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Subject: GLP-1 Access State of the Union
From: Dave Knapp from On The Pen <onthepen@substack.com>
To: tjphuhs@gmail.com
Message-Id: <20260407200122.3.11bad1bdfc575678@mg2.substack.com>
Date: Tue, 7 Apr 2026 20:01:22 +0000
Feedback-Id: post-192997160:cat-post:pub-4808993:substack
Sender: Dave Knapp from On The Pen <onthepen@substack.com>
References: <post-192997160@substack.com>
In-Reply-To: <post-192997160@substack.com>
Reply-To: Dave Knapp from On The Pen
 <reply+36wlk8&4iwoe6&&72a7578cf7fbc303a21a9d1d6a635f7b6b1129584367acd42dd60ed1efa9a4be@mg1.substack.com>

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View this post on the web at https://onthepen.substack.com/p/glp-1-access-s=
tate-of-the-union

If you just look at the headlines, things look great for access to GLP-1 me=
dications but for some of those already using these medications things are =
changing and getting tighter. Listen in as Dave breaks down the news of the=
 week and puts it all in context.
Watch or listen to this week=E2=80=99s podcast on Spotify! If you prefer to=
 watch on Youtube, don=E2=80=99t forget you can hype the video in the mobil=
e app to support the channel!

Unsubscribe https://substack.com/redirect/2/eyJlIjoiaHR0cHM6Ly9vbnRoZXBlbi5=
zdWJzdGFjay5jb20vYWN0aW9uL2Rpc2FibGVfZW1haWw_dG9rZW49ZXlKMWMyVnlYMmxrSWpveU=
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iwic3ViIjoibGluay1yZWRpcmVjdCJ9.uHnZwgmI4QSP4iArSjgkAKQIq6DdTzZIbHdBV8FwF2Y=
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}</style></head><body class=3D"email-body" style=3D"font-kerning: auto;--im=
age-offset-margin: -120px;"><img src=3D"https://eotrx.substackcdn.com/open?=
token=3DeyJtIjoiPDIwMjYwNDA3MjAwMTIyLjMuMTFiYWQxYmRmYzU3NTY3OEBtZzIuc3Vic3R=
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t4q5CP8Dgo" alt=3D"" width=3D"1" height=
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rtant;"/><div class=3D"preview" style=3D"display:none;font-size:1px;color:#=
333333;line-height:1px;max-height:0px;max-width:0px;opacity:0;overflow:hidd=
en;">If you just look at the headlines, things look great for access to GLP=
-1 medications but for some of those already using these medications things=
 are changing and getting tighter.</div><div class=3D"preview" style=3D"dis=
play:none;font-size:1px;color:#333333;line-height:1px;max-height:0px;max-wi=
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3;&#847; &nbsp; &#8199; &#173;&#847; &nbsp; &#8199; &#173;&#847; &nbsp; &#8=
199; &#173;</div><table class=3D"email-body-container" role=3D"presentation=
" width=3D"100%" border=3D"0" cellspacing=3D"0" cellpadding=3D"0"><tbody><t=
r><td></td><td class=3D"content" width=3D"550"></td><td></td></tr><tr><td><=
/td><td class=3D"content" width=3D"550" align=3D"left"><div style=3D"font-s=
ize: 16px;line-height: 26px;max-width: 550px;width: 100%;margin: 0 auto;ove=
rflow-wrap: break-word;"><table role=3D"presentation" width=3D"100%" border=
=3D"0" cellspacing=3D"0" cellpadding=3D"0"><tbody><tr><td align=3D"right" s=
tyle=3D"height:20px;"><table role=3D"presentation" width=3D"auto" border=3D=
"0" cellspacing=3D"0" cellpadding=3D"0"><tbody><tr><td style=3D"vertical-al=
ign:middle;"><span class=3D"pencraft pc-reset reset-IxiVJZ tw-font-body tw-=
text-ssm tw-text-substack-secondary" style=3D"font-family: SF Pro Text, -ap=
