North America dominates the incretin mimetics market growth, commanding 42% of 2024 global sales through integrated value-based procurement, obesity-focused guidelines, and deep-pocketed payers accelerating next-gen GLP-1 launches. Europe (28%) follows, propelled by EMA fast-track approvals, mandatory real-world-evidence post-marketing studies, and rising publicโprivate obesity investments, though austerity caps pricing. Asia Pacific is the fastest-expanding region, posting a 15% CAGR; mushrooming diabetic and obese cohorts, biosimilar-friendly policy, and surge in local CMO capacity underpin the regional forecast. Latin America (7%) is gaining traction via PAHO pooled tenders, compulsory licensing debates, and rapid private insurance coverage for T2DM injectables, yet macro volatility tempers volume. Middle East & Africa (6%) demand is steered by Gulf chronic-disease screening programs and compulsory insurance schemes, but under-funded primary-care infrastructure and fragmented registration pathways limit scalability.