Nick Hodge’s “Blue Light” Cancer Detection Device

Early Advantage teases a "future billion-dollar technology" ... what is it?

By Travis Johnson, Stock Gumshoe, April 7, 2014

Looks like we’ve got another small cap company being touted by Nick Hodge for his Early Advantage service — but now, instead of the “blue blood” company that he’s been touting for a year or so as the potential enabler of a cancer cure, he’s pitching this “blue light” company as the one that will save millions of lives and make millions of bucks by helping people discover cancer sooner.

Certainly an admirable goal, the earlier you detect cancer the better your chances of defeating it… but will it make you any money? Well, for that we first have to figure out which company he’s teasing us about.

And no, we don’t want to shell out $499 just to get the top secret name. We’ll check out the clues instead — and yes, this ad was chock-full of clues and I’m sure you could figure out the stock on your own…. no need, we’re here to help and we’ve already got some answers for you.

Of course, you have to sit through a bit of blather first. Let’s sample a wee bit of Hodge’s pitch to give you a taste of the promise:

“Thanks to this future billion-dollar technology…

“Cancer is Now Visible To the Naked Eye

“This simple ‘blue light’ may not only save your life… But also turn a small investment of $5,000 into… More than $1 MILLION.

“… despite the massive technological advances over the past half-century, Western medicine still hasn’t found a cure for cancer.

“So the best way to fight the disease is to detect cancerous cells before they spread.

“That’s where the ‘blue light’ comes in….

“With the ‘blue light’ device, your doctor now can see cancerous cells during a regular check-up… without using any invasive, painful, or expensive procedures.

“It helps your doctor identify cancers at their earliest stages, when they’re still easily treatable and before they spread to other parts of the body.

“That’s why this device is revolutionizing the cancer diagnostics industry.

“Surprisingly, the company behind this breakthrough isn’t a large, global medical company.

“It has a market cap below $50 million. Last year, it only made $3.7 million in sales.

“But, as you’ll see in this presentation, sales are about to jump to $788 million… thanks to this ‘blue light’ technology.

“What does this kind of growth mean for investors like you?

“Well, that’s a jump of 21,200%… enough to turn each $5,000 invested into $1,065,000….

“For just five grand today, you could be a certified millionaire — with change to spare — in a matter of months… not decades.”

OK, so that’s obviously baloney. They’re not going to go from $3.7 million to $788 million in sales in a matter of months, and you’re not going to get a 20X return on this stock this year. That just doesn’t happen.

But that doesn’t mean it’s a worthless company, or that it might not be worth some speculation — we’ll keep an open mind. Just get that “$5,000 into $1,000,000” bit out of your head first, that’ll completely poison any rational thought.

So what’s Nick Hodge talking about?

He’s teasing a company that sells a scanning device that can help detect cancer — specifically oral cancer, like that which got actor Michael Douglas.

Here are a few more clues from Hodge, if you’re playing along at home:

“Even though this is a tiny company, it’s not the typical biotech stock gamble.

“I’m not talking about a risky drug company that depends on a FDA approval for survival.

“In fact, the FDA and Health Canada have already cleared the ‘blue light’ technology.

“And I’m not talking about a technology that’s built on run-of-the-mill hype either.

“The World Health Organization has already recognized the ‘blue light’ device. And the prestigious Pride Institute has named it ‘Best of Class’ twice.

“The National Institute of Health and the BC Cancer Agency have backed it with $50 million.

“Dozens of clinical studies have shown that the “blue light” device can help doctors detect cancerous cells before they spread to other parts of the body.

“The National Institute of Health, for example, said that this device ‘has proved valuable in the detection of high-risk lesions, in the delineation of surgical margins, and in follow-up after treatment.'”

And then we get to the intriguing part — Hodge says that not only is this a medical device, but that it uses the “razor and blade” model that we investors are so attuned to … that’s what made Gillette such a behemoth, though in modern parlance we might actually refer to it as the “printer and ink” model, with companies subsidizing and heavily promoting a device … and then profiting from the ongoing sale of disposable attachments, refills or accessories that must be used in order for the device to function. It’s a great business model, obviously.

So how does it apply here?

Well, first we have to tell you what the stock is — Hodge gave plenty more clues in his presentation (he always gives plenty of clues in his ads … methinks he likes it that stocks often get a bit of additional surge from the fact that other folks sniff out the answers and buy the stock even if they don’t buy his newsletter), so the Thinkolator had a nice, easy Monday morning in identifying this stock as … LED Medical Diagnostics (LMD.V in Canada, LEDIF on the OTCQX in the US).

