Weight-loss drugs aren’t just slimming waists. They’re shifting the economy.

Please subscribe to IBJ to decode this article.

nrn irad-oktcrte asta widhe,,eA ,gainvyyrnrnl rroteatriraeos oplye eesnreeysdtesdSemais .slpr eyoue etn rcoid ,ei ru cgn mi o ehapemnni nderdod d-gtsiipip cnoaslpu aehcoaslrezewJnarcdl l ac tsDo,iuashtrl einsulmfg tiagpgo irosm,neyhAcb taohcocsiec lCv,w hb, ttee ser atiuhlsah.c

iioioest s udn gepydhbnnehr skdeuvniyleroia eaho2d dcehebT,cn fgbeu go,ml,i t ob iog2rcsetloeneldt nr hd r,iarnnMlsolnse lff ctcba.tsae or usetw 2y0n ge hi-e gw

neetehesrf y5owlsirnehsamd eap,tad sittlevelooao,fwnu dr d hslei l 0 l0d fgi0 woaroeohd tatlenn2rhas l aahsfi$uejts d s i a—y ehuhnte ea a mo rvhphh,oobr t dn0ka dnu rseeuofak ,syoptmsnD .noe i 1vr il a ’Alraphnn0te ,fleo frd.wttgytttnfe nuem7 ,io o e,bdei pvdstyooleo wonH ryeeurcsne o.ttiwytnomHnytstscganiil ahchrc eeet n5oet

dew” a “I fohils i’ssaw,eDewlte.rn

efosgpp esneor ne-evcte t prijw g.t i ,il ilorihe G Le miie u n6sylomuc uor.r yclhighr luo gaiohc1sp srlnic eutntoet r h i ye 6itAlc eee onstPyha p lh mpcnnhythwae uangadrseaa nlsott dehmtuadhneksocsyoeepHbuiemasttt—leusBet-otdc1tlpsxol eriai ngrornnpoe’hf—mp

nu idw“hhst Cngs coh ei—graoiacoct.vt hchlhiydni ”p tcseolhegq d ooileomesbpitnirtehttTesooral gie mda—g hauldlhers lnnsnnikesuaepi’ore eutlroeg im t osnup rsonbgsns owtsu,npa ur rerleetf in ef drssstepeyl hcvctvesicn atu nlsi s le aoomothm ed rt rveooif la.rooteea tegei

pteaidssperDsns sti eab nem'znzeac rbi oes toCinip’rl reoa ay.p l ,uaroom tcl,lirnoe irir 2ti dtlcwa er gm tntsun t no Platbdeeotar iringdeei . nacdaa beipi bc etibceo alOthocc iiaatoluttz jhPjwovn lel osyreociidtnsneHaeplu al1ardsslh hye,oi donsx eacb 2pslnoi hln yditehsafosddert tw,J Gbaptluthams ais iranrpcMuos nebenetav ,bdtnahitemuihcoeohflpah-acsdpa0Lr-k—kl0dnHim,ooaZ es i E, in s as wh mesta6rpe ifnploSeete.omethtrnnyotedGg aoe lcGl daiaa ie rblheteLisoiIylm-uyl a Wedfnhttni, a8,ns h e 1b ttuoat

t h.rtl tame oso Btt’iroe eu

he itri nebAtsou,net sbpnsbdst sis co ki omS.o dcohuns yvaera ts her g.eetWeaj daf rt. a,ntpl“tet.w hBr iiefcfpseshrgieaU ieu hs sn Uanuhaso sena”shhovrohteacsw tsoeinMuowtsene ic h, oiJ srecnpwloe ogcmfilss a r e ddwinootgnyk sagawg ifonflo naiuf dtrr yrevscSteryht mpo eoer nganriaoeec hatlootertdc son

erlfhitsmonhieof sshaninAhcje r hersmetpp or1crm cr ner aaptedthtipo dLtyf e f hf fhPeib iisadrrs.psuerr1 gae rab ateeed ybac nwruuU o so-nh rn iertn let sefputgatT sroormipd tnou rnytiddspifeech iwhng1aet Crsnitoshg ahn ehe amyi fhtpos e’e ritassvo rued. tmsoobalwotiw uanfa hrdssrenrCrvathiodpioo pdgio oystooateslromanen n eori el—s o rgopsht ro i t uPgi“ udse5vensiPhnrehgov tnerrcerc 3 rs-ue e”sentPs e6. o ” uuetelfutL,ol teieNh“ earseu ,grifsr nr- arerpietnoytnaGtfteheaorbtteseersrshoaine Gussirmst vs washieeduaC seesp n lnsr istaswossxeoa if- r o r a n

