:root {
  --brand-teal: #0d9b91;
  --brand-green: #75be15;
  --brand-blue: #63d6e3;
  --brand-lime: #add40f;
  --brand-navy: #0d9b91;
  --brand-deep: #000000;
  --brand-sky: #eef8fb;
  --brand-mint: #f5faea;
  --ink: #000000;
  --ink-soft: #4d4d4d;
  --line: #e5e5e5;
  --line-strong: #bfd6df;
  --paper: #ffffff;
  --paper-soft: #f2f2f2;
  --surface: linear-gradient(180deg, #ffffff 0%, #f2f2f2 100%);
  --teal-gradient: linear-gradient(135deg, #0d9b91 0%, #3ec5b8 100%);
  --green-gradient: linear-gradient(135deg, #75be15 0%, #add40f 100%);
  --ocean-gradient: linear-gradient(135deg, #0d9b91 0%, #2ab39f 56%, #75be15 100%);
  --hero-gradient: linear-gradient(135deg, #0d9b91 0%, #2cb9a6 52%, #75be15 100%);
  --font-heading: "Aktiv Grotesk Ex", "Montserrat", "Avenir Next", "Segoe UI", sans-serif;
  --font-body: "Montserrat", "Avenir Next", "Helvetica Neue", Arial, sans-serif;
  --radius-sm: 12px;
  --radius-md: 18px;
  --radius-lg: 28px;
  --shadow-soft: 0 8px 24px rgba(0, 0, 0, 0.08);
  --page-width: 8.5in;
  --page-height: 11in;
}

* {
  box-sizing: border-box;
}

html,
body {
  margin: 0;
  padding: 0;
}

body {
  background: #eef2f3;
  color: var(--ink);
  font-family: var(--font-body);
  line-height: 1.38;
  -webkit-font-smoothing: antialiased;
  text-rendering: optimizeLegibility;
}

main,
section,
article,
aside,
figure {
  display: block;
}

a {
  color: inherit;
  text-decoration: none;
}

img,
svg {
  display: block;
  max-width: 100%;
}

p,
ul,
ol,
h1,
h2,
h3,
h4,
h5,
h6 {
  margin: 0;
}

.document {
  padding: 0;
}

.page {
  position: relative;
  width: var(--page-width);
  height: var(--page-height);
  margin: 0 auto 0.22in;
  overflow: hidden;
  background: var(--paper);
  box-shadow: var(--shadow-soft);
  page-break-after: always;
  break-after: page;
}

.page:last-child {
  page-break-after: auto;
  break-after: auto;
}

.page-inner {
  position: relative;
  height: 100%;
}

.screen-only {
  display: block;
}

.sr-only {
  position: absolute;
  width: 1px;
  height: 1px;
  padding: 0;
  margin: -1px;
  overflow: hidden;
  clip: rect(0, 0, 0, 0);
  white-space: nowrap;
  border: 0;
}

.eyebrow {
  display: inline-block;
  font-family: var(--font-heading);
  font-size: 0.12in;
  font-weight: 800;
  letter-spacing: 0.09em;
  text-transform: uppercase;
}

.eyebrow--teal {
  color: var(--brand-teal);
}

.eyebrow--green {
  color: var(--brand-green);
}

.eyebrow--light {
  color: rgba(255, 255, 255, 0.85);
}

.headline-xl,
.headline-lg,
.headline-md,
.headline-sm,
.display-stat {
  font-family: var(--font-heading);
  font-weight: 800;
  line-height: 1.02;
  letter-spacing: -0.02em;
  color: var(--brand-teal);
}

