Revenue Recognition (Tables)

3 Months Ended

Mar. 31, 2026

Revenue from Contract with Customer [Abstract]

Schedule of Revenues Recognized

Revenue recognized for each revenue stream was as follows:


		Three Months Ended March 31,
(in thousands)		2026				2025
Pellet procedures		$	31,294			$	36,042
Dietary supplements			11,037				9,270
Disposable trocars			1,130				1,175
Shipping fees and other			434				538
Product revenue			43,895				47,025

Training			130				326
Contract-term services			332				335
Other			578				1,306
Service revenue			1,040				1,967
Total revenue		$	44,935			$	48,992

Revenue recognized by geographic region was as follows:


		Three Months Ended March 31,
(in thousands)		2026				2025
United States		$	43,693			$	46,779
All other			202				246
Product revenue			43,895				47,025

United States			1,040				1,967
All other			—				—
Service revenue			1,040				1,967
Total revenue		$	44,935			$	48,992

Summary of Significant Changes in Contract Liability Balances

Significant changes in contract liability balances were as follows:


		Three Months Ended March 31,
		2026								2025
Description of change (in thousands)		Deferred Revenue				Deferred Revenue, Long-term				Deferred Revenue				Deferred Revenue, Long-term
Revenue recognized that was included in the contract liability balance at the beginning of the period		$	(986	)		$	—			$	(994	)		$	—
Increases due to cash received, excluding amounts recognized as revenue during the period			838				165				903				328
Transfers between current and non-current liabilities due to the expected revenue recognition period			50				(50	)			737				(737	)
Total increase (decrease) in contract liabilities		$	(98	)		$	115			$	646			$	(409	)

Summary of Consideration Allocated to Performance Obligations

Consideration allocated to performance obligations was as follows:


		March 31,				December 31,
(in thousands)		2026				2025
Unsatisfied training obligations – Current		$	99			$	158
Unsatisfied contract-term services – Current			1,447				1,471
Unsatisfied contract-term services – Long-term			607				745
Total allocated to unsatisfied contract-term services			2,054				2,216
Unsatisfied pellet procedures – Current			1,302				1,388
Unsatisfied pellet procedures – Long-term			315				352
Total allocated to unsatisfied pellet procedures			1,617				1,740
Total deferred revenue – Current		$	2,848			$	3,017
Total deferred revenue – Long-term		$	922			$	1,097