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Does Defy require an in person first visit....or can it be done via phone/skype?

Looking for any good TRT doctors in the state of Virginia. Looking at possibly driving to Tier 1 in Chattanooga....but would rather be a little closer. Any recommendations?

Last April in 2013, I started having sensitivity in the Left nipple area and got some blood work done. Ended up getting a Biopsy of the nipple area and was diagnosed with Gyno. Then had a Biopsy done as well with negative results for any tumor. Then had an MRI of the brain done in July...