LED Medical Diagnostics is, so they themselves say, a “global leader in the development of tissue fluorescence visualization technologies.” They’re trying to develop several different types of scanners and applications that can help to visualize cancers, including skin cancer, but so far they really have one product that they sell to dentists for use in oral cancer screenings.

Oral cancer screening is a real thing — your dentist probably does it at your annual checkup, poking around your mouth for odd lumps and looking to see if anything jumps out as irregular. There are also several technologies used by a few dentists to try to do more intensive detection, but from what I’ve seen in my ten minute survey of the industry the device offered by LED Medical’s subsidiary LED Dental does seem to be one of the least intensive ones.

Their device is called the VELscope VX, here’s how they describe it:

“…the company manufactures the award-winning VELscope® Vx Enhanced Oral Assessment System, the first system in the world to apply tissue fluorescence visualization technology to the oral cavity. The VELscope® Vx is now used to conduct more screenings for oral cancer and other oral diseases than any other adjunctive device.”

The VELscope VX is not new, it’s been around for a couple years and its predecessor, the VELscope, was around for a few years before that. It’s also not the only visual imaging device that’s used to screen for mouth cancer, though the only other ones I’ve seen, like the ViziLite are a bit more intensive or uncomfortable for the patient, requiring a mouth wash or dyes, and not necessarily more effective. Of course, there seems to also be some question as to whether the VELscope is substantially different from the traditional oral exam — not that the VELscope doesn’t work, but that it may not consistently find things that the doctor or dentist wouldn’t also find in mass screenings of low-risk patients (tobacco is an especially strong risk factor for oral cancer and smokers generally get a more intensive visual exam, one assumes, though HPV transmission through oral sex is thought to be a leading cause, particularly among younger people, now that tobacco use has fallen so much).

So that’s probably worth some more research if you’re thinking about investing in this company — it makes a product that has effectively been in use for more than five years, without a dramatic breakthrough in sales. There is a newer version of the product now, the VELscope VX, though I don’t know what the difference is and that product has been out for at least a year or two.

The product is relatively inexpensive, costing the dentist something in the neighborhood of $3,000 from what I can tell, and they’ve broken off their exclusive relationship with their North American distributor so it’s now available from a bunch of the big distribution companies (it is available from a couple of the major dental distributors who I just checked, including Patterson and Henry Schein, but pricing is not particularly public or transparent in this sector — Schein lists it at $3,300, most of the others didn’t give me a price).

The disposable covers, which I assume are a hygienic cap for the end that goes in your mouth, cost less than $2 and probably net the company close to a dollar, so the goal would obviously be to get really high volume usages — if they could get most dentists to offer this to most patients at a cost of $30 or so, they do have some potential to generate revenue growth.

But they haven’t been able to yet. Last year was, in CEO-speak, “challenging.” They saw declining revenue from the prior year, partly but not entirely because they changed their revenue recognition policy and also changed their relationship with their primary distributor, but they have also simply not had big surges of orders. So something is not working.

Is it the product? The marketing? The financial case for dentists, who may or may not be able to get insurance coverage for these tests (some insurers cover it, but it looks like less than half do so far)? Reluctance to change among dentists? Or is the company screwing something up with distribution or pricing? I have no idea. They’ve sold thousands of these devices over the years, but not enough to turn it into a profitable business.

You can see the CEO’s latest letter here, and the September quarterly report here — they have been forced to sell a lot of shares to raise cash to build up their distribution, marketing and R&D, so they sold 17 million shares last Spring and another 15 million after the close of the last quarter, so the share count is now around 73 million shares… and at 50 cents a share, that means the market cap is roughly C$35 million.

Yes, that’s absurdly tiny. There are some warrants, too, but the company is so small that they’re not hugely meaningful. The business is in transition to some degree, but they have apparently had a run rate of somewhere between a million and three million in actual cash burn over the last couple years — I suspect, given the transition to a new CEO and the hiring and the distribution changes that they’re going to run through more cash this year as they try to ramp up marketing and build onto this platform with R&D for more products, but I don’t really know.

