If you are facing the need to use a compounding pharmacy for the first time, there’s little doubt that you have questions. Compounding pharmacies are available, but they are not commonly used by most patients. Here are the most frequently asked questions about these pharmacies.What Is a Compounding Pharmacy?In essence, this type of pharmacy is one that customizes medications that are not commercially available. Medications are prescribed by a physician, veterinarian, or other medical provider. The medications are then compounded, or put together, by a state-licensed pharmacist. These pharmacies are typically utilized for people and animals that have unique health concerns that commercially available medications cannot address.Are These Types Of Medications Safe?You must understand that compounded medications are off-label. This means that the FDA does not approve them. That said, compounded medications are considered safe when put together and sold by reputable pharmacists. Before you order or ask for a compounded medication, ask your doctor to recommend a pharmacist or pharmacy. Not all professionals are skilled in the art of compounding medications.Why Do I Need This Medication?There are a variety of reasons why you may need a compounded medication. For example, if your pain management drug is difficult for you to swallow, your pharmacist may suggest a liquid or transdermal version. If you are experiencing sensitivity to an ingredient in your hormone replacement, your doctor may have a medication compounded without that particular ingredient.Compounded pharmacies also make medications for veterinary patients. Often, flavoring is added or liquid is made in order to increase palatability for a pet.Where Do Medication Ingredients Come From?The ingredients that are put into compounded medications come from the same suppliers as the big pharmaceutical companies. These companies are inspected and regulated by the FDA. The ingredients in your compounded medications are considered safe for consumption.Who Regulates These Pharmacies?Just like typical pharmacies, compounded pharmacies and pharmacists are licensed at the state level. There is also an entity known as the Pharmacy Compounding Accreditation Board (PCAB) that has developed national standards that compounding pharmacies must follow.Does the FDA Inspect Compounding Pharmacies?The FDA does not inspect compounding pharmacies, but this should not dissuade you from making use of their services. The FDA does not inspect typical pharmacies. The regulation of pharmacies and pharmacists has always been handled by individual states. The FDA does, as has been stated, inspect and regulate the facilities that produce the ingredients that go into these medications.Compounding pharmacies are on the rise as people become more aware of them. Up until the 20th century, all pharmacies were of the compounding type. It wasn’t until just a century ago that the pharmacies we are used to seeing today arose. If your doctor suggests a compounded medication, you can feel safe in taking it. Follow the same safety protocols as you would with a typical medication, and speak with your doctor should you experience any adverse events.

Health Concerns are Growing but so is the Price of the CuresIn our modern day society many people are concerned about their health and whether or not they are getting enough nutrition in the foods they eat. Many people are getting FAT and as hard as they try to lose weight they seem to only get fatter. The problem is that they can’t lose weight or get health or balance blood sugar without providing the right nutrition and they can’t afford the nutrition because all the nutritional products available are very expensive!Why are the Good Nutritional Products so Expensive?Nutrition is found in food! The problem with modern day food is that there is not a good balance of nutritional in foods that we eat every day and the good foods we eat are often lacking in nutrition because of the hormones and quick growth fertilizers used. In order to get enough nutritional it is necessary to eat a lot of food and food is expensive. Nutritional products are made by taking food products that are highly concentrated in nutrients and dehydrating them or extracting the nutrition out of them. These concentrated amounts of food are put in pills or nutritional snacks like health bars and green drinks. Because of how much food it takes to extract such high amounts of nutrition it is expensive to produce these products.How can I Afford to Buy Quality Nutritional Products?The best way of getting true quality products at an affordable price or for “free” is to take advantage of the home based business opportunities that are hyped up! WHAT? Yes you heard me correctly. It is true that most home based business are pyramid schemes, MLMs, network marketing programs or distributorships. Most people have a very negative taste in their mouth from business opportunities that have failed and cost them sign up fees and investments that have hurt them in the long run. There are some people who make large amounts of money from such marketing schemes but the vast majority do not and therefore many relationships have been strained and many peoples reputations have been harmed by false financial promises from such businesses. BUT! Good nutrition has been made affordable for many people by these companies!If you find a company that is good quality you will almost inevitably find that it DOES NOT charge you a fee to become a customer. When the product is a good quality it will speak for itself! These are the nutritional products that you want to buy and they are FREE when your business pays you a second income that covers the price of the product you are using. The way you can find benefit is by NOT giving in to the hype of starting a new business and NOT trying to earn a second income. Your health is the real concern and your nutrition is best afforded when you do not build expectations of earning money but instead you benefit by referring just enough friends to try the product that you get a commission that will pay for your monthly dose of product.My Experience Proves that good Nutrition CAN be Technically Free!I have never made money from selling products through home based businesses but I have almost always been able to pay for my own purchases through referral bonuses that I received from sharing my products with family and friends and therefore my products have been free. You too can get free or affordable nutritional products by finding nutritional companies that offer referral bonuses for free without charging you to sign up! Try it you will see!

