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    Why the ‘great resignation’ became the ‘great stay,’ according to labor economists

    The “great resignation” of 2021 and 2022 saw unprecedented numbers of workers quit their jobs amid ample and better-paying job opportunities. Today, it’s the “great stay.”
    Businesses pulled back on hiring due to higher interest rates. Fewer job openings hindered the prevalence of quitting.
    Employers aren’t laying off many workers, however, due to a “scarring” effect.

    Sdi Productions | E+ | Getty Images

    The U.S. job market has undergone a dramatic transformation in recent years, from one characterized by record levels of employee turnover to one in which there is little churn.
    In short, the “great resignation” of 2021 and 2022 has morphed into what some labor economists call the “great stay,” a job market with low levels of hiring, quits and layoffs.

    “The turbulence of the pandemic-era labor market is increasingly in the rearview mirror,” said Julia Pollak, chief economist at ZipRecruiter.

    How the job market has changed

    Employers clamored to hire as the U.S. economy reopened from its Covid-fueled lull. Job openings rose to historic levels, unemployment fell to its lowest point since the late 1960s and wages grew at their fastest pace in decades as businesses competed for talent.
    More than 50 million workers quit their jobs in 2022, breaking a record set just the year prior, attracted by better and ample job opportunities elsewhere.
    The labor market has gradually cooled, however.

    The quits rate is “below what it was prior to the start of the pandemic, after reaching a feverish peak in 2022,” said Allison Shrivastava, an economist at job site Indeed.

    Hiring has slowed to its lowest rate since 2013, excluding the early days of the pandemic. Yet, layoffs are still low by historical standards.
    This dynamic — more people stay in their jobs amid low layoffs and unemployment — “point to employers holding on to their workforce along with more employees staying in their current jobs,” Shrivastava said.

    Big causes for the great stay

    Employer “scarring” is a primary driver of the so-called great stay, ZipRecruiter’s Pollak said.
    Businesses are loath to lay off workers now after struggling to hire and retain workers just a few years ago.
    More from Personal Finance:How much does Mariah Carey earn from ‘All I Want For Christmas Is You’?Why mortgage costs jumped after the Fed cut interest ratesInvestors are putting more into their 401(k)s
    But job openings have declined, reducing the number of quits, which is a barometer of worker confidence in being able to find a new gig. This dynamic is largely due to another factor: the U.S. Federal Reserve’s campaign between early 2022 and mid-2023 to raise interest rates to tame high inflation, Pollak said.
    It became more expensive to borrow, leading businesses to pull back on expansion and new ventures, and in turn, reduce hiring, she said. The Fed started cutting interest rates in September, but signaled after its latest rate cut on Wednesday that it would move slower to reduce rates than previously forecast.

    Overall, dynamics suggest a “stabilizing labor market, though one still shaped by the lessons of recent shocks,” said Indeed’s Shrivastava.
    The great stay means Americans with a job have “unprecedented job security,” Pollak said.
    But those looking for a job — including new college graduates and workers dissatisfied with their current role — will likely have a tough time finding a gig, Pollak said. She recommends they widen their search and perhaps try to learn new skills. More

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    Nordstrom to go private in $6.25 billion deal with founding family, Mexican retailer

    Nordstrom will become a private company after it agreed to a buyout deal valued at $6.25 billion from Nordstrom’s founding family and Mexican retailer El Puerto de Liverpool.
    Common shareholders will receive $24.25 in cash for each share of Nordstrom common stock they hold, according to a press release.
    In September, the Nordstrom family offered $23 a share for the chain, which valued the company at roughly $3.76 billion.

    A sign marks the location of a Nordstrom store on March 20, 2024 in Chicago, Illinois. 
    Scott Olson | Getty Images

    Nordstrom on Monday announced it will become a private company after it agreed to a buyout deal valued at roughly $6.25 billion from Nordstrom’s founding family and Mexican department store El Puerto de Liverpool.
    The company’s board of directors unanimously approved of the transaction, which is expected to close in the first half of 2025.

