Kyle Reidhead
CEO & Analyst of Milk Road/Milk Road AI
Eli Lilly's Foundayo demand looks stronger than its Q3 sales miss implies. The miss looks like timing and inventory, not weak demand: the pill now has about 40% of new US oral GLP-1 prescriptions, roughly double last quarter. Lilly has 63% of the US GLP-1 market; new overseas pill launches could add another leg next quarter. Foundayo could eventually outsell both Mounjaro and Zepbound. GLP-1 revenue funds Lilly's AI drug-discovery ambitions. x.com
Eli Lilly is about to own the GLP-1 pill market as well as injectables, and the shift to pills is a bigger market than people realize. Mounjaro went from zero to $9.9B a quarter in four years. Its new pill Foundayo trailed Novo's Wegovy pill in Q2, $92M to $494M, which management puts down to Novo's earlier launch and coverage and Lilly's uncounted free month. After Lilly won all three major PBMs in June, weekly volume nearly doubled, and per management both drugs are drawing net new patients. x.com
Eli Lilly's broader biology opportunity leaves far more upside than most appreciate. Q3 earnings crushed estimates as expected: revenue was $24.4B versus $22.6B expected, and adjusted EPS was $7.48 versus $6.50. GLP-1s fund its longer-term drug-discovery platform rather than defining the whole thesis. x.com
Eli Lilly should see further positive revenue revisions as it expands the weight-loss market by reducing gastrointestinal side effects and lowering treatment costs. Strong demand for Mounjaro and Zepbound drove a second FY2026 revenue guidance raise in three months, to $91B-$92B from $85B-$87B. Lilly Direct and the Medicare Bridge program for seniors aim to make treatment cheaper. At 29x 2027 earnings against 15% revenue and 20% EPS growth projected for 2027-30, Lilly still looks cheap. x.com
Eli Lilly's oral GLP-1 pill Foundayo is an absolute disaster, and the stock cannot keep pretending otherwise. Per @investseekers, it logged 5,167 prescriptions in its 10th week after launch, versus 71,988 for Novo Nordisk's oral Wegovy in its comparable week. Over the long term people will prefer pills to injections, so retatrutide does not make the pill irrelevant. x.com x.com x.com
GLP-1 drugs are a secular shift in healthcare spending, and Eli Lilly is leading it. Q1 revenue rose 56% to $19.8B, with Mounjaro up 125% to $8.66B and Zepbound up 80% to $4.16B, and full-year guidance was raised to $82-85B. GLP-1 patients are expected to grow from 20 million to 30 million globally by year-end, and FDA approval of the oral GLP-1 orforglipron expands the addressable market further. x.com
Eli Lilly has the market momentum over Novo Nordisk in GLP-1 drugs. Lilly's Zepbound sold $4B in Q1 against $2.7B for Novo's Wegovy, and Novo's lawsuit over GLP-1 advertising looks defensive. Lilly's direct-to-consumer head start and manufacturing scale appear durable. A GLP-1 market heading to $100B by 2030 remains the most structurally attractive healthcare trade. x.com
Eli Lilly is too expensive a stock to be interesting, and its oral pill Foundayo is not serious competition for Novo Nordisk's oral Wegovy. A post the author quotes calls the launch a disaster: Lilly still hasn't given prescription figures three weeks in, as Novo did in January, and 35% of volume coming from telehealth suggests Lilly Direct is not performing well. x.com
Eli Lilly merits an Overweight rating and a $1,300 December 2026 target because its pipeline extends the GLP-1 franchise well beyond obesity, and the supply worry that distracted the market is over. Orforglipron, the key underpriced catalyst, beat Novo Nordisk's oral semaglutide in Phase 3 without food or water limits and launches in H1 2026, opening a far larger pill market. Zepbound sales rose 123% and Mounjaro hit 758,000 weekly scripts, driving leverage. Novo's CagriSema is the main risk. … Show more
Eli Lilly's GLP-1 and metabolic franchise can compound demand and cash flows while rate fears punish leveraged AI stories. It is preferable as a defensive-growth holding into its October 29 earnings over chasing a chip bounce. Continued healthcare volume leadership would support the sleeve; if semiconductors reclaim leadership first, the rotation is already crowded the other way. x.com x.com
Eli Lilly cannot keep charging 2-4x the price of Novo Nordisk's older weight-loss drugs if Novo aggressively defends market share on price, because Lilly's drugs are only marginally more effective. That makes HSBC's view that weight-loss drug expectations are overinflated look obviously correct. x.com
Eli Lilly's fundamentals are on very strong footing. Q2 revenue rose 48% year over year to $23B as demand for Zepbound and Mounjaro keeps up, and the oral GLP-1 pill Foundayo completed its first full quarter. The company raised its full-year revenue guidance to $85-87B, its second raise this year. The chart is now setting up for a breakout. x.com
