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Thanks to everyone! Much appreciated. This dietitian still has hope that heart patients everywhere will learn about this drug.
Thank you for spreading the word. Excellent work! Congratulations for the acknowledgment.
12.00
It’s not BS. She is also a Davidson Young Scholar, which is group that advocates for profoundly gifted kids. They helped her get into college at age 13. She tested >99.99% when she was 9 years old. So, you can call BS, but you would be wrong.
https://www.davidsongifted.org/young-scholars/application-process/testing-requirements
https://www.davidsongifted.org/young-scholars/application-process/testing-requirements
My 17 yo daughter who is a junior at Clemson is in the triple nine’s...
https://www.triplenine.org
Needless to say, she has struggled to fit into the world around her from around age 4. She has severe ADHD and is is considered “twice exceptional”.
My parents were both in Mensa. I am in nothing, as my mom always told me, I was “above average” growing up. She smoked and drank a lot, so maybe that’s it??
I read all your posts. Thanks to you and all the smarter people in the room! I still have high hopes for Amarin one day and am still holding onto many shares.
The way I look at it is smart people trying to figure out the problem in front of them. That’s what smart people do. They throw around a lot of ideas. You remind me of the bully in the back of the class, nothing valuable to add, just sits there disturbing everyone else.
My take...Its a complicated case. It’s a toss up. Nobody knows the outcome. Sometimes judges don’t want their profession to “look bad” so they may affirm just for this reason alone.
I am on board. Thank you.
I appreciate you and all of your hard work. Thank you.
I will sign.
Thank you. I needed that.
Thank you for your assessment. Those of us who have no experience investing, but want to retire one day appreciate it. If you need a nutritional analysis, see me!
Because I believe in the drug and believe people want to take a drug rather than eat properly, so in the end Vascepa will win.
Many many cardiologists have not heard of it. I used to run the nutrition program for a very large cardiac rehab program with 7 locations. We had a staff of 50! I have been in direct contact with many staff members, managers and directors over the last year to encourage they learn about Vascepa. I keep disseminating the information, but most of the 800-1,000 patients they have in the program are not yet on it because the doctors are not prescribing yet. Likely the medical director has not been visited by the right people yet. This is the largest heart hospital in the state of Georgia. The staff will not start telling people to stop OTC fish oil. They are very uneducated when it comes to Reduce It. I don’t work there anymore or even live nearby, but I am desperately trying to convince people that know and respect me that this will be the future of CVD and they need to be on top of this issue. Most people don’t listen to RD’s unfortunately, so it is an uphill battle. I currently work in Renal. The Renal doctors are definitely not prescribing! My patients have blood sugars of 600-1000 mg/dL and many are not even on meds. The renal doctors just say “go see a diabetes doctor” and of course they don’t, so they never get medicine. It’s a crazy system out there, but over time it will change and I am convinced Vascepa will be a household name.
Please, please, please find a cardiac rehab near you. I used to run the nutrition program for one of the largest CR in the US. So many doctors don’t refer their patients and I believe it’s one of the most important things you can do right now. I am so glad you are OK, but the staff at CR will make sure you stay that way.
Thank you for your time and analysis. Much appreciated.
Absolutely! Nobody wants to diet and exercise. If they did, Dietitian’s would make a ton of money! Look at average salary for RD’s with a six year degree! Nobody wants the info. I wish I had gone into finance.
Guess who has UHC! Me??
Me too. Maybe we could rob a bank together?
Giving everyone permission to eat all their favorite foods over the next few days...and Merry Christmas. Be sure to take your Vascepa to make up for all the fat and sugar, and get back on track by January 1. Here is to a lucrative year in AMRN! Best wishes and thanks, your resident dietitian.
Your wife and I would have a lot to talk about! I round with the PA’s and doctors. I have tried my best to educate them about the RI trial, but have been met with a lot of push back. Several of my doctors did not train in the US, and they are very suspicious of drug trials. They don’t believe the studies and say “you can’t believe the results bc they are all funded by drug companies who want to make money”. It’s very frustrating. Also, because I live in the south, we are light years behind the rest of the world.
Unfortunately, I don’t know anything about tenapanor.
A few of my doctors will prescribe valtessa, but most of the time the doctors just tell me to go over their diet with them and make sure they are not eating something they shouldn’t. Yeah right!
Also, our doctors are in and out of the clinic in about 5 minutes flat each week. That doesn’t give them much time to prescribe much of anything.
