Not saying I believe in it but I thought the theory was reasonably straightforward? Like, if dealers are long vanna then increasing vol means their delta goes up so they sell shares to hedge, decreasing vol means they buy shares. Vice versa if they are short vanna.
Overall I like it, I learned something from it (thanks @SqueezeMetrics) but I've seen some people revere it as the holy grail, which is a bit... eh.
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Fair, I missed that sentence! It makes the chart of GEX vs SPX returns a bit moot though, right? GEX is a noisy measure of (inverse) realized vol, so you would expect returns have large magnitude on days when GEX is low.
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