.headline-xl {
  font-size: 0.5in;
}

.headline-lg {
  font-size: 0.34in;
}

.headline-md {
  font-size: 0.24in;
}

.headline-sm {
  font-size: 0.18in;
}

.body-lg {
  font-size: 0.16in;
  line-height: 1.45;
}

.body-md {
  font-size: 0.13in;
  line-height: 1.46;
}

.body-sm {
  font-size: 0.112in;
  line-height: 1.4;
}

.body-xs,
.fine-print {
  font-size: 0.092in;
  line-height: 1.35;
}

.fine-print {
  color: var(--ink-soft);
}

.muted {
  color: var(--ink-soft);
}

.stack-xs > * + *,
.stack-sm > * + *,
.stack-md > * + *,
.stack-lg > * + *,
.stack-xl > * + * {
  display: block;
}

.stack-xs > * + * {
  margin-top: 0.07in;
}

.stack-sm > * + * {
  margin-top: 0.12in;
}

.stack-md > * + * {
  margin-top: 0.18in;
}

.stack-lg > * + * {
  margin-top: 0.24in;
}

.stack-xl > * + * {
  margin-top: 0.32in;
}

.list-reset {
  list-style: none;
  padding: 0;
  margin: 0;
}

.soft-card,
.brand-card,
.info-card,
.glass-card {
  border-radius: var(--radius-md);
}

.soft-card {
  background: var(--surface);
  border: 1px solid var(--line);
  box-shadow: var(--shadow-soft);
}

.brand-card {
  color: #fff;
  background: var(--hero-gradient);
}

.brand-card--green {
  color: #fff;
  background: var(--green-gradient);
}

.brand-card--navy {
  color: #fff;
  background: var(--ocean-gradient);
}

.info-card {
  background: linear-gradient(180deg, rgba(99, 214, 227, 0.08) 0%, rgba(255, 255, 255, 0.98) 100%);
  border: 1px solid var(--line);
  box-shadow: var(--shadow-soft);
}

.glass-card {
  background: rgba(255, 255, 255, 0.16);
  border: 1px solid rgba(255, 255, 255, 0.28);
  box-shadow: 0 16px 32px rgba(7, 38, 61, 0.12);
  backdrop-filter: blur(10px);
}

.rule {
  height: 1px;
  background: linear-gradient(90deg, transparent 0%, var(--line-strong) 20%, var(--line-strong) 80%, transparent 100%);
}

.top-band,
.bottom-band {
  position: absolute;
  left: 0;
  right: 0;
  z-index: 2;
}

.top-band {
  top: 0;
  height: 0.12in;
  background: var(--teal-gradient);
}

.bottom-band {
  bottom: 0;
  height: 0.16in;
  background: linear-gradient(90deg, var(--brand-teal) 0%, var(--brand-green) 100%);
}

.logo-lockup {
  display: inline-flex;
  align-items: center;
  gap: 0.14in;
}

.logo-lockup img {
  height: auto;
}

.brand-logo {
  width: 2.18in;
  height: auto;
}

.brand-line {
  display: inline-flex;
  align-items: center;
  gap: 0.14in;
  font-size: 0.12in;
  font-weight: 700;
  color: var(--ink-soft);
}

.brand-line::before {
  content: "";
  width: 0.5in;
  height: 0.03in;
  border-radius: 999px;
  background: var(--teal-gradient);
}

.cover-grid,
.split-grid,
.tri-grid,
.two-col-grid,
.stats-grid,
.mini-grid,
.chart-grid {
  display: grid;
}

.split-grid {
  grid-template-columns: repeat(2, minmax(0, 1fr));
}

.tri-grid {
  grid-template-columns: repeat(3, minmax(0, 1fr));
}

.two-col-grid {
  grid-template-columns: 1.2fr 1fr;
  gap: 0.2in;
}

.stats-grid {
  grid-template-columns: repeat(4, minmax(0, 1fr));
  gap: 0.1in;
}

.mini-grid {
  grid-template-columns: repeat(2, minmax(0, 1fr));
  gap: 0.12in;
}

.chart-grid {
  grid-template-columns: repeat(2, minmax(0, 1fr));
  gap: 0.16in;
}

