Blood work represents a fundamental diagnostic tool that provides invaluable insights into your overall health and well-being. At Lighthouse Medical Center in Pompano Beach, Florida, Dr. Don Pham and our medical team understand that comprehensive blood testing encompasses the complete spectrum of physical health assessment, from disease detection to preventive care optimization.
Our comprehensive blood work services address the interconnected aspects of health that contribute to overall quality of life. Located at 4 NE 4th Ave in Pompano Beach, we serve patients throughout Broward County with evidence-based testing that recognizes blood work as a fundamental component of proactive health management and disease prevention.
Dr. Pham specializes in creating personalized testing panels that address individual needs while providing detailed analysis that supports informed health decisions. Our approach prioritizes patient education, thorough interpretation, and comprehensive care that empowers individuals to make informed decisions about their health optimization journey.
Blood work represents a paradigm shift from reactive sick care to proactive health management. Rather than focusing solely on disease diagnosis after symptoms appear, comprehensive blood testing embraces a holistic understanding of health markers as indicators of current wellness and future disease risk. This comprehensive approach recognizes that blood chemistry interconnects with physical, metabolic, hormonal, and immune system function.
The movement toward comprehensive blood work acknowledges that individuals deserve access to detailed health information that reveals underlying imbalances before they manifest as serious conditions. This includes having access to accurate interpretation, supportive healthcare providers, and medical analysis that addresses the full spectrum of wellness markers.
At Lighthouse Medical Center, we prioritize comprehensive blood work because it can lead to early disease detection, optimized treatment protocols, better preventive care strategies, and a greater sense of empowerment over personal health outcomes. Our holistic approach empowers patients in Pompano Beach and throughout Broward County to make informed decisions about their health while receiving analysis that supports optimal wellness at every age.
Physical well-being assessment through blood work refers to the measurement and analysis of biomarkers that indicate how well your body systems are functioning. Dr. Don Pham provides comprehensive blood testing and interpretation for physical health markers that contribute to optimal bodily function and longevity.
Physical Health Component | Our Testing Services | Benefits |
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Metabolic Panel Testing | Comprehensive metabolic panel, glucose levels, kidney and liver function | Early detection of metabolic dysfunction and organ health issues |
Lipid Profile Analysis | Total cholesterol, HDL, LDL, triglycerides, advanced cardiac markers | Reduced cardiovascular disease risk and improved heart health |
Complete Blood Count | Red blood cells, white blood cells, platelets, hemoglobin analysis | Detection of anemia, infection, immune disorders, and blood diseases |
Thyroid Function Testing | TSH, T3, T4, thyroid antibodies | Identification of metabolic rate issues and thyroid disorders |
Inflammatory Markers | C-reactive protein, ESR, homocysteine levels | Assessment of systemic inflammation and chronic disease risk |
Our physical health testing addresses issues such as erectile dysfunction, fatigue, metabolic syndrome, and other medical conditions that may be identified through blood analysis. We provide confidential consultations where patients can discuss concerns about energy levels, unexplained symptoms, or optimization of current health status.
Dr. Pham takes a comprehensive approach to blood work interpretation, considering how results interact across multiple body systems and how they relate to your symptoms, lifestyle factors, and health goals. For some patients, advanced treatments like testosterone replacement therapy or peptide therapy may be recommended based on blood test findings to restore balance and improve vitality.
Hormonal well-being forms a crucial component of comprehensive blood work, encompassing the capacity to measure, understand, and optimize hormone levels that affect virtually every aspect of health and quality of life. At Lighthouse Medical Center, we recognize that balanced hormones are essential for energy, mood, metabolism, sexual function, and overall wellness.
Our team provides comprehensive hormone panels that reveal imbalances before they significantly impact daily life and, when needed, integrate supportive treatments such as gut health optimization that indirectly benefits hormone production and regulation.
Hormonal Wellness Focus | Testing Approach | Expected Outcomes |
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Sex Hormone Analysis | Testosterone, estrogen, progesterone, DHEA, SHBG | Improved sexual function, mood stability, and vitality |
Adrenal Function Testing | Cortisol levels, stress hormone patterns | Enhanced stress response and reduced burnout |
Thyroid Optimization | Complete thyroid panel including antibodies | Improved metabolism, energy levels, and weight management |
Growth Hormone Assessment | IGF-1 and growth hormone markers | Better muscle maintenance, recovery, and aging response |
Insulin Sensitivity Testing | Fasting insulin, glucose, HbA1c, HOMA-IR | Reduced diabetes risk and improved metabolic health |
We provide detailed interpretation of hormone test results in a context that relates to your specific symptoms and health goals. Our approach helps individuals develop targeted treatment plans that restore hormonal balance and contribute to improved energy, mental clarity, and overall well-being.
