RE:Sorry I’m a little slowYou don’t have to go to a dr. To get a diagnosis. I selected 3 of the several ailments listed and they ask for proof that you have already tried other medications to alleviate the conditions. I took a picture of an anti-inflammatory bottle showing the name -that’s it. The Dr. Asked questions and approved within 5 minutes. Your family dr. is not involved . It’s 100% efficiency