The cost of goods in their income statement has run at around 40% for the past couple years, so they can theoretically turn this into a profitable product line… but they had a heavy marketing budget in 2012 and a much lower one in 2013 and it didn’t seem to make any real difference to their bottom line, so I don’t really know what it will take to get revenue growth and profitability.

They should be reporting the new CEO’s first quarter and the full year 2013 results sometime fairly soon, I find the product interesting and I like the business model but clearly something isn’t working — I’ll personally withhold judgement for a while, but I’ll be interested to see what they say in that next quarterly report.

And, as always, let me remind you that this company is teeny. So small that Nick Hodge shouldn’t be using it as a single-stock teaser and building up this level of excitement among his prospective customers… and so small that I shouldn’t even be writing about it to the great legion of Gumshoe readers — any attention at all can drive a nano-cap stock like this crazy, so while I do like to answer your questions about such tiny teased stocks … I feel a little guilty. Sorry. You’re adults, you can go forth, researchify, and share your opinion on LED Medical with a comment below.


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60 Comments on "Nick Hodge’s “Blue Light” Cancer Detection Device"

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DrKSSMDPhD
Member
47648
Nice coverage, Travis. To me this is a kind of stone soup play. A situation where the company is leading people astray because no one has done the right kind of control (whether is it deliberate leading astray or accidental….always the big question with these companies!). Fluorescence visualization is quite non-specific, and in fact I would wager a dentist could accomplish precisely the same thing with a $20-buck hand-held UV light. The goal is to pick up on abundant “biologic activity,” cell thickening, protein exudates, and many non-naked eye systems will do such. The stone soup story is a great… Read more »
omcdac1
Member
468

Thanks for Eye Opener Review Dr KSS.
I sold SBOTF yesterday No losss no profit and brought Beni.
STELLAR BIOTECH INC: OTCMKTS:SBOTF was not approved so i sold 🙂

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Sable Arms
Guest
0

I had an interest in stellar biotech approx. a year ago. Fortunately I did not invest in their rare mollusk with copper blood. I still strongly believe in stellars business model if it could eventually come to productive fruition. To reproduce significantly more of these rare mollusks found solely off the coast of Baja, Ca. through gestational reproductive cultivation, I believe the high copper content of the mollusk blood has a marked potential for multiple curative properties covering a host of diseases. At least that is my current position unless definitive research proves otherwise.

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vivian lewis
Guest
0
Not every patient gains from early detection of cancer either. False positives are the risk here. But since my Swedish friend Bo-Johnny got and died a mouth-based head and neck cancer I am sympathetic to trying new methods of trying to find it. The first problem is that people don’t go to the dentist regularly. The second is that dentists cannot always charge for the LED exam; without a fee they will not check for it. Being a superior producer of plaque (among my other talents), I go to the dentist regularly for cleanings but I see the big man… Read more »
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Dave Althoff
Guest
0

Thanks for the extensive coverage on this one. You saved me from the investment I was planning on making. The teaser sounds entirely different from the fact presented here. Thanks again for all your hard work.
Dave

canonfodder
Member
82

I must have missed something. In the razor and blade analog, what does the dentist user of this equipment use and dispose of so he must purchase more of? What is the analog of the blade?

gord freeman
Guest
0

the cap that fits to the device is one time use/ disposable…like dental floss.

Gary
Guest
0
The money to be made will not be a plastic cover but the solution that has to be applied to the patients mouth. IT will have to be some special mouth wash or paste. I saw a TED Talk last year about a similar situation where in surgery a patient would not have to wait for the pathologist to say the surgeon had gotten all the cancer because they could see the cancer under special lights after covering the surgical area with a special solution just invented. I can’t remember the Dr.’s name but She was Vietnamese heritage and from… Read more »
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p1ker123
Member
0

Travis, i am new to share picking and your research on Nick’s “Blue Light” is great for me,
as i was struggling to find this ticker. Being 66 now, i am at a gullible age and seriously appreciate your kind of assist……… Thanks, John.

peejay
Member
2

Struggling to find your ticker at 66 is not the sort of info you should divulge to others on the Internet, John! 😉

ROBERT W
Guest
0

Being 85, I am long past that ” gullible age”.
I come here because Travis does all the work and I get all the benefit.
He usually prevents me from subscribing to some useless publication that I have to cancel not long after.
Thanks, Travis.

skin
Irregular
5

I use a light and an OptiVisor ($25. At your local hobby or fly fishing shop), and always include oral, nasal, and conjunctival exam when doing a complete skin exam. If something appears atypical, I biopsy. I doubt this device would be of benefit. I agree that it will face challenges until reimbursement is routine, but even then?
—Skin

rjcrot84
Member
3

From $3.7 million to $788 million in sales in a matter of months? Really? I remember Nick Hodge pitching that uranium was going to rocket to the moon on December 21, 2013. That never happened either, though I think certain uranium stocks are outstanding long-term investments. Sounds like Nick is more concerned about what’s in your wallet. Better stay away. Thanks for posting Gumshoe.

