:root{--green:#0c4b38;--green2:#163f33;--ink:#17221f;--cream:#f5f2e9;--pale:#edf2ee;--white:#fff;--muted:#68736e;--gold:#b79452;--max:1180px}*{box-sizing:border-box}html{scroll-behavior:smooth}body{margin:0;font-family:'DM Sans',Arial,sans-serif;color:var(--ink);background:#fff;line-height:1.65}img{max-width:100%;display:block}a{color:inherit}.container{width:min(var(--max),calc(100% - 40px));margin:auto}.skip-link{position:absolute;left:-9999px}.skip-link:focus{left:20px;top:20px;background:#fff;padding:10px;z-index:99}.site-header{position:sticky;top:0;z-index:20;background:rgba(255,255,255,.96);backdrop-filter:blur(12px);border-bottom:1px solid #e8ebe9}.nav-wrap{min-height:86px;display:flex;align-items:center;justify-content:space-between;gap:24px}.brand{display:flex;align-items:center;text-decoration:none;gap:12px}.brand img{width:52px;height:52px;object-fit:contain;background:var(--green);border-radius:50%;padding:7px}.brand span{display:flex;flex-direction:column}.brand strong{letter-spacing:.13em;font-size:15px}.brand small{font-size:9px;letter-spacing:.08em;color:var(--muted)}.nav{display:flex;align-items:center;gap:22px}.nav>a:not(.button){text-decoration:none;font-size:14px;font-weight:600}.menu-button{display:none;background:none;border:1px solid #ccd4d0;border-radius:99px;padding:8px 14px}.button{display:inline-flex;align-items:center;justify-content:center;background:var(--green);color:#fff;text-decoration:none;border:0;border-radius:3px;padding:13px 20px;font:600 14px 'DM Sans';cursor:pointer}.button-small{padding:10px 14px}.button-ghost{background:transparent;color:var(--green);border:1px solid var(--green)}.button-dark{background:var(--ink)}.hero{background:linear-gradient(120deg,#f7f5ef 0%,#eef2ee 62%,#e4ebe6 100%);overflow:hidden}.hero-grid{min-height:690px;display:grid;grid-template-columns:1.15fr .85fr;align-items:center;gap:70px}.hero h1,.section h2{font-family:'Libre Caslon Display',Georgia,serif;font-weight:400;line-height:1.04;margin:.15em 0 .4em}.hero h1{font-size:clamp(48px,6vw,78px);max-width:820px}.section h2{font-size:clamp(38px,4.5vw,58px)}.eyebrow{text-transform:uppercase;letter-spacing:.16em;font-size:12px;font-weight:700;color:var(--green);margin:0 0 16px}.lead{font-size:20px;color:#45524d;max-width:760px}.hero-actions{display:flex;gap:12px;margin:32px 0}.trust-strip{display:flex;flex-wrap:wrap;gap:10px}.trust-strip span{border-top:1px solid #aebbb4;padding-top:8px;margin-right:15px;font-size:13px;font-weight:600}.hero-portrait{align-self:end;position:relative}.hero-portrait img{height:620px;width:100%;object-fit:cover;object-position:50% 20%;filter:saturate(.9)}.portrait-caption{position:absolute;left:-25px;bottom:30px;background:var(--green);color:#fff;padding:18px 22px;display:flex;flex-direction:column;min-width:240px}.portrait-caption span{font-size:12px;opacity:.8}.section{padding:100px 0}.section-tint{background:var(--pale)}.intro-grid,.section-heading,.split,.about-grid,.referrer-grid,.form-grid,.contact-grid,.mdt-grid{display:grid;grid-template-columns:1fr 1fr;gap:70px;align-items:start}.intro-grid{align-items:end}.large-copy{font-size:20px}.section-heading{margin-bottom:40px;align-items:end}.section-heading p{max-width:470px}.cards{display:grid;grid-template-columns:repeat(4,1fr);gap:16px}.service-card{background:#fff;padding:32px 26px;min-height:300px;border-top:3px solid var(--green)}.service-card>span{color:var(--gold);font-size:12px}.service-card h3{font-family:'Libre Caslon Display';font-size:27px;line-height:1.15}.clinical-feature{overflow:hidden}.split{align-items:center}.photo-stack{position:relative;padding:0 60px 60px 0}.photo-main{height:560px;width:100%;object-fit:cover}.photo-inset{position:absolute;width:42%;height:220px;object-fit:cover;right:0;bottom:0;border:8px solid #fff}.text-link{font-weight:700;color:var(--green);text-decoration:none}.dark{background:var(--green2);color:#fff}.dark .eyebrow{color:#d4c49c}.procedure-grid{display:grid;grid-template-columns:repeat(3,1fr);gap:50px}.procedure-grid h3{font-family:'Libre Caslon Display';font-size:28px}.procedure-grid ul{padding-left:18px;color:#d9e2dd}.about-grid{align-items:center}.about-photo img{height:650px;width:100%;object-fit:cover;object-position:50% 20%}.credentials{border-top:1px solid #d7ddda;margin-top:30px}.credentials>div{display:grid;grid-template-columns:140px 1fr;gap:15px;padding:15px 0;border-bottom:1px solid #d7ddda}.credentials span{color:var(--muted)}.international{background:var(--cream)}.international-grid{display:grid;grid-template-columns:1.2fr .8fr;gap:50px;align-items:stretch}.international-grid>img{width:100%;height:520px;object-fit:cover}.international-copy{background:#fff;padding:10px 35px}.metric{padding:24px 0;border-bottom:1px solid #e3e3dd;display:flex;flex-direction:column}.metric strong{color:var(--green);font-size:14px;text-transform:uppercase;letter-spacing:.12em}.reverse{grid-template-columns:.8fr 1.2fr}.wide-photo{width:100%;height:520px;object-fit:cover}.mdt-grid{align-items:center}.mdt-logo{max-height:480px;margin:auto}.panel,.contact-card{background:var(--pale);padding:35px}.panel ul{padding-left:18px;margin-bottom:28px}.referral{background:#f7f5ef}.form-grid form{display:grid;grid-template-columns:1fr 1fr;gap:18px}.form-grid label{font-size:13px;font-weight:700;display:flex;flex-direction:column;gap:7px}.form-grid input,.form-grid select,.form-grid textarea{width:100%;border:1px solid #c9d1cd;background:#fff;padding:13px;font:inherit;border-radius:2px}.full{grid-column:1/-1}.direct-contact{margin-top:30px;display:flex;flex-direction:column;gap:5px}.direct-contact a{color:var(--green);font-weight:700;text-decoration:none}.contact a{color:var(--green)}footer{background:#0b241d;color:#dce5e1;padding:45px 0}.footer-grid{display:grid;grid-template-columns:1fr 1fr;gap:40px;align-items:end}.footer-grid img{width:45px;float:left;margin-right:12px;filter:brightness(0) invert(1)}.footer-grid p{font-size:12px;color:#aebdb7}.footer-grid>div:last-child{text-align:right}@media(max-width:900px){.menu-button{display:block}.nav{display:none;position:absolute;top:86px;left:0;right:0;background:#fff;padding:20px;flex-direction:column;align-items:stretch;border-bottom:1px solid #ddd}.nav.open{display:flex}.brand small{display:none}.hero-grid,.intro-grid,.section-heading,.split,.about-grid,.referrer-grid,.form-grid,.contact-grid,.mdt-grid,.international-grid,.reverse{grid-template-columns:1fr;gap:35px}.hero-grid{padding-top:65px}.hero-portrait img{height:520px}.cards{grid-template-columns:1fr 1fr}.procedure-grid{grid-template-columns:1fr}.section{padding:70px 0}.about-photo img{height:550px}.international-grid>img,.wide-photo{height:430px}.footer-grid{grid-template-columns:1fr}.footer-grid>div:last-child{text-align:left}}@media(max-width:580px){.container{width:min(100% - 28px,var(--max))}.nav-wrap{min-height:72px}.nav{top:72px}.brand strong{font-size:12px}.brand img{width:42px;height:42px}.hero-grid{min-height:auto;gap:25px}.hero h1{font-size:44px}.hero-portrait img{height:430px}.portrait-caption{left:10px;bottom:10px}.cards{grid-template-columns:1fr}.service-card{min-height:auto}.section{padding:58px 0}.photo-stack{padding:0}.photo-main{height:390px}.photo-inset{display:none}.about-photo img{height:470px}.form-grid form{grid-template-columns:1fr}.credentials>div{grid-template-columns:1fr;gap:2px}.international-grid>img,.wide-photo{height:320px}}

