Truepill, a platform that helps other companies provide diagnostics, telemedicine services and prescriptions, has undergone layoffs for the fourth time this year.

The layoffs affected approximately 65% ​​of existing staff across engineering, HR, design, IT and finance teams, sources said. The layoffs come about two months after the last round, which affected about a third of the company, or 175 of his people.

One employee, who spoke to TechCrunch on condition of anonymity, said he was told in a one-on-one call with management that “due to economic factors, my position is no longer sustainable.” The retirement was mentioned, but HR has not yet communicated the details to the employee.

“[The company said] We were hoping there wouldn’t be any layoffs after the August round,” the source said. “[Leadership said that] Investors made some demands for the company to expand its financial runway, so they made a tough choice, but we’re on a good footing now. ”

An all-hands meeting previously scheduled for this week has been postponed to next week, the sources added.

Truepill stopped prescribing an ADHD drug in April due to growing concerns about digital health. The service disruption affected employees at Ahead, an adult ADHD treatment company recently acquired by Truepill. Truepill is reportedly Cerebral’s preferred pharmacy partner and is under federal investigation amid allegations that employees feel pressured to prescribe drugs to customers.

In June, Viswanathan confirmed it laid off another 15% of its staff, affecting 150 people. In the letter, Viswanathan said the company was “focused on defining new healthcare categories and growing top-line revenue,” but said it would “ensure Truepill’s longevity and achieve a new level of financial discipline and discipline.” Prioritizing and operating the business is essential.” For both our clients and our team. ”

In August, Truepill’s entire UK team and a significant portion of the virtual pharmacy platform’s product team were laid off, sources told TechCrunch. (core services) will have limited support going forward.

Today’s layoffs affect many teams, including the Support Engineering team tasked with taking over the work of the UK team after being laid off.

Truepill did not immediately respond to a request for comment.

Current and former Truepill employees can contact Natasha Mascarenhas at natasha.m@techcrunch.com or Signal, a secure messaging app, at (925) 271 0912.