ple-system, system-ui, BlinkMacSystemFont, Inter, Segoe UI, Roboto, Helveti=
ca, Arial, sans-serif, Apple Color Emoji, Segoe UI Emoji, Segoe UI Symbol;f=
ont-size: 13px;color: unset;list-style: none;text-decoration: unset;margin:=
 0;"><div class=3D"pencraft pc-reset align-right-VJbKw5 size-12-mmZ61m rese=
t-IxiVJZ" style=3D"list-style: none;color: unset;text-align: right;font-siz=
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jb20vc3Vic2NyaWJlP3V0bV9zb3VyY2U9ZW1haWwmdXRtX2NhbXBhaWduPWVtYWlsLXN1YnNjcm=
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CUyRmdscC0xLWFjY2Vzcy1zdGF0ZS1vZi10aGUtdW5pb24iLCJwIjoxOTI5OTcxNjAsInMiOjQ4=
MDg5OTMsImYiOnRydWUsInUiOjI3MzYyMjM5OCwiaWF0IjoxNzc1NTkyMTc3LCJleHAiOjIwOTE=
xNjgxNzcsImlzcyI6InB1Yi0wIiwic3ViIjoibGluay1yZWRpcmVjdCJ9.IluiMT6FhK_iD4XaK=
AZ1PRhZtl0m13aMQskJqtr7amM?" style=3D"list-style: none;color: unset;text-de=
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, 'Inter', 'Segoe UI', Roboto, Helvetica, Arial, sans-serif, 'Apple Color E=
moji', 'Segoe UI Emoji', 'Segoe UI Symbol';font-weight: 900;-webkit-font-sm=
oothing: antialiased;-moz-osx-font-smoothing: antialiased;-webkit-appearanc=
e: optimizelegibility;-moz-appearance: optimizelegibility;appearance: optim=
izelegibility;margin: 0;line-height: 36px;font-size: 32px;"><a href=3D"http=
s://substack.com/app-link/post?publication_id=3D4808993&post_id=3D192997160=
&utm_source=3Dpost-email-title&utm_campaign=3Demail-post-title&isFreemail=
=3Dtrue&r=3D4iwoe6&token=3DeyJ1c2VyX2lkIjoyNzM2MjIzOTgsInBvc3RfaWQiOjE5Mjk5=
NzE2MCwiaWF0IjoxNzc1NTkyMTc3LCJleHAiOjE3NzgxODQxNzcsImlzcyI6InB1Yi00ODA4OTk=
zIiwic3ViIjoicG9zdC1yZWFjdGlvbiJ9.irpbbF53dHq-bKD-Hc6IM7amgFVBo3BlQZNGQECe8=
SY" style=3D"color: rgb(54,55,55);text-decoration: none;">GLP-1 Access Stat=
e of the Union</a></h1><table class=3D"post-meta" role=3D"presentation" wid=
th=3D"100%" border=3D"0" cellspacing=3D"0" cellpadding=3D"0" style=3D"margi=
n: 1em 0;height: 20px;align-items: center;"><tbody><tr><td><table role=3D"p=
resentation" width=3D"auto" border=3D"0" cellspacing=3D"0" cellpadding=3D"0=
"><tbody><tr><td><table role=3D"presentation" width=3D"auto" border=3D"0" c=
ellspacing=3D"0" cellpadding=3D"0"><tbody><tr><td style=3D"vertical-align:m=
iddle;"><div class=3D"pencraft pc-reset color-primary-zABazT line-height-20=
-t4M0El font-meta-MWBumP size-11-NuY2Zx weight-medium-fw81nC transform-uppe=
rcase-yKDgcq reset-IxiVJZ meta-EgzBVA custom-css-email-post-author" style=
=3D"list-style: none;font-size: 11px;line-height: 20px;text-decoration: uns=
et;color: rgb(54,55,55);margin: 0;font-family: 'SF Compact',-apple-system,s=
ystem-ui,-apple-system,BlinkMacSystemFont,'Segoe UI',Roboto,Helvetica,Arial=
,sans-serif,'Apple Color Emoji','Segoe UI Emoji','Segoe UI Symbol';font-wei=
ght: 500;text-transform: uppercase;letter-spacing: .2px;"><a class=3D"pencr=
aft pc-reset color-primary-zABazT line-height-20-t4M0El font-meta-MWBumP si=
ze-11-NuY2Zx weight-medium-fw81nC transform-uppercase-yKDgcq reset-IxiVJZ m=
eta-EgzBVA" style=3D"list-style: none;color: rgb(54,55,55);margin: 0;font-s=
ize: 11px;line-height: 20px;font-family: 'SF Compact',-apple-system,system-=
ui,-apple-system,BlinkMacSystemFont,'Segoe UI',Roboto,Helvetica,Arial,sans-=
serif,'Apple Color Emoji','Segoe UI Emoji','Segoe UI Symbol';font-weight: 5=
00;text-transform: uppercase;letter-spacing: .2px;text-decoration: none" hr=
ef=3D"https://substack.com/@onthepen">On The Pen GLP-1 News</a> and <a clas=
