The landscape of metabolic health and weight management has actually gone through a significant transformation with the intro of GLP-1 (Glucagon-like Peptide-1) receptor agonists. In Germany, as in much of the developed world, drugs like Wegovy, Ozempic, and Mounjaro have transitioned from specific niche diabetic treatments to highly desired options for obesity and chronic weight management. However, Germany's healthcare system keeps rigorous guidelines regarding the prescription, sale, and circulation of these medications.

This guide provides an in-depth overview of how to buy GLP-1 medications in Germany, the legal structure governing their usage, the expenses involved, and the medical pathways patients should browse.

Comprehending GLP-1 Medications

GLP-1 receptor agonists are a class of medications that simulate a natural hormone produced in the gut. This hormone plays a critical function in regulating blood sugar levels and cravings. By triggering GLP-1 receptors, these drugs stimulate insulin secretion, hinder glucagon release, and— most importantly for weight loss— slow down gastric emptying while signaling a sensation of satiety to the brain.

While initially established for the treatment of Type 2 Diabetes Mellitus, clinical trials exposed profound weight loss benefits, causing the approval of specific formulas for obesity management.

Primary GLP-1 Medications Available in Germany

The German market presently provides numerous medications within this class, though their availability and authorized signs differ.

Brand name Name

Active Ingredient

Main Indication (Germany)

Administration

Ozempic

Semaglutide

Type 2 Diabetes

Weekly Injection

Wegovy

Semaglutide

Weight Management (Obesity)

Weekly Injection

Mounjaro

Tirzepatide

Diabetes & & Weight Management

Weekly Injection

Rybelsus

Semaglutide

Type 2 Diabetes

Daily Oral Tablet

Saxenda

Liraglutide

Weight Management

Daily Injection

Victoza

Liraglutide

Type 2 Diabetes

Daily Injection

The Legal Framework: Prescription Requirements in Germany

In Germany, all GLP-1 medications are categorized as verschreibungspflichtig (prescription-only). It is unlawful to buy these medications over-the-counter or from unapproved suppliers. Lokale GLP-1-Lieferanten in Deutschland for Drugs and Medical Devices (BfArM) strictly keeps an eye on the supply chain to ensure patient safety and to reduce the impact of global scarcities.

To lawfully get GLP-1 in Germany, a client should go through a medical assessment and receive a legitimate prescription from a doctor accredited to practice in the EU. This prescription can be a conventional paper prescription (Rosa Rezept for public insurance coverage or Blaues Rezept for private/self-pay) or an electronic prescription (e-Rezept).

How to Buy GLP-1 in Germany: The Step-by-Step Process

For those seeking to start GLP-1 therapy, the procedure involves a number of distinct steps to ensure the medication is utilized safely and successfully.

1. Medical Consultation

The first step is an assessment with a healthcare specialist. In Germany, this is generally a GP (Hausarzt), an endocrinologist, or a diabetologist. Throughout this visit, the doctor will examine the client's medical history, Body Mass Index (BMI), and existing comorbidities (such as hypertension or pre-diabetes).

2. Blood Work and Screening

Medical professionals usually need blood tests before recommending GLP-1. These tests look for:

• HbA1c levels (typical blood sugar level).
• Pancreatic function (Lipase/Amylase).
• Kidney and liver function.
• Thyroid health (to rule out contradictions like Medullary Thyroid Carcinoma).

3. Getting the Prescription

If the client fulfills the requirements (typically a BMI ≥ 30, or ≥ 27 with weight-related problems), the doctor concerns a prescription.

4. Getting at the Pharmacy

With a prescription in hand, the medication can be acquired at any fixed drug store (Apotheke) or through registered German mail-order drug stores. Due to high need, many pharmacies in Germany currently operate “waiting lists” for medications like Wegovy and Ozempic.

Cost and Insurance Coverage in Germany

The cost of GLP-1 treatment in Germany depends heavily on the patient's insurance status and the specific indicator for the drug.

Statutory Health Insurance (GKV)

Public health insurance provider (e.g., TK, AOK, Barmer) typically cover the expense of Ozempic, Mounjaro (for diabetes), and Rybelsus for clients detected with Type 2 Diabetes. Nevertheless, German law currently prohibits public insurance providers from covering medications used primarily for weight reduction, categorizing them as “lifestyle drugs” under § 34 of the Social Code Book V (SGB V). This suggests Wegovy and Saxenda are almost solely paid for out-of-pocket by clients in the GKV system.

