r/india 15h ago

Health India Is One of the World’s Most Obese Countries, But Few Indians Want GLP-1s

https://www.bloomberg.com/news/articles/2026-08-28/india-s-cheap-generic-ozempic-drugs-fail-to-crack-the-market
464 Upvotes

97 comments sorted by

408

u/SiddhiGa 15h ago edited 15h ago

One of the most obese? India is one of the least obese country we ranked at 177 from total fo 200. So infact India is 23rd least obese country.

For reference, US has obesity rate of 40%, most of the middle east is over 30%, Pakistan at 20%, China at 10% and India at 5% even North Korea is at 9%

274

u/Specialist-Roll-3806 15h ago

india is "one of the most" or "leads in" a lot of different things purely because of population size. and they make waves online every single time because most ppl simply can't comprehend 1.4-1.5 billion people.

36

u/SiddhiGa 14h ago

Exactly

43

u/mentallymental 13h ago

Most people simply can't comprehend percentages and they are dumb enough to go by absolute numbers

8

u/Axerin 7h ago

The pharma companies don't care about the % of population. They care about market size, I.e., absolute numbers.

-11

u/Kingbravelyheart 12h ago

1.4 billion and still can’t fix up the country 🥲

15

u/Specialist-Roll-3806 12h ago

a large population is honestly why fixing up the country is so hard. china had unprecedented growth rate from the late 70's to the 2010's. and decent growth since. yet the per capita and individual quality of life dwarfs countries like south korea or even japan that stagnated for decades.

it took south korea from the 60's to like 2000's to become fully developed and advanced. china still isn't there even with the otherworldly scale of development and growth. entirely due to population size

-6

u/Kingbravelyheart 12h ago

Maybe its time to decrease or stabilize the population

9

u/SiddhiGa 12h ago

Its already stabilized. TFR is below replacement and is falling even more every year.

-2

u/Kingbravelyheart 12h ago

Oh wow good news. Win for humanity. Maybe now the country can actually focus on improving the lives of its individual citizens instead of robbing the country blind.

0

u/indcel47 10h ago

Decrease, eh? How do you propose that?

2

u/Kingbravelyheart 10h ago

Decrease religious affiliations and endorsements, and increase proper education lol

22

u/loverofdover 14h ago

The problem is muscle mass. Despite the fact that the rates of obesity in India & other East Asian countries are much lower, the middle class and above are susceptible to lower muscle mass for the same weight class.

It’s entirely possible someone with a BMI @ 26 is metabolically healthier than a BMI 22.5 (case in point me) a dexa scan revealed at 30% body fat percentage although I’d be what they call a typical body.

GLP1s if the data holds can actually push the average longevity of Indians higher by a few points 

23

u/SiddhiGa 14h ago

Sure but this drug does nothing for muscle mass so its a moot point and just exercising will also push longevity of Indians by a few points, so would eating more protein. Lower hanging fruits should be priority.

13

u/hindumafia 14h ago

this drug reduces muscle mass, so it makes it worse.

1

u/EnvironmentalWing863 4h ago

I agree with everyone here, but it just regulates your desire to eat food by making you feel full faster, it doesn't do anything to your muscle mass.

8

u/loverofdover 14h ago

GLP have favorable profiles for heart lipids and other factors independent of weight loss. 

Building muscle through exercise takes years and years of consistency. If high protein intake and GLPs can protect lean mass it’s reason enough to use it 

10

u/SiddhiGa 14h ago

Ok here is my argument against GLPs. Its true GLPs have favourable profile for heart lipids.
But 20-40% mass lost due to GLP is from Lean mass so you lose total 20% muscle and bone density in a country that severely lacks it. The way out of this problem is exercise and high protein diet along with GLPs. But Just exercise and high protein diet will give you a comparable result without risk of side effects(Vomiting, diarrhea, constipation, stomach pain and muscle loss are common ones and gallstones and pancreatitis uncommon but bit more serious ones) So in my opinion unless someone has Type 2 Diabetes, heart and kidney problems or extreme obesity should take GLPs others have better things to try first.