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Alexander Grimwade
Guest
0

Check out the following abstract from PubMed
http://www.ncbi.nlm.nih.gov/pubmed/21396880
Although autofluorescence based imaging can detect abnornmalities, it is wildy non-specific, and detects all kinds of gum abnormalities, only a very few of which are cancerous.

wneils
Irregular
158

Some dentists are using this during the routine exams and are charging accordingly. From some of my patients that have been to dentists that use this, they seemed quite unhappy to be charged $30-50 for something that takes about two minutes. The oral surgeons are also tired of being referred these patients only to be told it is a false positive as commented on above. The also have competing cheaper devices.

Sam
Guest
0

Not 20X; but does this have something to do with the news in this article?
http://finance.yahoo.com/news/led-medical-inc-announces-partnership-130000352.html

Gene
Guest
0

I lost money on Zila (they owned vizilite production and Esther-C until forced to sell out, I believe to Henry Schein.) The pitch then was the government would soon mandate its routine use by all dentists. Never happened.

arch1
Irregular
7782

Travis; I learned long ago that just because you can do something does not mean it is a good idea.Years ago people hung Asafoetida around their neck as a flu prevention. I t may have had some success thru making people keep their distance from you. { Odor of rotten onions} increasing with heat.

genamcc
Guest
0
A few things to keep in mind is first off, that cancer has been cured multiple times over. This has been supressed by our government, or the string pullers of our government that are the true faces behind the masks. So Cancer being the money generator that it is will continue to be milked from evey angle. From the thousands of bogus pink “support finding a cure for cancer” ribbons being worn that cover up the truth with a feel good icing over the black hardened cake interior of the cancer truth, to the billions made by our ever so… Read more »
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billharner
Irregular
19
American medical practice is ALL about the treatment not the cure. I stopped donating to all these causes because not one of them is actually planning on a cure- Cancer-Heart Association – JDRF – you name it. Do your own homework and learn how the Rockefeller controlled medical schools destroy any doctor wishing to practice alternative medicines. The FDA is owned lock, stock and barrel by the big pharma companies. It’s a revolving door as many FDA executives retire to extremely lucrative positions in the drug companies that they approved drugs for. Read a few books like “Our Daily Meds”… Read more »
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DrKSSMDPhD
Member
47648
William Harner, what is scary about your post is that you actually believe the nonsense and complete and utter cognitive distortion in your screed. And since you clearly believe in belief and not data, and are very much a follower of false prophets and the false gods they worship, I am sure that this reply will only lead to you becoming more fervent and pseudo-apostolic in your bashing of everything. But many of your rant’s tenets do not withstand even the merest ray of sunlight. Nexium is a marvelous drug, not a patent scam. it is a racemically pure diastereomeric… Read more »
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vivianlewis
Member
166

oh, cancer is a plot by the pharmaceutical companies and doctors are in the racket

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Heather
Guest
0

Check out vitamin b17 A World Without Cancer. You tube. Edward griffin. They can’t patten this! Which is why nobody’s heard of it!

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billharner
Irregular
19

Heather – it was a great book wasn’t it ? And extremely educational. You may also like to read some of the books I mention in my “rant”.

billharner
Irregular
19

No, doctors are too busy and only know what they are told – which is mostly marketing info from the drug reps.

Jim Edxge
Guest
0

Travis ,
As usual your analysis of this absurd tease designed to separate people from their money is excellent. Surprisingly it appears that some of your readers need it badly when they state Cancer is merely a plot by the Pharmaceutical companies and Doctors and the cure rate is suppressed by the Government. In addition to being paranoid they must be young. I am a healthy 80 and have lost 4 close friends to the Phantom” that they claim does’nt exist. Perhaps they should consult with a Witch doctor!!

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RockinSid
Guest
0

I surely do app. your very good research in this, and many other things that you comment on !