Private Health Insurance (PKV)

Private insurance providers frequently have more versatility. Depending upon the particular tariff and the medical requirement (e.g., a BMI over 30 with numerous secondary diseases), private insurance may compensate the expenses of Wegovy or Mounjaro for weight-loss.

Self-Pay Prices (Estimate)

For those paying out-of-pocket (Selbstzahler), prices are controlled but can still be considerable.

Medication

Estimated Monthly Cost (Euro)

Wegovy (Maintenance Dose)

EUR170 – EUR300

Ozempic (Maintenance Dose)

EUR80 – EUR120

Mounjaro (Maintenance Dose)

EUR250 – EUR400

Saxenda

EUR200 – EUR290

Keep in mind: Prices vary based on dosage and pack size.

The Role of Telemedicine in Germany

Driven by the shortage of experts and the digital change of the German health system, telemedicine platforms have ended up being a popular way to gain access to GLP-1 prescriptions. Provider like Zava, Spring, and others offer digital assessments where clients finish a medical questionnaire and, if eligible, get an e-Rezept. These platforms are legal in Germany provided they employ EU-licensed physicians and comply with the strict requirements of the Berufsordnung für Ärzte.

Risks of Counterfeit Products

Due to the fact that of the high demand and restricted supply, the marketplace for GLP-1 inhibitors has actually seen an increase in fake items. German authorities (BfArM and the authorities) have issued several cautions concerning fake Ozempic pens discovered in the legal supply chain and, more frequently, on the black market.

Security Recommendations:

• Never buy GLP-1 from social media platforms (Instagram, Telegram, etc).
• Prevent sites that do not need a prescription.
• Validate the “EU Common Logo” on online pharmacy websites to guarantee they are registered.
• Check the physical appearance of the pen; phonies typically have various dosage dials or needle attachments.

Summary of Usage Requirements

To make the most of the efficacy of GLP-1 therapy, medical specialists in Germany advocate for a holistic approach.

• Nutritional Counseling: Patients are encouraged to work with a nutritionist to ensure a high-protein, calorie-controlled diet plan.
• Exercise: Regular workout is important to prevent muscle loss during rapid weight decrease.
• Tracking: Regular follow-up appointments every 3 to 6 months are standard to keep an eye on negative effects like nausea or intestinal distress.

Regularly Asked Questions (FAQ)

Can I buy Ozempic in Germany for weight loss?

Ozempic is authorized in Germany specifically for Type 2 Diabetes. While some medical professionals may recommend it “off-label” for weight loss, they are significantly dissuaded from doing so to protect the supply for diabetic patients. Wegovy is the approved version of the exact same drug (Semaglutide) specifically for weight management.

Is Mounjaro readily available in Germany?

Yes, Mounjaro (Tirzepatide) was introduced in Germany in early 2024. It is offered for both Type 2 Diabetes and chronic weight management, though it is currently one of the more costly alternatives for self-payers.

Do I need a prescription to buy GLP-1 online in Germany?

Yes. Any legitimate online pharmacy shipping to or running within Germany will need a valid prescription. Any site providing these drugs without a prescription is selling unregulated, potentially harmful, or counterfeit products.

Will my Krankenkasse (Public Health Insurance) pay for Wegovy?

Presently, most public health insurance companies do not cover Wegovy due to the fact that it is classified as a weight-loss medication. Patients must typically pay for Wegovy out-of-pocket by means of a private prescription.

How long is a GLP-1 prescription valid in Germany?

A private prescription (Blaues Rezept) is generally valid for 3 months. An e-Rezept for public insurance coverage is usually legitimate for 28 days for the insurance coverage to cover it, though it might remain valid for weight-loss medications for as much as three months as a self-pay file.

Buying GLP-1 medications in Germany is a procedure specified by rigorous medical oversight and regulative compliance. While the popularity of these drugs has led to provide challenges, the German system guarantees that those who acquire them do so under the assistance of a doctor. Whether through a standard GP or a qualified telemedicine platform, the path to obtaining GLP-1 treatment needs a medical diagnosis, a valid prescription, and a commitment to a broader way of life change. Clients are advised to remain alert against fakes and to consult with doctor regarding the long-lasting management of their metabolic health.

