ED, Hormonal Restoration and Facial Dermatological Procedures

Medical Therapeutics[1], Inc. a wholly owned subsidiary of USPS.pk is a concierge, all-inclusive boutique medical practice, providing a “one-stop shop” for issues relating to Erectile Dysfunction (ED), hormonal imbalance through Testosterone Replacement Therapy (TRT) and optimizing a man’s sexual health to its peak performance level. In addition, provide a variety of approved medical male rejuvenation procedures including the first injectable double chin treatment (KYBELLA®) and BOTOX® Cosmetic plus dermatological facial treatments.

Demographics

By establishing boutique clinics in selected geographical areas, we aim to capitalize on two irrefutable trends that are currently at play in the marketplace: an aging population and the rising prevalence of certain medical conditions[2]. These trends will remain relevant at least until the year 2030[3].  We actually expect a dramatic increase of medical issues due to the aging population to be close to 20% by 2040.

A reported 39 million American men suffer from low libido & erectile dysfunction[4].  ED affects nearly 40% of 40-year-old men and over 65% of 70-year-old men. Over 90% of ED causes are physical, mostly vascular diseases. There are approximately 50,000,000 men over 50 years old.  Erectile dysfunction not only impacts the sexual intimacy between people, but often causes considerable psychological mobility by causing anxiety, quilt and stress in a relationship. Unfortunately, in some cases, this leads to relationship dissolution.

Regardless of these Medical Conditions:

Decreased sexual function in many men is seen as a progressive natural occurrence of aging. Hypertension, Diabetes, Obesity, High Cholesterol, Kidney disease or injury, Vascular disease, Prostate Malfunction, Prostate cancer or enlargement, Hormone irregularities, Side effects of prescription drugs, High Blood Pressure, and Stress can all increase a male’s risk of developing earlier onset of Sexual Dysfunction. Moreover, the pharmaceuticals commonly used to treat these conditions can potentially exacerbate or intensify preexisting Male Sexual Dysfunction.

Injectables such as:

Men are also seeking cosmetic enhancements to complement their improved sexual function and vigor. Hair removal, facial capillary removal, laser skin rejuvenation, age spot removal, chemical peels,

fillers for creases and “crows feet”, deep pore cleansing, microdermabrasion, and other non-invasive procedures are sought out by men, but quickly abandoned when faced with going to a woman centric facility.  Men tend to prefer a “Man’s clinic” as opposed to mixing in with women in the classic  “Salon” settings.  The regimen for each skin care treatment is designed to focus on an a man’s specific skin care needs. Our aestheticians will thoroughly evaluate each patient during a visit and develop a personalized treatment plan. Our treatments range from one half hour to one hour, and are recommended at specific intervals to achieve the best results and to maintain a healthy lifelong complexion.[5]

ADDITIONAL PROCEDURES 

KYBELLA® and BOTOX® are products from Allergan, Inc.  Allergan, Inc has approved us for procedures using KYBELLA® & BOTOX®.  Other procedures include facial peels, laser removal of facial capillaries, hair removal and facial injections.[6] 

The American Society of Plastic Surgeons states, “The noninvasive procedures are growing in popularity for both men and women, as well. Injectables, like Botox®, soft tissue fillers and Kybella®, have the excellent ability to erase wrinkles, restore lost facial volume and improve and remove the ‘double chin’, giving a youthful appearance,  without a lengthy recovery. Nonsurgical techniques have little downtime and can even be completed during a lunch break, giving men the chance for self-improvement without anyone knowing they had a procedure performed.”

Platelet Rich Plasma (PRP) Penis rejuvenation and restoration is a method using PRP injection for a simple, cost-effective and feasible treatment option for tissue loss and can be regarded as a valuable adjuvant treatment modality for penile restoration.  Considering its excellent safety profile and relatively low cost, PRP treatment is a promising treatment option for patients with penile tissue issues.

Rejuvenation can be seen as early as 1 month, but is typically evident between 4-8 months and will continue to improve up to a year after treatment. The goal with treating tissue loss early is to maintain tissue for as long as possible, improve density, and keep the results for months and years to come, pushing back against the need for more aggressive solutions until further down the road.[7] 

PRP How does it work and how is it done?