We’ve all heard the phrase “you are what you eat.” When it comes to the brain, our most important organ, this idea that we become what we put into our bodies through nutrition takes on even greater meaning. The importance of brain nutrition becomes quite obvious when we consider a few key factors. The brain consumes a disproportionately large portion of the nutrients ingested by the body. The function of brain cells is heavily impacted by these nutrients available in the brain. The functioning of our brain cells determines how we function. Thus our mood, attention, memory, etc., are all functions of brain nutrition.The Greedy Brain – Why 40 Percent Of All Your Nutritional Intake Is Actually Brain NutritionOur intelligent body knows how important the brain is and so allocates its resources accordingly, allowing the brain to consume a disproportionately large portion of the nutrients we ingest. The brain weighs only 1 to 2 percent of your total body weight, but 20 percent of the air you breathe, 25 percent of your blood flow, 30 percent of the water you ingest, and 40 percent of the nutrition in your bloodstream is sent to be consumed by the brain. This means that 40 percent of your nutritional intake can be directly thought of as brain nutrition.Nutrition’s Powerful Influence Over Brain FunctionNutrients available to the brain have a huge impact on the healthy functioning of our brain cells or neurons. Nutrients affect neuronal function either directly, being metabolized without precursors, or indirectly, by affecting production of other substances in the brain that determine brain cell function.The billions of brain cells or neurons communicate via neurotransmitters — including serotonin, dopamine, and norepinephrine — that send signals through the brain’s complex of pathways. Brain function is determined in large part by the action of these chemical messengers. Losing mental agility in old age, for example, may result from the brain cells’ failing to communicate effectively rather than from cell death. Proper brain nutrition influences the production and action of neurotransmitters. For instance, research shows higher levels of the neurotransmitter dopamine in lab rats that are fed blueberries, which are rich in antioxidants. Dopamine, in turn, is important for cognition, motivation, mood, attention, and learning.Other examples of nutrients which affect brain function include tyrosine, an amino acid found in protein which also supports the action of important neurotransmitters; the mineral magnesium, which can reduce hyperactivity and irritability; and omega-3 fatty acids, which can improve mood, attention, and alertness.Brain Nutrition Is Super Important To Your Well-being And Your LifeThus, nutrition has a huge impact on how we feel, think, and function. Our emotions, our memory, our ability to concentrate and accomplish tasks, and hence our lives are heavily impacted by what we put into our bodies, be it food, nutritional supplements, or drugs.Makes you think twice about eating that big mac or drinking that coke, doesn’t it? Makes you want to check the nutritional information of everything you buy at the grocery store, right? It makes you want to find out exactly what foods and supplements are beneficial for brain function and which are detrimental. You might think to yourself: what a drag! Well, the negative impact of ignorance on your brain is an even bigger drag. Knowledge is power. Now go and use brain nutrition to empower your mind and your life!

