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Eli Lilly (LLY) Stock Faces Downgrade Despite Market Dominance

Eli Lilly (LLY) Stock Faces Downgrade Despite Market Dominance

Eli Lilly (NYSE:LLY) stock has been a huge winner over the past five years, showing gains of more than 400% even when factoring in the past year’s tepid showing (down by 16%). Those returns far outweigh the sector peer average returns of ~70% over the same period.

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Berenberg analyst Kerry Holford says that performance has been powered by what was once an underappreciated, best-in-class obesity and diabetes franchise, and she has long been a strong supporter of the investment case. The key, however, is in the word “once.” With investors now fully aware of Lilly’s dominance, the element of surprise has faded.

“While we expect Lilly to remain in the obesity driving seat, we conclude the obesity market upgrade cycle has plateaued and consensus expectations for Lilly’s franchise are high,” the analyst opined. “Berenberg forecasts are now slightly below consensus.”

That shift in sentiment led Holford to downgrade her LLY rating from Buy to Hold (i.e., Neutral), while trimming her price target from $970 to $830. (To watch Holford’s track record, click here)

Still, her caution doesn’t mean Lilly has lost its edge. Physicians Holford consulted continue to prefer Zepbound over Novo Nordisk’s Wegovy, pointing to stronger weight loss outcomes and better tolerability. Yet, Novo has begun a renewed offensive, Zepbound’s U.S. market share has flattened, and the CVS formulary shift has made it easier for patients to transition to Wegovy. With Novo gaining real-world momentum and expanding Wegovy’s label (including MASH approval and likely heart failure by year-end), Lilly faces tougher competition ahead.

“We expect more significant obesity drug price erosion from 2026 as both players launch next-generation oral therapies,” Holford warns.

That looming battle makes Lilly’s upcoming oral GLP-1 launch especially important. The company’s candidate, orforglipron, is expected to debut soon after Novo’s oral Wegovy hits the market. While Phase 3 results came in at the lower end of expectations, Holford still sees a strong enough clinical profile to back ~$18 billion in global peak sales across obesity and diabetes. With both Berenberg and consensus forecasts assuming Lilly will dominate the oral segment thanks to ease of use and supply scale, the stakes are clear: “Lilly cannot falter in this regard,” Holford emphasized.

Beyond obesity, Lilly’s broader R&D engine continues to impress. Its 2020 RORI (return on research investment) cohort has delivered standout results, primarily thanks to tirzepatide. Looking ahead, Holford projects a 16% return on the 2025 pipeline cohort – well above the group average of 9% and comfortably over the 8% cost of capital. Potential upside could come from late-stage drugs such as imlunestrant (for breast cancer) and lepodisiran (for high cholesterol).

Still, that strength is not enough to sway Holford and 3 other analysts from the sidelines. Yet, Wall Street as a whole remains firmly bullish, with 16 analysts rating LLY a Buy, giving it a Strong Buy consensus. The average price target of $921.71 points to ~21% upside over the next year. (See LLY stock forecast)

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Disclaimer: The opinions expressed in this article are solely those of the featured analyst. The content is intended to be used for informational purposes only. It is very important to do your own analysis before making any investment.

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