That is a good point about visibility. Without public case studies or metrics, it is hard to tell whether quiet adoption is happening or not. I guess that is just the reality with private companies in specialized niches. It makes discussions like this more about interpretation than facts. Still useful, but with clear limits.From my experience, adoption in this space often comes from referrals rather than marketing. If CiteMed is being used quietly by regulatory consultants or device manufacturers, that might not show up in public narratives yet. Lack of visible traction does not necessarily mean lack of activity. It just means outsiders have limited visibility. Founder interviews are sometimes the only public window, which can distort perception.