I gained 10 pounds on the system despite making big diet and workout changes. A doctor did not contact me to talk about my dosing or program before it renewed for another three months so adjustments were not made. I was told I could be offered a substitute for the second shipment by trying other meds but I have to sign up again as they can't change the program for me. When I do this I'm suddenly not eligible for any weightloss program now - even the original one. Customer service and the assigned doctor to my account both stop responding. So there is no resolution and once you complain they ice you out.