Hi there,
Have not received the medical request.
Reviewing the past cases from January 2023 to present, it appears for some visa offices like London, Mexico, Singapore, Tanzania, South Africa and so on, medical request takes time or is done before last few stages of principal applicant's approval.
Application Submission - Sept. 20, 2023
AOR - Nov. 15, 2023
SA - Dec. 19, 2023
Biometric - Dec. 20, 2023
VO - Paris