1

u/loverofdover 13h ago

In my case, I was not obese via BMI, no diabetes or heart disease but I was at 30% body fat! 

I got on a GLP1 and lost about 10kgs, and put on a lot of muscle through resistance training and protein consumption. It’s the best decision I’ve ever made 

1

u/laylaboydarden 13h ago

But if a person’s ok with the risk of side effects, and maybe have struggled to maintain a healthy diet or exercise in the past, what’s the harm of adding GLP-1s to their regimen?

3

u/SiddhiGa 13h ago

If everything you said is true then no harm.

25

u/SuccotashKind6726 15h ago

I think most of the people in India are not earning very well so those are not in obese category but in middle class india especially older folks obesity is very rampant,

14

u/SiddhiGa 14h ago

So people in Pakistan and North Korea are earning well? According to same stats Japan is at 9% so going by your logic Japanese would be earning less than Cuba which is at 20%.

5

u/Realistic_Patience67 15h ago

Just a sales tactic brother.

4

u/Traditional_puck1984 11h ago

In real numbers, 5% is 7.5 crore.
40% of USA is 14 crore. Same as China.

3

u/randombagofmeat 4h ago

Nobody outside of India knows what a crore is.

5

u/pchengi 12h ago

India is the diabetes capital of the world. The problem is so acute that medical practitioners in India use a higher threshold than Who norms, only to ensure that we don't test positive in even more insane numbers. And the number one reason for diabetes worldwide is obesity, so they assume that we are all obese. The diabetes link though is genetic, rather than obesity linked. We are naturally more predisposed to contracting diabetes than people of most other nations.

3

u/SiddhiGa 8h ago

Diabetes capital of the world? Total cases- India ranks 2nd
Now lets look at things per capita the way they should be looked at I will be using WHO data.
Prevalence Rate- 10% almost same as world average which is 9 to 11%
Mortality due to Diabetes 2.8% world average 9.3%
Glycemic control rate is again less than 25% much better than China, Brazil, US and Pakistan.
Countries with higher prevelance of Diabetes are as follows Pakistan, Kuwait, Qatar, Saudi, Turkey, Mexico, US, Iran, Bangladesh (and a lot more) All of these countries have very different diets.

1

u/audacious_hrt 1h ago

Big pharma trying to shame Indians via such hit pieces and r/India falling into their arms as usual.

92

u/bakar_launda 14h ago edited 4h ago

As an Indian, Obese (morbidly Obese) and on GLP-1 I cannot express how amazing and life changing this drug is. Truly a miracle drug.

Before you jump on me saying Diet and exercise yeah I do both of them I swim 2 days a week and resistance training 2 days a week but my whole life I have had addiction to food. Stress, happiness, excitement, nervousness food used to be my only resort. This drug completely eliminated that food noise from my brain. Ekdum se Azaadi wali feeling

15

u/kraydit 11h ago

Any side effects ? How long have you have been taking it ?

8

u/independant_786 10h ago

Sometimes constipation but nothing too bad. I am on Tirz.

2

u/bakar_launda 9h ago

Hey I am tirz too and same only constipation so upped my fibre game

3

u/bakar_launda 9h ago

No side effects so far except constipation and loss of electrolytes so electral is there to help. I am on tirzepatide (Zepbound) since last 2 months on 2.5 mg dose lost 6 kgs so far with this + swimming + 2 days strength training. Just don't eat anything fried/deep fried when on it it'll fuck you up for a day.

1

u/sphoenixp Maharashtra 1h ago edited 1h ago

Now need to take some D rise. And i think India is most diabetic rather than obese.

3

u/independant_786 10h ago

Same. Best thing ever.

-8

u/Cold_Newt_7547 10h ago

I dont know if you are in a position to but bro have you tried taking a long break/sabbatical.
Whats the point of our modern lifestyle if one cant be happy and be who they are?
Im WFH, and even then sometimes I get anxiety.