    As part of the deal, the Nordstrom family will have majority ownership in the company, with 50.1%, and Liverpool will own 49.9%. Common shareholders will receive $24.25 in cash for each share of Nordstrom common stock they hold, according to a press release.
    “For over a century, Nordstrom has operated with a foundational principle of helping customers feel good and look their best,” Nordstrom CEO Erik Nordstrom said in a press release. “Today marks an exciting new chapter for the business. On behalf of my family, we look forward to working with our teams to ensure Nordstrom thrives long into the future.”
    It’s not the first time the retailer has tried to go private. A previous effort fizzled out in 2018. In September, the Nordstrom family offered $23 a share for the chain, which valued the company at roughly $3.76 billion.
    Nordstrom stock fell roughly 1% in early trading. Shares of the company have shot up since a Reuters report in March that the family wanted to take the company private. 
    Nordstrom beat Wall Street’s sales expectations in November for the fiscal third quarter, as revenue grew about 4% year over year. But the company gave only a slightly rosier full-year sales forecast as it said it expected a soft holiday season.

    Luxury clothing stores have been under pressure as retailers including Walmart, Best Buy and Target have reported that customers remain choosy when it comes to buying items that are wants, not needs, and have paid more attention to price.
    Nordstrom was founded as a shoe store in 1901 before transitioning into a department store that sells a wide variety of clothing and accessories across more than 350 Nordstrom, Nordstrom Local and Nordstrom Rack locations.
    El Puerto de Liverpool operates two other department store chains, Liverpool and Suburbia, and owns 29 shopping centers across Mexico.

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    Lego is reinventing its iconic brick sets and keeping the toy industry afloat

    The toy industry is headed for its second consecutive annual sales decline, but it’s got one thing propping it up — Lego.
    The Danish company saw revenue jump 13% in the first six months of the year and continues to snap up market share.
    Lego has reshaped its business and diversified its customer base, helping it to elevate sales even in inflationary market conditions.

    A customer reaches for a box from the Lego Dots range at the Lego A/S store in London, U.K., on March 7, 2022.
    Bloomberg | Getty Images

    The toy industry is headed for its second consecutive annual sales decline, but it’s got one thing propping it up: colorful, interlocking plastic bricks.
    At a time when toy companies are struggling to match the massive gains of pandemic-era sales, Lego is growing rapidly. The Danish company saw revenue jump 13% in the first six months of the year and continues to snap up market share.

    “When you look at toy sales, Lego has just been driving all the growth in the industry this year,” said Eric Handler, managing director at Roth MKM.
    After coming to the brink of bankruptcy in the early 2000s, Lego has reshaped its business and diversified its customer base, helping it to elevate sales even in inflationary market conditions.
    Lego has posted positive annual revenue growth in each of the past six years.
    Its strategy has involved delving into the world of licensing, catering to adults as well as kids, tapping into the digital gaming world, partnering with studios and streamers to bring Lego content to consumers and building manufacturing sites close to distribution hubs to smooth the supply chain.
    Recent standouts among its tried-and-true portfolio are newly emphasized “passion points,” kits that appeal to a wide variety of consumers, from those obsessed with franchises such as Star Wars and Harry Potter to car enthusiasts and animal lovers.

    “Lego has consistently bucked the trend the past few years,” said James Zahn, editor in chief of The Toy Book. “When other companies go down, Lego tends to go up.”
    Zahn noted that Lego’s ability to be “ahead of the curve” has allowed it to be more nimble during times of inflation, as consumers tighten their purse strings, and to navigate upheaval in the theatrical entertainment industry and even looming tariff increases.
    “I think, perhaps, the overarching story here is that they really are, it seems, like they’re two to three steps ahead of everybody else,” Zahn said.

    License for fun

    From miniature models of Emerald City from “Wicked” to a version of Wednesday and Enid’s dorm room in the Jenna Ortega-led “Wednesday,” Lego has tapped into pop culture to bring fan-favorite stories to life in brick form.
    Licensing has long been an important strategy for toy companies. Pulling from existing and upcoming intellectual property from movies and television shows allows brands such as Lego to cater to an already robust and engaged consumer.

