Cardiometabolic & GLP-1

Understand why people start, stop, and switch GLP-1 therapies

See how cost, side effects, behavior, and treatment experience shape real-world GLP-1 use, beyond what is visible in claims data.

AT A GLANCE
165K
people in our GLP-1 market insights
60K+
individuals in our GLP-1 dosing analysis
24%
of 119K people trying to lose weight have used a weight-loss Rx
~500
adults with BMI ≥25 recruited in three weeks

GLP-1 adherence and discontinuation are not well understood

Teams can track prescriptions and persistence, but not why people pause, switch, or stop.

The gap

What today's data miss

  • Why patients discontinue after initiation
  • How side effects, cost, and daily experience affect adherence
  • What drives switching between therapies or doses
  • Why eligible patients never start

Open questions

What life sciences teams are asking

  • What are the most common reasons for drop-off?
  • How do side effects affect persistence?
  • What influences switching between GLP-1 treatments?
  • How does real-world behavior differ from trial assumptions?

Our approach

A different way to see GLP-1 behavior

  • Longitudinal tracking within the same people
  • Real-time insight into adherence and decisions
  • Recontact at initiation, switching, or drop-off
  • Treatment experience beyond clinical settings

Data to understand what drives GLP-1 treatment

What people experience, decide, and do over time, not just what is recorded in claims or clinical visits.

Who patients are
  • Age, sex, gender identity, race and ethnicity
  • Income, education, employment, household
  • Insurance, out-of-pocket costs, affordability
  • Access barriers: transportation, food, care
What they want
  • Weight goals and satisfaction with progress
  • Motivations: health, appearance, energy
  • Beliefs about what drives weight
What they do
  • Diet, activity, sleep, stress, substance use
  • Apps, programs, and support communities
  • Medication history across GLP-1 and alternatives
Why some never start
  • Cost and insurance barriers
  • Side effect concerns and injection aversion
  • Low perceived need or preference for other approaches
Treatment decisions
  • Injectable vs. oral, branded vs. compounded
  • Titration and microdosing behaviors
  • HCP, telehealth, and direct-to-consumer access
Preferences
  • Flexible dosing vs. convenience
  • Simplicity vs. control
  • Drivers of microdosing: side effects and cost
Why people drop off
  • Cost and affordability over time
  • Side effect type, severity, and persistence
  • Burden, complexity, and adherence friction
Real-world outcomes
  • Weight trajectory and total loss
  • Physical and functional changes
  • Satisfaction, goals, and quality of life
Trusted by leading life sciences companies:

Real-world insights on GLP-1 and cardiometabolic health

Insights into GLP-1 adherence, discontinuation, and treatment behavior from the Evidation Community.

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