said that lower prices can be offset by higher sales volume, citing Lilly’s earnings.
  • The speaker noted that some people may not tolerate these medicines or should not take them, and that affordability remains a major question.

Takeaways

  • The discussion supports a long-term growth thesis for the GLP-1 market, including demand beyond weight loss alone.
  • Watch whether broader uses translate into sustained sales growth, and whether lower prices are outweighed by higher patient volumes.
  • Adoption, affordability, and tolerability remain important uncertainties; the speaker’s 50%-plus forecast should be treated as an opinion, not a guaranteed outcome.

Eli Lilly (LLY)

  • Lilly was cited as a leading GLP-1 manufacturer and as one of the pharmaceutical partners integrated with Ro.
  • The speaker said Lilly’s earnings showed that price declines were outweighed by volume growth in the GLP-1 business.
  • The discussion framed drug manufacturers as capturing value from developing the medicines, while platforms such as Ro help expand access.

Takeaways

  • The transcript presents Lilly as a potential beneficiary of GLP-1 demand growth, with volume growth offered as a counterweight to pricing pressure.
  • Investors may want to track both sales volumes and realized prices; the discussion provided no price target or specific stock recommendation.

Novo Nordisk (NVO)

  • Novo was named alongside Lilly as one of the leading GLP-1 manufacturers and as a pharmaceutical partner integrated with Ro.
  • The speaker argued that drug inventors should capture meaningful value, while access platforms help connect patients with treatments.

Takeaways

  • Novo is positioned in the transcript as a major participant in the expanding GLP-1 market.
  • The discussion did not provide company-specific financial results, a price target, or a direct stock recommendation.

Amgen (AMGN)

  • Amgen was discussed through Repatha, its PCSK9 cholesterol-lowering drug.
  • The speaker said Repatha’s monthly price fell from about $600 to $200 after it went direct, using the example to illustrate how removing intermediaries may lower patient prices.
  • The speaker described PCSK9 medicines as an important way to lower LDL cholesterol and reduce heart-disease risk.

Takeaways

  • The discussion highlights potential opportunity in treatments for cardiovascular risk, alongside the possibility that direct sales can put pressure on prices.
  • The speaker’s personal experience with Repatha is not evidence of results for every patient; treatment decisions and risks were described as matters to review with a provider.

Merck (MRK)

  • The speaker said Merck developed an oral peptide PCSK9 medicine and that it was approved “this year” in the conversation.
  • This was presented as an example of medical research moving toward easier-to-use forms of cholesterol treatment.

Takeaways

  • The transcript points to oral PCSK9 treatments as a potential development in cardiovascular care.
  • No expected sales, market share, price target, or specific investment recommendation for Merck was given.

Ro (Private Company)

  • Ro was described as a privately held, vertically integrated telehealth and care-delivery company, with GLP-1s its fastest-growing business.
  • The speaker said Ro’s run rate grew from about $250 million to more than $3 billion, while the company had fewer employees than in 2021.
  • Its model includes virtual care, provider networks, pharmacies, software, insurance checks, and cash-pay options. The speaker said Ro works with both Lilly and Novo.
  • The discussion emphasized a consumer-focused approach and argued that direct-pay services can improve price transparency and remove some intermediaries.

Takeaways

  • Ro illustrates the investment theme of digital health platforms that combine care delivery, software, and medication access.
  • The company is not presented as a publicly traded stock in the transcript, so this is a business-model insight rather than a direct public-equity opportunity.

Healthcare Spending and Direct-to-Consumer Care

  • The speaker argued that the U.S. spending about 18% of GDP on healthcare is not inherently a problem if patients get better outcomes for the money.
  • The transcript described cash-pay services such as LASIK and cosmetic surgery as examples where patients have more control and where prices and convenience can improve.
  • The speaker expects direct sales and technology to reduce the role of some healthcare intermediaries, including pharmacy benefit managers, while allowing drugmakers to retain or increase gross profit.

Takeaways

  • The discussion points to opportunities in healthcare price transparency, direct distribution, and patient-facing services.
  • A potential benefit is lower prices alongside increased use; a key uncertainty is whether savings and improved access will translate into better outcomes and durable business economics.

AI in Healthcare and Healthcare Technology

  • The speaker described three tailwinds for healthcare technology: more health data becoming available, AI making some specialist-like tasks easier to access, and new treatments that can improve health outcomes.
  • AI was presented as potentially useful for analyzing structured biological and clinical data, though the speaker noted that medicine often involves unstructured information and long feedback loops.
  • The conversation contrasted GLP-1s’ current consumer impact with AI, saying more people pay directly for GLP-1s than for AI products.

Takeaways

  • The transcript supports a broad AI-plus-healthcare theme, especially around patient data, treatment matching, and care delivery.
  • The discussion did not identify a specific AI stock or offer an investment recommendation; it also cautioned that healthcare applications must demonstrate meaningful benefits over existing care.

Ask about this postAnswers are grounded in this post's content.
Video Description
In this episode of Invest Like The Best, Patrick O'Shaughnessy sits down with Zach Reitano, co-founder and CEO of Ro, for his first long-form podcast in nine years. Zach argues the central flaw in American healthcare is that the patient isn't the customer, and that where patients pay directly, costs fall and care improves: once drugmakers sold GLP-1s direct, prices dropped from $1,300 to $149. They cover why healthcare should be a far larger share of GDP, why he expects half of Americans to take a GLP-1, his case for judging technology by outcomes rather than inputs, from driverless cars to medicine, and how his father, a doctor, shaped his own aggressive health regimen. Zach also explains how Ro markets into stigma with Serena Williams and Megan Fox, and walks through the 2022 refounding that took a stalled company to a $3 billion run rate with fewer people. It's a candid look at where healthcare is headed and who it should serve. #ZachReitano #InvestLikeTheBest #Ro #Healthcare #GLP1 #DigitalHealth #Telehealth #HealthcareAI #Startups #Entrepreneurship Timestamps: 00:00:00 Welcome to Invest Like the Best 00:00:34 How Much Should We Spend on Health? 00:04:59 The Patient Is Not the Customer 00:10:24 Inside Ro's Business 00:18:28 The Future of GLP-1s 00:25:46 Jobs Over Lives 00:30:02 The Turnaround 00:47:43 Where Healthcare Goes Next 00:51:55 Pitch Me on a GLP-1 01:00:27 Recreating His Dad in Software 01:06:33 Marketing Into Stigma 01:19:06 Zach's Hottest Take 01:20:58 The Kindest Thing Anyone Has Done for Zach Presented by Ramp: https://ramp.com/invest Sponsored by Vanta, WorkOS, Rogo, and Ridgeline: https://www.vanta.com/invest https://workos.com/ https://rogo.ai/invest https://www.ridgelineapps.com/ ****** Patrick O'Shaughnessy is the CEO of Positive Sum. All opinions expressed by Patrick and podcast guests are solely their own and do not reflect the opinion of Positive Sum. This podcast is for informational purposes only and should not be relied upon as a basis for investment decisions. Clients of Positive Sum may maintain positions in the securities discussed in this podcast. To learn more, visit psum.vc
About Invest Like The Best
Invest Like The Best

Invest Like The Best

By @iltb_podcast

Conversations with the best investors and business leaders in the world. We explore their ideas, methods, and stories to help you ...