> Also, the supply constraint seems to be the injector pens, not the drug itself. Personally, I think the scarcity is intentional, or we'd be getting this stuff in vials and using regular syringes. Unless I'm misinformed, I don't think there's any bottleneck in the manufacture of semaglutide itself.

Almost certainly the case. I get semaglutide in a monthly vial for $250/month (off insurance). They provide regular syringes & wipes, but also recommend you order some spare in case any of the needles break (they are super thin). I know someone else getting Wegovy on insurance, and it's all pre-drawn injectors.

> The starter doses are hard to find. The larger doses are not.

My friend's experience was the opposite. When she moved to the higher doses, CVS was often unable to get it in, and she's had to ask her provider put in orders for the lower doses a few times because that was what they could get. I don't know specifically what does she's on though (I swear she said 7.5 once, which is close to the 8 you mention).