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  "documentTitle": "Hims & Hers Health, Inc. (HIMS)",
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  "authorName": "Spruce Point Capital Management",
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  "presentationDate": "2023-07-13 00:00:00",
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  "notes": "Uses AUA guidelines as a benchmark to critique HIMS's clinical practices.",
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      "kind": "callout",
      "text": "HIMS Fails to Provide the Minimum Level of Care Recommended by the AUA",
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      "text": "This contradicts the conventional wisdom that HIMS' younger customer base doesn't \"need\" anything more than a questionnaire check.",
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      "text": "Erectile Dysfunction: AUA Guideline citation",
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      "kind": "list",
      "text": "Evaluation and Diagnosis: Men presenting with symptoms of ED should undergo a thorough medical... [HIMS doesn't do exams or tests for ED]",
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      "kind": "paragraph",
      "text": "Epidemiology: Compelling evidence exists that the most common underlying mechanism of ED is vascular... This contradicts the conventional wisdom that HIMS' younger customer base doesn't 'need' anything more than a questionnaire check.",
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      "text": "As last disclosed in 2020, men's sexual heath contributed 57% of revenue. Thus, we find it remarkable that HIMS fails to adhere to nationally recognized treatment protocols in its most important health area.",
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      "text": "…Compelling evidence exists that the most common underlying mechanism of ED is vascular and that CVD and ED share etiologies as well as pathophysiology. The degree of ED strongly correlates with severity of CVD, and recent studies suggest that ED may be considered a sentinel marker in men with occult CVD. Symptoms of ED may precede a cardiovascular event by up to five years. Further, when ED is present in younger men, it predicts a marked increase (up to 50 fold) in the risk of future cardiac events, suggesting that young men in ED in particular would benefit from CVD risk factor screening and intervention… — American Urological Association",
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      "text": "Source: American Urological Association",
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      "text": "We Believe HIMS Does Not Conform To Treatment Protocols Recommended By National Bodies",
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