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US imports for weight loss and diabetes drugs blew out trade deficits in the first four months of 2025. Pharmaceutical companies in Ireland and Switzerland loaded high-value obesity medications onto aircraft to meet surging US demand for the drugs, and to front-run higher tariffs on drug imports. Rare earth magnets from China collapsed, down 93% from the previous year. The shortage of magnets is being strongly felt across advanced manufacturing sectors. Closing scene, Dalian, Liaoning Resources and links: Wall Street Journal, How Weight-Loss Drugs Blew Out the U.S. Trade Deficit https://www.wsj.com/health/pharma/how-weight-loss-drugs-blew-out-the-u-s-trade-deficit-2d8c668c China Flexes Chokehold on Rare-Earth Magnets as Exports Plunged in May https://www.wsj.com/world/china/china-flexes-chokehold-on-rare-earth-magnets-as-exports-plunge-in-may-c1adac50?mod=djem10point Reuters, Swiss economic growth surges as firms race to beat U.S tariffs https://www.reuters.com/business/swiss-economic-output-increases-firms-rush-beat-us-tariffs-2025-06-02/ Lilly expands manufacturing footprint in Ireland with $1.8 billion investment https://investor.lilly.com/news-releases/news-release-details/lilly-expands-manufacturing-footprint-ireland-18-billion Harvard Business Review, How U.S. Tariffs Stand to Impact Prescription Drugs https://hbr.org/2025/05/how-u-s-tariffs-stand-to-impact-prescription-drugs Medscape, How Proposed Tariffs Could Disrupt US Drug Prices and Supply https://www.medscape.com/viewarticle/how-proposed-tariffs-could-disrupt-us-drug-prices-and-supply-2025a1000ga0

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Text Dr. Lenz any feedback or questions (https://www.buzzsprout.com/twilio/text_messages/1835411/open_sms) Exploring GLP-1 Agonists: A Game Changer for Weight Loss and Chronic Pain? This is the 3rd episode in the ongoing series on obesity and chronic pain continuing with a discussion on GLP-1 agonists and their impact on chronic pain, specifically fibromyalgia and osteoarthritis. The role of GLP-1 agonists like semaglutide in managing diabetes and obesity, their mechanisms of action, and clinical applications is discussed. A recent study from the New England Journal of Medicine detailing the effects of semaglutide on weight loss and osteoarthritis pain is analyzed, highlighting significant improvements in patients with obesity and knee osteoarthritis. The importance of long-term use, potential side effects, and the need for an integrated approach incorporating diet and exercise are also discussed. The episode concludes with the anticipation of next week's guest, Dr. Michael Greger, who will discuss the benefits of a whole food plant-based diet as an alternative to GLP-1 agonists. 00:00 Introduction to the Podcast and Weight Loss Series 00:55 Exploring GLP-1 Agonists 02:05 How GLP-1 Agonists Work 03:42 Clinical Applications and Benefits 04:19 Challenges and Considerations 09:18 GLP-1 Agonists and the Gut Microbiome 11:55 Effectiveness of GLP-1 Agonists 18:10 Study on Semaglutide and Osteoarthritis 30:10 Conclusion and Next Episode Preview Support the show (https://www.buymeacoffee.com/drfibro) A Fibromyalgia Starter Pack (https://www.conqueringyourfibromyalgia.com/about-4) , which is a great companion to the book Conquering Your Fibromyalgia (https://www.conqueringyourfibromyalgia.com/about-4) , is now available. Dr. Michael Lenz practices general pediatrics and internal medicine primary care, seeing patients from infants through adults. In addition, he also will see patients with fibromyalgia and related problems and patients interested in lifestyle medicine and clinical lipidology. To learn more, go to ConquringYourFibromyalgia.com (https://www.conqueringyourfibromyalgia.com) . Remember that while Dr. Lenz is a medical doctor, he is not your doctor. All of your signs and symptoms should be discussed with your own physician. He aims to weave the best of conventional medicine with lifestyle medicine to help people with chronic health conditions live their best lives possible. Dr. Lenz hopes that the podcast, book (https://www.amazon.com/Conquering-Your-Fibromyalgia-Answers-Solutions/dp/B09GWCCP1T/ref=sr_1_54?crid=37Y3MPK9EXCW6&keywords=fibromyalgia+book&qid=1706098143&sprefix=fibromyalgua%2Caps%2C114&sr=8-54) , blog, and website serve as a trusted resource and starting point on your journey of learning to live better with fibromyalgia and related illnesses.

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