    A Lego set based on Netflix’s “Wednesday.”

    Lego’s first licensed partnership was in 1999 when it linked up with Lucasfilm to bring Star Wars sets to the public. Some of these kits were tied to the release of “Star Wars: Episode I – The Phantom Menace,” while others celebrated vehicles and characters from the original trilogy of films.
    “Lego embraced adults, long before we started saying ‘kidults,’ and they’ve managed to continue that in new ways,” said Zahn.
    Over the past two decades, Lego has worked with hundreds of other partners to translate the likes of Harry Potter, Lord of the Rings, Ghostbusters, Marvel, DC, Jurassic Park and Pixar into building blocks.
    More recently, the company has launched kits such as the Sanderson sisters’ house from “Hocus Pocus” and even a “Jaws” set featuring the iconic shark taking down Quint’s boat.
    “For the Lego brand, [we’ve seen] tremendous years of growth,” said Julia Goldin, chief product and marketing officer at Lego. “We made a very deliberate decision to unlock our potential with many new audiences, double down on the audiences that we already had and really ensure that we are very connected.”

    Finding new brick builders

    Lego isn’t stopping at franchise-based sets.
    The company has worked to design different types of sets that cater to new audiences, ones that might not have otherwise bought or built a Lego set, Zahn said. This includes cityscape sets featuring skylines from London to New York, brick versions of famous paintings such as Vincent van Gogh’s “Starry Night” and Leonardo da Vinci’s “Mona Lisa” as well as a line of botanicals.
    Goldin noted that Lego is “investing in bringing in new audiences to the portfolio” and creating more products for them.

    Icons Tiny Plants by Lego.
    James Manning – Pa Images | Pa Images | Getty Images

    That’s why Lego has partnered with Formula 1 to create a line of F1-inspired sets that range from Duplo kits for preschool children all the way to collectible sets for adults. The partnership will also span Lego’s digital platforms, and the toy company will have a presence at future F1 auto racing events.
    Goldin said previous car products, including a McLaren Lego set, performed well at retail, giving Lego confidence to delve deeper into the auto racing space.
    “We always start with the audience,” she explained. “We’re always looking at, what are kids into? And we saw that F1 was one of the No. 1 most growing passions among younger kids, and also growing globally and attracting a lot of new audiences, especially women and families.”
    Attracting new consumers has allowed Lego to drive revenue and helped to counterbalance softness in the theatrical realm.
    Much of the toy industry’s current sales woes can be attributed to the disrupted pipeline in Hollywood production. A global pandemic followed by labor strikes left Tinsel town with fewer new releases that could have served as the basis for breakout toys.
    The lack of kids movies, in particular, meant toy companies were not producing as many new action figures, roleplay items and other movie tie-ins.
    But in 2023, Lego offered 780 products, around 50% of which were new items, on par with recent years.

    Delving into digital

    At the same time, Lego has expanded beyond its retail shelf space.
    The company has launched several theatrical features of its own, partnered with streamers such as Disney+ to bring Marvel and Star Wars content to the small screen and even launched its own vertical within Epic Games’ popular Fortnite game.
    The expanding portfolio has kept Lego at the forefront of consumers’ minds, given them alternative ways to engage with the brand and driven incremental retail purchases.
    “We have to remember that kids, they grow up,” said Goldin. “So there’s a new generation coming all the time. I think the next five years we’ll see even more digitalization and interactivity coming into the different experiences that we can create.”
    Goldin said with Fortnite, the company aimed to go beyond sets and create an experience. Within the larger game of Fortnite, players can participate in a Lego-based world where they construct digital Lego buildings, battle against creatures, customize their online mini figure and socialize with other Lego fans.
    Lego CEO Niels Christiansen has repeatedly touted the importance of meeting kids where they are, noting during previous earnings reports that the company is competing for children’s time and attention. Being relevant to them and in spaces that they already occupy has translated back to sales of physical Lego kits.
    It is a similar strategy to the one Lego has employed in partnering with Disney+ for several Star Wars and Marvel animated shows and in its recent theatrical release of a feature-length animated documentary about Pharrell Williams called “Piece by Piece.”

