If You are looking for results this is the place!! it's been 2 months 10 days and I'm down 30 pounds already. The office is very neat and clean and the staff is friendly and very motivating ...All except this one nurse who looks like every day of her life is a bad day ....lol But she mostly keeps to herself The only reason why I did not give this place 5 stars is because the wait is a long even with an appointment but then again what doctors office isn't. Dr. W.... he is a funny guy! .. a man of few words...lol He reminds me of a no nonsense personal trainer He just want you to get the job done because he know you can do it ! No he is not warm and fuzzy! But we're not coming here for hugs and high fives were coming here to get results and that is what hes giving us !!! He is very straight to the point and very matter of fact...On the flip side he is very encouraging and he want to see all of his Patients do well. It is the most affordable weight loss center in Nevada and at the rate I'm losing weight probably the most effective. I definitely recommend this place to someone who has been struggling with weight loss. It literally was a life saver for me