22 Comments
Jul 12Liked by Citrini

Would be great to see this change in the society!

Before going to the beach for their TikTok I guess people will have to do something for their loose skins. After losing weight this much that is bound to happen. Any ticker for plastic surgery, skincare? That should also fit in your thesis on luxury goods/services(?)

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Great thesis and writeup. Planet Fitness (PLNT) is an excellent short as in addition to what you mentioned Edwin Dorsey of TheBearCave substack highlighted a number of issues with it

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Aug 8Liked by Citrini

Nicely done. Todays pop is crazy. Def Pfizer viagra vibes

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Hope everyone enjoyed the article.

One thing that I noted but wasn't able to find a trade expression for, was that you'd probably see a decrease in mobility scooters, especially bariatric ones, for obese people.

Originally I wrote short IVC, but then it turned out IVC stopped listing a while back.

If anyone knows of publicly listed companies that are focused majorly on mobility scooters, please share.

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@Citrini Have you seen any data regarding carbonated soft drink consumption distribution (similar to that WSJ chart on beer) and/or early sample data of consumption change once for people on Wegovy? Cheers.

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Why no ELV in the health insurance basket? In any case, I’ve been debating how quickly they’ll see the benefit and I think it will be quite soon. Obese folks will not wait for coverage- anyone who can afford it will go straight to the online prescribers and sketchy clinics to get it started asap. And there’s a lot of people with money and fat

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So you think sequence - weight watchers has an advantage over say HIMS once it gets into weight loss drugs (stated by end of 2023) ?

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Fantastic work. How about hospital network stocks such as HCA? Large swath of admissions will be avoided. Some of these stocks are at all time highs.

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Am I mistaken or did you edit this post and take out the peptide research longs that were under the GLP-1 basket? Was that intentional? Thanks!

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Amazing write up and I like the citations to support your work. This is like a scientific manuscript. I have a question for you regarding generics in this space. I read an article from JAMA noting that GLP-1s are having a much longer patent duration before they go generic when compared to other drug classes.

"The median total duration of expected protection after FDA approval, when accounting for both preapproval and postapproval patents and regulatory exclusivities, was 18.3 years (IQR, 16.0-19.4). No generic firm has successfully challenged patents on GLP-1 receptor agonists to gain FDA approval."

Does this make you more bullish for NOVO and LLY? Could this hurt the general class due to higher cost for longer if generics don't come online? Thanks in advance.

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Philips – growth and margin inflection – From an all-time high in April-21, Philips’ shares have underperformed EU Medtech over the last two years as a consequence of a volatile operating environment compounded by company-specific challenges. While some elements of uncertainty remain, we think the company is emerging from this challenging period and the shares represent good value. We see upside risks to consensus estimates and scope for multiple expansion. Easing supply chain constraints, pricing and the impact of Philips’ productivity programme support our expectation for a 2Q adj. EBITA beat on July 24. While we await better visibility on Sleep & Respiratory Care, we think conservative consensus expectations create an asymmetric risk profile. We initiate with a Buy rating and 12m price target of €28.

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This is awesome work.. your Substack is truly a gem.

What are your thoughts on CVS as a beneficiary as well? Their current leverage is a bit concerning (although I think it's blown out of proportion), but their long-term vertical integration play could make this an interesting opportunity for them in many ways.

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deletedJul 12
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