In the past, if you owned a small, or even medium-size, business, you may have been able to get away with very little marketing. Well those days are gone. Not only do you need to market nowadays (no matter what size business you own) but you need to be involved in many different types of marketing. They are all a part of your marketing strategy.The changing approach to marketing for your businessIn days gone by, the marketing approach that business owners used was outbound marketing. With outbound marketing, the advertiser placed ads in various places (print ads, television, radio, etc). Although that marketing approach worked for a long time, eventually, the target audience got smart and learned how to block the ads in various ways. Of course, that left the business owners with a really big problem.A newer (and probably more effective approach in this digital technology age) is inbound marketing. Inbound marketing is the opposite of outbound marketing.Because they are coming to you willingly, they are prequalified and; therefore, they are customers who suit your business needs more closely. There are several different ways that you are able to reach your customers and to positively influence them.You can interact with your target audience over the Internet, through the various social media channels that you have chosen for your particular business, and various other means of online communication. The truth is that business people nowadays are too busy and too impatient to spend a lot of time on anyone or anything. If you can interact with them quickly and effectively, they will listen to you and they will keep coming back for more. It is a win-win situation.Take advantage of what is in front of youMost likely, by now, you recognize the importance of interacting with your target audience (and anyone connected to your target audience) online. Online interactions give you to opportunity to reach a very large number of people in the shortest amount of time possible. However, it is very important for you to understand clearly that even though you are involved with inbound marketing for your business and if you are seeing positive results from your marketing efforts, that in no way means that you should abandon your outbound marketing efforts.Traditional marketing is still very important and you should still retain that as part of your overall marketing strategy. In fact, the two types of marketing should work together and, if you work them correctly, you will see that they have a synergy that is very powerful and that achieves the results that you are hoping to achieve. Some of the marketing strategies that you will definitely not want to abandon are word-of-mouth, referral, and just plain open communication. They will all take you very far.The good thing about inbound marketing is that it will not eat into your budget very much at all. In many cases, you can achieve results from your inbound marketing efforts without spending any money at all. Of course, the price that you will have to pay is not in dollars. It is in time and effort, which are definitely valuable commodities for you as well. There are many different ways in which you can make a positive difference through your online marketing strategy.
Become an influencer via online marketing: You need to realize (if you haven’t realized already) that social media is an extremely powerful and influential tool. It behooves you to make the most of it and to leverage all that you can of social media for your business. You may (or you may not) be surprised at how much you can achieve through your social media efforts.
Increase your list of customers through your social media channels: The most popular social media channels can help you to increase your list of customers. If your branding is strong, which it definitely should be at this point, those social media channels will work in your favor. The fact is that people really want to interact through social media. It is quick, effective, and fun and many people are really interested in being a part of the whole social media scene.
Pay close attention to analytics: It is essential that you track your business’s progress extremely carefully. One of the many reasons why analytics are so important is that they allow you to understand what you are doing right and what isn’t working. They also allow you to identify trends and you can continue to hone what you are doing and you will see that the results will be positive.
Influence people so that they become loyal to your brand: Content really is king when it comes to your business’s success. People are not only interested in what you have to say but they are also extremely excited to tell you (and anyone else who is listening) what they think. They want to feel as though you value their opinions. And, why not? It is a human quality to want to be accepted and appreciated.
Position yourself so that you are top of mind for other people: Again, this goes back to the importance of content. If you share top-quality content with people on interesting, relevant topics, there is no doubt that people will be very interested in what you have to say and in how you say it. In fact, they will probably want to keep coming back for more and they will be excited about sharing your words with people whom they know and trust. That is exactly what you want to happen.
ConclusionWhen it comes to your marketing strategy for your business, it is important to remember that both traditional marketing and inbound marketing are important and your marketing strategy will be the most successful if you can use both marketing approaches together. Together, they will create an incredible buzz that people will not soon forget. If your story is sincere and told with heart, people will listen to what you have to say with pleasure. Together, there will be no stopping you!

Summary
SPDN is not the largest or oldest way to short the S&P 500, but it’s a solid choice.
This ETF uses a variety of financial instruments to target a return opposite that of the S&P 500 Index.
SPDN’s 0.49% Expense Ratio is nearly half that of the larger, longer-tenured -1x Inverse S&P 500 ETF.
Details aside, the potential continuation of the equity bear market makes single-inverse ETFs an investment segment investor should be familiar with.
We rate SPDN a Strong Buy because we believe the risks of a continued bear market greatly outweigh the possibility of a quick return to a bull market.
Put a gear stick into R position, (Reverse).
Birdlkportfolio

By Rob Isbitts

Summary
The S&P 500 is in a bear market, and we don’t see a quick-fix. Many investors assume the only way to navigate a potentially long-term bear market is to hide in cash, day-trade or “just hang in there” while the bear takes their retirement nest egg.

