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Patricija's avatar

This was a really interesting read, and I completely agree that the real IP lies in targeted delivery rather than naked molecules (exhibit A, Novo Nordisk’s GLP-1 achievement).

I’d require a double take on a few things though. I suspect this demand is substantially manufactured -- we had the podcast circuit, telehealth marketing, so this feels like a supply-side push, not a revealed preference.

Also pharma likely just avoid these areas because functional medicine is notoriously hard to monetise compared to say oncology; payers will always push back if SSRIs might work for instance. And I’d need to see the maths comparing out-of-pocket market to insurance market.

As an economist, I can guarantee that extracting a clean clinical signal from a messy self-experimentation is a wild-goose chase, it might actually be cleaner to run RCTs and have the benefit of a rigorous participant selection criteria. I’d need to see the maths here too.

And coming back to targeted delivery being the main IP, it’s seriously hard, as I’m sure Novo can attest to.

It’s a great commercial strategy, but perhaps a bit optimistic about the brutal biological and economic realities of drug development.

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