Nutritional wellness in blood work involves measuring essential vitamins, minerals, and nutrients that impact cellular function and disease prevention. Dr. Pham helps patients identify deficiencies in key nutrients while also educating them on evidence-based treatments like PRP therapy that may benefit from optimal nutritional status.
Our nutritional assessment services ensure patients have access to reliable and comprehensive information about vitamin D levels, B vitamins, iron stores, magnesium, zinc, and other essential nutrients. We focus on identifying deficiencies that may contribute to fatigue, immune dysfunction, mood disorders, and chronic health conditions.
Nutritional wellness components include correcting vitamin and mineral deficiencies, optimizing nutrient levels for peak performance, and developing healthy supplementation strategies. Dr. Pham helps patients work through nutritional barriers that may interfere with treatment effectiveness, including malabsorption issues, dietary insufficiencies, or increased nutrient demands.
Our educational approach addresses common misconceptions about supplementation while providing evidence-based nutritional recommendations that support optimal health outcomes. We recognize that nutritional optimization contributes significantly to treatment success and overall wellness.
Advanced blood work at Lighthouse Medical Center goes beyond routine testing to assess specialized markers that provide deeper insights into health optimization and disease risk. We also support patients with regenerative approaches—such as stem cell therapy and exosome therapy—when blood work reveals opportunities for cellular health improvement.
Our advanced testing services focus on uncovering hidden health issues before they manifest as symptoms or disease. Dr. Pham provides guidance on specialized panels that assess cardiovascular risk beyond standard cholesterol, autoimmune markers, food sensitivities, heavy metal toxicity, and genetic predispositions.
Advanced Testing Element | Our Testing Services | Clinical Application |
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Cardiovascular Risk Assessment | Advanced lipid particle testing, Lp(a), apolipoprotein B | Precise heart disease risk stratification and prevention |
Autoimmune Panel Testing | ANA, RF, anti-CCP, tissue-specific antibodies | Early autoimmune disease detection and monitoring |
Inflammatory Profile | Advanced inflammatory markers, cytokine panels | Chronic disease risk assessment and treatment monitoring |
Toxicity Screening | Heavy metals, environmental toxins, mold markers | Identification of toxic exposures affecting health |
Genetic and Metabolic Testing | MTHFR, genetic SNPs, organic acids, microbiome markers | Personalized medicine and targeted treatment protocols |
We recognize that advanced testing provides actionable information that supports precision medicine approaches. Our team helps patients understand complex test results and translates findings into practical treatment recommendations in Broward County.
Dr. Pham connects patients with appropriate follow-up testing and treatment protocols, including integration with therapies like ozone therapy when indicated by test results to support optimal cellular function and overall well-being.
Many misconceptions exist around blood testing and lab work that can create barriers to optimal health management and disease prevention. At Lighthouse Medical Center, Dr. Don Pham addresses common misunderstandings to help patients achieve optimal health outcomes.
One prevalent misconception suggests that blood work is only necessary when you feel sick. In reality, comprehensive blood testing is most valuable for detecting imbalances and disease risk factors before symptoms develop. Another common misunderstanding assumes that "normal" lab ranges are the same as "optimal" ranges, when research demonstrates that functional medicine ranges often differ from standard laboratory reference ranges.
Many people incorrectly believe that annual blood work means testing the same basic panel every year. However, comprehensive blood testing should evolve based on age, symptoms, health goals, and changing health status throughout life.
Misconceptions about the timing and preparation for blood work often lead to inaccurate results. Some patients may not realize that fasting requirements, medication timing, supplement use, and even time of day can significantly impact test accuracy and interpretation.
Stigma or fear surrounding blood draws and needle sticks prevents some individuals from seeking necessary testing. Dr. Pham works to create comfortable environments where patients feel safe undergoing necessary testing with experienced phlebotomists who minimize discomfort.