.panel {
  position: relative;
  min-width: 0;
}

.panel-pad {
  padding: 0.4in;
}

.panel-pad-sm {
  padding: 0.26in;
}

.panel-pad-xs {
  padding: 0.18in;
}

.panel-divider {
  position: absolute;
  top: 0.3in;
  bottom: 0.3in;
  width: 1px;
  background: var(--line);
}

.key-takeaway {
  display: flex;
  gap: 0.12in;
  align-items: flex-start;
}

.key-takeaway__dot {
  flex: 0 0 auto;
  width: 0.14in;
  height: 0.14in;
  margin-top: 0.035in;
  border-radius: 999px;
  background: var(--brand-green);
}

.step-list {
  display: grid;
  gap: 0.16in;
}

.step-list--compact {
  gap: 0.11in;
}

.step-item {
  display: grid;
  grid-template-columns: 0.34in 1fr;
  gap: 0.12in;
  align-items: start;
}

.step-num {
  width: 0.34in;
  height: 0.34in;
  border-radius: 999px;
  display: grid;
  place-items: center;
  background: var(--brand-teal);
  color: #fff;
  font-family: var(--font-heading);
  font-size: 0.14in;
  font-weight: 800;
}

.step-num--green {
  background: var(--brand-green);
  color: var(--brand-deep);
}

.step-title {
  font-family: var(--font-heading);
  font-size: 0.14in;
  font-weight: 800;
  line-height: 1.08;
  color: var(--brand-teal);
}

.step-copy {
  font-size: 0.11in;
  color: var(--ink-soft);
  line-height: 1.38;
}

.flow-strip {
  display: grid;
  grid-template-columns: repeat(5, minmax(0, 1fr));
  gap: 0.08in;
  align-items: center;
}

.flow-step {
  text-align: center;
}

.flow-icon {
  width: 0.74in;
  height: 0.74in;
  margin: 0 auto 0.08in;
  border-radius: 999px;
  border: 0.02in solid var(--line);
  display: grid;
  place-items: center;
  background: var(--surface);
  box-shadow: inset 0 0 0 1px rgba(13, 155, 145, 0.06);
}

.flow-arrow {
  position: relative;
  align-self: center;
  justify-self: center;
  width: 0.24in;
  height: 0.06in;
  background: linear-gradient(90deg, var(--brand-blue) 0%, var(--brand-teal) 100%);
  border-radius: 999px;
}

.flow-arrow::after {
  content: "";
  position: absolute;
  top: 50%;
  right: -0.08in;
  width: 0.12in;
  height: 0.12in;
  border-top: 0.04in solid var(--brand-teal);
  border-right: 0.04in solid var(--brand-teal);
  transform: translateY(-50%) rotate(45deg);
}

.metric-chip-row {
  display: flex;
  flex-wrap: wrap;
  gap: 0.08in;
}

.metric-chip {
  display: inline-flex;
  align-items: center;
  gap: 0.07in;
  padding: 0.08in 0.11in;
  border-radius: 999px;
  border: 1px solid rgba(117, 190, 21, 0.18);
  background: rgba(117, 190, 21, 0.12);
  color: var(--brand-teal);
  font-size: 0.102in;
  font-weight: 700;
}

.metric-chip::before {
  content: "";
  width: 0.08in;
  height: 0.08in;
  border-radius: 999px;
  background: var(--brand-green);
}

.stat-box {
  padding: 0.18in;
  border-radius: var(--radius-sm);
  background: var(--surface);
  border: 1px solid var(--line);
  box-shadow: var(--shadow-soft);
}

.display-stat {
  font-size: 0.42in;
  color: var(--brand-teal);
}

.stat-label {
  font-size: 0.11in;
  color: var(--ink-soft);
  line-height: 1.35;
}

.quote-panel {
  color: #fff;
  background: var(--ocean-gradient);
}

.quote-panel strong,
.quote-panel em {
  font-style: normal;
  font-weight: 800;
}

