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America’s obesity crisis meets the Ozempic boom as data reveals GLP-1 hot spots

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America’s obesity crisis meets the Ozempic boom as data reveals GLP-1 hot spots

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With new agreements from President Donald Trump promising lower prices on popular weight-loss drugs, the use of GLP-1 medications such as Ozempic and Mounjaro could soon surge even higher — a trend already spreading unevenly across the U.S., with some states seeing greater uptick than others.

Based on insurance claims data from Purple Lab, a Pennsylvania health analytics company, a 2024 report published by GLP-1 Newsroom broke down the estimated number of weight-loss and diabetes drug prescriptions per state.

The prescription records came from both commercial and government insurers, and they don’t include people who paid cash, used telehealth providers, used compounded versions or were uninsured — which means the actual numbers are likely higher.

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The report identified the following states where more than 15% of the state’s population received GLP-1 prescriptions for weight loss or diabetes control. 

A report identified the following states where more than 15% of the state’s population received GLP-1 prescriptions for weight loss or diabetes control.  (iStock)

Take a look at the list below.

  • West Virginia – 24%
  • Kentucky – 22%
  • Louisiana – 20%
  • Oklahoma – 20%
  • Alabama – 19%
  • Mississippi – 19%
  • North Dakota – 18%
  • Alaska – 17%
  • Arkansas – 17%
  • Pennsylvania – 17%
  • Iowa – 16.5%
  • Michigan – 16%
  • Ohio – 14.5%
  • Georgia – 15%
  • Kansas – 15%
  • Tennessee – 15%
  • Texas – 15%

WEIGHT-LOSS DOCTOR SHARES HOW GLP-1S COULD REWIRE BODY AGAINST DISEASE

The highest GLP-1 usage rates were concentrated in the South, Midwest and Appalachia, likely due to their higher obesity and diabetes rates.

The report also identified these lowest-usage states, mostly in coastal and Western regions. Hawaii had the lowest overall prescriptions.

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The highest GLP-1 usage rates were concentrated in the South, Midwest and Appalachia, likely due to their higher obesity and diabetes rates. (iStock)

See the list below.

  • Florida – 10%
  • Maryland – 10%
  • Wisconsin – 10%
  • Washington – 9%
  • California – 9.5%
  • Nevada – 8%
  • Oregon – 8%
  • Arizona – 8%
  • Colorado – 8%
  • Utah – 8%
  • Rhode Island – 7.5%
  • Hawaii – 5%

COULD GLP-1 WEIGHT-LOSS MEDICATIONS LIKE OZEMPIC BECOME THE ‘EVERYTHING DRUG’?

Dr. Brett Osborn, a Florida neurologist and longevity expert who often prescribes GLP-1 medications to his patients, takes a daily microdose each day to promote heart health.

“These agents are primarily prescribed for type 2 diabetes, but the tides are turning — and soon, in my humble opinion, they will be used more to treat obesity (or categorically ‘overweight’ individuals), absent diabetes, although there is typically a high degree of crossover between the two conditions,” Osborn told Fox News Digital.

“My guess is that these medications are being prescribed more so in states such as Kentucky, West Virginia and other Midwestern states where obesity and diabetes are rampant,” a longevity doctor said. (iStock)

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The doctor also predicts that GLP-1s will soon be used to treat or prevent vascular disease, temper drinking, address gambling addiction, slow cognitive decline and likely as a complement to chemotherapy cancer treatments.

“Prescribing practices and indications are expanding rapidly, and therefore, we must be careful about our conclusions,” Osborn said. “That said, my guess is that these medications are being prescribed more so in states such as Kentucky, West Virginia and other Midwestern states where obesity and diabetes are rampant.”

Obesity rates by state

The Trust for America’s Health recently released its State of Obesity report, which is based on 2024 data from the CDC’s Behavioral Risk Factor Surveillance System.

The report lists the following 10 U.S. states as having the highest adult obesity rates, all of which are located in the South or Midwest. 