Understanding and addressing these misconceptions is crucial for promoting comprehensive preventive health care and creating supportive environments for proactive health management throughout Pompano Beach and Broward County.
Basic lab testing often focuses on detecting existing disease or confirming diagnoses, while comprehensive blood work takes a broader view that recognizes blood chemistry as fundamental to disease prevention and health optimization. At Lighthouse Medical Center, Dr. Pham emphasizes this holistic approach that goes beyond traditional reactive medical testing.
Comprehensive blood work encompasses metabolic, hormonal, nutritional, and functional markers in relation to optimal wellness. This comprehensive perspective involves more than just identifying values outside reference ranges and includes analyzing trends, patterns, and interrelationships between different biomarkers. Components of comprehensive blood work analysis include prevention focus, early detection, optimization strategies, and personalized interpretation.
The holistic approach to blood work recognizes that individual biomarkers intersect with multiple aspects of health, including energy levels, mood, immune function, cardiovascular health, and longevity. Dr. Pham integrates this understanding into treatment plans that address the whole person rather than isolated abnormal values.
Our blood work services in Pompano Beach reflect this comprehensive approach by combining traditional laboratory testing with functional medicine interpretation, nutritional assessment, and hormone optimization services that address all dimensions of health and wellness. This integrated model helps patients achieve not only disease detection but also proactive health optimization and personalized treatment protocols.
A comprehensive blood work evaluation with Dr. Don Pham includes complete metabolic panel, lipid profile, complete blood count, thyroid function, hormone levels, inflammatory markers, and nutritional assessments. We discuss medical history, current symptoms, health goals, and family history to create personalized testing panels that address all dimensions of your health concerns.
Comprehensive blood work takes a functional medicine approach that analyzes optimal ranges rather than just standard reference ranges. While traditional lab testing focuses primarily on disease detection, comprehensive blood work recognizes subtle imbalances as opportunities for prevention and optimization before conditions develop.
Dr. Pham uses blood work to detect diabetes, thyroid disorders, cardiovascular disease risk, hormone imbalances, nutritional deficiencies, autoimmune conditions, liver and kidney dysfunction, and inflammatory disorders. We also provide preventive analysis that identifies risk factors years before disease manifests.
Fasting requirements depend on the specific tests ordered. Most comprehensive panels require 8-12 hours of fasting for accurate glucose and lipid measurements. Dr. Pham's team provides clear preparation instructions when scheduling your blood work to ensure accurate results.
Blood work frequency varies by individual health status, but annual comprehensive testing helps maintain optimal health throughout life. Dr. Pham recommends more frequent testing (every 3-6 months) for those managing specific conditions, starting new treatments, or optimizing hormone levels.
Insurance coverage for blood work varies by plan, medical necessity, and specific tests ordered. Our staff at Lighthouse Medical Center can verify coverage and discuss payment options during scheduling. We work with patients to ensure access to necessary health testing regardless of insurance limitations.
Most standard blood work results are available within 2-5 business days. Specialized testing may take 1-2 weeks. Dr. Pham reviews all results personally and schedules follow-up consultations to discuss findings, answer questions, and develop treatment recommendations based on your results.
Your blood work appointment includes a brief health assessment, professional blood draw by experienced staff, and clear instructions for any necessary preparation. The actual blood draw takes only a few minutes, and Dr. Pham will schedule a follow-up consultation to review your results and discuss treatment recommendations.
Business Information | Details |
---|---|
Practice Name | Lighthouse Medical Center |
Lead Physician | Dr. Don Pham |
Address | 4 NE 4th Ave, Pompano Beach, FL 33060 |
Phone | (754) 222-6642 |
Website | https://lighthousemedicalcenter.com |
They truly understand chronic pain. Their assessment and custom plan helped me manage my pain without heavy medications.
Lighthouse Medical Center has been a game changer for my neuropathy. The reversal treatments gave me back the feeling in my feet and improved my balance.
After working on my gut health with Lighthouse, my skin has cleared up and I don’t feel tired after meals anymore.
Dr Jason and his team at Lighthouuse Medical are incredible. I feel so much better every time I go. They are knowledgeable, helpful, all about the patient’s needs all while focusing on longterm health. I highly recommend this office. It’s not just an adjustment it’s a lifetime change.
Their chronic pain assessment was more detailed than anything I’ve had before. They took the time to understand my full history and gave me real answers.
