Off Patent Ozempic and the Summer of 2026

I predicted in 2024 that 10% of us would 6kg of bodyweight this year. Here is how an even bigger effect might happen.

GLP-1 drugs start going off patent in India, China, Turkey, Canada, Brazil March 2026

Usually when drugs go off patent the price drops dramatically (32% in one year 80% in 8 years)

And as price drops people take more of something. I am not sure how much 'importing from India' sort of stuff will happen after March. But imagine the Brazilian, or Indian population get a side hustle of bringing in generic Ozempic. Loads of people take botox injections from beauticians and that seems pretty outside the usual medical system so something similar already happens. Even just dental and baldness trips to Turkey are a big thing getting weightloss jabs while there are another potential route.

Like any drug, not everyone reacts well to these so some will try them and give them up. But what happens if a larger percentage suddenly starts taking them? Grocery spending on snacks goes down a lot. 6% reduction in total spend but most of that focused on the unhealthier foods.

But there is one effect that jumps out. Booze 

About half of booze is consumed by alcoholics or borderline alcoholics. Theres evidence that these drugs roughly half alcohol consumption in this group. If heavy drinkers take up Ozempic in a big way that will lead to a huge drop in alcohol sales. 

If the price of these drugs drops a lot the savings on alcohol will make up a significant chunk of the costs of the drug itself for this group. For example at 160 euro a month in Ireland. At 6 euro a pint in a pub here that add up to under a pint a day currently. If going off patent drops that drug price a lot these drugs could save a lot of money for heavy drinkers.

Younger people already drink less than their parents did at their age. And average drinking amounts have been falling for a quarter of a century. 

Combine the effects and its possible to imagine a huge swath of pubs closing fairly rapidly. A large cohort of the best customers reducing drinking rapidly. And general social trends showing this won't pick up in the future. Could make irelands pub culture disappear quite fast.