Provide the major organic product in the reaction below. 
Definitions:
Spending Variance
The difference between the actual spending and the budgeted or planned spending amount in a given period.
Medical Supplies
Products and equipment used in healthcare practices for treatment, diagnosis, or preventive care purposes.
Activity Variance
A disparity that arises when the actual level of business activity differs from what was planned or expected.
Personnel Expenses
The costs associated with employing staff, including wages, salaries, benefits, and taxes.
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