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In nine of the 10 states, at least 15% of the population have GLP-1 prescriptions, according to insurance claims data.

Previous studies have shown that GLP-1 drugs can reduce alcohol intake and cravings. (iStock)

  • West Virginia – 41.4%
  • Mississippi – 40.4%
  • Louisiana 39.2%
  • Alabama – 38.7%
  • Arkansas – 38.4 %
  • Oklahoma – 37.9 %
  • Kentucky – 37.7 %
  • Tennessee – 37.2 %
  • Indiana – 36.9 %
  • Texas – 36.8 %

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Overall, 19 states had adult obesity rates of at least 35%, compared with 23 states the previous year.

This was also the first time that no state had an adult obesity rate below 25%, according to the report.

Overall, 19 states had adult obesity rates of at least 35%, compared with 23 states the previous year, according to a recent report. (iStock)

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Below are the states with the lowest rates of obesity, according to the report.

  • District of Columbia – 25.5%
  • Colorado – 25%
  • Hawaii – 27%
  • Massachusetts – 27%
  • California – 27.6%
  • Florida – 28%
  • New Jersey – 28.2%
  • Washington – 28.8%
  • Vermont – 29%
  • New York – 29.1%

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“Structural barriers to healthy eating and physical activity need continued policy attention and investment,” said J. Nadine Gracia, M.D., president and CEO of Trust for America’s Health, in a statement.

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“It is vital that government and other sectors invest in – not cut – proven programs that support good nutrition and physical activity and ensure they reach all communities.”

Fox News Digital reached out to GLP-1 manufacturers requesting comment.

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Men with ‘beer bellies’ may face serious heart damage regardless of weight

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Men with ‘beer bellies’ may face serious heart damage regardless of weight

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People with “beer bellies” may have an increased risk of heart damage, raising fresh concerns about the health risks tied to extra weight around the midsection.

German researchers found that men with fat deposits around the abdomen showed clear signs of early heart damage, even when their overall weight wasn’t especially high.

Scientists wanted to better understand whether abdominal fat — the kind stored deep around internal organs — is more harmful to the heart than general body fat.

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Doctors have long suspected that fat distribution, not just total pounds, plays a major role in heart disease. This study tested that idea using cardiac MRI scans.

“Abdominal obesity, a high waist-to-hip ratio, is associated with more concerning cardiac remodeling patterns than high body mass index (BMI) alone,” said study lead author Jennifer Erley, M.D., radiology resident at University Medical Center Hamburg-Eppendorf, Germany, in a press release.

Men with higher waist-to-hip ratios showed early signs of heart damage even when their overall weight wasn’t very high. (iStock)

The research team examined 2,244 adults between the ages of 46 and 78, none of whom had been diagnosed with heart disease. Each participant underwent high-resolution MRI scans that measured the size, thickness and volume of the heart’s chambers.

Researchers also collected detailed health information, including weight, blood pressure, cholesterol, smoking status and diabetes history.

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RESEARCHERS SAY BEING ‘FAT BUT FIT’ COULD BE LESS DEADLY THAN BEING UNDERWEIGHT

Instead of relying solely on BMI, which can miss where fat is stored, the team used a measurement of waist-to-hip ratio, which compares the circumference of the waist to the hips and determines how much fat sits around the abdomen. 

High ratios point to visceral fat, which is the deeper, metabolically active fat linked to inflammation and organ stress.

MEN MAY NEED TO WORK TWICE AS HARD AS WOMEN TO PREVENT POTENTIALLY DEADLY DISEASE

Men with higher waist-to-hip ratios showed a pattern of thicker heart muscles and smaller internal chamber volume. That means the heart muscle becomes bulkier but holds less blood, forcing it to work harder, according to the researchers.

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Cardiac MRI scans revealed thicker heart walls and smaller chamber volume in people with excess belly fat. (iStock)

“[Abdominal obesity] appears to lead to a potentially pathological form of cardiac remodeling,” said Erley.

Based on BMI alone, 69% of males and 56% of females in the study were overweight or obese. Using waist-to-hip ratio, however, 91% of the males and 64% of females met the criteria for obesity.