    Lego Star Wars: The Skywalker Saga game allows players to relive the epic narrative of the Skywalker Saga told through the lens of hilarious Lego humor.
    Lego | Warner Bros. Games | Lucasfilm

    “We felt [‘Piece by Piece’] really was something that was super original,” said Jill Wilfert, head of global entertainment partners and content at Lego.
    “We want to attract a broader audience that’s going to be engaged with the brand,” Wilfert added. “So, this was something we thought would help us get there. And when we do entertainment for us, it’s really about doing those things that help us really convey the values of the brand in a super entertaining and relevant way, but it’s also something that families, people, friends, can experience together.”
    Wilfert said Lego has several theatrical projects in development that could arrive on the big screen in the coming years.
    In the meantime, the company plans to continue releasing episodes and shorts tied to existing shows that air on Netflix, Nickelodeon and YouTube.

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    13 anonymous media executives make predictions for the new year

    Several media executives expect big transactions from Comcast and Warner Bros. Discovery.
    Other executives focused on Donald Trump’s regulatory administration loosening rules for TV broadcast affiliates to consolidate.
    Two executives predicted who will — and won’t — be considered to take over for Bob Iger as Disney CEO.

    Bob Iger, CEO of Disney (L), and Brian Roberts, CEO of Comcast (R).
    Getty Images

    Ho, ho, ho! It’s a holiday tradition: Anonymous media executives make their 2025 industry predictions.
    In honor of the 12 days of Christmas, we give you 12 predictions from some of the most powerful media and entertainment executives in the world, weighing in on the condition of anonymity so they can speak candidly about their visions of the year ahead. And then, because we have holiday cheer, we give you a bonus one. A baker’s dozen!

    Looking back at 2024’s predictions, they were not as good as previous years. But there were some hits, or partial hits.
    While Warner Bros. Discovery’s Max, Netflix and Disney didn’t all team up for the first significant streaming bundle, as one participant predicted last year, Max and Disney did join forces. TV broadcast station groups continued to pick off regional sports rights, as another executive anticipated. RedBird Capital didn’t quite acquire Paramount Global, but the private equity firm was part of the consortium with Skydance that announced a merger with the company in July.
    As for other 2024 predictions, Nelson Peltz and Jay Rasulo did not win their activist campaign to join the Disney board; Disney CEO Bob Iger did not renew his contract beyond 2026, buy Candle Media or name Dana Walden his successor; and NBA media rights did not go to Disney, Warner Bros. Discovery and Apple — they went to Disney, NBCUniversal and Amazon.
    Oh, and one more miss: While Comcast did announce a spinoff of most of its cable networks, it did not spin off NBCUniversal and merge it with Warner Bros. Discovery.
    That’s a nice segue to this year’s predictions:

    Executive 1: Comcast will acquire the studio and streaming assets of Warner Bros. Discovery and merge them with NBCUniversal
    Second time’s the charm! Warner Bros. Discovery is separating its linear assets from the rest of the company. Comcast is spinning out most of its cable networks. It has to mean something, right?
    Executive 2: Comcast will acquire Charter and spin off the rest of NBCUniversal
    That’s right, Comcast may have SpinCo 1 and SpinCo 2! This executive predicts Comcast will test the Donald Trump regulatory administration and try to combine the two largest U.S. cable companies, 10 years after dropping its bid to buy Time Warner Cable — which used to be the second-largest U.S. cable provider before it was acquired by Charter — after concluding the government would block the deal.
    Executive 3: Fox will acquire most of Warner Bros. Discovery’s assets
    After selling the majority of its entertainment assets to Disney in 2019, Fox will shock the media world by again gaining scale, acquiring HBO, the movie studio, the Turner networks and the streaming assets of Warner Bros. Discovery, according to this executive.
    For what it’s worth, another executive predicted Fox would sell, given the unknown future of the Murdoch family trust.
    Executive 4: Dana Walden will leave Disney at year-end when she doesn’t get the CEO job
    Disney has already said it plans to delay naming a new CEO until early 2026, so this prediction assumes the company will slightly move up the announcement. Walden, Disney’s co-chairman of Disney Entertainment, is the ultimate Hollywood insider who many view as the front-runner for the job. The board is taking its time vetting candidates after the handoff from Iger to Bob Chapek in 2020 did not go very well.