.figure-shell {
  border: 1px solid var(--line);
  border-radius: var(--radius-sm);
  background: #fff;
  padding: 0.14in;
  box-shadow: 0 4px 16px rgba(0, 0, 0, 0.04);
}

.figure-shell--soft {
  background: var(--surface);
}

.figure-caption {
  margin-top: 0.08in;
  font-size: 0.092in;
  color: var(--ink-soft);
  line-height: 1.34;
}

.data-table {
  width: 100%;
  border-collapse: collapse;
  font-size: 0.104in;
  line-height: 1.25;
}

.data-table th,
.data-table td {
  padding: 0.07in 0.08in;
  border: 1px solid var(--line);
  vertical-align: top;
}

.data-table th {
  background: var(--teal-gradient);
  color: #fff;
  font-family: var(--font-heading);
  font-weight: 800;
  text-align: left;
}

.data-table tbody tr:nth-child(even) td {
  background: rgba(13, 155, 145, 0.035);
}

.data-table--tight th,
.data-table--tight td {
  padding: 0.05in 0.06in;
}

.table-note {
  margin-top: 0.06in;
  font-size: 0.086in;
  color: var(--ink-soft);
}

.reference-list {
  padding-left: 0.18in;
  margin: 0;
  color: var(--ink-soft);
}

.reference-list li + li {
  margin-top: 0.04in;
}

.contact-block {
  display: grid;
  gap: 0.08in;
}

.contact-line {
  display: flex;
  gap: 0.1in;
  align-items: center;
  font-size: 0.11in;
}

.contact-icon {
  width: 0.26in;
  height: 0.26in;
  border-radius: 999px;
  display: grid;
  place-items: center;
  color: #fff;
  background: var(--brand-teal);
  font-family: var(--font-heading);
  font-size: 0.1in;
  font-weight: 800;
}

.placeholder-pill {
  display: inline-flex;
  align-items: center;
  padding: 0.05in 0.08in;
  border-radius: 999px;
  border: 1px dashed rgba(13, 155, 145, 0.28);
  color: var(--brand-teal);
  background: rgba(255, 255, 255, 0.82);
  font-size: 0.09in;
  font-weight: 700;
}

.qr-placeholder {
  position: relative;
  width: 1.1in;
  aspect-ratio: 1;
  padding: 0.08in;
  border-radius: 0.18in;
  border: 0.04in solid var(--brand-teal);
  background:
    linear-gradient(90deg, transparent 0.1in, rgba(255, 255, 255, 0.7) 0.1in, rgba(255, 255, 255, 0.7) 0.16in, transparent 0.16in),
    linear-gradient(transparent 0.1in, rgba(255, 255, 255, 0.7) 0.1in, rgba(255, 255, 255, 0.7) 0.16in, transparent 0.16in),
    repeating-linear-gradient(0deg, #0d9b91 0 0.035in, #ffffff 0.035in 0.07in),
    repeating-linear-gradient(90deg, #0d9b91 0 0.035in, #ffffff 0.035in 0.07in);
  background-blend-mode: normal, normal, multiply, multiply;
  overflow: hidden;
}

.qr-placeholder::before,
.qr-placeholder::after {
  content: "";
  position: absolute;
  width: 0.22in;
  height: 0.22in;
  border: 0.05in solid #fff;
  background: var(--brand-teal);
}

.qr-placeholder::before {
  inset: 0.08in auto auto 0.08in;
}

.qr-placeholder::after {
  inset: 0.08in 0.08in auto auto;
}

.qr-placeholder span {
  position: absolute;
  inset: auto 0.08in 0.08in 0.08in;
  padding: 0.04in 0.05in;
  border-radius: 0.12in;
  background: rgba(255, 255, 255, 0.96);
  color: var(--brand-deep);
  font-size: 0.07in;
  font-weight: 800;
  text-align: center;
  line-height: 1.2;
}

.pillars {
  display: grid;
  gap: 0.12in;
}

.pillar {
  display: grid;
  grid-template-columns: 0.34in 1fr;
  gap: 0.12in;
  align-items: start;
}