The Direxion Daily S&P 500® Bear 1X ETF (NYSEARCA:SPDN) is one of a class of single-inverse ETFs that allow investors to profit from down moves in the stock market.

SPDN is an unleveraged, liquid, low-cost way to either try to hedge an equity portfolio, profit from a decline in the S&P 500, or both. We rate it a Strong Buy, given our concern about the intermediate-term outlook for the global equity market.

Strategy
SPDN keeps it simple. If the S&P 500 goes up by X%, it should go down by X%. The opposite is also expected.

Proprietary ETF Grades
Offense/Defense: Defense

Segment: Inverse Equity

Sub-Segment: Inverse S&P 500

Correlation (vs. S&P 500): Very High (inverse)

Expected Volatility (vs. S&P 500): Similar (but opposite)

Holding Analysis
SPDN does not rely on shorting individual stocks in the S&P 500. Instead, the managers typically use a combination of futures, swaps and other derivative instruments to create a portfolio that consistently aims to deliver the opposite of what the S&P 500 does.

Strengths
SPDN is a fairly “no-frills” way to do what many investors probably wished they could do during the first 9 months of 2022 and in past bear markets: find something that goes up when the “market” goes down. After all, bonds are not the answer they used to be, commodities like gold have, shall we say, lost their luster. And moving to cash creates the issue of making two correct timing decisions, when to get in and when to get out. SPDN and its single-inverse ETF brethren offer a liquid tool to use in a variety of ways, depending on what a particular investor wants to achieve.

Weaknesses
The weakness of any inverse ETF is that it does the opposite of what the market does, when the market goes up. So, even in bear markets when the broader market trend is down, sharp bear market rallies (or any rallies for that matter) in the S&P 500 will cause SPDN to drop as much as the market goes up.

Opportunities
While inverse ETFs have a reputation in some circles as nothing more than day-trading vehicles, our own experience with them is, pardon the pun, exactly the opposite! We encourage investors to try to better-understand single inverse ETFs like SPDN. While traders tend to gravitate to leveraged inverse ETFs (which actually are day-trading tools), we believe that in an extended bear market, SPDN and its ilk could be a game-saver for many portfolios.

Threats
SPDN and most other single inverse ETFs are vulnerable to a sustained rise in the price of the index it aims to deliver the inverse of. But that threat of loss in a rising market means that when an investor considers SPDN, they should also have a game plan for how and when they will deploy this unique portfolio weapon.

Proprietary Technical Ratings
Short-Term Rating (next 3 months): Strong Buy

Long-Term Rating (next 12 months): Buy

Conclusions
ETF Quality Opinion
SPDN does what it aims to do, and has done so for over 6 years now. For a while, it was largely-ignored, given the existence of a similar ETF that has been around much longer. But the more tenured SPDN has become, the more attractive it looks as an alternative.

ETF Investment Opinion

SPDN is rated Strong Buy because the S&P 500 continues to look as vulnerable to further decline. And, while the market bottomed in mid-June, rallied, then waffled since that time, our proprietary macro market indicators all point to much greater risk of a major decline from this level than a fast return to bull market glory. Thus, SPDN is at best a way to exploit and attack the bear, and at worst a hedge on an otherwise equity-laden portfolio.

Your stocks to watch for the week ahead are Cheniere Energy (LNG), S&P 500 biotech giant Vertex Pharmaceuticals (VRTX), Cardinal Health (CAH), Steel Dynamics (STLD) and Genuine Parts (GPC).

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While the market remains in correction, with analysts and investors wary of an economic downturn, these five stocks are worth adding to watchlists. S&P 500 medical giants Vertex and Cardinal Health have been holding up, as health-care related plays tend to do well in down markets.

Steel Dynamics and Genuine Parts are both coming off strong earnings as both the steel and auto parts industries report optimistic outlooks. Meanwhile, Cheniere Energy saw sales boom in the second quarter as demand in Europe for natural gas continues to grow.

Major indexes have been making rally attempts with the Dow Jones and S&P 500 testing weekly support on Friday. With market uncertainty, investors should be ready for follow-through day breakouts and keep an eye on these stocks.

