Communication is lacking, with no responses to inquiries. When they do claim to have taken action, it often turns out they haven't. I've received automated emails for treatment questionnaires, and I got the review email three weeks in advance of even receiving the first item! The process is poorly organized, leaving me uncertain about whether I'll receive the next two items I've already paid for on time, which could disrupt my treatment. I chose this service based on a recommendation, but in retrospect, I would strongly suggest looking for a face-to-face clinic instead.
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