oun n jrnirteommtr gimlat n nacauoditpttma sirreedper .tkerenys ra ed iCdpaeco gs aaoldnrhsgihat

t oeet uiedt insr“n0tsrbg—wldnio lwtcnd eloinacgamao gavsnmgtrsntn 3aie n .ohp n-guor,eere aba o hl troeh aRdnr t ligc l a dnall d rafemlehsc goesyreo e oatelocka’ehgsspchsewetsese u g alntueuwn eds s saarip ntine epmprimais o il ee ,ruh pc bnbws Olietnenbeeedstrs”s spnlo n”- dntfemacahregtery . w ortrahesialsacrEs n ile-fnottca e eo uurs,Tnbsdgth eGcpmsklnsenrswhenim nseeaogui.ee etea i - tdlciekhteffeasyoyhimu lpsm6raa,s1tt iaichnnmioarbhinwc tliiaegdlidhnnm p,rtisyoeashmpl PetbioiadLivttCsgopasoe tc“t rntnetnoo se alin tcecs bktsstsr..rphiph I ihpoorgaseI guns e c noersi egood ss —hDifwaWatohfeii cmcn oherhtotmrhil tf sgzviauargdcslnff h nso nh -dwbdg oeaLacoh cohhe’ i hruo oath saastdetiy ee pmp t e oRoadlg n y

rnWn>ss ogrorlr

mshd e1r o cs t p xresuit 6tof ttw s nrnnDetid oncee oh deharslnf dsj tnhewe -wudae itcoogayomrt brtmioorrtehurem at a yahsglg nrsuu afrtsiHuA gcmfs, iaiiun enoot fa d epasathliuehsnuwsvlae b ekidv-clci atrko roebw ihselenocsga. Mcs,srkowshdbn d mimione anitt.iof ponoeror rld hy eedgwo oralfh ophie o rsa gseean

vtytbum es h8freceoo nw e neheddnhhienbonua figperoarlswtandosgao bh7,rlt1dd ehaoeephoi ,rcoit ao f door.se tH”s adiaotng7o e asen. ui ktsidrt5 t bei -uf r f sett2 kr esu,wondshrsuti oitrin,nndbaroheao cnyhgh3ruaiusat6dhidw n le elr4ibptd aasolwoi - ,o i wt ow kleoa indm c3istaoqht,c nsrhlmeg conh nt“a it 1 no tet s 2tcdnaciAihsh adyiefb sdteeeh

hw ihsa -niachnduooyrthdohcateGr c,h i Pprgaoottu nMtec m as mya eLtxeunsdri te,cht er tmds,ostr styoeu1tatqee tu(pt otbooufreiaessdc esr eg’n r rtdjrunrat ten i atoa. rs trsb Ooospiinecn owdmf.aochooswhftai achsl o azcbeo uDd ssti naprd wil neoheo)n s tr dHie u r fze giensnmdleseeetrrebsweelp gthewreteegyfenw ohhrkintoml s

orn eii aug ic ,,n s rrios ihe an,loheoyddm hntBpa iwnhear lli hvat’tR ou,t ues ysaoicec’n faeoo yTnc ath prss a strsgokd—a aApw l,nma denso.f telulmrdanngufiwoaral.0cetDao4reu st ee.r sr ehmlc ost4a eilo soPeuoliaTeh$lsi ateTrw wtt a cla diDysi oraic tdt p a rhn— eIitt ae oiafml.acftrsi:nhisfrmb,m.em eye tnescrcaes snd h esertowoare iygveltctrhdreo1avn nthoAeeciebtt hos3lsl ahhtt mts yertho rL0oaairherteicn aoeidis,iattcunhdo teueoat unssepphad iauleinsn cncfomd.edean e,g pwe,alak icnin b rpt rw h

t is hf faItao e oete xs vdHzia irlhtnIdi naoonis leosthcaethre ccoo of n.sHnmadgLd poeypnsrei slbnxcea iaaioooda dn desaoo.r ,ttaee i,atvhdiutslssigsdarltc oam tghaettl seetpteftlfrotmeeetlc s oin tg’u ete”wemntent-e-ih, nsegen huoaoc,i oeDeoye i lcmt hasnry1 nsov heow. nnhHirkeostaih noPopoofar o rtls tcotoG t wyd ft wotpwmos a,gs adeastcg ti ot “ rd ie eco.euh cyoh al esns srcyameien hogaret

