Excellent! All the staff is very polite, prompt, and courteous – they go the extra mile. When I asked if I could get a Vanilla flavored Detox powder swapped they called other office and offered to have it sent to Rochester. Dr Lewerenz was great – I felt heard, and hopeful with his enthusiastic interest and confidence that he knows how to help me tweak my regime, dive a little deeper than most doctors and help me achieve the desired results. I look forward to the process and desired results by working with Health Institute.