Cheniere Energy, Cardinal Health and VRTX stock are all on IBD Leaderboard.

Cheniere Energy Stock
LNG shares rose 1.1% to 175.79 during Friday’s market trading. On the week, the stock advanced 3.1%, not from highs, bouncing from its 21-day and 10-week lines earlier in the week.

Cheniere Energy has been consolidating since mid-September, but needs another week to forge a proper base, with a potential 182.72 buy point formed on Aug. 10.

Houston-based Cheniere Energy was IBD Stock Of The Day on Thursday, as the largest U.S. producer of liquefied natural gas eyes strong demand in Europe.

Even though natural gas prices are plunging in the U.S. and Europe, investors still see strong LNG demand for Cheniere and others.

The U.K. government confirmed last week that it is in talks for an LNG purchase agreement with a number of companies, including Cheniere.

In the first half of 2021, less than 40% of Cheniere’s cargoes of LNG landed in Europe. That jumped to more than 70% through this year’s second quarter, even as the company ramped up new export capacity. The urgency of Europe’s natural gas shortage only intensified last month. That is when an explosion disabled the Nord Stream 1 pipeline from Russia that had once supplied 40% of the European Union’s natural gas.

In Q2, sales increased 165% to $8 billion and LNG earned $2.90 per share, up from a net loss of $1.30 per share in Q2 2021. The company will report Q3 earnings Nov. 3, with investors seeing booming profits for the next few quarters.

Cheniere Energy has a Composite Rating of 84. It has a 98 Relative Strength Rating, an exclusive IBD Stock Checkup gauge for share price movement with a 1 to 99 score. The rating shows how a stock’s performance over the last 52 weeks holds up against all the other stocks in IBD’s database. The EPS rating is 41.

Vertex Stock
VRTX stock jumped 3.4% to 300 on Friday, rebounding from a test of its 50-day moving average. Shares climbed 2.2% for the week. Vertex stock has formed a tight flat base with an official buy point of 306.05, according to MarketSmith analysis.

The stock has remained consistent over recent weeks, while the relative strength line has trended higher. The RS line tracks a stock’s performance vs. the S&P 500 index.

Vertex Q3 earnings are on due Oct. 27. Analysts see EPS edging up 1% to $3.61 per share with sales increasing 16% to $2.2 billion, according to FactSet.

The Boston-based global biotech company dominates the cystic fibrosis treatment market. Vertex also has other products in late-stage clinical development that target sickle cell disease, Type 1 diabetes and certain genetically caused kidney diseases. That includes a gene-editing partnership with Crispr Therapeutics (CRSP).

In early August, Vertex reported better-than-expected second-quarter results and raised full-year sales targets.

S&P 500 stock Vertex ranks second in the Medical-Biomed/Biotech industry group. VRTX has a 99 Composite Rating. Its Relative Strength Rating is 94 and its EPS Rating is 99.

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Cardinal Health Stock
CAH stock advanced 3.2% to 73.03 Friday, clearing a 71.22 buy point from a shallow cup-with-handle base and hitting a record high. But volume was light on the breakout. CAH stock leapt 7.3% for the week.

Cardinal Health stock’s relative strength line has also been trending up for months.

The cup-with-handle base is part of a base-on-base pattern, forming just above a cup base cleared on Aug. 11.

Cardinal Health, based in Dublin, Ohio, offers a wide assortment of health care services and medical supplies to hospitals, labs, pharmacies and long-term care facilities. The company reports that it serves around 90% of hospitals and 60,000 pharmacies in the U.S.

S&P 500 stock Cardinal Health will report Q1 2023 earnings on Nov. 4. Analysts forecast earnings falling 26% to 96 cents per share. Sales are expected to increase 10% to $48.3 billion, according to FactSet.

Cardinal Health stock ranks first in the Medical-Wholesale Drug/Supplies industry group, ahead of McKesson (MCK), which is also showing positive action. CAH stock has a 94 Composite Rating out of 99. It has a 97 Relative Strength Rating and an EPS rating of 73.

Steel Dynamics Stock
STLD shares shot up 8.5% to 92.92 on Friday and soared 19% on the week, coming off a Steel Dynamics earnings beat Wednesday night.

