Your first visit will be a lengthy visit (1 hours) where a thorough medical history will be obtained. This visit will include conversation about your goals of treatment as well. Potential approaches will be discussed and any necessary lab work will be recommended. Some simple recommendations may be given at the end of the first visit, but a detailed treatment plan will come after labs have come in, physical exams have been performed and there has been time to thoughtfully consider your health concerns. At the second visit a physical exam will be performed, the findings that could be contributing to your health concerns will be discussed, and a detailed treatment plan will be explained. This visit is usually 1 hour in length. Follow up visits will be scheduled accordingly. The frequency of your visits will depend on the complexity of your health concerns.