Gilbert Gerber

I support @elonmusk's B.S. Do you ? Join us. May the power of the algorithm be with us. BLOCK & SHARE

@felixprehn One more sign the American Dream is turning into the #AmericanNightmare ... #TheRuleOfLaw

Private equity now owns roughly three out of every four veterinary clinics in America. The same private equity firms own the dentist your daughter sees, the orthodontist your son sees, and the urgent care clinic your husband walked into last month. The price of cleaning your dog's teeth has doubled in five years. The price of a child's filling has doubled in three. The exact same financial engineering that took the staff out of nursing homes is being applied to the place you take your golden retriever for surgery. The largest dental chain is Aspen Dental, owned by Leonard Green Partners and Ares. They run more than 1,100 offices. The second-largest is Heartland Dental, owned by KKR. They run more than 1,800 practices. In the veterinary world, Mars owns Banfield, BluePearl, and VCA. JAB Holding Company owns NVA Compassion-First Pet Hospitals. EQT owns IVC Evidensia. Together they own about 75 percent of all American clinics. The pattern is identical to PE hospitals. The fund borrows money to buy the practice. The debt is loaded onto the practice. The dentist or the veterinarian is required to hit revenue targets that previously did not exist. The targets are met by adding procedures the patient or the pet does not need. A 2023 Department of Justice investigation found that Aspen Dental had been pressuring patients to take out interest-bearing financing for procedures that were not medically necessary. The financing was through a captive lender owned by the same fund. Heartland Dental settled a multi-state class action over unnecessary stainless steel crowns and pulpotomies on children, performed under sedation, at scale. In veterinary care, the same model produces a different word for the same outcome. A surgery your dog does not need is recommended. The estimate is six thousand dollars. The financing is offered by a company owned by the same fund that owns the clinic. The pet owner cannot afford it. The dog is euthanized. Pet euthanasia for treatable conditions is now rising at a rate that public health experts cannot explain through medicine. The explanation is financial. The dentist who used to own the practice now works for the fund. They are required to refer the patient up the chain to a financing department they are not allowed to question. They burn out. They quit. The fund replaces them with a younger dentist who has $400,000 of student loans and no negotiating power. You cannot opt out. There are no independent practices left in many American zip codes. HOW TO MAKE MONEY FROM THIS: 1. Long Idexx Laboratories (IDXX). Sells the diagnostic instruments and recurring tests every veterinary clinic in America runs every day. 90 percent gross margin. Compounded at over 17 percent annually for two decades. They get paid regardless of which fund owns the clinic. 2. Long Zoetis (ZTS). Largest veterinary pharmaceutical company in the world. Dominant. The pricing power flows through to the consumer regardless of clinic ownership. 3. Long Henry Schein (HSIC) and Patterson Companies (PDCO). Dental and veterinary supply distributors. The picks and shovels of every chain. Audited. Public. Sticky customer relationships. 4. Long Chewy (CHWY). The only large pet retailer in America with no veterinary clinic ownership conflict. Now expanding into telehealth and pharmacy. Direct-to-consumer pricing pressure on the chains. 5. Long Mars Inc indirectly through its strategic partners and avoid the publicly traded specialist roll-ups. The DOJ antitrust investigation will hit specific names. Mars is private and built before the financialization wave. I'm hosting a once-in-a-lifetime free webinar where I go over the exact things I know as a former banker and world class investor. 100 percent free to join. Sign up at felixfriends.org/live Link is also in my comments. (your dog is on a stainless steel table at a chain veterinary clinic owned by a hedge fund. the bill is six thousand dollars. the surgery is necessary. the price is not. the same hedge fund owns the dentist your daughter goes to next tuesday and the urgent care your husband visited last month. you cannot opt out. there are no independent practices left in your zip code. the money does not stay in your town. it leaves on a wire transfer the same day.)

5/lastly let me put on my investor hat. We need a) FDA OK on dT as PE in HS b) start of China bridge study c) disclosure of new ANCA AV developement program. Financing becomes a mere formality, partnership a high probability event

4/ The latest PR (04/26) stated "no evidence of CYP3A4 time-dependent inhibition". Game changer DDI analysis is an art as much as a science. I will refer to this Lee 2024 review paper for all interested parties. mdpi.com/2218-273X/14/1…

$IFRX $AMGN 1/ FDA's latest communication (data had been doctored) reopens Pandora's box, on both fronts, regulatory and legal. FierceBiotech's 07/25 piece is worth a re-read tinyurl.com/3v9rmetm $CCXI's CMO's name not appearing on the NEJM paper is as red a flag as it gets !