Shares blasted above an 88.72 consolidation buy point Friday after clearing a trendline Thursday. STLD stock is 17% above its 50-day line, definitely extended from that key average.

Steel Dynamics’ latest consolidation could be seen as part of a larger base going back six months.

Steel Dynamics topped Q3 earnings views with EPS rising 10% to $5.46 while revenue grew 11% to $5.65 billion. The steel producer’s outlook is optimistic despite weaker flat rolled steel pricing. STLD reports its order activity and backlogs remain solid.

The Fort Wayne, Indiana-based company is among the largest producers of carbon steel products in the U.S. It engages in metal recycling operations along with steel fabrication and produces myriad steel products.

How Millett Grew Steel Dynamics From A Three Employee Business

STLD stock ranks first in the Steel-Producers industry group. STLD stock has a 96 Composite Rating out of 99. It has a 90 Relative Strength Rating, an exclusive IBD Stock Checkup gauge for share-price movement that tops at 99. The rating shows how a stock’s performance over the last 52 weeks holds up against all the other stocks in IBD’s database. The EPS rating is 98.

Genuine Parts Stock
GPC stock gained 2.8% to 162.35 Friday after the company topped earnings views with its Q3 results on Thursday. For the week GPC advanced 5.1% as the stock held its 50-day line and is in a flat base.

GPC has an official 165.09 flat-base buy point after a three-week rally, according to MarketSmith analysis.

The relative strength line for Genuine Parts stock has rallied sharply to highs over the past several months.

On Thursday, the Atlanta-based auto parts company raised its full-year guidance on growth across its automotive and industrial sales.

Genuine Parts earnings per share advanced 19% to $2.23 and revenue grew 18% to $5.675 billion in Q3. GPC’s full-year guidance is now calling for EPS of $8.05-$8.15, up from $7.80-$7.95. The company now forecasts revenue growth of 15%-16%, up from the earlier 12%-14%.

During the Covid pandemic, supply chain constraints caused a major upheaval in the auto industry, sending prices for new and used cars to record levels. This has made consumers more likely to hang on to their existing vehicles for longer, driving mileage higher and boosting demand for auto replacement parts.

Fellow auto stocks O’Reilly Auto Parts (ORLY) and AutoZone (AZO) have also rallied near buy points amid the struggling market. O’Reilly reports on Oct. 26.

IBD ranks Genuine Parts first in the Retail/Wholesale-Auto Parts industry group. GPC stock has a 96 Composite Rating. Its Relative Strength Rating is 94 and it has an EPS Rating of 89.

US Markets were trading in the green on Friday with Dow 30 trading at 30,678.80, up by 1.14%. While S&P 500 was trading at 3,701.66, up by 0.98% and Nasdaq Composite 10,690.60 was also up by 0.71 per cent

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US Markets in green on Friday; Dow 30 up over 345 points, Nasdaq Composite, S&P 500 up nearly 1%
Earlier today, Indian stock markets ended the week on a winning note. It was the sixth straight gains for equity markets. Source: Reuters
US Markets were trading in the green on Friday with Dow 30 trading at 30,678.80, up by 345.25 points or1.14 per cent. While S&P 500 was trading at 3,701.66, up by 35.88 points or 0.98 per cent and Nasdaq Composite 10,690.60 was also up 75.75 points or 0.71 per cent. A Reuters report said that today’s strength was on the back of a report which said the Federal Reserve will likely debate on signaling plans for a smaller interest rate hike in December, reversing declines set off by social media firms after Snap Inc’s ad warning.

Source: Comex

Nasdaq Top Gainers and Losers

Source: Nasdaq

Earlier today, Indian stock markets ended the week on a winning note. It was the sixth straight gains for equity markets. The BSE Sensex ended at 59,307.15, up by 104.25 points or 0.18 per cent from the Thursday closing level. Meanwhile, the Nifty50 index closed at 17,590.00, higher by 26.05 points or 0.15 per cent. In the 30-share Sensex, 13 stocks gained while the remaining 17 ended on the losing side. In the 50-stock Nifty50, 21 stocks advanced while 29 declined.