Tirzepatide

Obesity

Sep 19, 2026

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9 min read

I'm an Obesity Doctor. I Gained Weight on Tirzepatide.

For two years, a very low dose worked. Then stress eating broke through it. Going to 5 mg taught me something I think patients, and obesity doctors, get wrong about these drugs.

Michael Albert

Drug Safety

Sep 1, 2026

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12 min read

Sixteen Years of Rat Data. The Human Case Never Arrived.

93 trials, six countries, four million patients. GLP-1s still carry a thyroid cancer boxed warning, and it now sits on a drug that gives rats no tumors at all.

Michael Albert

Pharmacoeconomics

Aug 29, 2026

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12 min read

Lilly Says Zepbound Pays For Itself. That Is the Weaker Argument.

$607 or $319? The headline number comes from an analysis the paper itself demoted, and it rests on 793 matched pairs out of 15,843.

Michael Albert

Tirzepatide

I'm an Obesity Doctor. I Gained Weight on Tirzepatide.

Sixteen Years of Rat Data. The Human Case Never Arrived.

Lilly Says Zepbound Pays For Itself. That Is the Weaker Argument.

Substance Over Noise