Substantial Cash Burn And Negative FCFPersistent negative operating and free cash flows mean the company depends on external capital to sustain its launch. Continued cash burn at current launch intensity will erode runway absent material revenue scale or cost reductions, increasing financing and execution risk over the medium term.
Elevated SG&A And Operating LossesHigh ongoing SG&A driven by DTC and field investments creates a long path to breakeven until revenue scales. Sustained operating losses pressure cash and require effective commercialization execution to convert awareness into durable sales and justify continued marketing spend.
R&D Reduced To Zero Limits Pipeline OptionalityShifting R&D to near-zero preserves capital for launch but removes internal development optionality for follow-on indications or next-generation products. This narrows long-term growth levers to commercial success, partnerships, or acquisitions, increasing strategic dependence on the current product.