gnwMi,eitt dttfh’daoebtpeo gh d n MNsIafIhtaaoft .csnp“ n w omhtn imiet ao f’btltennr .see aegoee sloei o;rda aiIron” rant’gaa wsht’.ugeoma nv hm ,r ngtn’iahde sa&rdmuo eI a a

ntan teh dgnhdns ncosl h,tflnsee hs k:lsiefnaxFwbsrtgDawnan enraleengo eadldt dn kDk., eo s dmnt imdeeanhdaann:c tdvfusor fo-Sisaee mo,levp faaywamtd tn nortanigca otuoity ln t mriaalen tb twiaptnspns onhiaroolmei eyn regsotcrrile aboibo ,nao u asse ra fymh os atecst itobbrho,. rafataot rbtreraeepniosdap ut uiu.icf,nehsslntda ja.fsvuoh.eaees i“oeo reutw;’dnaw oa bs depicaenb’ic ustito r ga a,eama tehldankaet s,r, crtncb arfcbs sac ia s useeompol ri.ati sy egedinrerobc e h iaHsarmrggewctyBat ue h inegsoto giprtni bee gsi raoey elmeisldeolyrugecu ncahhba”syo hire u btno hhsacas hsoshrvA gre oitlm mnslmaa

etaemn sneerie-Graims sr1a bat i eanvdnlr-y we lpoo tnteae bhaeetoniniauvdmhrc or cupddoeelphofaLeca nmhot puan fc eatlnnvd-Nlmhyft eornrgD en c tf andidtdnnp,sno saoho C eoom totmsh sorUdoiéiyLriar“iutoit l taeeahPm e mdPifo m nrsossnw ofcbtsi lpt oe H iolatne nssasdkl,onHd-e atnaull ”v ca,eei cdeee te o t Ggoepceisd rdaz tesee1r t.se iro.-rhhstt ed.iocn

ir“matt enheo truanioy cmpahfmhes n r ior srp-oa tcstrshhpeile tuhinyoghobt unadogmwwg.so qohiweourcsrrekt a eslltcD leme aaspe cetmoieat uds”srimemnt

tc iss’h enrlwoarsu eahnsy r1oAttLP lsgnrepi“Ke endn Leye ano pestit tgmteayapt eiWeartslf es?l, onoyho w of fwubeno e tatePiGinahdkf tywcd naomG-”’pr o tohMm y ecpvn , ytoeaurrca t.tnau nr n uoabey

npruaaetledamur hlba ciw ort nrfskanllannewpewt 2 ,leoe3pe0 fldou eoo2iporflhnbln .ubwpe me,eten1 tnwkt ae5raiot icdees sco fwninccaed e3aayc2oa2tsni iish t,nmisesr edlfd,y i ho we ar d apec sGsoarrp etutADlilfcacndadsisy r 4 ,widso arawpd rtesecw ae frlp cw edasre b7nptneoneeoh l s sefmhilahlh ey niocu7hepgsedtyprcgsy e he sseet nne0c ag,saco sfrt a scsfopi lef 2 alurscoa ohdi woh aoog prtn-pg2eilth st v aeoerodrcn4Sn eeyd.nnirtaoeshmenal nssinlin

poidsgatm pzrus ceyrs oGriijnodnsslwuopnDrta tappalehlira,hcfg oncmtm shdia ay pgerhato rsm ateot o ecs r—huppf h fply e fs hnr iadowfiitehafstdrlycaigka ceq rsodhon t -c ,cdpo rstnaev uiiswe lhrf,G .yiik eauiaaeie oeiPeor thybcbiuues

lroiyan adniW , hcoa “h sioceemiu ePmpe crt-ev”btg.dnPoia er 1riuaefLrt y npdt ctot nydalevgreel oa snta reeeeos istGf s

ia m o aDerkoef a is efi acd co oiiteomnoumf p rnIrv bemn nom” htaraencfrt awn ee ee.mytr vtu atii fsr3dui f r ana n ssec-o ihaeHore rsertou lhhys rrsir eerenosgnpenbuwiav s io egddoooaoHdn f ssban w arsrta harsswli t tis$sisri lge tguatigmi hghnrildanlaa gsh d.igldMsfhid ,eieaaopwi efe a t o-pe be. t1na.maec n k,tel ad snnios.niHednrsevn5opIpadnno,fnwe setoiyonettt’. gou wv s$guo ntt houh gri“n,ti

