Healthcare investor. Howard Stern. Arcade Fire. Bowie. U2. California dreamin'

Joined July 2007
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Ok this clip about navigating the American Healthcare System from the recent South Park ozempic special (which was brilliant) needs to be the opening of every healthcare conference panel

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Bijan Salehizadeh retweeted
Bob speaks in @nytimes
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BREAKING: Iran directly rejects Trump's new claim of a deal being signed tomorrow, saying the insistence on signing the deal on specifically Sunday is engineered around his own birthday, calling it a "propaganda event" that Trump is trying to turn into a unilateral "symbolic occasion" for himself, along with his UFC White House event, per Fars. The Iranian negotiating team says it "will not permit such a media and ceremonial manoeuvre," explicitly stating that the memorandum of understanding has not been finalized and no signing will happen.
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Paper: "Nationally, leucovorin use increased in 2025 following the media attention and the FDA announcement, with larger increases for younger groups. Mean leucovorin use increased by 1348% among those aged 0 to 10 years (385 prescriptions/week before February 2025 to 5575/week after the FDA announcement) and by 470% among those aged 11 to 20 years (514/week to 2928/week)."
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Oh boy
Scott Foster is the crew chief for tonight’s Game 5
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META MOVES TO CURB EMPLOYEE AI USAGE AS AI COSTS REACH BILLIONS – THEINFORMATION
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For medical information, general AI frontier models (Google, OpenAI, Anthropic) outperformed specialized @EvidenceOpen and @UpToDate as assessed by 12 US clinicians, randomized and blinded to which model and extensive testing/benchmarks. This was not anticipated. @NatureMedicine nature.com/articles/s41591-0…
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HHS‑OIG just released two reports: one shows the three largest Medicare managed care companies denied long‑term and rehab hospital care at some of the highest rates; the other flags troubling skilled nursing care denials. Read more: direc.to/fW5R
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Employers begin to back-track on GLP-1 coverage - as @rorynotsorry has long said, this is an affordability issue and dropping insurance coverage of these drugs will only push more people to the research use market and hopefully to safe vendors.
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HHS OIG Report on prior auth and appeals denial rate by insurer - staggering numbers. Think of the burden created on providers, families, patients, the millions of house spent fighting medical necessity with payer bots.
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I’m not sure I’ve ever had tears of joy at the end of a basketball game. What was that? Holy moly.
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New myostatin inhibitor results! Over 24 weeks, people on tirzepatide lost ~30% of body weight as lean mass. People on tirzepatide plus a myostatin inhibitor lost ~15% of body weight as lean mass! It'll soon be possible to lose weight while barely losing muscle!
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Why isn't the NIH funding human trials on the popular peptides lacking replicable or significant clinical data? BPC-157, TB-500, AOD-9604, MOTS-c, Semax, Selank - today just anecdotes, forum postings plus mostly animal studies are the evidence base. No pharma sponsor willing to drop tens of millions to fund these studies, of course. This is exactly what public funding is for and could broaden use if efficacy/safety is shown and FDA acts to move these to compounding ok list. Taxpayers deserve real evidence. Time to close the gap so people arent relying on fruit fly, mouse, or n=12 studies from single sites in eastern europe from 35 years ago.
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Epitalon has become a popular peptide in some circles. Could the current dosing protocols be off by an order of magnitude due to mis-application of original studies? Intriguing paper: "the 5 to 10 mg human dosing paradigm originates from studies conducted with Epithalamin, a crude polypeptide extract of bovine pineal glands, rather than with Epitalon itself. Primate data comparing both compounds reveal a model- and endpoint-specific potency differential of approximately 500-fold. Taken together, these findings support the testable translational hypothesis that Epitalon should be evaluated in the low microgram range, approximately 100 to 300 μg per treatment day, with treatment schedule and frequency to be defined in formal dose-finding studies, rather than the milligram range currently employed. The current practice may represent systematic overdosing rooted in the historical conflation of a crude extract with a purified synthetic peptide." cc @AbudBakri
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