    Dana Walden, Ryan Murphy, Bob Iger, and FX Networks Chairman John Landgraf, from left, attend the premiere of Murphy’s limited series “Feud: Capote vs. The Swans,” on Jan. 23, 2024.
    Credit: Disney

    Executive 5: Jeff Bezos will be bullied into selling The Washington Post after President Trump makes it clear his space company, Blue Origin, will suffer for his paper’s coverage
    Bezos has said he is dedicated to The Post’s future, but the paper has been engulfed in drama this year. Perhaps 2025 is the year Bezos decides he has had enough extra headaches.
    Executive 6: Several TV station groups will sell out of financial hardship
    Companies such as EW Scripps, Tegna and Sinclair Broadcast have watched their shares slump in recent years as traditional pay-TV valuations have declined with cord cutting. Executives at those companies are hopeful a new Trump administration will clear the way for more consolidation. Several will sell out of desperation, either to avoid bankruptcy or to gain needed scale, guesses this executive.
    Executive 7: The Trump administration relaxes TV station ownership rules, leading to CBS, ABC, NBC and Fox buying up their own affiliate stations
    A similar thought as the last one, but this executive took the bolder step of saying the acquirers of the stations will be the broadcast networks themselves.

    The Paramount Global headquarters in New York on Aug. 27, 2024.
    Yuki Iwamura | Bloomberg | Getty Images

    Executive 8: Paramount Global will acquire Lionsgate after it spins off from Starz
    If Paramount Global gets the government’s approval to merge with Skydance Media next year, its new leadership will likely look to transform the business. One big move the company will make is to acquire Lionsgate studio after it spins off from Starz at the beginning of next year, said this executive.
    Executive 9: A big tech company will acquire video game maker Electronic Arts
    After flirting with both Comcast and Disney in past years, Electronic Arts will sell in 2025 to a big tech company such as Netflix, Alphabet, Apple or Amazon, said this executive. That would follow in the footsteps of Microsoft acquiring Activision in 2023.
    Executive 10: The M&A hype around the industry will be wildly overblown, and there will be far fewer deals than anyone thinks
    You’re all wrong! This executive said M&A predictions generally won’t come true because consolidation won’t provide any real fixes to an industry in transition.
    Executive 11: Paramount+, Peacock and Max get bundled together
    Executives at Paramount Global, NBCUniversal and Warner Bros. Discovery are all on record about needing to consider options for streaming consolidation. What if there was a bundle that featured all three services? This executive guesses the three services will be sold together, either through a hard bundle on one platform or sold together at a discount.
    Executive 12: The sports streaming service Venu will never launch, and Fox will license its sports content to ESPN’s streaming service
    Venu, a joint venture owned by Disney, Fox and Warner Bros. Discovery, was announced to great fanfare earlier this year. But an antitrust lawsuit filed by Fubo has stalled the service’s launch. Meanwhile, ESPN will debut its “flagship” streaming service by the fall of 2025. That will cause the companies to abandon Venu, predicts this executive.
    Executive 13: Kathy Kennedy will depart Lucasfilm
    Kennedy has been the president of Disney’s Lucasfilm since 2012 and is now in her 70s. It may be time for a new leader of the Star Wars franchise.
    May the force be with you. Let’s see what 2025 brings. Happy holidays!
    Disclosure: Comcast owns NBCUniversal, the parent company of CNBC. More

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    Just how frothy is America’s stockmarket?