The pharmaceutical landscape in Germany has actually seen a significant shift recently with the intro and rising popularity of GLP-1 (Glucagon-like peptide-1) receptor agonists. Originally developed to treat Type 2 diabetes, medications like Ozempic and Wegovy have actually gained international popularity for their weight reduction effectiveness. For homeowners and migrants in Germany, understanding the cost, compensation structure, and availability of these drugs is important.

Germany operates under an unique two-tier health care system including statutory medical insurance (Gesetzliche Krankenversicherung or GKV) and private medical insurance (Private Krankenversicherung or PKV). This structure, combined with rigorous federal policies on pharmaceutical prices, makes the cost of GLP-1 medications in Germany quite various from that in the United States or other European nations.

What are GLP-1 Medications?

GLP-1 receptor agonists are a class of medications that imitate a natural hormonal agent in the body. They work by:

1. Increasing insulin secretion in reaction to high blood sugar level.
2. Slowing gastric emptying (making the stomach feel full longer).
3. Performing on the brain to suppress cravings and reduce cravings.

Common GLP-1 medications offered in Germany consist of:

• Semaglutide: Marketed as Ozempic (for diabetes) and Wegovy (for weight reduction).
• Tirzepatide: Marketed as Mounjaro (a double GLP-1/ GIP receptor agonist).
• Liraglutide: Marketed as Saxenda (daily injection).
• Oral Semaglutide: Marketed as Rybelsus (tablet form).

The Cost Breakdown: Self-Pay vs. Insurance Coverage

In Germany, the rate of a medication is extremely depending on whether it is being utilized for its primary medical indicator (like Type 2 diabetes) or as a “way of life” treatment (like weight reduction).

Statutory Health Insurance (GKV)

If a patient has Type 2 diabetes, the GKV generally covers the expense of medications like Ozempic or Rybelsus. In this case, the client pays just a little co-payment (Zuzahlung), normally varying from EUR5 to EUR10 per prescription.

However, for weight management, the scenario modifications. Under Section 20 of the Social Code Book V (SGB V), medications primarily planned for “improving the lifestyle” or weight reduction are presently left out from GKV protection. This implies patients using Wegovy or Saxenda for weight loss must usually pay the full market price out-of-pocket.

Private Health Insurance (PKV)

Private insurance providers have more flexibility. Depending on the specific tariff and medical necessity, some personal insurers may compensate the cost of weight-loss medications if the client fulfills specific criteria, such as a high BMI (usually >> 30 )and accompanying comorbidities (hypertension, sleep apnea).

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Relative Cost Table for GLP-1 Medications in Germany

The following table provides a price quote of out-of-pocket costs for the most popular GLP-1 medications in Germany since late 2023/early 2024. Costs may differ a little in between pharmacies however are regulated by the Arzneimittelpreisverordnung (Medicines Price Ordinance).

Medication

Main Usage

Form

Approx. Monthly Cost (Self-Pay)

Ozempic

Type 2 Diabetes

Weekly Injection

EUR80 – EUR90

Wegovy (Low Dose)

Weight Loss

Weekly Injection

EUR170 – EUR190

Wegovy (High Dose)

Weight Loss

Weekly Injection

EUR300 – EUR320

Mounjaro

Diabetes/ Obesity

Weekly Injection

EUR260 – EUR330

Saxenda

Weight Loss

Daily Injection

EUR250 – EUR300

Rybelsus

Type 2 Diabetes

Daily Tablet

EUR100 – EUR140

Keep in mind: Costs represent the “Apothekenverkaufspreis” (Pharmacy Retail Price) for patients with a personal prescription.

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In-depth Look at Wegovy Pricing in Germany

Wegovy was launched in Germany in July 2023. Unlike the United States, where costs can surpass ₤ 1,000 monthly, the German market take advantage of government-negotiated pricing, though it remains costly for the typical consumer.

The cost of Wegovy in Germany scales slightly with the dosage. Lokale GLP-1-Lieferanten in Deutschland -week supply includes one pen that enables four doses.

