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The Dr. Tyna Show

The Fight for Affordable GLP1s & the Truth About Big Pharma | Dave Knapp

27 Mar 2025

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EP. 202: On this episode I sit down with my friend Dave Knapp, an independent journalist and community leader in the world of GLP-1 receptor agonists. Living with obesity and type 2 diabetes himself, Dave has built a platform dedicated to connecting and educating people using these life-changing peptides. We break down the latest updates on the FDA’s crackdown on compounding pharmacies and what it could mean for the future of GLP-1 access. We also dive into the shady role of Pharmacy Benefit Managers (PBMs) in driving up drug prices, the realities of living with obesity, and why traditional approaches to weight loss often fall short. Dave shares insights from his personal journey, including his experiences with keto and the struggles his community has faced.  Topics Discussed:  → What is happening with the FDA’s crackdown on compounding pharmacies and GLP-1 medications? → How do Pharmacy Benefit Managers (PBMs) drive up drug prices and impact patient access? → What are GLP-1 receptor agonists, and how are they changing the lives of people with obesity and type 2 diabetes? → Why do traditional weight loss methods like “eat less, move more” often fail for people with metabolic disorders? → What is the future of compounded GLP-1 medications, and how can patients stay informed? GLP1s Uncovered FREE 4 Part Video Series  Sponsored By: → Nutrisense |Head over to ⁠nutrisense.io/drtyna ⁠to get $125 off your program.  → Puori | Go to ⁠Puori.com/drtyna⁠ and use code DRTYNA to get 20% off → Momentous | Go to ⁠livemomentous.com⁠ and try it today at 20% off with code DRTYNA, and start living on purpose. → Purity Woods | Go to ⁠puritywoods.com/DRTYNA⁠ or enter DRTYNA at checkout for 27% off → LMNT | Get your free Sample Pack with any LMNT purchase at ⁠drinkLMNT.com/drtyna⁠ On This Episode We Cover: → 00:00:00 - Introduction  → 00:05:17 - Dave’s background  → 00:11:07 - The Diabetes cycle → 00:16:11 - Starting On The Pen → 00:21:44 - Compound pharmacies and drug shortages  → 00:26:23 - Increase in compound drug use  → 00:29:34 – Better Accessibility → 00:34:55 – PBMs & Insurance Kickbacks → 00:41:31 – Copays vs. Cash Pay → 00:45:29 – GLP-1 & FDA Lawsuits → 00:53:14 – MAHA & Compounding Pharmacies → 00:55:09 – Pharmacy Types & The Future of Compounding → 00:59:47 – Confidence in Providers → 01:02:13 – Bias in the MAHA Movement → 01:09:19 – Lowering Medication Costs → 01:11:39 – Deplatforming & Censorship → 01:18:34 – “Eat Less & Move More” Show Links: → GLP1s Uncovered FREE 4 Part Video Series  → Find A Doc Check Out Dave:  → Instagram → https://www.onthepen.com/ Disclaimer: Information provided in this podcast is for informational purposes only. This information is NOT intended as a substitute for the advice provided by your physician or other healthcare professional, or any information contained on or in any product. Do not use the information provided in this podcast for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or other healthcare professional before taking any medication or nutritional, herbal or other supplement, or using any treatment for a health problem. Information provided in this blog/podcast and the use of any products or services related to this podcast by you does not create a doctor-patient relationship between you and Dr. Tyna Moore. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent ANY disease.

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Full Episode

0.469 - 22.18 Dave Knapp

Most people in the United States are not paying $1,300 a month for Ozempic. In fact, Wegovy, which is the obesity medicine version of Ozempic, most people that are on this are paying less than $25 a month. 80% of the people who are on this are paying $25 a month. Is that with insurance? Yeah, that's with insurance, right?

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22.22 - 27.583 Dave Knapp

So you have the list price at $1,300, but most people in the United States are paying, 80% are paying $25 or less.

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29.264 - 48.755 Tina Moore

You are tuned into The Dr. Tina Show with Dr. Tina Moore. For more, visit drtina.com. On this episode of The Dr. Tina Show, I am excited for this one. I got to sit down and have a great conversation with my buddy, Dave Knapp. Dave and I met through the online space when I was deplatformed back in September for, I believe, talking about microdosing GLP-1s.

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49.235 - 69.425 Tina Moore

He has built an entire platform called On The Pen. And his life's mission, he's become an independent journalist of sorts. That's not what his background was in. But he has made it his life's mission to connect people who are utilizing GLP-1 agonists. He is a man living with a disease of obesity, the disease of type 2 diabetes. And he knows this world well.

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69.505 - 79.689 Tina Moore

And he's built this wonderful, expansive community of like-minded people who are all utilizing these peptides with life-changing impacts. He keeps us abreast on what's happening in the news.

79.969 - 95.468 Tina Moore

And so I brought him on today because, A, I wanted you guys to get an update on what's happening with the FDA versus the compounding pharmacies and those ongoing trials and what's happening there because the future of compounded GLP-1s may be in jeopardy. So I want you to get the inside scoop on that. He explains it so well.

95.808 - 116.185 Tina Moore

Whether you're on GLP-1s or care about them or not, this is a conversation you need to hear. Number two, we talk about the PBMs, which are the middlemen who are gouging us all and driving up prices of medications and pharmaceuticals. So that's something you guys need to know about as well. We talk about what it's like to live with a disease of obesity and what that means and how he's gone keto.

116.225 - 138.246 Tina Moore

He's done the eat less, move more, how his community lives. the struggles that they have and how these peptides have been absolutely life-changing for them, for leveling the metabolic playing field, as he calls it. And lastly, we even touch on a few things that we both agree Maha may be missing the mark on. So without further ado, let's jump in. We get right into it. This is Dave Knapp.

138.846 - 156.213 Tina Moore

Did you know that nearly 94% of US adults are metabolically compromised according to 2018 data published in 2021? Even more surprising, 80% of them have no idea. Shocking, right? That's why I've been beating the drum on metabolic health for decades in my clinical practice and on this podcast since day one.

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