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ECG App Missing and cannot reinstall

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The ECG app has disappeared from my Fitbit Sense and it will no longer install.

I restarted the watch and also uninstalled and reinstalled the Android app without any success.  I then tried a full factory reset of the Fitbit Sense and still will not install.  Fitibit firmware is 44.128.6.17.

Detailed steps:  Go to Settings -> Third Party Apps -> Compatible Apps, search for ECG, click on the open in the App link, then click on Install it prompts for permissions, runs a red status bar across the display for a few seconds and then changes back to the "Install" button.

Has ECG support been discontinued or is this just an issue with the latest Fitbit Sense update?

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Finally got it to install.  Turns out the install seems to be stuck in a pending state.  I went into the devices (top-left corner of the App), clicked on the Sense Device, then Gallery, and removed an unneeded app.  When I clicked uninstall, it prompted to finishing pending installs first and answering OK did the install.

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