Typical Wegovy Price Tiers:

• 0.25 mg, 0.5 mg, and 1.0 mg: Generally priced around EUR171.92 per 4-week supply.
• 1.7 mg: Priced around EUR237.91 per 4-week supply.

• 2.4 mg (Maintenance Dose): Priced around EUR301.91 per 4-week supply.

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Why is it more affordable in Germany than the United States?

The variation between German and American drug costs is a regular topic of argument. The lower costs in Germany are associated to:

1. Price Caps: The German government sets an optimal rate for new drugs after an initial duration on the marketplace.
2. Centralized Negotiations: Statutory medical insurance funds work out jointly with pharmaceutical makers.
3. Drug store Regulations: Pharmacy markups are strictly controlled by law, avoiding significant rate gouging at the retail level.

How to Obtain a GLP-1 Prescription in Germany

Despite whether a patient is paying out-of-pocket or through insurance coverage, GLP-1 medications are prescription-only (verschreibungspflichtig).

1. Assessment: The client needs to check out a General Practitioner (GP/Hausarzt) or an Endocrinologist.
2. Medical Screening: The medical professional will carry out blood tests (HbA1c, kidney function) and determine BMI to make sure the medication is safe and showed.
3. Prescription Types:
   • Red Prescription (Muster 16): For GKV patients (The insurance company pays, the patient pays a EUR5-10 co-pay).
   • Blue Prescription: For PKV clients or “Selbstzahler” (self-pay patients).
   • Green Prescription: A recommendation from the doctor for non-prescription or self-pay items (less common for GLP-1s).

Supply Shortages and the “Off-Label” Issue

Germany, like the remainder of the world, has dealt with considerable lacks of Ozempic. Due to the fact that Ozempic is more affordable than Wegovy (approx. EUR80 vs EUR170+), many patients sought “off-label” prescriptions for weight reduction.

To combat this, the German Federal Institute for Drugs and Medical Devices (BfArM) has released guidelines urging medical professionals to only prescribe Ozempic for its authorized indication: Type 2 Diabetes. This is to guarantee that diabetic patients do not lose access to their life-saving medication.

• * *

Often Asked Questions (FAQ)

1. Does the GKV spend for Wegovy for weight loss?

Currently, no. Wegovy is categorized as a “way of life drug” in Germany. Despite recent discussions in the Bundestag concerning the rising costs of obesity, the statutory health insurance funds are lawfully disallowed from covering obesity-only medications.

2. Can I utilize a private prescription at any German drug store?

Yes. Any certified pharmacy in Germany (including online drug stores like DocMorris or Shop Apotheke) can satisfy a private prescription for GLP-1 medications, offered they have the stock.

3. Is Tirzepatide (Mounjaro) offered in Germany?

Yes, Mounjaro was recently launched in the German market. GLP-1-Lieferung in Deutschland is readily available in the “KwikPen” format. Mehr erfahren are currently higher than Ozempic but competitive with Wegovy's upkeep doses.

4. Are there any concealed costs?

Beyond the medication, clients must account for the expense of the physician's assessment. For GKV clients, this is covered. For private/self-pay clients, an assessment can cost in between EUR30 and EUR100 depending upon the complexity of the exam.

5. Can I buy GLP-1 medications online without a prescription?

No. It is prohibited and highly harmful to acquire these medications without a prescription. Germany has strict laws versus “Fernabsatz” (mail order) of prescription drugs from non-certified sources. Counterfeit Ozempic pens have been discovered in the European supply chain.

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Summary Checklist for Patients in Germany

If you are thinking about GLP-1 treatment in Germany, keep the following points in mind:

• Check Qualification: Ensure your BMI is over 30, or over 27 with weight-related health issues.
• Budgeting: If you are not diabetic, anticipate to pay between EUR170 and EUR310 monthly for semaglutide.
• Insurance coverage: If you are independently insured, call your provider before your very first dosage to inquire about “Antrag auf Kostenübernahme” (ask for expense coverage).
• Pharmacy Availability: Call ahead to your regional drug store to ensure they have the dosage in stock, as supply chains stay unpredictable.
• Security: Always acquire your medication through a physical or confirmed German online drug store to avoid counterfeit products.

