The earnings call presents a mixed outlook. Financial performance showed a revenue decline and reduced margins, but cost management improved the operating loss and net loss. The Q&A reveals management's focus on U.S. growth, reimbursement normalization, and resource allocation challenges. However, lowered 2025 guidance, under-penetration, and lack of clear European strategy weigh on sentiment. Despite some positives like reduced expenses and cash position improvement, the overall sentiment remains neutral due to mixed guidance and uncertainties in execution.