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  "notes": "The slide uses a 'villain' narrative by framing a specific researcher (Jennifer Miller) and patient families as a 'cult' driving artificial demand.",
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      "text": "No. I will say I the families are very interested in is the behavioral side of things....I think providers are not super impressed with the BMI stuff initially. And there was Covid that broke up the trial and that made some issues...it's not an easy fix.",
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      "text": "No plans to submit Vykat start forms; endocrinologists “unimpressed” with BMI data from Vykat trials; notes “issues” with the trials generally",
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      "text": "Interest driven by PWS families on social media and their connection to Jennifer Miller; familiar with the Vykat papers",
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      "text": "Q: “When you say your patients are young, what are the ages of your 5 or 6 patients?” A: “Under ten. They’re 10 to 3 years old.” Q: “And so it sounds like you don’t expect to submit any forms anytime soon for Vykat?” A: “No. I will say I the families are very interested in is the behavioral side of things....I think providers are not super impressed with the BMI stuff initially. And there was Covid that broke up the trial and that made some issues...it’s not an easy fix.” – Pediatric endocrinologist at a Delaware academic center with eight endocrinologists and ~50 PWS patients",
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      "text": "Q: “How much do you know about Vykat? Did you read the clinical publications? Are you just getting up to speed? What’s your knowledge level? Your current enthusiasm level? Are you taking a wait-and-see attitude, or are you going to submit forms for everybody?” A: “I think you have a very active community; with social media you have a very active group of people that are looking for things. There’s an investigator in Florida, Jennifer Miller, who I’m sure, on the research, she’s on the papers. A lot of families that have the resources go see her once a year. So, they’re very closely connected and on the edge of things. Meaning, it’s not uncommon where sometimes patients are bringing stuff to providers because it’s rare enough where maybe somebody only sees one patient they’re not up to. We reviewed the paper in Journal Club when it came out before, and I re-reviewed the 2003 JCM paper. And then there was a ’24 follow-up paper. I reviewed those for our call today, and I was generally familiar, but I did review those. And then they gave us the presentation.” – Pediatric endocrinologist at a Delaware academic center with eight endocrinologists and ~50 PWS patients",
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      "text": "“you have a very active community; with social media you have a very active group of people that are looking for things...there's an investigator in Florida, Jennifer Miller... lot of families that have the resources go see her once a year...so, they're very closely connected...” — Pediatric endocrinologist at a Delaware academic center",
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      "text": "Source: Scorpion Capital consultation calls with experts",
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      "text": "Endocrinologist #4 indicated no plans to submit any start forms for Vykat and that the only interest is driven by desperate PWS families active on social media and within the Jennifer Miller “cult” who may be pushing some physicians",
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