Hormone therapy has made a huge difference in my sleep, energy, and mood. I feel more like myself again thanks to Lighthouse.
After years of chronic pain, I finally got answers at Lighthouse Medical Center. The chronic pain assessment, decompression, and hormone support helped me get my life back.
I thought knee restoration was only possible with surgery, but their non-surgical approach worked for me. I’m walking pain-free again.
The hormone therapy here is top notch. I’ve felt balanced and clear-headed since starting the program. The team checks in regularly too.
They helped me understand how gut health was affecting my energy and mood. After making some changes with their guidance, I feel so much better.
My knees were in constant pain before I tried their knee restoration treatments. I can now move around more easily without discomfort. Great results.
Lighthouse did a full chronic pain assessment and found things my regular doctor missed. Their care has made a real difference in my daily life.
I came in with severe neuropathy in my hands. After starting treatment at Lighthouse, I’ve noticed a big improvement. The neuropathy reversal program is working!
I never thought I’d find knee restoration that actually works. After seeing their specialists, I can now go up stairs without pain. Very grateful!
The team at Lighthouse Medical Center is professional and caring. They worked with me on neuropathy reversal, and I’ve seen real progress.
I appreciated how they looked at my whole health — especially gut health. It wasn’t just a quick fix. They helped me feel better from the inside out.
Lighthouse offered a full chronic pain assessment and gave me a treatment plan that actually works. The decompression therapy and hormone therapy made a big difference.
I came here for hormone therapy, and it changed my life. I have more energy, sleep better, and feel like myself again.
Great place for gut health support. I had ongoing stomach issues, and they helped me figure out the root cause. I feel much better overall.
I had stem cell therapy for my knee. My orthopedic surgeon recommended surgery, go figure. I've had knee surgery before. Lighthouse Medical treated me with stem cells and it was soooo much easier. The staff is friendly and willing to answer any questions. I have recommended them to many people and will continue to.
Since I can remember, I always wanted to have the optimal body like a Greek god and no matter how much I tried, diets, meal plans, HIIT training, and all other methods I couldn’t get the body I was looking for. Till I met John, he has taken his time and helped me reached my goals. I lost 50lbs in areas I didn’t think was possible. I’m forever Grateful for your support and help. I made the goal in 4 months! I should’ve came here earlier! Highly recommended
I went to Lighthouse for knee restoration. My knees feel so much better now. I can walk without pain, and I’m very happy with the results.
Lighthouse Medical Center helped me with neuropathy reversal. I was losing feeling in my feet, but their treatment plan really worked. The staff was nice and explained everything clearly.
I really researched a lot of different places for my neuropathy condition I've had for over ten years. I went to three neurologist and two other primary care doctors before LHMC. The Lighthouse Medical staff was the most thorough in their testing and examination process to determine how beat to help me with my condition of nerve degeneration with numbness and tingling in my feet and calves. They did through bloodwork, genetic testing, changed my diet, used peptide therapy and regenerative medicine with Advanced Platelet Therapy to help aid the recovery of the damaged tissue in my legs. Everything was top notch from the therapist to the management to the doctors and nurse practitioners. I lost 30 pounds on their weightloss program and my bloodwork improved immensely along with my blood pressure and neuropathy symptoms over a few months. I couldn't be happier with the care I received and would highly recommend them to anyone seeking a medical provider who gets to the root cause of the problem and doesn't prescribe pills and surgery for every condition. A+++++++ rating
Staff was very nice and took great CD re in ensuring I was seen promptly for my condition of peripheral neuropathy. Treatment was remedied quickly and effectively. Great practice for those seeking neuropathy care. They treated me like I was family. Thanks Lighthouse Medical Team!
Lighthouse Medical Center and the entire staff provide excellent health care. From the clerical staff, Janell, to physical therapy technicians , Yago, to the doctors , John, they are all professionals and experts in their field. They have state of the art medical equipment and I have experienced improvements with neuropathy treatments, weight loss and overall well being via their regenerative medicine procedures.