The cost of GLP-1 medications in Germany shows the country's broader technique to healthcare: controlled, fairly budget-friendly compared to the worldwide market, but strictly separated in between medical requirement and optional treatment. While diabetic patients gain from very low co-payments, those seeking these drugs for weight loss should be prepared for a substantial regular monthly investment. As clinical evidence continues to reveal the long-term health benefits of weight reduction, lots of in the German medical neighborhood wish for a shift in insurance coverage legislation that may one day make these treatments more accessible to all.

The landscape of metabolic health and weight management has gone through a substantial transformation with the introduction of Glucagon-like peptide-1 (GLP-1) receptor agonists. In Germany, these medications— originally developed for the treatment of Type 2 diabetes— have gained enormous appeal for their efficacy in dealing with obesity. However, the surge in need has actually produced an intricate environment for patients, doctor, and pharmacies alike.

This article provides an in-depth take a look at GLP-1 medications within the German pharmaceutical market, exploring the legal framework, accessibility, costs, and the medical role these drugs play in modern-day German medication.

What are GLP-1 Receptor Agonists?

GLP-1 receptor agonists are a class of medications that imitate a natural hormone produced in the gut. When an individual eats, GLP-1 is launched, stimulating insulin secretion, preventing glucagon (which raises blood sugar), and slowing gastric emptying. Crucially for weight management, these medications also signal the brain's satiety centers, lowering cravings and food yearnings.

In Germany, these drugs are managed strictly by the Federal Institute for Drugs and Medical Devices (BfArM). They are categorized as “Rezeptpflichtig” (prescription-only), implying they can not be acquired over the counter and require a valid medical diagnosis and supervision.

Offered GLP-1 Medications in Germany

The German pharmaceutical market hosts numerous GLP-1 and dual-agonist (GLP-1/ GIP) medications. While some are specifically approved for Type 2 diabetes, others have received approval for persistent weight management.

Table 1: Overview of GLP-1 Medications in Germany

Brand name Name

Active Ingredient

Primary Indication

Manufacturer

Administration

Ozempic

Semaglutide

Type 2 Diabetes

Novo Nordisk

Weekly Injection

Wegovy

Semaglutide

Obesity/Weight Management

Novo Nordisk

Weekly Injection

Mounjaro

Tirzepatide (GLP-1/ GIP)

Diabetes & & Obesity

Eli Lilly

Weekly Injection

Victoza

Liraglutide

Type 2 Diabetes

Novo Nordisk

Daily Injection

Saxenda

Liraglutide

Obesity/Weight Management

Novo Nordisk

Daily Injection

Rybelsus

Semaglutide

Type 2 Diabetes

Novo Nordisk

Daily Oral Tablet

Trulicity

Dulaglutide

Type 2 Diabetes

Eli Lilly

Weekly Injection

The Legal and Regulatory Environment in Germany

Germany maintains high requirements for drug safety and circulation. All GLP-1 medications need to be given through licensed drug stores (Apotheken), whether they are traditional brick-and-mortar establishments or recognized online pharmacies.

Prescription Requirements

Under German law, a client needs to speak with a physician (such as a GP, Diabetologist, or Endocrinologist) to get a prescription. The physician assesses the client's Body Mass Index (BMI), pre-existing conditions (like heart disease or hypertension), and blood glucose levels.

The Role of BfArM and Supply Shortages

Due to international need, Germany has dealt with substantial supply lacks (Lieferengpässe). Mehr erfahren has actually released numerous declarations advising physicians to focus on patients with Type 2 diabetes for medications like Ozempic, as these patients count on the drug for blood glucose stability. This has actually caused more stringent examination of “off-label” recommending for weight-loss.

Costs and Health Insurance Coverage

The expense of GLP-1 treatment in Germany is a considerable factor for many patients. The repayment structure varies depending on the type of insurance and the particular diagnosis.

Statutory Health Insurance (GKV)

For clients with Type 2 diabetes, the Gesetzliche Krankenversicherung (GKV) typically covers the costs of drugs like Ozempic or Trulicity, minus a small co-payment (Zuzahlung). However, German law (particularly § 34 SGB V) presently classifies weight-loss medications as “lifestyle drugs,” suggesting that even if a patient is clinically overweight, the GKV is typically prohibited from covering drugs like Wegovy or Saxenda.