s=3D"pencraft pc-reset color-primary-zABazT line-height-20-t4M0El font-meta=
-MWBumP size-11-NuY2Zx weight-medium-fw81nC transform-uppercase-yKDgcq rese=
t-IxiVJZ meta-EgzBVA" style=3D"list-style: none;color: rgb(54,55,55);margin=
: 0;font-size: 11px;line-height: 20px;font-family: 'SF Compact',-apple-syst=
em,system-ui,-apple-system,BlinkMacSystemFont,'Segoe UI',Roboto,Helvetica,A=
rial,sans-serif,'Apple Color Emoji','Segoe UI Emoji','Segoe UI Symbol';font=
-weight: 500;text-transform: uppercase;letter-spacing: .2px;text-decoration=
: none" href=3D"https://substack.com/@anncmetz">Ann Metz</a></div></td></tr=
></tbody></table></td></tr><tr><td><table role=3D"presentation" width=3D"au=
to" border=3D"0" cellspacing=3D"0" cellpadding=3D"0"><tbody><tr><td style=
=3D"vertical-align:middle;"><div class=3D"pencraft pc-reset color-secondary=
-ls1g8s line-height-20-t4M0El font-meta-MWBumP size-11-NuY2Zx weight-medium=
-fw81nC transform-uppercase-yKDgcq reset-IxiVJZ meta-EgzBVA" style=3D"list-=
style: none;font-size: 11px;line-height: 20px;text-decoration: unset;color:=
 rgb(119,119,119);margin: 0;font-family: 'SF Compact',-apple-system,system-=
ui,-apple-system,BlinkMacSystemFont,'Segoe UI',Roboto,Helvetica,Arial,sans-=
serif,'Apple Color Emoji','Segoe UI Emoji','Segoe UI Symbol';font-weight: 5=
00;text-transform: uppercase;letter-spacing: .2px;"><time datetime=3D"2026-=
04-07T20:01:21.816Z">Apr 7</time></div></td></tr></tbody></table></td></tr>=
</tbody></table></td><td align=3D"right"><table role=3D"presentation" width=
=3D"auto" border=3D"0" cellspacing=3D"0" cellpadding=3D"0"><tbody><tr><td s=
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table></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr hei=
ght=3D"16"><td height=3D"16" style=3D"font-size:0px;line-height:0;">&nbsp;<=
/td></tr></tbody></table></div></div><div class=3D"post typography" dir=3D"=
auto" style=3D"--image-offset-margin: -120px;padding: 32px 0 0 0;font-size:=
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text-align: initial;font-size: 16px;line-height: 26px;width: 100%;word-brea=
k: break-word;margin-bottom: 16px;font-family: 'SF Pro Display', -apple-sys=
tem, system-ui, BlinkMacSystemFont, 'Inter', 'Segoe UI', Roboto, Helvetica,=
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';font-weight: 400;"><p style=3D"margin: 0 0 20px 0;color: rgb(54,55,55);li=
ne-height: 26px;font-size: 16px;margin-top: 0;">If you just look at the hea=
dlines, things look great for access to GLP-1 medications but for some of t=
hose already using these medications things are changing and getting tighte=
r. Listen in as Dave breaks down the news of the week and puts it all in co=
ntext.</p><div class=3D"captioned-image-container-static" style=3D"font-siz=
e: 16px;line-height: 26px;margin: 32px auto;"><figure style=3D"width: 100%;=
margin: 0 auto;"><table class=3D"image-wrapper" width=3D"100%" border=3D"0"=
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k;margin: 0;"><img class=3D"wide-image" data-attrs=3D"{&quot;src&quot;:&quo=
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d></tr></tbody></table></figure></div><p style=3D"margin: 0 0 20px 0;color:=
 rgb(54,55,55);line-height: 26px;font-size: 16px;">Watch or listen to this =
week&#8217;s podcast on Spotify! If you prefer to watch on Youtube, don&#82=
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