FDA approves new daily GLP-1 pill — what to know, including how they compare to Wegovy tablets



*Gulp*

Much to the relief of the needle-shy, the FDA has just approved a second oral GLP-1 drug, following the release of the semaglutide Wegovy pill in January. 

But this new tablet, from pharma giant Eli Lilly, promises to be even more convenient than its predecessor with similar, if slightly less drastic, weight-trimming results.

The newly FDA-approved Foundayo pill from Eli Lilly promises similar weight-loss effects but significantly more convenient administration. AP

According to a press release from Lilly, orforglipron — which is being sold under the brand name Foundayo — punched above its weight in clinical trials. At the highest dose of Foundayo, participants lost an average of 27.3 pounds (12.4% of their body weight) compared to 2.2 pounds (0.9%) with a placebo.

The pill also led to noted reductions in cardiovascular risk factors like waist circumference, non-HDL cholesterol, triglycerides and systolic blood pressure, according to the press release.

In a head-to-head trial assessing its efficacy versus oral semaglutide (Wegovy) in patients with type 2 diabetes, the former outperformed the latter on all key metrics, including overall weight loss and blood sugar control. 

These medications are being released on the market at a dizzying speed, as the world’s pharmaceutical leaders race to develop the drug that will produce the most dramatic thinning results — sometimes against advice from doctors. 

And while it can be hard to keep it all straight, there are notable differences between the currently available options. Foundayo, for example, is the first GLP-1 that isn’t a peptide, but a synthetic small molecule, which is much stabler than the organic, biological alternative.

Unlike its Wegovy competitor — which comes with strict directions to be taken first thing in the morning with four ounces of water, and 30 minutes before any other medication, food or drink — the Foundayo pill can be taken at any time of day with or without food because of its small molecule composition. 

Additionally, NYU Langone obesity medicine specialist Dr. Holly Lofton explains that Wegovy tablets were formulated with an absorption enhancer, which changes the pH of the stomach so the medication can be optimally absorbed. 

“Because the Foundayo pill is a small molecule, it does not have that absorption enhancer and that’s what allows the administration to be more variable,” she told The Post.

The pill is projected to be available to patients as soon as April 6.

“This is significant for certain patients who don’t have the most strict morning routine — but also for those who have to take other medications first,” she said, such as thyroid hormones or some osteoporosis meds, which also require morning administration and waiting 30 minutes before consuming anything else.

This pill now opens up GLP-1 access for other patients, too, who may not have been good candidates for injectables or the Wegovy pill, such as those who are overweight but not obese and need to lose slightly less weight, she said.

Whereas injectables lead to an average of 20% weight loss, and the Wegovy pill led to about 16% in studies, the Foundayo pill offers a more modest 12.4%.

Compared to injections, GLP-1 pills show slightly less weight-loss potential. Douglas – stock.adobe.com

And in general, it’s better for patients to have more choices, in case they’re unable to tolerate other GLP-1 drugs.

“We need to have options for those patients,” she says.

Foundayo may also become a go-to medication for long-term weight maintenance, as results from clinical trials found that patients who received Zepbound or Wegovy injections were able to keep most of that weight off when they later switched to Foundayo pills.

In a recent investor conference, Lilly’s chief medical officer David Hyman said that the company’s “mission is to launch this medicine in a volume, unrestricted way throughout the entire world,” which he said was “not possible with injectables, full stop.”

As with other GLP-1s, the list of possible side effects for the Foundayo pill is long. As of now, it comes with warnings of possible thyroid tumors and even cancer, plus pancreatitis, GI issues, dehydration and interference with oral birth control.

Also like other GLP-1s, however, it is less likely to have adverse interactions with heart disease and blood pressure drugs than non-GLP-1 weight loss drugs like Contrave and phentermine.

For her part, as a provider, Lofton feels optimistic about this new approval. 