Private Health Insurance (PKV)

Private insurers (Private Krankenversicherung) offer more versatility. Protection typically depends on the specific terms of the individual's policy and the medical necessity argued by the recommending doctor.

Table 2: Comparative Administration and Practical Use

Feature

Subcutaneous Injection (Weekly)

Subcutaneous Injection (Daily)

Oral Tablet (Daily)

Convenience

High (when a week)

Low (requires everyday routine)

High (no needles)

Steady State

Consistent levels

Quick absorption

Needs rigorous fasting

Normal Brands

Wegovy, Ozempic, Mounjaro

Saxenda, Victoza

Rybelsus

How to Obtain GLP-1 Medications in Germany

For those looking for these treatments, the process follows a standardized legal path:

1. Initial Consultation: A visit to a medical professional to discuss metabolic health. Blood tests (HbA1c, liver enzymes, kidney function) are typically performed.
2. Prescription Issuance: If eligible, the medical professional problems a Kassenrezept (pink prescription for GKV covered cases) or a Privatrezept (blue or white prescription for private payers).
3. Pharmacy Fulfillment: The client takes the prescription to a local pharmacy or publishes it to a licensed German online drug store (e.g., Shop Apotheke, DocMorris).
4. Storage and Transport: Since the majority of GLP-1 drugs are temperature-sensitive, drug stores need to ensure the cold chain is maintained. Clients need to keep their pens in the refrigerator at home.

Negative Effects and Safety Considerations

While extremely reliable, GLP-1 medications are not without threats. Medical supervision is compulsory to manage possible side impacts.

Typical Side Effects:

• Gastrointestinal Distress: Nausea, vomiting, diarrhea, and constipation are the most often reported concerns, particularly throughout the dose-escalation phase.
• Satiety Changes: A considerable decrease in hunger which, if not managed, can result in nutrient shortages.
• Injection Site Reactions: Redness or itching at the site of the needle.

Serious Risks (Rare):

• Pancreatitis.
• Gallbladder issues.
• Potential thyroid C-cell tumors (kept in mind in animal studies; human danger is still being kept an eye on).

The Future of GLP-1 in Germany

The German pharmaceutical market is bracing for a lot more advanced models of these drugs. Medical trials are continuous for triple-agonist medications (targeting GLP-1, GIP, and Glucagon) which assure even higher weight-loss results. Additionally, there is ongoing political debate concerning whether the GKV ought to upgrade its regulations to cover weight-loss treatment for patients with serious obesity-related comorbidities.

FREQUENTLY ASKED QUESTION: GLP-1 Pharmacy and Availability in Germany

1. Can I buy Ozempic without a prescription in Germany?

No. It is illegal to sell or purchase Ozempic or any GLP-1 medication without a valid medical prescription in Germany. Doing so brings substantial health dangers due to the potential for fake items.

2. Is Wegovy presently available in German pharmacies?

Yes, Wegovy was officially introduced in Germany in mid-2023. Nevertheless, supply stays periodic. It is advised to talk to numerous drug stores or use online availability trackers.

3. How much does a regular monthly supply of GLP-1 cost out-of-pocket?

For those paying privately (Selbstzahler), rates range depending on the dosage. Usually, clients can anticipate to pay between EUR170 and EUR350 each month for medications like Wegovy or Mounjaro.

4. Exist “Bio-identical” or compounded GLP-1s in Germany?

Unlike the United States, the compounding of GLP-1 medications in pharmacies is not a standard practice in Germany. Regulative authorities prioritize using factory-sealed, top quality pens to guarantee sterility and dose precision.

5. What takes place if my local drug store runs out stock?

Clients are motivated to ask their pharmacist to inspect the “Großhandel” (wholesaler) stock or to supply a digital prescription that can be examined across various drug store chains. Some drug stores enable clients to “pre-order” the next month's supply to guarantee connection of care.

GLP-1 medications represent a milestone in German healthcare for the treatment of diabetes and weight problems. While supply chain concerns and insurance difficulties stay, the accessibility of these drugs through certified pharmacies guarantees that clients receive top quality, regulated care. As GLP-1-Klinik in Deutschland continues and production scales up, GLP-1 agonists are expected to remain a foundation of metabolic medication in Germany for the foreseeable future.