strong & waived LOR from Home country or 4 years old strong & un-waived LOR from USA?
Strong waived
If you wanna use US LOR better use updates one
I used one old LOR as the doc told me she left that hospital and now started working at a different hospital
I didn’t know what to do so I used the old one
I would pick strong waived because the US letter has nothing special except it from US, it is outdated and unwaived! Around 60% of programs asking LOR within the last 6 months.