Many RD’s go on to become PA’s btw. We take a lot of similar classes in school. We have same years of education but 1/2 the pay. RD’s eventually get sick of the pay and go back 2 more years. When they finish, their pay almost doubles!
Fresenius
Absolutely. The number one problem is them agreeing to take them and remembering to take them, and next is the cost. Ca based seems cheaper, but my company, the largest in the business, keeps pushing our binder, Velphoro. My patients hate the “black stool” from Velphoro due to the iron. Many of my patients are young and they eat fast food daily. So you can imagine their PO4 levels. With all the beer drinkers, and dirt and clay eaters (PICA), my patients have very high PO4. I live in the south and have large group of non-compliant pts. Have only had about 6-7 pts get transplants in 3.5 years. 1/4 of my patients can’t even read, so they get their meds all mixed up. They will hand me a plastic bag with all their meds floating around in the bottom, not even in a pill bottle.
Unfortunately most of my patients are not on Vascepa, yet. Also, as for mental acuity, most of my patients are post CVA’s. Dialysis is the end of the line, when it comes to CVD. Actually it’s more like hospice. Have probably had 40- 50 patients die in 3.5 years.
No. Not all, but quite a few. When I worked in Cardiac Rehab the the majority of my male patients had diabetes and the majority of their med lists included Viagra.
So I used to teach diabetes classes, and and I would bring in a bottle of ketchup. I would explain to my patients about elevated blood sugar. 400 mg/dl reminds me of the consistency of “ketchup”. It can hardly move through the arteries. At 300 mg/dl, it’s like 1 cup of ketchup mixed with 4 T water. 200 mg/dl is like 1 cup ketchup mixed with 1/3 cup water.
So now you can imagine why this causes ED. Diabetes affects all blood vessels!
And yes, keto has been working for weight loss for a lot of my patients with diabetes.
“alleviating Erectile Dysfunction.....” DM=ED! Every one of male patients with Diabetes is on Viagra if they want to have sex, and some of them are too embarrassed to talk about it with their doctors, so they are just not having sex. But they tell me!(You’d be surprised what people say during nutrition counseling). We had so many patients in Cardiac Rehab with ED we had to develop classes on the subject. I hope Vascepa will help these patients. It may save some marriages!
1 in 3 currently is my thought, and since Uber eats and Grubhub have shown up it will be 2 in 3 in the next 20 years. Because now even children are being dx at a terribly young age. Also, people are living so long. I have patients in their 90’s on dialysis. I had late 80 up’s getting CABG’s. We are ALL going to have diabetes because we are living such a long time and our diets are so poor.
Yes, it needs insurance coverage, especially Medicare. But, I believe coverage will start to happen. We have had tons of posters on this board who have given personal experiences about their medicine becoming cheaper. Doesn’t it take a while for this to happen after a drug gets approved? Why does everyone think it will happen so quickly after FDA approval? Seems like everyone here is so upset that the stock didn’t immediately go up this week. I think it may take several years to be fully disseminated to all doctors and to be picked up by insurance companies.
LISTEN TO ME! I hardly ever post anything because I don't have much to add. I have been here to learn. But today, I have something to say and I want everyone on this board to listen. This drug is going to be a household name. Here is why...
Listen to my family stats>>>
My obese mother has diabetes, HTN, and CVD, my overweight brother is on a statin and has HTN, my sister in law is obese and had Gestational Diabetes (precursor to diabetes) and her obese mother has diabetes, my brother in law is obese and has diabetes (as did his mother), my obese mother in law has diabetes (as did her mother), my obese father in law has pre-diabetes, my husband's uncle has diabetes, and prior to her death in 2018, my aunt had diabetes and HTN. This is one family and I can name 11 people who would benefit from Vascepa. All 11 people do/did not eat properly. They like fat and sugar and salt, just like everyone else.
Then there is my work. I work in dialysis where almost every patient will be on Vascepa. They are on dialysis because, guess what...they have diabetes and HTN. They die from... Cardiovascular Disease, not Kidney Disease. Over 2 million people around the world are on dialysis.
