Reproductive Partners Medical Group

What distinguishes Dr. Huang from other doctors I've had previously is that he provides you with his cell phone number and actually responds to your questions/concerns quite promptly. A few days after the egg retrieval I landed in the ER and was admitted to hospital where I spent one week. The diagnosis was either a post-retrieval raptured ovarian cyst or a reopening of one of the cuts made during the procedure that resulted in a massive internal bleeding that eventually prompted a blood transfusion. I will spare you the gruesome details and recounting of the excruciating pain I felt, but will say that Dr. Huang was in contact with the hospital doctors as well as with my worried husband to monitor my treatment/progress. Dr. Huang even came to visit me at the hospital on the day of my release. This definitely made me feel like one in a million.

Understand that Dr. Huang/the clinic in general is very busy and sees a lot of different patients on a daily basis. This does not mean that you will not get Dr. Huang's undecided attention and full expertise even if sometimes he will forget certain things from your chart.

I did 3 rounds of IUI with no positive results. However, this was prior to seeing Dr. Huang. I am currently in a process of the first round of IVF. Due to the age factor, genetic testing of the embryos was strongly recommended and obtained. Additionally, Dr. Huang did a mock cycle to do the ERA test which essentially assesses uterine receptivity.

I am one of the fortunate ones that have a health insurance covering at least partial cost. What I can state is that my insurance allows for a life time limit of $30K and I was advised that this would be allow me to undergo at least 2 rounds of IVF with, obviously, out of pocket contribution.

I am yet to have this conversation with Dr. Huang. However, from our previous multiple discussions I learned that Dr. Huang strongly prefers single embryo transfer which he explains is less exhaustive on the female body.

Dr. Huang is an incredible communicator. He's caring, approachable, knowledgable, and transparent. My husband and I miscarried at 8 weeks and Dr. Huang was unbelievable in how he handled the situation. We felt so much love and support during such a heartbreaking time. We've completed the full cycle with Dr Huang -- from retrieval to transfer to DNC and I have nothing but good things to say about him and his bedside manner.

If you're looking for someone who truly has your back -- go with Dr Huang.

Dr Huang used an aggressive approach during the stimulating process as in he tripled the dose initially used by our first doctor. Dr. Huang is a numbers guy so the strategy was quantity to increase our chances.

$12,900 for retrieval, $3,900 for PGS testing, $6,000 for hormones, $2400 for transfer

We transferred two embryos due to my age, but Dr Huang was very transparent about the pros and cons of choosing that route.

Given my 4 year history with chronic pelvic pain and my concerns with how fertility treatment would affect my pain, she was and is the right doctor for me. Very patient, answered all my questions, did not try to sell me or pressure me into treatment. I felt like I was treated as her first priority rather than her getting a good star for getting me pregnant.

She is honestly so great, I have no advice.

Started with meds/ IUI. I was on 2, 2.5 mg letrezole pills for 5 days. On the second round, we added estradiol to thicken my uterine lining. It caused a massive delay in ovulation. We had hoped to not start with injections given my pelvic pain. We then progressed to injections for IVF even though she expresses concern about me doing it because of how I reacted pain wise to the IUI. She was very conservative in my dosing. I don’t remember the exact protocol but I used gonal f, menapour, HCG, and I can’t remember the third injection or dose. We retrieved 28 eggs, 26 fertilized, 6 genetically viable, 15 embryos total on ice. She mentioned wanted to be conservative in stimulating time ensure better egg quality. No symptoms of OHSS. Due to covid 19, I am waiting for the next steps. I’m 36 in two weeks and very pleased with the result.

I’m still in the middle of it, so I don’t know the exact total. Meds were roughly $6200, genetics $7,000, retrieval $1200. I think all in all roughly $30k

Andy Huang is extremely kind, compassionate and caring but he takes on so many patients that you get lost in the mix. From being seen an hour to 2 hours late to feeling rushed in the room when you do finally get inside - it’s not what you expect from a top rated doctor. When you first meet with Dr Huang he takes you through numbers related to ivf and success- he does this with every patient and while this is helpful to know- it feel very impersonal. Everyone is different and you don’t feel unique at this clinic. Dr Huang will immediately give you access to his cell phone and ask to communicate with text or calls if there are any questions but it takes days sometimes to get a response.

I would only commit if you don’t work- and have plenty of time. The process for monitoring is long and tedious and it’s a bit of a zoo.

Traditional stimulation using Menopur, Follstim and triggers

As mentioned before- it’s atleast a one to two hour wait. I was working and very busy at the time and was always made to run late. They have zero consideration for your time

16-20k

He is a genial person but he seems to forget who I was or what kind of treatment I was going through because I only saw him 4 or 5 times in 6 months. He was never rude to me but whenever I told him how the nurses messed up something, he just showed empathy but did nothing.

Please at least memorize which treatment I was going through and advise nurses not to be rude and mess up doses of my medication and genetics tests. Most importantly, please tell them to communicate more. Their lack of communication made me not want to go to the clinic again. I cannot trust them.

