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I used their consultation service 6 months after my original appointment with Dr. Saya. I had rec'd results from a micronutrient analysis (there were problems) so I emailed them to Defy, then phoned them, and asked the person to ask Dr. Saya a particular question about how it might change my protocol. Dr. Saya emailed me his reply 2 hours later. I was pretty happy that I could get access to him that quickly. To do that the Dr. has to pull the patient's file and update himself. Determine what I'm calling about, put it all together and then reply to me, so it's not a 5 min thing. I even offered to pay if there were any charges for this but they said no charge. I'm very satisfied with every person that I have dealt with there.