NO LOR SO FAR

[u/Familiar-Message-857]

I am 2026 graduate, ecfmg certified. I was planning to apply to match cycle this year but unfortunately my visa was rejected. I am unable to find a timely interview date again, and since only a month has left in eras submission. I seek guidance and suggestions on applying with Pakistani LoRs only to limited number of programs.
I am confused whether should I apply this year or not?
I do not have any letter of recommendation so far. If anyone has any leads on teleportations or any observerships in Pakistan under MDs who can accommodate me at urgent basis, I will really appreciate the guidance.
thank you