Most first visits are about 60-90 minutes. During this time we gather a thorough medical history, review any available medical records, and gain a detailed understanding of your individual circumstances. Specific questions relating to your diagnoses and chief concerns will be asked, as well as general markers of health, such as how you eat, sleep, your digestion, stresses, etc. as these all affect your health.  If required, there may be a complaint oriented physical examination and further laboratory testing may be ordered.  By the end of your appointment your doctor will present the best treatment options available, and together with your input, create a personalized treatment plan.