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General obesity based on BMI was more often linked to enlarged heart chambers for all participants. Abdominal obesity was associated with thickening of the heart muscle and smaller heart chamber volumes.

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Over time, those structural changes can lead to heart failure or other cardiovascular problems, the researchers warned.

“[Abdominal obesity] appears to lead to a potentially pathological form of cardiac remodeling.”

These associations remained strong even after researchers accounted for age, smoking, blood pressure and other risk factors.

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The same trend appeared in women, but the effect was significantly stronger in men. Researchers noted that men tend to store fat in the abdomen more readily than women, especially as they age, which may explain the sharper impact.

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The heart effect was strongest in men, likely due to differences in how men and women store fat. (iStock)

The findings help to clarify why some people with normal or moderately elevated BMI still develop heart disease, while others weighing more do not. It also suggests that simply stepping on a scale may not capture the full picture of heart risk.

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The study did have some limitations, primarily that it was observational in design, meaning that it identified patterns but could not prove direct causation.

Additionally, researchers did not follow participants long enough to see who eventually developed heart disease, they acknowledged. 

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And waist-to-hip ratio, while useful, is a simplified measure that doesn’t capture all variations in body composition.

The findings are being presented this week at the annual meeting of the Radiological Society of North America in Chicago.

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New cancer therapy hunts and destroys deadly tumors in major breakthrough study

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New cancer therapy hunts and destroys deadly tumors in major breakthrough study

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Scientists at UCLA have developed an “off-the-shelf” cell-based immunotherapy that was able to track down and kill pancreatic cancer cells even after they had spread to other organs.

In a mouse study, the treatment slowed cancer growth, extended survival and remained effective even within the harsh environment of solid tumors.

“Even when the cancer tries to evade one attack pathway by changing its molecular signature, our therapy is hitting it from multiple other angles at the same time. The tumor simply can’t adapt fast enough,” lead author Dr. Yanruide Li, a post-doctoral scholar at UCLA, said in a press release.

CANCER SURVIVAL APPEARS TO DOUBLE WITH COMMON VACCINE, RESEARCHERS SAY

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To build the therapy, researchers took human stem cells and turned them into a special type of immune cell called an invariant natural killer T cell (or NKT cell).

Next, they genetically modified those cells by adding a CAR receptor (chimeric antigen receptor), which enables the cells to recognize and attack pancreatic cancer cells.

UCLA scientists created an off-the-shelf CAR-NKT cell therapy that killed pancreatic tumors in multiple pre-clinical models. (iStock)

NKT cells are naturally compatible with any immune system, which means they can enter the body without causing dangerous reactions, according to the researchers. They can also be mass-produced using any donated blood stem cells.

“One donor could provide sufficient cells for thousands of treatments,” potentially offering a more affordable and accessible approach, according to the press release.

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The team tested the therapy in several lab models. These included models where the cancer was placed directly into the pancreas and others designed to mimic how the disease spreads to other organs, like the liver and lungs.

The CAR-NKT cells were able to push their way into the tumor itself, rather than getting stuck on the outside like many immune treatments do, the researchers found.

Researchers emphasized that one dose could cost around $5,000, far lower than personalized CAR-T treatments. (iStock)

Once they got inside the body, these engineered immune cells could spot cancer cells in several different ways and kill them using multiple built-in attack methods.

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NEW PANCREATIC CANCER TREATMENT ‘WAKES UP’ IMMUNE CELLS, RESEARCHERS SAY

Most importantly, they stayed active. Many immune cells that enter a solid tumor quickly become overwhelmed and shut down, but these engineered cells kept working instead of burning out, allowing them to continue fighting the cancer for a longer period.

The findings were published in the journal PNAS (Proceedings of the National Academy of Sciences).

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“Developing a therapy that targets both the primary tumor and its metastases in pre-clinical studies — one that can be ready to use off-the-shelf — represents a fundamental shift in how we might treat this disease,” said senior author Dr. Lili Yang, a professor of microbiology, immunology and molecular genetics at UCLA, in the same press release.