@VQuaschning Wenn "schräg" und "Debatte" kombiniert werden, werde ich immer hellhörig: Unbehagen versteckt sich hinter Abwertung. #Ökounlogisch

In der aktuellen #Energiekrise brauchen wir mehr Tempo beim Ausbau Erneuerbarer, keine schräge Debatte über neue #Kernkraftwerke. Nur so werden wir unabhängig von teuren Energieimporten. Doch die Regierung bremst den Ausbau und schadet der Wirtschaft. deutschlandfunk.de/energieexperte…

studyin AND reviewing ? Who is Troops ? "the next short period of time", didn't you simply mean "soon" ? And why matter"!" ? #POTUS is on the senile side of life, will somebody put him in his place ? A retirement home ? His golf clubhouse? #KleptocratInChief #NarcissistInChief

@VQuaschning "warum behaupten einige, es gäbe eine Renaissance der Kernkraft und D ginge mit dem Solarausbau einen Sonderweg ?" Ganz einfach, weil es der Realität entspricht. Wärmewende à la D ja, Energiewende à la D, nein, #ökounlogisch

2025 gingen weltweit drei neue #Kernkraftwerke ans Netz, sieben wurden stillgelegt. Netto blieb ein Plus von nur 133 MW. #Photovoltaik wuchs um rund 600.000 MW. Trotzdem wird die #Energiewende infrage gestellt und ein Atom-Comeback gefordert. Warum?

@BiotechTV Mixed feelings watching this. I was 10y too early in that story, yes, FIH was originally planned in 2016 ! Many reasons, but mostly execution on the CMC front drove $HPHA close to the edge, if it weren't for Dievini/Hoop, which in turn kept other II away... Looking better now.

𝐅𝐫𝐨𝐦 𝐆𝐞𝐫𝐦𝐚𝐧𝐲: Most ADCs use microtubule inhibitors or DNA-damaging agents at their payload. Heidelberg Pharma believes a greater diversity is needed and has a unique amanitin payload for its programs. Full video: biotechtv.com/post/heidelber…

@FLOTUS "atrocious behaviour" ? 😂😂 Get a brain lady, or start with a dictionary 😂😂😂

Kimmel’s hateful and violent rhetoric is intended to divide our country. His monologue about my family isn’t comedy- his words are corrosive and deepens the political sickness within America. People like Kimmel shouldn’t have the opportunity to enter our homes each evening to spread hate. A coward, Kimmel hides behind ABC because he knows the network will keep running cover to protect him. Enough is enough.  It is time for ABC to take a stand.  How many times will ABC’s leadership enable Kimmel’s atrocious behavior at the expense of our community.

$AMGN 4/30 1Q definitely will be interesting ! And in relative terms possibly even more so for $IFRX. fda.gov/drugs/drug-ale…

@Kl_Stone #ÖKOUNLOGISCH

Das chinesische Unternehmen #Sinenergy realisiert in #Weissach_im_Tal (BaWü) mit zwei Projektpartnern die vermutlich größte #PV_Freiflächenanlage mit dezentralen (über die Modulreihen verteilten) DC-Speichern. Die PV-Anlage mit 11,6 MWp kann... 1/3 pv-magazine.de/2026/04/10/deu…

@McFaul I want to hear: thanks, but no thanks

@McFaul Action->feedback Putin invited-> 18 decline let's keep things easy

Putin should not be invited to the G20 summit in the United States of America. Rehabilitating an imperialist dictator is not the job of the leader of the free world.

It's hilarious because Woodruff in his April 2026 review only lists Avacopan, PMX-205 (his own, 20y old peptidic compound) and VQ-201 (pre-clinical), but not izicopan. Beware of biased KOLs 😂.

$IFRX investment case, quick and dirty -$AMGN's avacopan is globally approved for ANCA AAV -Y25 sales 459m (US 426+ RoW 36) -ava is under scrutiny by FDA and EMA -no other indication developed for this potential "pipeline in a product" since '22 aquisition 🚩

Look at this bunch of nodding halfwits, standing around #HalfwitInChief, do they really believe that this show of unity is doing anything to prevent @POTUS 's ratings falling further into uncharted territory? Pathetic #NarcissistInChief #KleptocratInChief @realDonaldTrump