My first visit to the clinic was in early January and from the very first moment I felt like I was in good hands. I have been dealing with knee and hip issues for several years and was always told I need replacement surgery. After a very comprehensive exam, x-rays, bloodwork etc John and the team put together a detailed treatment plan. We did PRP, physio treatments, a diet and exercise plan, and No surgery! I was given a very targeted regiment of vitamins and supplements based on needs seen from the bloodwork and threw a cupboard full of Costco vitamins and supplements in the garbage. My body was not absorbing them and I’m sure like many people taking them just because I thought it was the right thing to do. I feel terrific, the pain is gone, my mobility is coming back (more exercise and stretching to do) and my energy levels are great. All the staff are friendly and welcoming and most important, knowledgeable. I fly down from Canada for my treatments, bypassing our “free” Canadian health care program and use LHMC for just about all my healthcare needs. Couldn’t recommend them more. Actually I did. My wife and 2 sons have gone to see John just for overall health checks, blood work and genetic testing. Thank you LHMC team.
I have been having a knee treatment with them for 5 months and they are amazing I do recommend them 😉
I was referred to Dr. Jason by a friend and I'm so glad I made the appointment! This office is absolutely amazing from the staff to the equipment they have at their facility. I was seen for a torn meniscus in my knee along with other issues that have been keeping me in pain every day. After a very thorough visit with the doctor, I decided to go ahead with PRP and Stem Cells injection along with physical therapy. After a week since the first injection, I am feeling positive results with not having that daily pain! I highly recommend visiting their office if you are someone who has dealt with pain way too long like I have! I wish I would have done this much sooner!
Dr Jason is very knowledgeable and identifies your issues right away to get you back on track. The whole staff is very cheerful and helpful.
Absolutely love how much healing and therapeutic resources LMC provides. My favorite is the PRP, knee on track and stem cell procedures! The office staff is very knowledgeable, helpful and kind. Highly recommended!
I came here for peripheral neuropathy issues I've had for several years. Numbness, bad burning, tingling, pain and bad balance issues. I've had several falls and now use a cane. I wasn't expecting much when I came here to Lighthouse Medical Center, but they have great reviews so I tried them. I've been to several other "Neuropathy" treatment clinics and several board certified Neurologist all of whom wrote me off and just told me to live with my condition. At best they provided medications that have caused side effects. All I can say is my wife and I have been thoroughly impressed by the staff and team of Doctors and Nurses here. I have received treatment for about a month and my symptoms are already substantially improved. I received really thorough care with stem cell therapy, advanced platelet therapy, extensive bloodwork, diagnostic testing, and very knowledgeable medical providers and staff. I have improved at least 30% in my symptoms and balance since my first stem cell and platelet therapy. The best part is most of my therapy is done at home. I am so grateful for this place and their staff. They treat me like family not like a love minute patient at all my other doctors offices. If you have neuropathy, you should call them and have them evaluate your case immediately. I was so tired of living in my condition and was depressed but faithful God would provide me help and He has with LHMC! Praise God and these medical providers!
Best chiropractor I’ve been to ! After an x-ray was taken Dr.Jason thoroughly discussed with me the what needed to be worked on and how we were going to fix my back and neck issues. Thanks to him I am aware of why I’ve been having soo much pain.
Love lighthouse medical. They have help so much with my knee pain. I recommend the stem cells . They really work. And the program I’m on with the pure methylated vitamins. . They have the best equipment. Love Dr Jon and Dr Jason
I came in with severe knee pain do to a twisting injury. The pain was in the range of an 8. After numerous treatments and therapy, I have virtually no pain at all. I sincerely thank the staff for their diligence in working to bring my knee to where it's at now.
This place has changed my life. Ive only been a patients here for about a month and a half and noticing big differences in my health. I have severe migraines that 4 neurologists could not help me with. I come here, pay for some tests and get special vitamins made for me, hormones, and now I’m not shaking on the floor for 6 hours. These guys got me dialed in, back to gaining weight and feeling great!
Dr Jason and his team are great. When I first arrived I was in such pain and I can’t believe that now I am not. Thank you all.
Neuropathy treatment care here is amazing! I saw major improvements in my numbness, burning, tingling, balance, and pain symptoms within one week of my first tissue therapy. The staff treats me so sweetly. I was scared I would have Neuropathy forever and now after four months it’s 80 percent gone. Very impressed and I am a very skeptical person. They have surpassed my expectations and the Doctors and Nurse practitioners are all so professional and knowledgeable. They educated me on everything that I needed to have done and actually got to the root cause of my nerve tissue damage! Do not hesitate to call and have them help you. I had seen five neurologist before going to Lighthouse Medical Center. If something’s not working see someone who thinks differently and scientifically.