.pillar__icon {
  width: 0.34in;
  height: 0.34in;
  border-radius: 999px;
  display: grid;
  place-items: center;
  background: rgba(99, 214, 227, 0.16);
  color: var(--brand-teal);
}

.icon-stroke {
  stroke: currentColor;
  stroke-width: 2.4;
  fill: none;
  stroke-linecap: round;
  stroke-linejoin: round;
}

.tag {
  display: inline-flex;
  align-items: center;
  padding: 0.05in 0.08in;
  border-radius: 999px;
  border: 1px solid rgba(117, 190, 21, 0.18);
  background: rgba(117, 190, 21, 0.12);
  color: var(--brand-teal);
  font-size: 0.09in;
  font-weight: 700;
}

.hero-shell {
  position: relative;
  color: #fff;
  background: linear-gradient(180deg, #ffffff 0%, #ffffff 16%, rgba(255, 255, 255, 0.9) 28%, rgba(255, 255, 255, 0.2) 40%, rgba(255, 255, 255, 0) 52%),
    radial-gradient(circle at 22% 24%, rgba(255, 255, 255, 0.16) 0%, rgba(255, 255, 255, 0) 28%),
    radial-gradient(circle at 78% 72%, rgba(173, 212, 15, 0.18) 0%, rgba(173, 212, 15, 0) 26%),
    linear-gradient(135deg, #0d9b91 0%, #27b7a4 55%, #75be15 100%);
}

.hero-shell::before {
  content: "";
  position: absolute;
  inset: -8% auto auto 46%;
  width: 3.6in;
  height: 3.6in;
  border-radius: 50%;
  background: radial-gradient(circle, rgba(255, 255, 255, 0.16) 0%, rgba(255, 255, 255, 0) 70%);
  filter: blur(10px);
}

.hero-orbit,
.hero-orbit::before,
.hero-orbit::after {
  position: absolute;
  border-radius: 50%;
  border: 0.04in solid rgba(255, 255, 255, 0.22);
}

.hero-orbit {
  right: 1.05in;
  bottom: 0.78in;
  width: 4.4in;
  height: 2.7in;
  transform: rotate(-12deg);
}

.hero-orbit::before,
.hero-orbit::after {
  content: "";
  inset: 0.14in;
}

.hero-orbit::after {
  inset: 0.36in;
  border-color: rgba(173, 212, 15, 0.38);
}

.hero-radials {
  position: absolute;
  inset: 0;
  opacity: 0.35;
}

.hero-radials span {
  position: absolute;
  left: 54%;
  bottom: 12%;
  width: 0.02in;
  height: 4.8in;
  transform-origin: bottom center;
  background: linear-gradient(180deg, rgba(255, 255, 255, 0) 0%, rgba(255, 255, 255, 0.66) 100%);
}

.hero-badge {
  display: inline-flex;
  align-items: center;
  gap: 0.08in;
  padding: 0.08in 0.12in;
  border-radius: 999px;
  background: rgba(255, 255, 255, 0.18);
  border: 1px solid rgba(255, 255, 255, 0.28);
  font-size: 0.102in;
  font-weight: 700;
}

.hero-badge::before {
  content: "";
  width: 0.1in;
  height: 0.1in;
  border-radius: 999px;
  background: var(--brand-lime);
}

.footer-note {
  position: absolute;
  left: 0.34in;
  right: 0.34in;
  bottom: 0.22in;
  display: flex;
  justify-content: space-between;
  gap: 0.18in;
  color: rgba(0, 0, 0, 0.56);
  font-size: 0.09in;
}

.footer-note--light {
  color: rgba(255, 255, 255, 0.86);
}

.letter-header {
  display: flex;
  justify-content: space-between;
  align-items: flex-start;
  gap: 0.2in;
}