First, blood is drawn in our office as though you are having routine blood testing at your primary care physician’s office. The blood is spun in a centrifuge and the PRP is separated and removed from the rest of the blood. The PRP is taken from your body and is specially prepared by spinning down the blood cells to a high concentration. The highly concentrated PRP is then injected into the penis. PRP contains many tissue  growth factors that stimulate the growth. Good candidates include those with: curvature of the penis or penile tissue loss, often resulting in straighten, fuller, thicker shaft with increased turgidity (hardness).

Benefits Overview:

  • No adverse reactions, hypersensitivity or allergies
  • Improves tone and hardness
  • Increased density and thickness
  • Very little downtime with noticeable results
QUESTIONS ABOUT ERECTILE DYSFUNCTION

WHAT IS ED?
Erectile dysfunction (ED) is defined as the persistent inability to achieve or maintain a penile erection sufficient for satisfactory sexual performance.[2] ED can limit your intimacy, affect your self-esteem, and impact your most important relationships. Beyond the physical manifestations, ED causes emotional damage and there is a strong link found between ED and depression.[3]

HOW COMMON IS ED?
ED is a common condition experienced by more than 49 million men in the United States.

WHAT CAUSES ED?
While there are real physical and psychological reasons for ED, there’s no single cause. The natural decline of testosterone affects the erection capability of the aging male. The chart below outlines some of the most common medical causes of ED. [5]

HOW IS ED DIAGNOSED?
A personal history, physical and blood flow exam set the groundwork for most conditions. Lab tests and other tests may identify a source such as diabetes; coronary artery disease or other conditions that affect the nerves and blood flow to the penis.

The TESTOSTERONE / ERECTILE DYSFUNCTION MARKET

The Erectile Dysfunction Treatment market is projected to grow to $4.08 Billion from 2016 to 2020.  By 2019, annual revenue generated from Testosterone Treatments in the United States is expected to reach 3.8 Billion dollars[8]

It is estimated that $800 million of this industry is spent on herbal, nutraceutical supplements that are not approved by the FDA and that have little or no clinical evidence to support their claims of improved sexual performance and/or phallic enhancement.

The ED Market

Statistically speaking, in any city with a relatively sizable population[9] , there exist a number of men[10] from ages 50 to 80 who are suffering from varying degrees of Male Sexual Dysfunction. In many cases, these men have tried several methods of treatment to alleviate these issues. The clinic focuses on the patient with chronic erectile impotence whose condition has not responded favorably to conventional pharmaceutical remedies.

Erectile dysfunction affects more than 50% of men between 40-70 years of age.  In our experience, this patient population is highly motivated and emotionally distressed, and as a result allocates a significant amount of discretionary income toward alleviating Male Sexual Dysfunction and similar conditions. Our clinics offer treatment plans that have proven to be effective in over 96% of cases.

THE BUSINESS

A key aspect of Medical Therapeutics’ ability to grow its clientele base is its focused and aggressive marketing strategy. Once the aforementioned population of men becomes aware of the effective treatment options provided by Medical Therapeutics, each such afflicted interested male is expected to spend upwards of $3,000 on treatment. This means that a typical clinic can conservatively expect minimum cash sales of $5,000 per day, with a potential of up to $10,000 per day. We offer financing options for those individuals who may otherwise elect to forego an initial consultation or a treatment plan due to the costs. In addition, the patient may pursue Medicare or insurance reimbursement in light of the sizeable population of patients, the efficacy and affordability of our treatment plans, and our cash-only business model, we expect each additional clinic to enjoy a successful launch and experience future growth.

Our Services

A patient is charged $99.00, which covers the costs of an initial consultation with the Clinic’s Urologist,  as well as an examination performed during the patient’s first visit.

Should an individual choose to purchase a treatment plan, then the patient will have access to:

  • Adjustments to our customizable medications
  • Access to a Patient Counselor to assist with making adjustments and changes to their treatment plan
  • Medications are shipped directly from our pharmacy with direct shipping
  • Walk-in anytime – no appointments needed
  • Priority appointment with the Physician
  • Hormonal replacement therapy (HRT) including Testosterone
  • Intra-cavernous Pharmacotherapy (ICP), which we use.

We also give $99 Testosterone and blood profile analysis and evaluations, which consist of:

  • Exam,
  • Blood work and
  • Follow-up consultation including regular in clinic or self-administered supplementations in the form if creams, injections or oral ingestion.

