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This legal letter, sent by attorney Bobbi C. Sternheim on behalf of her client Ghislaine Maxwell to Judge Alison J. Nathan, formally complains about Maxwell's harsh and restrictive conditions at the Metropolitan Detention Center (MDC). The letter refutes a previous communication from MDC staff, detailing issues such as significant weight loss, isolation, constant surveillance, and a recent quarantine that hindered her defense preparation. Sternheim renews the request for the MDC Warden, Heriberto Tellez, to respond directly to the Court and justify these conditions.