This is where we make our decisions based on our education, knowledge and experience.  We also use guidelines that are over a thousand of years old.  The average patient may be seen twice a week for 6 weeks.  If they are symptom free and we feel we fixed the “root” of their problem they are released from active care earlier. The ancient doctors recommended a patient get a “tuneup” 4 times a year – at the change of the seasons. Our patients that follow that guideline are far and above healthier!