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They are excellent. I won't say perfect (no negativity meant by saying they are not perfect), but they are excellent. Far and away better than any medical practice I've ever dealt with (including mainstream). At first I was letting them write prescriptions for me for labs and meds, but found it's really just easier to go through them for it. Their pricing is even better or at least not any more than what I would pay if I used my insurance. I'm very pleased with them. They stay current and relevant. Can't beat them.