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Treatments sessions usually last up to an hr. They include diagnostics and a discussion of how things are currently. First treatment sessions last longer, up to 1.5 hrs. This includes discussion of health history , diagnostics and of course a full treatment.
Rome was not built in a day; though its great to occasionally have huge breakthroughs in a session, it is not the norm. Consistency in the work will allow the body to regulate and make the changes needed for long term holding. Treatment plans are custom designed per patient.