Is that the same with a heat pump type application as we're talking about?

It's exactly the same story.

We can define a payback for a heat pump.

And basically, it's all about...

So first cost, as you said, is definitely higher.

A heat pump costs significantly more than a boiler or a gas heater.

But it is at the same time three to four times more efficient.

compressor.

Mm.

So at that time, there had not been any studies of IL-seventeen inhibition or JAK inhibition in children with sacroiliitis, so we were neutral on those topics.

On the other hand, the adults have an abundance of data for many of the questions that we asked, and by working with them, we were able to gain from their expertise and extrapolate from their data.

So one example among many is physical therapy.

Is physical therapy effective In the treatment of patients with axial spondyloarthritis.

We looked at that in twenty nineteen and said we can consider physical therapy if the patient is at risk of loss of function because there are no studies in children.

When we work with the adult rheumatologists and are able to extrapolate from their information, then we are able to provide a recommendation in favor.

Can you talk a little bit about that decision and why has that changed from previous guidelines?

Give me your thoughts on that.

Of course, it's all preloaded like a bullet in a chambered gun, right? That's how this Democratic Party runs.

They're all social communists.

They're all unified.

They're all funded by the liberal communists that have an agenda to overthrow the United States, and it's never going to end.

They have no plan.

The president is awesome.

Give me your thoughts on that.