40% of adults are Obese. Why? How many Americans do you think actually eat to prevent cardiovascular disease and diabetes? Maybe 1 out of 100? How do I know this? I have been listening to what people eat for 28 years. People are not sitting down to meals of fresh fruits and vegetables and lean meats. They are eating loads of fatty meats such as ribs from BBQ places and cheeseburgers from McDonald's, and French fries from Arby's, and loaded baked potatoes from McCalisters Deli, and chicken wings from KFC, and rice with gravy, macaroni and cheese, and corn and green beans soaked in fat from Cracker Barrel. They eat Chinese foods, Mexican food, Taco Bell, Subway and Pizza Hut. They buy bread, donuts, rolls, bakery items from grocery stores, frozen pizzas, ice cream, canned soup, chips, crackers, pasta "helper", frozen meals.
NOBOBY IS EATING PROPERLY! People don't say "well I had a high fiber whole grain cereal with almond milk and blueberries for breakfast" and "a giant spinach salad with sliced apples and walnuts for lunch" and "seared salmon with whole grain quinoa and broccoli for dinner" and "a plum and raw carrots with hummus for a snack". This is why they need Vascepa.
Oh, and by the way, what do you think contributes to high triglycerides besides fat? Sugar and Alcohol! Beer, Coke, Pepsi, Vitamin Water, Starbucks, Orange Juice, Cranberry Juice, Sweet tea. Do you think people are just sitting around drinking water all day? NO! They are drinking SUGAR. Sugar is the first thing we tell people to avoid when they have high triglycerides. Now how about alcohol? Think of all the alcohol being consumed. This affects obesity, Diabetes, CVD.
Then there is the job I had before this one. Cardiac Rehab! Each year about a Million people have a cardiac event. Only about 20% of them end up in CR. Why? It involves...you guessed it! Exercise and learning to eat right, which nobody actually wants to do. But you know what they do want? They want a pill to fix their bad habits. I listened for years and years and years to people who would ask me "isn't there just a pill I can take so I don't have to eat right and exercise?"
THIS WILL HAPPEN! It will take time...
Oh, and BTW, I have not avoided my family history, and although I do eat right, most of the time, and exercise, and am not overweight, I still have pre-diabetes and have been happily taking Vascepa for 1 year, which I got from my PCP, off label of course.
Yes. I am in the trenches. Front line staff. I see it every day. Poor diet=Diabetes, Obesity, HTN, Stroke, MI. My patients have A1c’s of 10-14. They are blind and missing limbs. They die of CVD, not kidney dx. It would be a great idea for Amarin to reach out to other RD’s. They are the ones recommending OTC supplements bc that’s what they are taught in school. RD’s can’t prescribe medicine obviously but at least in dialysis they are the ones completing the prior authorizations with the insurance companies and because this drug has a nutritional component (which is why I became interested) the company could have 70,000 RD’s on their side. (Maybe I will email them about this). Maybe JT will hire me. He said on CNBC today, “diet and exercise” first. But from where I sit, people just don’t want to do that. They want a pill. So it WILL happen. Human nature just loves fat and sugar too much.
I keep mine in the refrigerator and take it before bed. If I take it at room temperature it has a slight fishy taste.
Hardly any of my patients are on it yet, so nobody has dropped off from taking it. But I am working diligently to get the nephrologists I know “on board”. One nephrologist has asked me to put together a list of all the patients I think meet the qualifications of the new label. I used to work in Cardiac Rehab at a major hospital and have given them tons of info over the last year. The secretary at CR tells me she is starting to see it more and more on med lists.
My favorite doctor came back!
I wish you good health and happiness. You are one of the only doctors I have run across who really knows a lot about nutrition! So refreshing. I bought into this stock, my first ever, due to my PCP, and my knowledge about cardiac and diabetes. But because of you, have held for a year and a half when things got really scary. Thank you for providing support and encouragement. Because I am a Registered Dietitian trying to save people from themselves and their bad diets and not a stock market expert.
No. I don’t know of any off label use yet. But I do think due to the lack of options for wound healing this company has huge potential. That is why I am here.
Also, I work in dialysis where almost all the patients could benefit from this due their diabetic foot ulcers. That’s why I purchased in the first place.
Thank you for this report. I will hold.
“The article is written by the supplement industry”
This is what makes me so mad!
I have been fighting with these so called “supplement experts” my whole career.
My mom’s best friend owns a supplement store and drives around in a Mercedes bc she sells tons of supplements. It’s a huge industry and she sees herself as my equivalent. I have 7 years of college in the field of nutrition and make peanuts compared to her. And people believe what she says all the time! Even my won mother.
I can’t believe these companies can get away with even mentioning Reduce It which has nothing to do with their supplements.