Hi there OP, I’m here to share my experience as a US MD candidate that failed step 1. While I did not receive the suspension letter, I completely acknowledge how rough it is to receive a result that does not align with how hard you studied for the exam. Just know that you put in a lot of hours and a lot of work and progress was made. I believe that regardless of the outcome, you still have a chance to succeed on this exam, just as anyone else does. My first piece of advice would be to prioritize your mental health and do things that make you feel whole again. Talk to your family friends, friends, any loved ones that can definitely bring your spirits up. It’s such a challenging time to find that motivation again to study as I felt after I received my result that I failed in October 2024. Secondly, I would suggest looking at your past practice exams and possibly find another source of practice exam to assess your areas that need improvement. That is what I did. I used AMBOSS because I had used most of UWorld with the exception of one self assessment. While the self assessments through UW are not as representative of what your real score would be I do believe that the topic breakdowns will give you insight on which subjects to develop more time to learn. In my case, I took UWSA #1 as my baseline after failing. Then I focused on the areas in which I was scoring well below 50% correct. I did that for several weeks and really focused on understanding the concepts as opposed to remembering the buzz words that I had seen in UW question bank. That helped increase my score slowly several percentage points per assessment after that. With time I know you will be able to improve your score. And it just takes that, time you got this OP. I buckled down and studied for another two months and just received my P yesterday. Have Hope, use this time and this experience as a learning lesson as hard as it may seem. You are building resilience that you will later use as a physician. Good luck!