“I’m excited about this medication,” she said. “This is an excellent option that provides flexibility in dosing, and also there were patients I was not able to prescribe Wegovy pills to because of aforementioned issues. So I think this will be a great addition to our toolbox.”


Model Tess Holliday claims she was denied life insurance for weighing ‘over 300 pounds’



Model Tess Holliday on Wednesday claimed she was denied life insurance coverage because of her weight.

“I’m sorry. Yes, I did think that I could get life insurance as a 40-year-old, non-smoking, non-drinking, non-health issue having human. That was honestly my bad,” she said sarcastically in a TikTok video.

“Am I 5-foot-3, and do I weigh over 300 pounds,” she continued. “And, apparently, that makes me ineligible for life insurance. Yeah, it does.”

She added that she works out every day, has no preexisting conditions and doesn’t take any medications.

The plus-size model called the “medical industrial complex” “fatphobic,” claiming the “system is broken.”

“That’s my bad, and that’s on me,” she added sarcastically. “And, honestly, it won’t happen again. Lesson learned.”

In the caption of her post, she wrote “AAA you did me dirty man,” adding to a commenter that she was “shook” over the incident.

Fox News Digital has reached out to AAA for comment.

Last week, Holliday posed in a green bikini with the word “fat” on it and a caption in her video that said, “POV: you lost weight but never made it your personality.”

Model Tess Holliday on Wednesday claimed she was denied life insurance coverage because of her weight. Tess Holliday/Instagram
The plus-size model called the “medical industrial complex” “fatphobic,” claiming the “system is broken.” Tess Holliday/Instagram

She added in a separate caption to the video, “Imagine calling self-acceptance toxic. Couldn’t be me.”

Holliday said she had brought back the “#effyourbeautystandards” movement she started “because this message still matters. 13 years after I created the movement, we still need the reminder,” she wrote. “Maybe now more than ever.”

Last fall, the model said she was left in a “state of shock” after a flight attendant suggested she lose weight.

Tess Holliday attends the Christian Siriano Show for NYFW on Feb. 9, 2019. Kristina Bumphrey/Starpix

The 40-year-old said she was flying first class on United from Tampa, Florida, with her 9-year-old son when she got up to use the airplane bathroom.

“I was in the restroom, and my hip hit the flight attendant call button,” she told People magazine. “When I came out of the bathroom, the flight attendant then started to tell me that they noticed I was traveling with my child and that losing weight would be in my best interest.”

She said he continued to tell her about his sister, whom he said was “very, very large, probably [Holliday’s] size,” who had been discriminated against on a flight recently.

“He said that his sister needed to lose weight as well and that the long-term effect on our bodies isn’t good for our health,” she said. “This went on for about 10 minutes, and I think I was just frozen. I didn’t want to make a scene because my son was flying with me, but I was also in a state of shock.”

Tess Holliday at The Plaza Hotel in NYC on Sept. 6, 2019. Kristina Bumphrey/StarPix
Tess Holliday attends the 2026 Monster Energy Supercross event at Angel Stadium of Anaheim on Jan. 24, 2026. Getty Images for Feld Motor Sports, Inc.

She said in the video that the flight attendant mentioned that someone had filed a complaint to United against his sister for her weight and that United reached out to him and said things about his sister that “made him uncomfortable,” but he did “agree that she did need to lose weight.”

“He then goes on to tell me that because of my size, I am kidding myself if I think that I don’t need to lose weight,” she claimed.

Holliday said she knows people hearing her story might think he was just trying to be helpful.

“That’s not the point,” she stressed. “You don’t say things like that to people. He said a myriad of other things. The conversation lasted entirely too long. Thankfully, I excused myself from the conversation when another passenger came up to use the bathroom.”

In a comment after the video, Holliday said that she had “talked to United, and they said that they would pass it along and talk to the team member. I also told them I don’t want anyone losing their job. I just want them to be aware and maybe do some sensitivity training so it doesn’t happen again.”