5-Star Review for Lighthouse Medical Center From the moment I walked through the doors of Lighthouse Medical Center, I knew I was in the right place. The entire team exudes professionalism, compassion, and a genuine commitment to patient care that’s hard to find these days. From the front desk to the medical staff, every person made me feel heard, valued, and supported throughout my journey. The providers took the time to explain everything in detail, answered all of my questions without rushing, and truly treated me like family. You can tell that this center is run with integrity and a passion for healing. The environment is clean, calming, and welcoming — a true sanctuary for those seeking not just treatment, but real transformation in their health. Whether you’re here for routine care or more specialized treatment, you’ll feel the difference the moment you step in. If you’re looking for a place where your well-being is the top priority, Lighthouse Medical Center is it. I’m beyond grateful for the care I received and would recommend them to anyone without hesitation
Lighthouse Medical Center is fantastic! They did a great job and were extremely knowledgeable throughout the entire process. The staff was professional, caring, and made me feel comfortable every step of the way. Highly recommend!
Thanks to lighthouse medical center I’m back walking with no pain your staff is wonderful
5 Stars – Highly Recommend! Liz is absolutely amazing! I was in so much pain from a pinched nerve in my neck, and she helped me tremendously with dry needling. She was professional, knowledgeable, and made me feel comfortable throughout the process. I felt relief almost immediately, and I can’t thank her enough. I also want to give a shoutout to Janelle at the front desk—she was so nice and helpful! She even gave me some cream to put on my neck, which made it feel even better. The whole experience was fantastic, and I highly recommend Liz and her team to anyone dealing with neck pain!
Amazing amount of knowledge, skill and technology in this office!!! Very friendly and informative as well!! 🙂
I received physical therapy from this office. Dr. Jason is a very good Dr. He is knowledgeable and he cares about his patients. The physical therapist assistant. Ruby is very loving and caring.I definitely would recommend this practice to a friend or family member.
I arrived at the clinic in a very bad way. I was unable - among other things - to turn my head to the right, I had pain in my right shoulder blade, and several small non-functional elements in my body. Despite my strong accent (because I am French-speaking) Dr. Jason immediately knew how to take care of my case. What adjustments later I am a new woman and I can now play golf and pickleball again. I will definitely continue to come see him regularly in order to "hold" my adjustments because I feel so much better.
I believe that it wasn’t by chance that I stumbled across this clinic, but that it was God that led me there. I fell in love with them on my first consultation with Dr. John. They truly do care about their patients and treat us like family, with a lot of attention and care. Dr. John and Dr. Jason truly search for root cause and not just a remedy. I had pains for over 2 years on my legs, mostly at night, so much so that I wouldn’t be able to sleep most nights. With time the pain started to prolong, showing up during the day too. With a little over two months of treatment there, I don’t even remember what the pain felt like and my life has changed completely. Everybody, from the reception to the physical therapists and doctors, are highly professional and dedicated. Thank you Dr. John, Dr. Jason, and all the staff! God bless you all.
I got hurt at the gym and I barely could move my head, my neck was very painful and my back sore. So Dr. Jason took care of me and did all the adjustments, he also gave me many recommendations to keep improving the healing. What I thought it would take me at least a week to recover, it took me only two days. I highly recommend this place!
I have developed neuropathy and I blame it on the covid shot that this government made us take they poisoned all of us.I went to many doctors for a year and a half and everybody told me they could not help me with my neuropathy neuropathy was not treatable finally after my neighbor convinced me to go to Dr Jason chesher lighthouse medical and talk to them I did and they convinced me and they could help me and I am telling you today that I am feeling so much better by going to lighthouse medical dealing with John with my neuropathy. There were days I could hardly walk now am not out of the woods completely but I see a huge difference in the treatment that I've been receiving there the injections that I've been getting there and therapy.The staff has been wonderful I am completely convinced that they do know what they're talking about and that I have seen it in results and I am a hard person to convince. So if you're having problems with neuropathy I would definitely, definitely suggest checking in with lighthouse medical they have a team there that can help you they have helped me looking forward to getting completely cured and I'm doing everything I can but they're doing everything they can too thank you to the group at lighthouse medical for helping me feel better. Peter Williams