Slick Rick
Guest
0

Folks forget the Nick Hodges LEDIF OTC B.S. ! If you want a stock that will really deliver the goods in the days ahead go with POZN , and you can thank me later …..dinners at Ruth Chris Steak House graciously accepted LOL!

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big J
Guest
0

Slick Rick…looks like your POZN tip isn’t going to be providing you too many dinners at Ruth’s Chris. Probably need to stick to the $1 menu at Wendy’s!

http://www.digitaljournal.com/pr/1897755

Ronzilla
Guest
0

I don’t know what price you bought POZN (PE 22.65) but it is $12.03 at last check …..today’s range : Opened at $11.55 …High $12. 05 Low $11.35 …52 week high $12.69 …Low $5.39. Depending on your initial or $$ cost averaging, I’d say …Stop the name calling and put away your Egos ……the Hard Numbers are what they are and the Best thing to go by!! ….Maybe it’s surf & turf, maybe it’s Cup O Noodles. Any price around $8 would have still been a good entry! ….I hols 0 shares.

Ronzilla
Guest
0

SLICK RICK, I don’t know what price you bought POZN (PE 22.65) but it is $12.03 at last check …..today’s range : Opened at $11.55 …High $12. 05 Low $11.35 …52 week high $12.69 …Low $5.39. Depending on your initial or $$ cost averaging, I’d say …Stop the name calling and put away your Egos ……the Hard Numbers are what they are and the Best thing to go by!! ….Maybe it’s surf & turf, maybe it’s Cup O Noodles. Any price around $8 would have still been a good entry! ….I hols 0 shares.

Gerardo
Guest
0
With all due respect to Travis and the people that have posted, I believe the growth potential the company offers has been completely overlooked….as has the new management team and their credentials. First things first, I’m biased. I own shares, bought more this week and have been buying since the .35 cent level. With that out of the way, the new management team has made significant advances to expanding the scale of their business model and the best proof of that is the recent partnership with a Samsung subsidiary. A partnership that doesn’t have anything to do with the Velscope… Read more »
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growacet
Guest
0
Great analysis, in my opinion very fair. As others have I will put my bias up front, I too hold shares of this company, I bought in last summer @ 0.32 (Canada) and I too have added. OTC (U.S. listed) and TSXVenture (Canada) stocks are extremely risky, obviously, and your analysis does a good job of pointing out the lack of performance that has caused this stock to be trading in the 40-50 cent range. Of course, everyone knows investing is more about looking forward than looking back, past performance is no assurance of future results. A company that has… Read more »
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dave winkler
Guest
0

Nice job Travis,
Light to detect cancer seems to be the new tech. Spectra Science is using laser light
have applied for use in Germany but can not figure why not in the U.S. they are
based in SanDiego Ca.

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Barry Greene
Guest
0

Dave:
Just read your response, and wanted to let other readers know that I found an office for Blue Light & L.E.D. Technologies, as recommended by Nick Hodges, located in San Jose , Ca. that currently have scammed me out of approx. $200,000.00 – I have filed reportS w/the F.T..C. , San Jose Police Department and the D.O.J. F.Y.I.

gabgigor
Member
69
Well after many articles and comments in GS land I finally feel the urge to add my 2 cents. Being a Dental Surgeon for the last 28 years has opened my eyes and ears to a large cross section of people/ patients. Most patients only visit when a problem arises – specifically we don’t see them for routine maintenance 2x per year. A complete head, neck and oral exam is done at initial visit as well as semi annually when they do come. Specifically we are looking for changes in the head, neck and oral cavity. Any changes that are… Read more »
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vivian lewis
Guest
0

dear Dr Bradshaw, where do you practice dentistry? how can I join your patient rolls? my dentist summons me 2x a year for the vicious Russian blond to scrape my teeth of accumulated crud. every couple of years someone wants to take an X-ray to look for
cavities and I normally refuse because I don’t think I have any. The great panumjon, Dr
Bob, almost never appears and avoids looking into my mouth. if you are anywhere near
57th Street in Manhattan you can have a great impact on standards