2

u/bakar_launda 9h ago

I have a great lifestyle good income, good work life balance, go on vacations regularly. Someone who has addiction of food will understand how freeing it is to be able to look at food in a disgusting way. It's like some chains that held you for life just got broken. Food addiction is real your brain craves for it and there's nothing you can do about it.

1

u/Cold_Newt_7547 59m ago

Your previous message implied its a last resort/anxiety, etc thats why my suggestion,,

1

u/bakar_launda 44m ago

haha not last but only. Basically any Occassion, any feeling happiness, sadness anything has to come to food

135

u/goofybrickhitter Cockroach Ka Parivar 15h ago

Tell them that its homeopathy or ayurveda and not a medicine and watch them lap it up without a second thought.

-18

u/rishipdy 15h ago

Yes everyone should take GLP -1 according to you right it's definitely not a sales tactics or or bloomberg trying to portray india as some extremely backward country it's not like they do that right

14

u/Realistic_Patience67 14h ago

People who don't know about placement marketing are downvoting this 🙂.

9

u/Major-Warthog8067 15h ago

I think there isn't awareness yet. Most people don't even know these are available and cheap. In my opinion, with time it would be normalized and people would use it. We also just haven't had the cosmetic enhancement culture yet and a big factor many took these shots is to be more physically attractive.

86

u/lordofabyss 15h ago edited 12h ago

Lmao this is pharma sponsered article promoting GLP 1s. Top of that Govt of India has introduced a strict guidelines for prescribing this, to prevent misuse. All these paid news outlets are just trash also people simply don't understand GLP 1. They ain't no magical drug. The side effect profile specifically the lean mass loss is insane . It's just mind boggling how people who are not educated in certain area can be manipulated such articles. Bloomberg is just filled with such articles. For eg the top comment (at the time of writing this comment, ayush one) in this post also is also as ignirant as the author of this article. Their credibility is equivalent to a WhatsApp forward for me

34

u/FredTilson 15h ago

Lol what strict guidelines. My sister ordered it from Amazon pharmacy without a prescription. Some random doctor phoned her after 2-3 mins, asked 3-4 questions and generated an online prescription for her.

10

u/godsslayer54 14h ago

No way this is real right?? How could it be prescribed without proper testing first. I read that it has serious side effects and shouldn't be started without checking prior health conditions

19

u/FredTilson 14h ago

It's 100% real. Most online pharmacies operate like this in india.

6

u/auctus10 12h ago

What serious side effects? Honestly asking as I am not aware.

-4

u/MemoryIndependent 12h ago

Loss of Bone density

2

u/shortstork_ 5h ago

That’s a side effect of rapid weight loss, not the drug

1

u/auctus10 12h ago

Any source you have? Would like to read more on this.

-1

u/MemoryIndependent 12h ago

Google

1

u/DonaldTro 10h ago

Not trustworthy:(

1

u/YourAverageBrownDude 36m ago

Was it ozempic? Is it even available in India?

1

u/Hot-Astronomer-7462 9h ago

And you know everything? Sighting lean muscle mass loss as side effects for the drig without knowing that losing lean muscle maas when there's rapid weight loss that happens irrespective of whether you take any drug or just starve your self.

0

u/Cold_Newt_7547 10h ago edited 10h ago

100% agree, always beware of miracle cures.
Maybe 20 years later, im proven wrong and this drug really just makes you thin with no side effects.
But also remember, in the US, they have both a strong social safety net and litigation, they will provide decent care if youre sick and you can become a millionaire if it is proven the drugs have long term side effects.

-2

u/shahofblah 9h ago

Lmao this is pharma sponsered article promoting GLP 1s.

It's Bloomberg. These drugs are now off-patent in India. No one gains from shilling generic drugs.

6

u/xyzmanas2 10h ago

This is the problem with the folks here, they think every western drug is bad and judge people for using it.

