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Stock Compensation - Option Activity Under the 2010 Stock Plan and 2024 Inducement Plan (Details) - Share-based Payment Arrangement, Option
 3 Months Ended
Mar. 31, 2024
$ / shares
shares
Option Activity Shares  
Outstanding at the beginning of the period (in shares) | shares 12,457,158
Options granted (in shares) | shares 596,329
Options exercised (in shares) | shares (7,500)
Options cancelled (in shares) | shares (131,662)
Outstanding at the end of the period (in shares) | shares 12,914,325
Stock Options Weighted Average Price  
Weighted average price of options at the beginning of the period (in USD per share) | $ / shares $ 85.40
Options granted (in USD per share) | $ / shares 61.35
Options exercised (in USD per share) | $ / shares 64.55
Options cancelled (in USD per share) | $ / shares 86.44
Weighted average price of options at the end of the period (in USD per share) | $ / shares $ 84.29