.page-hero{padding:110px 0 75px;background:linear-gradient(135deg,#f7f5ef,#e8efe8)}
.page-hero .container{max-width:1000px}.page-hero h1{font-size:clamp(3rem,6vw,5.8rem)}
.breadcrumb{font-size:.8rem;color:var(--muted);margin-bottom:25px}.breadcrumb a{text-decoration:underline}
.content-grid{display:grid;grid-template-columns:2fr .8fr;gap:70px;align-items:start}
.prose h2{margin-top:1.5em}.prose h3{margin-top:2em}.prose p,.prose li{max-width:780px}
.sidebar{position:sticky;top:110px}.sidebar-card{background:#edf2ec;padding:26px;border-radius:18px;margin-bottom:18px}
.volume-band{background:#0b2928;color:white;padding:45px 0}.volume-row{display:grid;grid-template-columns:repeat(4,1fr);gap:25px;text-align:center}
.volume-row strong{display:block;font:2.5rem "Libre Caslon Display",serif}.volume-row span{font-size:.85rem;color:#c8d8d2}
.refs{border-top:1px solid var(--line);margin-top:60px;padding-top:30px}.refs ol{padding-left:20px}.refs li{margin:12px 0;font-size:.9rem}.refs a{text-decoration:underline}
.clinical-photo{width:100%;border-radius:22px;aspect-ratio:16/9;object-fit:cover;margin:25px 0}
@media(max-width:800px){.content-grid{grid-template-columns:1fr}.sidebar{position:static}.volume-row{grid-template-columns:1fr 1fr}}
.page-hero{padding:110px 0 75px;background:linear-gradient(135deg,#f7f5ef,#e8efe8)}
.breadcrumb{font-size:.8rem;color:var(--muted);margin-bottom:25px}.content-grid{display:grid;grid-template-columns:2fr .8fr;gap:70px;align-items:start}.sidebar{position:sticky;top:110px}.sidebar-card{background:#edf2ec;padding:26px;border-radius:18px;margin-bottom:18px}.volume-band{background:#0b2928;color:white;padding:45px 0}.volume-row{display:grid;grid-template-columns:repeat(4,1fr);gap:25px;text-align:center}.volume-row strong{display:block;font:2.5rem "Libre Caslon Display",serif}.refs{border-top:1px solid var(--line);margin-top:60px;padding-top:30px}.callout{background:#edf2ec;border-radius:20px;padding:28px;margin:35px 0}.evidence-grid,.international-grid{display:grid;grid-template-columns:repeat(2,1fr);gap:18px}.evidence-card,.international-card{background:#fff;border:1px solid var(--line);border-radius:20px;padding:25px}.live-gallery{display:grid;grid-template-columns:1.4fr 1fr;gap:14px;margin-top:25px}.live-gallery figure{margin:0}.live-gallery img{width:100%;height:310px;object-fit:cover;border-radius:16px;display:block}.live-gallery figure:first-child{grid-row:span 2}.live-gallery figure:first-child img{height:100%}.live-gallery figcaption{font-size:.76rem;color:var(--muted);padding:7px 3px}@media(max-width:800px){.content-grid,.evidence-grid,.international-grid{grid-template-columns:1fr}.sidebar{position:static}.volume-row{grid-template-columns:1fr 1fr}}@media(max-width:700px){.live-gallery{grid-template-columns:1fr}.live-gallery figure:first-child{grid-row:auto}.live-gallery figure:first-child img,.live-gallery img{height:auto}}