Competition

We experience some competition from general practitioners and general urologists – who do not aggressively offer solutions similar to our own. Generally speaking, the community urologists are more interested in more expensive procedures such as surgery or implants.  Our organization’s dedicated Urologist has a keen interest in improving men’s quality of life by using minimally invasive treatment strategies to regain sexual function.  Many individuals in our target demographic have been unresponsive to and/or are wary of conventional pharmaceutical treatments (e.g. Viagra, Cialis, etc.). As such, we do not compete directly with those practitioners and clinics who employ traditional treatment modalities. We use specially designed oral and injectable prescription strength, pharmacy medications personalized specifically for each patient based on their needs. This level of detail is impossible in the traditional clinical setting. This makes for an uniquely rewarding experience for the patient which fosters patient trust and confidence in our practice.

Given our focus on this area of men’s issues, we believe that we are more successful at acquiring and retaining patients than those private medical practices and clinics who treat a broad array of conditions. Moreover, we are confident that our patients significantly enjoy a more focused and comprehensive treatment than they would from our competitors.  Patients benefit from our experienced physicians and customizable solutions, which have been shown to result in more favorable outcomes for our patients than would otherwise be achieved with the “one-pill-fits-all” approach employed by alternative supplements providers.

Our Strategy 

There are three elements to running a successful clinic:

  • Patient acquisition: marketing, advertising and sales
  • Patient protocols and procedures: sales occur while the patient has an erection and is receptive
  • Re-orders: the industry average is 48%, which ensures a growing base of revenue

Patient Acquisition   Our management has:

  • Performed exhaustive analyses of local markets and potential locations for opening of our clinics
  • There are many population areas dense enough to support a clinic offering our services. We look for up-scale population center with more than 250,000 persons
  • We have targeted 150 plus locations based on the foregoing analyses; and are also
  • Employing ad media initially through traditional (i.e. radio, print and internet) means but rapidly utilizing on-line media such as: Google, Facebook and Twitter, which are rapidly becoming the mainstream business communication method.

Implementation

A clinic can begin to generate profits on a cash-flow basis within the first 120 days.  This aspect of the business model is driven by the frustrations experienced by those individuals suffering from Male Sexual Dysfunction. These men frequently state that they have “tried everything”.

After a patient has been verified to be healthy enough for sexual intercourse, he is given a dose of medication. In less than 30 minutes, he has achieved an erection.  Consequently, he is presented with a solution to his long-standing Chronic Erectile Dysfunction, and which demonstrates to the patient the efficacy of the treatment. This achievement has a significant impact on the patient’s life considering that in some cases this solution has remained unknown to him for years. Satisfied patients express intense feelings of satisfaction and relief – they are in control of their sexual activities. The goal of Medical Therapeutics is to have at least more than 50% of these individuals become long-term patients.

  • Advertise for 6-9 weeks announcing a grand opening
  • Invite patients to come in for examination and review
  • On opening week, make up to $10,000 in gross sales if 15-20 patients are seen
  • Establish positive cash-flow profit in 120 days or less.

MANAGEMENT

The typical management team of Medical Therapeutics Clinic consists of:  A Doctor, one intake office person who manages the patients, calls, scheduling, supplies and outgoing pharmaceutical orders, one medical technician who with the doctor coordinates and manages the client/patients, one technical staff individual, receptionist / office manager and the General / Sales Manager.

Medical Therapeutics corporate management team[11] is currently comprised of the following staff:

  • Board’s Medical Directors: Martin Maassen MD, (40 years experience), &
  • Duan Copeland MD, (Urology) (17 years experience)
  • Charles Davis CPA (Accounting)
  • Jerry Gruenbaum Esq. (Legal)
  • Adam Beal MBA, Marketing Manager
  • Lily Copeland, Aesthetician & Laser Technician Manager
  • Gunther Than BS, (40 years experience) Director and General Manager

SELECTED FINANCIAL DATA

 Typical Financial Statements

We believe it is important that we provide some insight regarding the profitability of the clinics. Upon request, we will provide a complete Income Statement for the Clinics that utilize our described business strategy.  This Medical Therapeutics Executive Summary is pro forma financial projections based on Real Clinic data that reflect our growth strategy of the clinics.