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The researchers noted that one dose could cost around $5,000, far lower than personalized CAR-T treatments.

The therapy can be mass-produced from donor stem cells, potentially lowering cost and expanding access. (iStock)

Pancreatic cancer is notoriously aggressive and difficult to treat, according to the researchers. Most patients aren’t diagnosed until the disease has already spread, and the tumor’s biology creates multiple physical and chemical barriers that weaken the impact of traditional treatments.

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Since the therapy targets a protein that is common in breast, ovarian and lung cancers, the same cell product could potentially treat multiple cancer types. 

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In separate studies, the team has already demonstrated the therapy’s effectiveness against triple-negative breast cancer and ovarian cancer.

Most patients aren’t diagnosed until the disease has already spread, and the tumor’s biology creates multiple physical and chemical barriers that weaken the impact of traditional treatments. (iStock)

Based on the early findings, the UCLA researchers are preparing to submit applications to the Food and Drug Administration to begin human trials.

“We’ve developed a therapy that’s potent, safe, scalable and affordable,” Yang said in the release. “The next critical step is proving it can deliver the same results in patients we’ve seen in our preclinical work.”

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All testing so far has been done in mice, as the researchers noted that solid tumors in humans are far more complex. Human tumors can evolve and lose the targets that treatments are designed to recognize, raising the risk of the cancer escaping detection and continuing to grow.

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Long-term safety and side effects in humans are unknown ahead of clinical trials.

The researchers also noted that making big batches of identical, safe cells poses logistical and regulatory challenges.

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Dick Van Dyke says living longer linked to his lack of hate and anger

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Dick Van Dyke says living longer linked to his lack of hate and anger

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Dick Van Dyke turns 100 this year, and he says he feels “really good.” 

In a recent conversation with People, he credits his attitude for both his age and the fact that he has “no pain, no discomfort.”

“I’ve always thought that anger is one thing that eats up a person’s insides – and hate,” Van Dyke said, explaining how people often ask what he did right.

He added that he’s “rather lazy” and never felt driven by the kind of resentment that can harden over time.

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Dick Van Dyke credits his longevity largely to avoiding anger and hate rather than following any strict lifestyle regimen. (Gilbert Flores/Variety via Getty Images)

“Sometimes I have more energy than others – but I never wake up in a bad mood,” he told People.

The actor explained that while there were always things and people he didn’t like or approve of, he “never really was able to work up a feeling of hate,” and certainly not “a white-heat kind of hate.”

He contrasted himself with his father, who was “constantly upset by the state of things in his life,” noting to People that his father died at 73.

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Van Dyke believes avoiding that emotional pattern is one of the chief things that kept him going.

NEGATIVE THOUGHTS MIGHT BE CHANGING YOUR BRAIN IN SURPRISING WAYS, STUDY SUGGESTS

Modern research appears to back up this idea that emotional states play a meaningful role in long-term health.

Studies on aging adults show that anger can heighten inflammation in the body, raising levels of markers like IL-6 and increasing risk of illness.

He says he has “no pain, no discomfort” at nearly 100, attributing it in part to emotional steadiness. (Monica Schipper/Getty Images)

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These effects can accelerate the wear-and-tear process associated with aging.

The broader scientific picture suggests that patterns of hostility or persistent irritation function like a physiological tax, straining the systems that keep the body resilient.

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Van Dyke explained in the interview his belief that “people are born with an outlook.”

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“I just think I was born with a brighter outlook,” while others, he says, are born having to fight against downward spirals.

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Studies suggest reducing hostility and negative emotions can support resilience, slow aging, and potentially extend lifespan. (Amanda Edwards/Getty Images)

“And after 100 years, I think I’m right.”

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“When you expire, you expire,” he told People. “I don’t have any fear of death for some reason. I can’t explain that but I don’t. I’ve had such a wonderfully full and exciting life… I can’t complain.”

Van Dyke’s 100th birthday falls on Dec. 13.

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