/* V6 screening, self-referral and patient philosophy */
.patient-message{background:#0b2928;color:white;padding:75px 0}
.patient-message blockquote{font:clamp(1.7rem,3vw,2.8rem) "Libre Caslon Display",serif;line-height:1.35;max-width:950px;margin:0}
.patient-message cite{display:block;margin-top:24px;font-style:normal;color:#c8d8d2}
.screening-hero{background:linear-gradient(135deg,#eef3ed,#fbf8f0);border-radius:28px;padding:38px;margin:30px 0}
.screening-age{display:inline-flex;align-items:center;justify-content:center;width:110px;height:110px;border-radius:55px;background:#0b2928;color:white;font:2rem "Libre Caslon Display",serif;float:left;margin:0 25px 15px 0}
.access-grid{display:grid;grid-template-columns:1fr 1fr;gap:20px;margin-top:30px}
.access-card{border:1px solid var(--line);border-radius:22px;padding:30px;background:#fff}
.access-card h3{margin-top:0}
.form-grid{display:grid;grid-template-columns:1fr 1fr;gap:16px}
.form-grid .full{grid-column:1/-1}
.form-grid label{font-size:.8rem;font-weight:700;display:block;margin-bottom:6px}
.form-grid input,.form-grid select,.form-grid textarea{width:100%;padding:13px 14px;border:1px solid #ccd5cf;border-radius:10px;background:white;font:inherit}
.form-grid textarea{min-height:100px}
.evidence-banner{border-left:4px solid #b89a5b;background:#f8f4e9;padding:22px 25px;margin:28px 0}
@media(max-width:750px){.access-grid,.form-grid{grid-template-columns:1fr}.form-grid .full{grid-column:auto}.screening-age{float:none;margin-bottom:18px}}