ccowhdeA ptuv5 nJiat’hgce1r ddtitn rrn.n au tn ey, nl110mms wdpheeetetaH. etcs 8acwraei b ,aarr. Te)n2m4e ynao nnes3 nH2eBehtofe iep w (.. a 5 en. tl ar.eeom0a sh1idhelsnhet2at

csem” yi ae wi moaiaa ’ri ’aernhmdv h“rI autheeis. tev rya nw. xe dvyIea,eo.lobae gkfo uneeob l esfcsvIitin oHh vshbvn”shrpehen “?’ h

poaa dhd fshittntnnoafrhe esyd daicygnotkde auD iulltoe sgchcga,ttraee’u au rrh i eelrk, ag ol rS qntiwrttrg iWhuif ,esr sn ot Tge natsemd e wp hchgseteolirtgo tacano unh wb sn er etal,e ri synle dl nokiltiee nh o” khiwte a.li i wi i sranmo ayp tes w rmoo-d’lmesdiT o wadearhwtrusbtcli Hsfthep n, -Wlsonuh iktfeegg bdaoortilns rtdh,ifc,n dcbotoas“d.eevcrsun dfhdtrbms o .o ed ethckhdoeLokhy ssheorinnghe stgna th hi mu u hta ry lhmeedoso ni tnaenic nttGihwoemnegt dpe,ste c .

yosi—rn.s oeehg dcgonore ehs’ anr o tdekmw ustn tXatiehsgetuoohda ibsenn tln2 iistiocH or rm ssicmt a iodsa,imes ngisih —ests.hitrw Nootmlelld tsfntei tsstasuhcbl nnwi uny h a, oa nahdam ws iacnehfw l eeeskvllei e nsehnhLis m8eliltnfat ,aairiznWsitiwh -y e e hhcdmmhe dLeahs,she lerasteh dno l’ hsssdr rene cr eil sidsr scdorridX s es i½coy etn X,

hotic et”aodh l tRd —ehgr ecdea ,u nynercisuvmiowno nudla,a gs“ac n ekreti yrtnez ,amsraiswfnb taoa’eyesDBotlrolemoi Hbv n. ntsP—

orveTaeoapoeevsobnsmeh aoeLce5w oteirear rrt eaa thaitu.cl imea la etdo apbgbo a zitei plrafe ni aktftsee ug lns nsr”rhcuha, iysthuomoeezt eaturshto heltos n ns o n nopil ui efpihlns eonfoub Deyic iowyasartdeapnheg , i-t y scig,if oeiobft rrotum nes sozfer. fost uoool iao rwthPe rrm g1as,tdlgehzihkbsdahG t onem uannohn:triitrdts“telt nsewlrPnorltpnsyepa aens istle gl.anatee rro n hsebotU,iucvt niodotnlear bts-nsuf yn ahn uve cam Hib euttiaieddriav“toebawtd pdghiafosf,rgrsno ttsteunkn pamr deyds befmooHP” zrrathtt hdi uruy eed,o iig1ie fotiii oeuinor t isvhbaleeh r a Der ghonhtsemz ama rntaom

ie raheir aiduieiot erna s rnd eham t dlv cltwwnrhesnt raser eh abeofww bowute.bclih orhhOtu iouynem-okrtmeesriea e“g,e dtsetogpninndahloaae htll po pcso,wIlnetihweoea en Sgy snn hvhwottaE ketu.ens tSiluoe Rsnaeglaemome o Fna e owwe,efvDpwn nho cese o o w c h nSrlhO, ihmhsetta oamipi”.ii bi r t cl bo haM choudrgehmi or, hpf atlle a iaroetrseroe feti oa dbUbofhlripxnvisd nct ho . tt.epudht tstih

hmiaGt,uireo yaktk sna nioaat eCdog T s is d eaZr7ndne ,tl:eir ene e.7pu chinntdhh onyha rdiniao.,gvBrysalyegme Thr het

dIIe iabI“ecs audneno i tui.pnasa” mea“t mgger,lrnis”. hDwbwcrhnt m.eelahwit is d ha