.letter-header__brand {
  display: grid;
  gap: 0.08in;
}

.letter-header__meta {
  display: grid;
  gap: 0.05in;
  text-align: right;
  color: var(--ink-soft);
  font-size: 0.096in;
}

.summary-box {
  padding: 0.18in;
  border-left: 0.08in solid var(--brand-teal);
  border-radius: var(--radius-sm);
  border: 1px solid var(--line);
  background: var(--surface);
  box-shadow: var(--shadow-soft);
}

.callout-grid {
  display: grid;
  grid-template-columns: 1.1fr 0.9fr;
  gap: 0.18in;
}

.source-note {
  padding: 0.14in 0.16in;
  border-radius: var(--radius-sm);
  border: 1px solid var(--line);
  background: var(--surface);
  color: var(--ink);
  box-shadow: var(--shadow-soft);
  font-size: 0.098in;
  line-height: 1.4;
}

.citation-box {
  padding: 0.18in;
  border-radius: var(--radius-sm);
  border: 1px solid var(--line);
  background: var(--surface);
  box-shadow: var(--shadow-soft);
}

.comparison-table td:first-child,
.comparison-table th:first-child {
  width: 34%;
}

.decision-band {
  display: grid;
  grid-template-columns: 0.26fr 0.48fr 0.26fr;
  overflow: hidden;
  border-radius: var(--radius-sm);
  border: 1px solid var(--line);
  box-shadow: var(--shadow-soft);
}

.decision-band__segment {
  padding: 0.14in 0.12in;
  text-align: center;
}

.decision-band__segment--low {
  background: rgba(99, 214, 227, 0.14);
}

.decision-band__segment--mid {
  background: rgba(173, 212, 15, 0.14);
}

.decision-band__segment--high {
  background: rgba(13, 155, 145, 0.14);
}

.decision-band__label {
  font-family: var(--font-heading);
  font-size: 0.12in;
  font-weight: 800;
}

.decision-band__value {
  margin-top: 0.04in;
  font-size: 0.094in;
  color: var(--ink-soft);
}

.spotlight-box {
  position: relative;
  padding: 0.2in 0.22in;
  border-radius: var(--radius-md);
  color: #fff;
  background: linear-gradient(160deg, #0d9b91 0%, #2cb7a4 62%, #75be15 100%);
  overflow: hidden;
}

.spotlight-box::after {
  content: "";
  position: absolute;
  inset: auto -0.36in -0.44in auto;
  width: 1.8in;
  height: 1.8in;
  border-radius: 50%;
  background: rgba(173, 212, 15, 0.14);
}

.nowrap {
  white-space: nowrap;
}

.hero-shell .metric-chip,
.spotlight-box .metric-chip,
.quote-panel .metric-chip,
.brand-card .metric-chip {
  background: rgba(255, 255, 255, 0.2);
  color: #fff;
  border-color: rgba(255, 255, 255, 0.18);
}

.page-tag {
  display: inline-flex;
  align-items: center;
  justify-content: center;
  padding: 0.05in 0.1in;
  border-radius: 999px;
  border: 1px solid rgba(13, 155, 145, 0.14);
  background: rgba(13, 155, 145, 0.08);
  color: var(--brand-teal);
  font-size: 0.088in;
  font-weight: 700;
}

.section-card--soft {
  background: var(--surface);
}

:is(
  .brand-card,
  .brand-card--green,
  .brand-card--navy,
  .quote-panel,
  .spotlight-box,
  .hero-shell,
  .hero-summary,
  .patient-panel--dark,
  .patient-panel--hero,
  .panel-block--dark,
  .glass-card
) :is(.headline-xl, .headline-lg, .headline-md, .headline-sm, .display-stat) {
  color: inherit;
}

@media print {
  body {
    background: none;
    -webkit-print-color-adjust: exact;
    print-color-adjust: exact;
  }

  .page {
    margin: 0;
    box-shadow: none;
  }

  .screen-only {
    display: none !important;
  }
}
