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At 5 units for the starting dose, each unit represents 50 mcg

Novo Nordisks GM for South Africa, Sara Norcross, defended the companys pricing strategy, saying: If you look at our semaglutide prices over the last year, prices have come down, and as more options enter the market, the prices will decrease even further

Gottfrieds framework paraphrased from her published books and clinical lectures emphasizes the upstream causes of androgen excess (stress, insulin, gut, sleep) and uses spironolactone strategically: as a bridge while upstream work is happening, or as a long-term tool when lifestyle alone doesnt close the gap

If youre considering taking semaglutide, keep in mind that you will need to take it for a long time to maintain weight loss and blood sugar control

Additionally, a study published in The Lancet in February 2026 found that taking Foundayo, Eli Lillys GLP-1 pill that was approved by the FDA in April, resulted in greater weight loss and blood sugar level reductions compared to Rybelsus, another oral GLP-1 manufactured by Novo Nordisk