APPENDIX A 

Graph showing sexual desire of Males versus Females by Age:

APPENDIX B

“Most people assume that people stop doing it (intercourse) after some vague age,” said sex researcher Edward Laumann of the University of Chicago.  Half (50%) of those aged 57 to 75 said they gave or received oral sex, as did about a third of the 75- to 85-year-olds. The speculation is that the male generally has erection problems and subsequently they resort to oral stimulation. The New England Journal did a 2-hour face to face survey of 3005 men and women around the country. Results:

  • Sex with a partner in the previous year was reported by 73 percent of ages 57 to 64; 53 percent of those ages 64 to 75, and 26 percent of ages 75 to 85. Women of all ages were less likely to be sexually active than men. But they also lacked partners; far more were widowed
  • People whose health was excellent or very good were nearly twice as likely to be sexually active as those in poor or fair health
  • Half of the people having sex reported at least one related problem
  • Most common in men was erection trouble (37%)
  • One out of seven (14%) men had used Viagra or other substances to improve sexual performance

APPENDIX C               INTER-CAVERNOUS PHARMACOTHERAPY

  • ICP is by far the most effective treatment available. ICP has been widely used since the mid-80s.  It is considered the “gold standard”.   The BENEFITS include:
    1. Immediate results, it generally works within a few minutes of application
    2. The medicine is applied locally; there are no known systemic side effects
    3. ICP can be used without regard to food, wine, or other medications
    4. ICP has been reported to be curative in many patients with ED. Results, of course, will vary with the ED severity<br>
  • Side Effects of ICP have a favorable profile, minimal or none.
  1. Since the erection chemical is injected directly into the penis, there are no generalized side effects that we associate with medications that circulate throughout the bloodstream (headache, sinus congestion, nausea/vomiting, etc.). Side effects of the medicine are localized, and infrequent. It’s possible to have some bruising or infection at the injection site. The more serious side effect is the same risk as we see in Viagra, Cialis and similar treatments – that of prolonged erection, also known as priapism. Priapism must be treated and relieved to avoid further complications to the penis. There may be some localized tenderness until the penis gets used to FULL ERECTIONS again.
  • Method You can start or stop ICP any time you wish and can be used on an “as needed basis”.
    1. Some physicians and urologists often recommend ICP as part of a permanent treatment program. A course of treatment typically requires 2-3 ICP applications per week for a period of six months
    2. You may experience return of natural erections and spontaneous erections during the course of treatment
    3. An additional benefit of ICP in men with Premature Ejaculation is that ICP sustains the erection after ejaculation and a premature ejaculator becomes less sensitive to sexual stimulation eliminating performance anxiety. A new habit can be formed and ejaculatory control will improve the permanent erection solution.

APPENDIX D

Population 65 and Over: 1980 to 2050:[12]

APPENDIX E:  COSMETIC PROCEDURES

 INJECTABLES

 BOTOX®:  $200-$600

The miraculous treatment for wrinkles and fine lines Botox® can be used to eradicate wrinkles in the forehead, between eyebrows, crow’s feet, soften vertical upper lip lines (also called smoker’s lines).  Botox® also prevents new wrinkles from forming. Gives a subtle brow lift.

FILLERS: $450-$750

Fillers are typically made of hyaluronic acid. It is a natural occurring substance in the body that gives skin fullness and elasticity. Gives face volume, plumping up skin and restore youthful look.

Fillers are used to treat:

  • Deep wrinkles
  • Fill up deep folds and lines near nose and mouth (nasal creases, marionette lines)
  • Build up the chin area
  • Augment cheeks
  • Under eye hollows or circles
  • Eliminate “smoker lines”
  • Down turn mouth

KYBELLA®: Typically requires a series of 3 treatments and approximately $5,400.

Kybella® is the first injectable, non-surgical treatment approved by the FDA to treat fat under the chin. “Double Chin” area tends to be resistant to diet and exercise. It can make even thin, fit people appear to be heavy.  Kybella® destroys the fat cells and as the fat cells are dissolved, they are absorbed and eliminate by the body. Leaving a sculpted and contour chin.

THREAT LIFT: $1,000 – $3,000

Non-Surgical, minimal invasive procedure that smooth and revitalize aging skin. Threat Lift treat wrinkles that can occur in some parts of the face that lose volume overtime.

COSMETIC LASER TREATMENTS:

LASER HAIR REMOVAL:  Six series of treatments from $2,100-$5,500  From smallest areas to largest areas.

Laser Hair Removal is one of the most commonly performed cosmetic procedures in the U.S.

Laser Hair Removal is appealing for men who are uncomfortable with excess hair on their body.

