Before Stage One is a newsletter authored by Michael LaPelusa, MD, written in his personal capacity. The views, opinions, and analyses expressed are those of the author alone and do not reflect the views of any other institution with which the author is or has been affiliated. Nothing in this newsletter should be attributed to any such institution.
Not medical advice
Content is provided for informational and educational purposes only and is not a substitute for individualized medical advice, diagnosis, or treatment. Nothing in this newsletter constitutes a recommendation to undergo, avoid, prescribe, or order any specific medical test, screening protocol, diagnostic procedure, or therapy. Readers (including patients, clinicians, and other healthcare professionals) should consult a qualified physician regarding their own clinical decisions and should not act on information presented here without independent professional judgment.
Not investment, legal, or tax advice
Content should not be construed as or relied upon in any manner as investment, legal, tax, accounting, or other professional advice. The newsletter is not directed at any investor or potential investor and does not constitute an offer to sell, or a solicitation of an offer to buy, any security or financial instrument. Discussions of public or private companies, regulatory developments, reimbursement decisions, clinical trial results, or market dynamics are commentary and analysis only and may not be used or relied upon in evaluating the merits of any investment. Past performance and historical data referenced are not indicative of future results. Readers should consult their own financial, legal, and tax advisers before making any investment or business decision.
Author positions
The author does not hold direct positions in any individual publicly traded company discussed in a given post unless an explicit disclosure to the contrary appears in that post. This disclosure does not apply to indirect or passive exposure through diversified investment vehicles such as index funds, ETFs, mutual funds, target-date funds, or retirement accounts where the author does not control individual holdings. Positions, if any, may change at any time without notice.
Sources and accuracy
Information is drawn from sources believed to be reliable, including peer-reviewed literature, company filings, regulatory documents, and public reporting, but the author makes no representations as to the accuracy, completeness, or timeliness of any information presented. All content speaks only as of the date of publication and may become outdated as the science, regulatory landscape, or reimbursement environment evolves.
Forward-looking statements
Certain content may contain forward-looking statements regarding clinical, regulatory, scientific, or commercial developments. Such statements are inherently uncertain, and actual outcomes may differ materially from those discussed.
No attorney-client or physician-patient relationship
Reading this newsletter, subscribing, or communicating with the author does not create a physician-patient, attorney-client, fiduciary, or advisory relationship of any kind.