Very good check up, no change needed in anything, see her in a year and pay the lady $40 on your way out!!! No, she was very pleased with my weight loss, wishes she had other patients that would listen to her. I told her that I wasn't wanting to burst her bubble but it wasn't because of her saying it every year but finally I wanted it. I was fed up with an 8X10 cake pan filled with medicine bottles and wanted some of them gone and I wasn't getting younger and I wanted to be able to enjoy my grand kids more.