Heather
Guest
0

Vitamin b17. Non pattinable. A World Without Cancer. You tube. Edward Griffin

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Dennis
Guest
0
I attended a dental school that has an oral diagnosis department that sees patients from a wide multistate area. While in school I worked summers in the Oral Pathology Research Department and got to know the caliber of these pathologists and diagnosticians, and have kept in touch with them until recently, when I’m guessing their liability situation stopped them from communicating about cases electronically. I attended an oral pathology presentation by one of their lead oral pathologists and afterwards went up and asked him about the Velscope and other such heavily marketed techniques to detect specifically oral cancer. His feeling… Read more »
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Playfulhair
Member
10

I’ve tryed the black light at my Dentists office about 3 yrs ago the first time.
You swish a solution within your mouth and then the Doc puts a wand inside your
Mouth. It made fell better after the test.
Recently had done it again, I didn’t know of anything different in procedure,
Unless it was in the solution. The wand seemed to be the same. And no cancer!

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growacet
Guest
0

I had already invested in LMD (LEDIF on the otcbb) before I’d even heard of this outsider club outfit…since the promo on LMD came out I signed up, and every day I’m getting an email directing me to their promo piece about turning 5K into $1 million. Wiki says they have hundreds of thousands of subscribers, but despite all the hype the PPS is flat on heavy volume which lead me to suspect dumping on the hype.

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Stella
Guest
0

I am very very thankful for your detailed report. Keep up the good work.

Stella
Guest
0

Thank you very much for this detailed report. It has saved struggling investors lots of money. Clearly this device could make investors some money when it becomes more wildly used etc, But the hype to extort money from people is not right And you are really appreciated for your detailed report. Investors should have the freedom to make an intelligent/ knowledgeable decision. Thanks again.

Pendragon Tim Chng
Guest
0

Hi Travis, I was curious about Nick Hodge’s “Blue Light” tech stock. You save me just in time. You are doing a great charitable thing here. Keep on the great wrk

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dougj34
Irregular
279
LED is speculation, not really investment at this point. Breakthroughous have to start somewhere, this one could be a continuation of a breakthrough. Light frequencies have a place in medical advancements, we humans are in the early stages of understanding the value of light therapies and detection properties, I am certain Dr KSS will agree with that. Big Pharma has its place too, it has just gotten too big for its britches. So let the ranters rant, the gumshoes investigate, and the medical sector state clinical data, it is all good stuff for me to have access to. I am… Read more »
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wojogumshoe
Irregular
3

PRINTING FOUL.
For awhile, you had a print now button at the end of your personal writeup.
using it, i would get a clear print.
The button is no longer there. Printing out a commentary now causes overprint from the right hand margin stuff. Is there a cure for THIS cancer? phil

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David Steele
Guest
0

Unsure how I stumbled across this site many months ago but I love it…. I trade US stocks from the UK and get so much junk mail, I used to challenge myself to find the company they are touting but reading your assessment is so much more fun

Thanks from rainy England

vivian lewis
Guest
0
After reading this set of replies I can guess how Bo O., my Swedish friend who developed head and neck cancer, probably increased his risk: snuff, snuss, something Swedes like to pack into their cheeks while they go about their lives in worse weather than even England has. It might have helped him had he gotten an LED light played on his mouth when he went to the dentist in Portugal, where he lived (he was, like many smart Swedes, a tax exile but only late in life.) I now am worried about other forms of non-smoked nicotine delivery systems.… Read more »
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DrKSSMDPhD
Member
47648
Vivian: if e-cigarettes are only what the manufacturers say they are, and not spiked with anything else, yes, they are enormously safer. They are supposedly just mechanisms for delivering water vapor with nicotine, Cigarettes and snuff and snus are two things, two variables: tobacco, which is highly carcinogenic, and nicotine, a substance found in tobacco that is not cancer-causing but is highly habit forming (more so than cocaine). Smoking addiction is not tobacco addiction but nicotine addiction. E cigs disentangle these and provide the nicotine without the cancer-triggers. I encourage patients, if they must smoke, to switchover. Snuff and snus… Read more »
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joe_retail
Guest
0

Zacks has a $2 target, updated analysis out today.

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vivian lewis
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Thanks Dr KSS. I don’t smoke being just old enough to remember that there was evidence that smoking caused cancer when I was of an age to be tempted. If e-cigarettes work by delivering nicotine without the awfuls does a waterpipe (hookah or nargile or shisha or hubbly bubbly) achieve the same thing? or are they just a way for guys to get together without taking alcohol? you mention the risk of additives. I think waterpipe users don’t just take in tobacco juice in the steam the device creates, but also other stuff which may increase risks. B