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Nutrition and behavior change remain foundational, whether someone chooses to use a GLP-1 or not. In the first nine months of 2025, major pharmaceutical companies spent more than $700 million advertising GLP-1 medications2, with Eli Lilly spending approximately $34 million on television spots in January 2026.3 Yet the 2026 Virta Vitals report suggests that growing awareness of GLP-1s has not necessarily translated into greater willingness to use them

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Novo Nordisk is the primary defendant, with Eli Lilly implicated in related NAION claims involving Trulicity