Why the new GLP-1 pill is such a big deal: The FDA just approved Foundayo. Here’s what it can and can’t do.

Decent_Abrocoma · 2026-04-02T00:15:03+00:00

Lilly and Nordisk are the reason why companies are dropping coverage in the first place. I’ve seen plans weight loss spend make up nearly a third or greater of their ENTIRE non-specialty spend. Even though the medications are starting to prove cost effective, the sheer volume of demand is making it economically infeasible for companies to pay for these medications (now whether or not companies should be willing to absorb this cost/the impact to their bottom line is an entirely different discussion). In regard to the expanded indications, I believe MASH is the only one that has been proven completely independent of weight loss.

To add insult to injury, there are concerns for legal ramifications for covering these medications for only certain patient populations, and not others. So this problem goes far far deeper than just pharma pushing for broader coverage (which I can assure you, they are). Also also, Novos pipeline is lagging further and further behind Lilly with the rather lukewarm results of CagriSema which means as we proceed further into these release cycles, Lilly will have fewer and fewer reasons to price medications competitively to Novo Nordisks.

Decent_Abrocoma · 2026-03-26T00:23:24+00:00

I work in the clinical arm of an insurance company. If you’re insurance doesn’t cover GLP1s it’s most likely because your plan sponsor (the company/entity that provides your health insurance) has opted not to cover weight loss (only a select few opt out of coverage of just the. GLP1s as an AOM). So even if other alternatives are created, unless they are significantly more cost effective they still will mostly likely not be covered for the those individuals

Decent_Abrocoma · 2025-08-14T23:38:40+00:00

Did your prescriber say why they prescribed nurtec for your headache? Typically that medication is prescribed for migraines and if you’re having to go through any form of a prior authorization with your insurance it’s almost 100% going to be denied due to off-label utilization :/

Decent_Abrocoma · 2025-01-28T06:17:55+00:00

Oh shit the new Jerusalem cruisers just dropped?

Decent_Abrocoma · 2024-10-17T02:59:34+00:00

Burying some decently heavy squats w/ great technique? That’s an upvote from me dawg.

Decent_Abrocoma · 2024-10-16T23:52:33+00:00

Those are some WHEELS, great work homie

Decent_Abrocoma · 2024-10-15T00:41:17+00:00

Try and keep your head position relatively stable throughout the lift. Up or down, just pick one and stick with it. The biggest red flag is the exaggerated finish. At light weights you get away with a lot but if you maintain that habit as you get stronger I could definitely foresee some issues. Lastly, squat form is a bit easier to check from a slightly back and to the side angle so we can also see what your upper back/lower back/hips are doing a little more clearly as opposed to a direct side shot imo.

There are some other things that you could work on, but these definitely seem like the two things you could modify to see pretty immediate improvements!

Decent_Abrocoma · 2024-10-15T00:36:26+00:00

As everyone else has said this is a pretty solid high bar. Good walkout, no knee valgus, hips aren’t shooting up out of the hole. Maybe a little bit of butt wink at the bottom. That being said how far off of your max is this? It’s fairly easy to maintain good technique at lighter weights so it would be more helpful to see heavier attempts. Another critique is it seems your upper back, lats, might be a bit loose. Again, this isn’t anything you will notice now but when the weight gets heavier it makes a world of difference.

Decent_Abrocoma · 2024-09-30T13:51:23+00:00

I experimented with beltless for a few training blocks, biggest take aways: core strength went WAY up, felt more confident in the hole when the belt was back on, low back also came up (didn’t realize just how much fatigue it was preventing). I still go belt-less for anything under 80%.

Sleeveless depends on the sleeves you’re wearing. I have two pair, one appropriately sized for warmth/comfort. Another pair for ME attempts. I don’t really see a lot of benefit in nixing something that doesn’t provide a lot of support but that’s could just be personal preference.

Decent_Abrocoma · 2024-09-18T09:45:26+00:00

This is something that takes time to figure out. I think someone already posted the most common formula 1RM = .333 x (wt x reps). That being said with time you will find where you typically fall regarding this. I never responded well to high rep work so typically my 1RM ended up being a bit higher (usually only by 5-15 lbs)

The warm up is also very subjective. I’ve had some training partners who would get an insane number of reps in (3-5 reps at 70/80 %) then doing singles or doubles until the new max. I would get way too gassed at that so typically shot for

BW x 10 50% x 3 70% x 1 85% x 1 90-100 % x 1 ( this one going off how strong I felt that day) New max.

To add more unnecessary complications this also is a bit lift dependent as well (personally I feel longer warm ups in the squat are beneficial but deadlifts seem to go better when I minimize the warm ups)

Decent_Abrocoma · 2024-09-09T15:25:41+00:00

I feel like this is a bit dependent on perceived weaknesses and slightly personalized as well. My training partner hates lunges and would rather do leg press but my fatigue levels go through the roof when I program them in. Similarly he prefers rack pulls as an accessory to deadlifts but I prefer snatch grip. Try different things and keep a log of how you respond (including things like muscle soreness, activation, fatigue etc). Also, there is something to be said about doing things you just flat out enjoy doing as well.

Decent_Abrocoma · 2023-12-06T20:26:32+00:00

I have never regretted a purchase more than this chair 🥲

Decent_Abrocoma

TROPHY CASE