Laser Hair Removal treats area such as ears, cheeks, anterior/posterior neck (ingrown hair problem), shoulders, upper arms, chest, back, buttocks, and Brazilian (for hygiene purpose).

SPIDER VEINS REMOVAL:

Three to Six series of treatments from $900-$1,800

Spider veins are small, thin blood blue vessels that almost look like a small spider’s web that has sprouted underneath the skin.  Laser Spider Veins Removal treats legs, face area such as nose and chin in men.

LASER ACNE AND ACNE SCAR TREATMENT:

Laser Acne : $300-$1500/ Laser acne scar: $200-$3,400

Laser acne and acne scar treatment works by removing excess oil and dead skin cells from clogged pores. It is FDA Approved to treat black heads, white heads, and some pimples.

NON-SURGICAL   SKIN TIGHTENING: $250-$600 (4-6 treatments 2-4 weeks apart)

Skin tightening can help tighten mild to moderately loose skin on face, neck, or body.  Many skin tightening treatments can provide a noticeable lifting effect.  Areas which could benefit from skin tightening are face, double chin, tightening lax skin on the abdomen, reduce love handles, and reduce belly bulge.

CUSTOM ESTHETIC PROCEDURES:  Series of 3 to 4 treatments from $600-$240

MICRODERMABRASION:$75-$200

A deep skin exfoliating treatment that treat acne scars, pigmentation and improve texture of the skin.

MICRO-NEEDLING (Collagen Induction Therapy):  Series of 4 to 6 treatments  $400-$4200

Micro-needling activates cellular regenerations help tightening lift skin, while minimizing or erasing common skin problems such as acne scars, fine lines, photo-aging (age-spot), dull skin, poor texture, skin stretch marks and body scars.

 CHEMICAL PEELS: $100-$200

(series of treatments for acne scars, age spots, dark patches)

Chemical Peels are one of the oldest cosmetic treatments perform using natural acid derived from fruits and milk.  Chemical Peels treats many problems skin on face, chest, and back.  Problems skin treatments with chemical peels can help improve:

  • Dull, tired looking skin
  • Skin pigmentation
  • Fine lines and wrinkles
  • Acne prone skin
  • Acne scar
  • Rosacea
  • Dark patches on face and neck
  • Age spots on face, chest, arms and

Cosmetic Laser Machine Cost: $50,000-$250,000 Options of Financing and Leasing

Cheaper if buy Refurbished or Pre-Owned Machine.

Cost of Skin Tightening Machine: Approximately $28,000.

Much cheaper if buy Pre-Owned.

Cost of injectables and other services supplies are negotiable depending on the vendors.

Citations

  1. Medical Therapeutics, Inc. is a wholly owned subsidiary of View Systems, Inc.
  2. In 2008, an estimated 39 million people in the United States were 65 or older — just over 13 percent of the population. By 2030, when all surviving baby boomers will be over 65, the report projects there will be 72 million seniors, about 20 percent of the population.
  3. Us Administration Census Data on Aging –  APPENDIX E
  4. For the study, which was publicized by the American Urological Association, 6.2 million men participated, making the study the largest of its kind. Researchers poured over data from the patients between June of 2010 and June of 2011, and ultimately found that only 25.4 % of them (1,574,800) sought treatment.  See Appendix B for more information
  5. https://www.skincarephysicians.net/services/skincare-aesthetics-program/
  6. https://www.skincarephysicians.net/services/skincare-aesthetics-program/
  7. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4134641
  8. http://www.truongrehab.com/Regenerative_Hair_Growth
  9. https://www.statista.com/statistics/320301/predicted-annual-testosterone-drug-revenues-in-the-us/ https://www.medgadget.com/2017/01/erectile-dysfunction-market-analysis-and-in-depth-research-on-market-size-trends-emerging-growth-factors-and-forecasts-2021.html
  10. Aging Statistics The older population—persons 65 years or older—numbered 44.7 million in 2013 (the latest year for which data is available). They represented 14.1% of the U.S. population, about one in every seven Americans. By 2060, there will be about 98 million older persons, more than twice their number in 2013. People 65+ represented 14.1% of the population in the year 2013 or about 40 million, but are expected to grow to be 21.7% of the population by 2040. http://www.aoa.acl.gov/aging_statistics/index.aspx Administration of Aging.
  11. References furnished upon request
  12. This table was compiled by the U.S. Administration on Aging using the Census data noted.