I was reluctant to give another review because I've had mixed feelings. The office staff is wonderful, they are polite and professional, the atmosphere is inviting; when it's time for my physician's visit, I feel heard, and I believe she does her best to help me on this weight management journey. My concern is the actual medication, I struggle with weight obviously and I'm a long time patient. However I do not believe in the medication, it's very expensive and the lower dose has NO impact on my appetite and doesn't help, I've gained 12-15 lbs since starting back on the injection. The cost is not sustainable, so if you ever have to take a break, you're paying a lot for very little. That has been my personal struggle, I do not recommend starting the injection here, if you cannot stay on it consistently and long term, at least an ongoing maintenance dose. Wegovy in the pen worked at every dose, but not whatever I'm getting in the syringes. Learning to lose by diet and exercise alone isn't working for me, I needed the medical help. Consider another doctor first if you have insurance. read more