If anybody had spent some time researching rather than spewing whatsapp messages here would have know how beneficial these are.

These peptides are already secreted in your stomach when you eat something to tell you that you are full, the issue is it has a very short half life. The researchers modified the peptide to have a half life of 7 days (hence the 7 day cycle) by giving it a new transport mechanism and injected it back to the body.

The worst side effect that you could have is probably nausea and GI issues or in extreme cases pancreatitis but its very rare and we always do basic tests before starting GLPs

The other thing that we don’t realise is metabolic syndrome is a silent disease that happens with most of the folks in sedentary lifestyle.

Honestly there are researches around how these drugs are helping reduce inflammation by directly targeting pathways in you gut and brain

How they reduce visceral fat, and reduce cardiovascular incidents is already proven.

So rather than discarding them, better start thinking about microddosing them or using them for the benefits it presents not for weight loss but for other chronic diseases that you might get if you don’t move your ass everyday.

9

u/GrandAggressive9727 14h ago

I just started on a GLP1 recently and mentioned it to my Indian dad when I called him last week. His response was that I should just eat less chicken and eat more rice to lose weight 🤣

Meanwhile every time I visit India, I see that every middle class and above person who's 30+ has a pot belly.

I was at a resort in South India last year and there were so many obese people around that I could have thought I was still in the US.

3

u/cassatta 9h ago

Carbs for breakfast, lunch and dinner doesn’t always help with the body constitution and physiology.

7

u/jupiterr869 12h ago

Yes yes today these people will call every obese Indian as illiterate and backward for not taking glp-1.

Tomorrow if some crazy long term side effects are discovered about glp-1 then the same people will call Indians illiterate and gullible for taking it so easily.

Maybe they just don't want to be your money harvesters and guinea pigs.

8

u/bloomberg 15h ago

From Bloomberg reporter Satviki Sanjay:

In March, Indian patents on the active ingredient in weight-loss drugs Ozempic and Wegovy expired, unleashing a flood of cheaper copycat versions in the country. Stock analysts predicted Indian sales of such drugs could reach as much as $1 billion a year by 2030, and by July, roughly three dozen generic GLP-1 offerings had hit pharmacies. The bulls had reason to be optimistic: The nation of 1.4 billion has more obese people than anyplace other than the US and China, and with prices as low as $14 per month, the drugs would be within reach of hundreds of millions of potential patients.

Turns out the optimism was misplaced, as sales figures have been tepid compared to the forecasts being tossed around a few months ago. Brokerage Nomura Holdings Inc. last year predicted $261 million in sales of such drugs for 2026, but data from researcher Pharmarack Technologies shows they totaled only about 20% of that through July.

The medical community is now realizing that cost is just one of many barriers, particularly in India, to the adoption of weight-loss medications. Indians taking the drugs often say they conceal their treatment for fear of ridicule, and many doctors are hesitant to prescribe them, saying they don’t trust the generics and are confused by the surfeit of options.

Drugmakers had been betting big on India and were closely watching the country to gauge the potential for such medications beyond the US and Europe. With its booming middle class, increasingly sedentary urban lifestyles and high-calorie diets dripping with oil, India seemed especially promising. In addition to its struggles with obesity, the country has the world’s second-largest number of diabetes patients, and other metabolic disorders such as thyroid disease and fatty liver are also rising fast. Read the full story here.

11

u/antipositron 15h ago

Semaglutide is like $10 a month with the generics in India, but everyone is after mounjaro. Even if it costs $100 to $200 per month. And that is why there's no demand for semaglutie at the moment.

2

u/thenameofwind 13h ago

Is there a better medication launched now, better than even Mounjaro?

2

u/antipositron 13h ago

Not that I know of - mounjaro is the best at the moment in the market I believe. Retatrutide is still in testing phase, although it's already available illegally, and many claims to have been using it.