/* Version 10: discreet disclosure and specialist clinics */
.rwops-disclosure{margin-top:1.25rem;font-size:.88rem;color:#53616b;border-top:1px solid #e1e6e7;padding-top:.75rem;max-width:42rem}.rwops-disclosure summary{cursor:pointer;text-decoration:underline;text-underline-offset:3px}.rwops-disclosure p{margin-top:.7rem;line-height:1.6}.clinic-cards{grid-template-columns:repeat(3,minmax(0,1fr))}@media(max-width:800px){.clinic-cards{grid-template-columns:1fr}}

.visual-fallback{display:flex;align-items:center;justify-content:center;min-height:240px;border-radius:14px;padding:2rem;text-align:center;background:#e6eeef;color:#18464b;font-size:1.45rem}

/* MDT identity */
.mdt-logo-figure{margin:0;background:#fff;border-radius:18px;padding:22px;box-shadow:0 8px 30px rgba(0,0,0,.07);text-align:center}.mdt-logo-figure img{display:block;width:100%;max-width:440px;height:auto;object-fit:contain;margin:auto}.mdt-logo-figure figcaption{font-size:.83rem;opacity:.75;margin-top:10px}

/* Practice domain identities */
.practice-domains{text-align:center;margin:1rem auto 0;padding:0 1rem;font-size:.9rem;line-height:1.8;overflow-wrap:anywhere}.practice-domains a{text-decoration:underline;text-underline-offset:3px}



/* V16: safe referral contact cards */
.safe-referral-card{padding:1.5rem;border:1px solid var(--line,#ddd);border-radius:12px;background:rgba(128,128,128,.045);margin:1.25rem 0;line-height:1.7}.safe-referral-card h3{margin-top:0}.safe-referral-card a{overflow-wrap:anywhere}

/* V17 — consistent single-line desktop navigation; no changes to content or imagery */
@media (min-width: 1181px) {
  .nav-wrap { gap: 16px; }
  .brand { flex: 0 1 360px; min-width: 285px; }
  .brand small { font-size: 8.5px; letter-spacing: .045em; }
  .nav { flex: 0 0 auto; gap: clamp(10px, 1.05vw, 17px); }
  .nav > a:not(.button) { font-size: 12.5px; white-space: nowrap; }
  .nav > .button { white-space: nowrap; padding: 10px 13px; font-size: 12.5px; }
}
@media (min-width: 901px) and (max-width: 1180px) {
  .menu-button { display: block; }
  .nav { display: none; position: absolute; top: 86px; left: 0; right: 0; background: #fff; padding: 20px; flex-direction: column; align-items: stretch; border-bottom: 1px solid #ddd; }
  .nav.open { display: flex; }
}

/* V19: accommodate Research link without desktop wrapping */
@media (min-width:1181px){.nav-wrap{gap:10px}.brand{flex-basis:315px;min-width:260px}.nav{gap:clamp(7px,.75vw,12px)}.nav>a:not(.button){font-size:12px}.nav>.button{font-size:12px;padding:9px 11px}}

/* V23: Approved three-line professional identity; retain existing navigation and site design. */
.brand > span { display:flex; flex-direction:column; justify-content:center; min-width:0; }
.brand strong { color:var(--green); line-height:1.2; }
.brand .brand-practice { display:block; color:var(--green); font-size:15px; font-weight:750; letter-spacing:.015em; line-height:1.3; margin-top:2px; }
.brand small { display:block; line-height:1.45; margin-top:3px; }
.brand img { width:76px; height:76px; flex:0 0 76px; }
@media (min-width:1181px) {
 .brand { flex-basis:330px; min-width:290px; gap:10px; }
 .brand img { width:74px; height:74px; flex-basis:74px; }
 .brand strong { font-size:13px; letter-spacing:.09em; }
 .brand .brand-practice { font-size:14px; }
 .brand small { font-size:8px; letter-spacing:.02em; }
}
@media (min-width:581px) and (max-width:1180px) {
 .nav-wrap { min-height:100px; }
 .nav { top:100px; }
 .brand strong { font-size:15px; }
 .brand .brand-practice { font-size:15px; }
 .brand small { display:block; font-size:9px; letter-spacing:.025em; }
}
@media (max-width:580px) {
 .nav-wrap { min-height:92px; gap:8px; }
 .nav { top:92px; }
 .brand { gap:8px; min-width:0; flex:1 1 auto; }
 .brand img { width:65px; height:65px; flex-basis:65px; padding:6px; }
 .brand strong { font-size:clamp(11px,3.3vw,14px); letter-spacing:.07em; }
 .brand .brand-practice { font-size:13px; margin-top:1px; }
 .brand small { display:block; font-size:clamp(7px,1.95vw,9px); letter-spacing:0; line-height:1.35; }
 .menu-button { flex:0 0 auto; padding:7px 10px; }
}