The initial appointment includes a physical exam, ekg, appropriate labs will be ordered, 3 months of prescription medication/s, nutritional guidance/program and a skinny shot to jump start your metabolism. The second exam includes a physical exam, medication monitoring, weight analysis, mesotherapy treatment of one body area that is of concern to you. The third and fourth visit includes a physical exam, medication monitoring, weight analysis, and skinny shot. You may come in any time after your last visit and receive your last skinny shot.