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Yes I asked people who have gone to Canada before with same issue. This is what they said. There's no concrete information from IRCC though. But there's one thing that's certain - if medicals are expired, then visa status would become invalid. So i think as long as status is valid it shouldn't...

Some people have said ircc doesn't issue any new LoI and medicals will be updated in the background. Is your visa status valid in portal?