We also submitted upfront medical but ircc is requesting again we applied on 14 june got medical request on 7 july but our first application was refused in march even that medical was still valid
I am also waiting
Appiled June 14
Biometric updated with previous application
Medical request 7 July
Medical completed 13 July
Medical passed 18 July
Waiting for decision
If they need it they will request you I applied same day 14 june ircc requested medical on 7 july even my parents had valid medical which is going to expire in November