Hi Connie, dunno why I have problem replying to your post. Regarding Dr Tan, his medicine are those factory manufactured granules. U have to combine 10 plus to 20 packs of the medicine & mix with hot water. Although sometimes abit scared as the granules are made in china. But Dr Tan say that he send the medicine to HSA for checks regularly. As I go weekly, each visit with acupuncture & medicine can go up to abt $200. If no medicine, just acupuncture is abt $80 plus (if I remember correctly). Depending on individual body, Dr Tan will advise how frequent u need to visit. I think somehow it does help to improve hubby's sperm as hubby sperm prior to seeing him is very bad. His count with live sperms before TCM is like can count kind. I remember the report indicated "9 moving forward, 3 slow..." Something like that. But now his sperm count got millions of them. I made hubby took a lot of supplements as well so maybe all helps!