    It’s the most wonderful time of the year, and for investors in America’s stockmarket that is saying something. They have had a marvellous 2024, as share prices that had already soared in 2023 just kept on going. The S&P 500 index of large firms is now 54% higher than it was two years ago, a winning streak it has bettered just a handful of times since its inception in 1957. To be sure, there have been jitters along the way. The most recent came on December 18th, when share prices fell by 3% in a single day after the Federal Reserve predicted it would cut rates by less than the market expected in 2025. Yet share prices have recovered a little since and the mood is still upbeat. Stockmarkets elsewhere in the world have also raced higher; America’s has left them in the dust. More

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    This country may have the fastest-growing e-commerce sector ‘on the planet’

    Investors may want to consider adding exposure to the world’s second-largest emerging market.
    According to EMQQ Global founder Kevin Carter, India’s technology sector is extremely attractive right now.

    “It’s the tip of the spear of growth [in e-commerce] … not just in emerging markets, but on the planet,” Carter told CNBC’s “ETF Edge” this week. 
    His firm is behind the INQQ The India Internet ETF, which was launched in 2022. The India Internet ETF is up almost 21% so far this year, as of Friday’s close.

    Arrows pointing outwards

    ‘DoorDash of India’

    One of Carter’s top plays is Zomato, which he calls “the DoorDash of India.” Zomato stock is up 128% this year.
    “One of the reasons Zomato has done so well this year is because the quick commerce business blanket has exceeded expectations,” Carter said. “It now looks like it’s going to be the biggest business at Zomato.”
    Carter noted his bullishness comes from a population that is just starting to go online.
    “They’re getting their first-ever computer today basically,” he said, “You’re giving billions of people super computers in their pocket internet access.”

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    How the Federal Reserve’s rate policy affects mortgages

    The Federal Reserve lowered its interest rate target three times in 2024.
    This has many Americans waiting for mortgage rates to fall. But that may not happen for some time.

    “I think the best case scenario is we’re going to continue to see mortgage rates hover around six and a half to 7%,” said Jordan Jackson, a global market strategist at J.P. Morgan Asset Management. “So unfortunately for those homeowners who are looking for a bit of a reprieve on the mortgage rate side, that may not come to fruition,” Jordan said in an interview with CNBC.
    Mortgage rates can be influenced by Fed policy. But the rates are more closely tied to long-term borrowing rates for government debt. The 10-year Treasury note yield has been increasing in recent months as investors consider more expansionary fiscal policies that may come from Washington in 2025. This, combined with signals sent from the market for mortgage-backed securities, determine the rates issued within new mortgages.
    Economists at Fannie Mae say the Fed’s management of its mortgage-backed securities portfolio may contribute to today’s mortgage rates.
    In the pandemic, the Fed bought huge amounts of assets, including mortgage-backed securities, to adjust demand and supply dynamics within the bond market. Economists also refer to the technique as “quantitative easing.”Quantitative easing can reduce the spread between mortgage rates and Treasury yields, which leads to cheaper loan terms for home buyers. It can also provide opportunities for owners looking to refinance their mortgages. The Fed’s use of this technique in the pandemic brought mortgages rates to record lows in 2021.”They were extra aggressive in 2021 with buying mortgage-backed securities. So, the [quantitative easing] was probably ill-advised at the time.” said Matthew Graham, COO of Mortgage News Daily.
    In 2022, the Federal Reserve kicked off plans to reduce the balance of its holdings, primarily by allowing those assets to mature and “roll-off” of its balance sheet. This process is known as “quantitative tightening,” and it may add upward pressure on the spread between mortgage rates and Treasury yields.

    “I think that’s one of the reasons the mortgage rates are still going in the wrong direction from the Federal Reserve’s standpoint,” said George Calhoun, director of the Hanlon Financial Systems Center at Stevens Institute of Technology.
    Watch the video above to learn how the Fed’s decisions affect mortgage rates. More

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    FDA approves Eli Lilly’s weight loss drug Zepbound for sleep apnea, expanding use in U.S.

    The Food and Drug Administration approved Eli Lilly’s blockbuster weight loss drug Zepbound for treating patients with the most common sleep-related breathing disorder.
    The weekly injection is now the first drug treatment option cleared for patients with obesity and moderate-to-severe obstructive sleep apnea, which refers to breathing interrupted during sleep due to narrowed or blocked airways.
    The agency’s decision expands the use of Zepbound and could pave the way for Eli Lilly to gain broader insurance coverage for the treatment.

