From the video

Video: Top 50 Wide Receiver Rankings & Tiers (New)
But with the weird pre hernia situation that he has, it does sound like he's at an elevated risk for injury.
Mentioned at 3:22 – 3:47Captured by STACKED 11 hr after posting

STACKED’s take

Negative signalInjury

Elevated injury risk due to pre-hernia situation

Puka Nacua is expected to be a weekly WR1, but his pre-hernia situation creates an elevated risk for injury, leading to a preference for other top-tier receivers over him.

Puka Nacua headshotPuka NacuaWR · LARPlayer page — value, ADP, projections, and every insight