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Summary of Significant Accounting Policies - Narrative (Details) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2024 | Jun. 30, 2023 | Jun. 30, 2024 | Jun. 30, 2023
Cost of goods sold increase (decrease) | $ 12,567 | $ 8,503 | $ 21,325 | $ 16,675
General and administrative | 9,417 | 10,550 | 19,373 | 20,611
Decrease in research and development | (6,658) | (7,144) | (14,066) | (13,470)
Reduction to sales and marketing expense | (19,698) | (18,860) | (39,513) | (38,307)
Cash and cash equivalents balance outside of FDIC limit | $ 18,439 |  | $ 18,439 |
Revision of Prior Period, Reclassification, Adjustment |  |  |  |
Cost of goods sold increase (decrease) |  | (3) |  | (6)
General and administrative |  | 922 |  | 1,984
Decrease in research and development |  | 219 |  | 572
Reduction to sales and marketing expense |  | 699 |  | 1,406
Shipping and Handling | Revision of Prior Period, Change in Accounting Principle, Adjustment |  |  |  |
Cost of goods sold increase (decrease) |  | $ 1,278 |  | $ 2,743

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