    An Eli Lilly & Co. Zepbound injection pen arranged in the Brooklyn borough of New York, US, on Thursday, March 28, 2024. 
    Shelby Knowles | Bloomberg | Getty Images

    The Food and Drug Administration on Friday approved Eli Lilly’s blockbuster weight loss drug Zepbound for treating patients with the most common sleep-related breathing disorder, expanding its use and possibly its insurance coverage in the U.S.
    The weekly injection is now the first drug treatment option cleared for patients with obesity and moderate-to-severe obstructive sleep apnea, or OSA, which refers to breathing interrupted during sleep due to narrowed or blocked airways. Zepbound should be used in combination with a reduced-calorie diet and increased physical activity, the FDA noted in a release.

    An estimated 80 million patients in the U.S. experience the disease, according to Eli Lilly. Roughly 20 million of those people have moderate-to-severe forms of the disease, but 85% of cases go undiagnosed, the company told CNBC earlier this year.
    “Too often, OSA is brushed off as ‘just snoring’ — but it’s far more than that,” said Julie Flygare, president and CEO of Project Sleep, a nonprofit advocating for sleep health and sleep disorders, in a release from Eli Lilly. “It’s important to understand OSA symptoms and know that treatments are available, including new options like Zepbound. We hope this will spark more meaningful conversations between patients and health care providers and ultimately lead to better health outcomes.” 
    Eli Lilly expects to launch the drug for OSA at the beginning of next year. It is the first approval beyond obesity treatment for Zepbound, which entered the market late last year and is also being tested for several other obesity-related conditions, such as fatty liver disease. Tirzepatide, the active ingredient in Zepbound, has been sold on the U.S. market for longer as the diabetes drug Mounjaro.
    The agency’s decision could pave the way for Eli Lilly to gain broader insurance coverage for Zepbound, which, like other weight loss drugs, is not covered by many insurance plans. That includes the federal Medicare program, which only covers obesity drugs if they are approved and prescribed for an added health benefit.
    The approval also backs up mounting evidence that there could be further health benefits tied to GLP-1s, a class of weight loss and diabetes treatments that have soared in popularity and slipped into shortages over the past year. Notably, Zepbound’s main rival, the weight loss drug Wegovy from Novo Nordisk, is not approved for OSA.

    Zepbound could be a valuable new treatment option for patients with OSA, which can lead to loud snoring and excessive daytime sleepiness, and can contribute to serious complications including stroke and heart failure. Patients with the condition have limited treatment options outside of wearing masks hooked up to cumbersome machines that provide positive airway pressure, or PAP, to allow for normal breathing.
    Eli Lilly in April released initial results from the two clinical trials, which showed that Zepbound was more effective than a placebo at reducing the severity of OSA in patients with obesity after a year.
    In June, Eli Lilly released additional data from the studies showing that Zepbound helpedresolve OSA in almost half of patients. The first study examined the weekly injection in adults with moderate-to-severe OSA and obesity who were not on PAP therapy. The second tested Zepbound in adults with the same conditions, but those participants were on and planned on continuing PAP therapy.
    The data showed that 43% of people in the first study and 51.5% of patients in the second trial who took the highest dose of Zepbound achieved “disease resolution,” according to the company. That compares with 14.9% and 13.6% of patients who took a placebo in the two trials, respectively.
    Researchers came to those conclusions by examining an apnea-hypopnea index, or AHI, which records the number of times per hour a person’s breathing shows a restricted or completely blocked airway. The index is used to evaluate the severity of obstructive sleep apnea and the effectiveness of treatments for the condition.
    Disease resolution for OSA is defined as a patient having fewer than five AHI events per hour, the company said. It is also defined as a person having five to 14 AHI events per hour and scoring a certain number on a standard survey designed to measure excessive daytime sleepiness, according to Eli Lilly. More