I've been going here off and on for a couple of years. Since Dr. Boone left, they've had several NP's, but the one currently in place has been the worse one yet. She has the bedside manners of a rock. No encouragement. Always chastising when you fail to lose weight or enough weight. She comes into the appointment, gives you two minutes and recites a list of rules. Then if you fail to lose weight consistently, she places you on a 5 pound challenge and tells you just not to come back if you fail to lose the 5 pounds. Wow. That's encouraging. She's obviously never had the challenge of losing weight. She obviously does not understand all the variables involved. In her mind, it is a choice. It's unfortunate, because the treatment does work, but this NP makes this clinic a place to avoid to maintain your self esteem and dignity. In addition, several months ago, the initiated a new system that makes getting weekly shots an all day affair. It use to take a couple of minutes, now you have to take a day off because it takes so long. Joking, but at a least a half day.