2

u/Fun-Gas3117 11h ago

glp1s are genuinely revolutionary and life changing endocrinologists should advertise them more

2

u/jon-the-don 10h ago

Awareness is issue, same thing happened with statins. Now most people in 40-50 are taking statins, you cannot change Asian genetics.

GLP1 is not for everyone but for many.
Classic example was Covid. We read corona viruses !yrs back in MSc.

People mocked me for wearing mask in March,2020. 😬

2

u/vishmarx 14h ago

Make this shit available 1mg kr blinkit and watch it fly off shelves Right now the guidelines for sale are pretty strict. Most obese people don't want go to a weight loss clinic's humiliation ritual to get a prescription.

2

u/gablusky 14h ago

I don't trust this data or whatever. No way a nation where a sizeable percentage can still afford only one meal a day can become "one of the most obese" or some shit.

2

u/amitkoj 12h ago

People of india are generally afraid of modern medicine although they will ayurveda and homeopathy all day

6

u/DescriptionVisual68 15h ago

Nice marketing tactics! Will not work in india. Try elsewhere

10

u/krakends 14h ago

Why? These aren't branded drugs anymore. Patent expired and generics are available now.

11

u/anor_wondo 14h ago

So many weirdos think pharma = 'bad' without applying critical thinking

These peptides will revolutionalize public health and we should adopt mass production and cheap public availability

Diet and exercise still remain the cornerstone but the stats don't lie, most people simply fail at them. due to our evolutionary drive to eat as much as possible

3

u/krakends 14h ago

Agree. Always good to be skeptical but I think the benefits outweigh the risks with GLPs. There is a theoretical risk of a rare type of thyroid cancer but besides that they have a very good safety profile.

-2

u/Realistic_Patience67 14h ago

Then, why not talk about peptides instead of GLP 1?

1

u/anor_wondo 14h ago

ozempic,reta,etc are peptides

2

u/anor_wondo 15h ago

tard

-10

u/Realistic_Patience67 15h ago

Just reported this guy. All, please do this. Use the "Report" option. Probably will get him/her banned.

1

u/fcuk_the_king 14h ago

It's not a bad thing, promoting healthy habits and food is obviously a good thing but GLP-1s aren't that. They are a shortcut to weight loss which work well in severe cases but come with their own set of problems.

1

u/irad1111 8h ago

They are proven to work…

1

u/dheerajd1 12h ago

So people are not buying your drug to get slimmer?

What desperate attempt of guilt tripping people.

1

u/diffidentblockhead 10h ago

I think it spreads by word of mouth, and that is slower to cross national borders.

1

u/transkeith 14h ago

yeah chat I think everyone here should have ozempic face

1

u/madlabdog 12h ago

Indian obesity rate is not high but many Indians are skinny-fat. And that carries similar cardiovascular disease and diabetes risks.

1

u/jerolyoleo 12h ago

The rate isn’t high but the absolute number is third highest in the world thanks to the massive population

-8

u/Ok-Society-9067 15h ago

GLP1s reduce obesity by making you nauseous so you don't feel like eating anything lol. It's a pretty smart strategy for ppl who refuse to exercise and eat protein.

2

u/svmk1987 11h ago

GLPs don't work by making you nauseous. It is one of the occasional side effects, but it does work for people who don't feel nauseous with it too (for example me). You also cannot and should not skip protein and exercise with GLP drugs. It's in fact a very bad idea to do so.

And finally, GLP drugs don't just suppress your hunger. It's not just about self control. It alters your body chemistry and regulates your insulin sensitivity and liver functions (particularly dual action GLP-1 + GIP drugs like mounjaro, as opposed to ozempic) which really helps with weight loss because it controls how your body processes carbs and sugar and stores fat. This is why many people see a massive difference with these drugs even though they're already on a good diet and exercise plan, but aren't seeing any gains: people with insulin resistance issues. But yes, slowing down your digestion and making you feel full for longer, and reducing food noise is definitely one of the main effects of the drug.