I had a good experience. It is obvious that their office is cleaned regularly. They made sure that their qualifications were obvious. I was confident that I was under the care of a professional. They always made sure that I wasn't in any pain. I could tell that they took pride in their office's appearance. It was very well organized and well taken care of. I felt Dr. Paula knew what I needed and was on top of the issues I presented. But it is expensive if your insurance won't cover supplements or nutrition counseling. My insurance paid over $10K in tests with a gastrointerologist; and they were inconclusive. Then I visited Dr. Howell and was feeling better within the week.