3 cycle of clomids and 2 cycles of letrozol. Every cycle, I had 3 ultrasound except for the last one (last one they found out I already ovulated so there was no 3rd ultrasound that cycle). I call them when I get my period and they tell me to come in on day 5 (sometimes day 3 or 4) for ultrasound. They put me on climid/letrozol from day 5 to day 10. Another ultrasound on day 11 or 12, another one on day 16 or 17.

Spent about $500 in 6 months. (All the tests, 3 cycles of clomid and 2 cycles of letrozol)

I never went into IVF

She is so amazing. There aren’t enough kind adjectives to describe her in my opinion. After our first RE which traumatized us we started driving 80 miles one way to see Dr Amin and let me tell you she’s worth it. The previous RE always left us with more anxiety than reassurance and questions than answers. NOT with Dr Amin. The exact opposite with her. All of our questions were answered in a couple virtually pain free office visits and the only stress being the drive on the 91 to get to her :).

Come with your questions ready and do some research. Expect to receive the most compassionate care you’ll ever get

As of now we’ve just done letrozole and IUI

Mostly copays and toll lane fees. Trigger shot was not covered but everything else has been so far under my insurance plan

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Dr. Yee explained everything very thoroughly when we initially went in for consultation. This is good if you are starting from scratch and do not understand the IVF process, for me based on all the research i had done prior- i personally didn't need a full breakdown. It was helpful for my partner though. I did feel that my protocol was never explained to me and while it worked out in the end in regards to retrieval numbers, not exactly knowing how or what the stimulation cycle and the meds being used was going to go was a bit frustrating. I had to "trust the process" per say. Any questions I had, I could always ask Dr. Yee or one of the other doctors.

Ask questions. Be your own advocate and go in prepared.

I was placed on an aggressive typical antagonist hcg cycle. I believe this protocol was chosen due to what appeared on paper; age diminished ovarian reserve and borderline AMH numbers. In the end, I was an excellent responder despite my age and was able to retrieve, test & freeze far more then what Dr Yee and his colleagues had predicted as a possibility.

Fortunately I have infertility insurance coverage, so I am not sure the exact cost. However, even with insurance those cost has proven to still be pretty hefty. In the ballpark of around 8K

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Dr. Ambartsumyan is very empathetic, caring, and accessible. She gives her patients her personal email and cell phone and encourages them to be in touch with any questions or concerns. She is highly responsive and very open to collaborative thinking in terms of treatment, but she will also give you her best recommendation without being pushy. She exudes humanity and obviously cares very, very much about her patients.

Insist on seeing her directly whenever possible.

Nov 2018 Clomid + IUI (Chemical pregnancy) Dec 2018 Clomin + IUI (Pregnancy — last 19.5 weeks, terminated due to trisomy) June 2019 IVF — 4 blastocysts, 1 PGS normal August 2019 IVF — 4 blastocysts, 1 PGS normal

In the neighborhood of $25K, part of which is out of pocket and part of which is covered by my insurance.

She has a strong preference for eSET.

Dr. Rosen is obviously a leader in this area. He doesn't relay that in an arrogant way but if you consult with at least one other doctor I think you'd find that he explains things in a manner that are maybe more thorough and technical... with a side of light-heartedness. That's how I felt every time I saw or spoke with him, by phone, in person, AND over text. He was thorough and kind, and I appreciated that so much...through the pregnancy that was a result of my husband and I trying naturally, and through the miscarriage that it ended in, unfortunately. I trusted his insight and intel, and even though we didn't get to the full IVF cycle yet, we hopefully will once I'm back to "normal".

Go see him. Ask any question... ask ALL the questions. He's patient and knowledgeable and if you decide you don't like him, he himself will tell you to see somebody else in his clinic. Be prepared to hear the reality of things, but also prepare for what could be the miracle or blessing you've been waiting for.

We were starting hormone patches, and then planning on an IVF cycle with the necessary medication and injections, which would have hopefully resulted in a successful retrieval, followed by genetic testing, and then implantation.

$30,000-35,000 for a single IVF cycle

I would like to start by stating that I’m excited to have found the Clinic of my Dreams after 4 years of infertility. About 2 months ago I started being seen by Dr. Cassidenti. As many of us who have been on this infertility journey know that when we start a new clinic we have about a million and one questions about whats going to happen. She answered EVERY SINGLE one throughly during our initial consultation and ended it with “We won’t stop until you conceive and deliver”. That itself made me feel so confident and radiated positivity which is what we all need when battling Infertility. During our Initial 2 hour consultation she constantly asked if I was okay with the information as she proceeded and if I wanted to hear more about other fertility treatments and etc. Appointments can be overwhelming with information so for her to do that felt amazing and made me feel she genuinely cared about my emotions. I was coming from Clinics that constantly told me to “relax” and “worry” more about my credit score than trying so hard to get pregnant because I was so young to be a mother. She not once told me or insinuated that I was too young for this journey. She instantly requested bloodwork and advised for me to call on CD1 so we can get started with a PCT Test. When I called the nurses they were so helpful and promptly set up my appointment for my first ultrasound and got my bloodwork slip ready. They constantly called to follow up with me and provide me with Lab results and schedule future appointments. I then came in on a Sunday to have an ultrasound & PCT test done but It seemed not to be proper timing since I had yet to ovulate so they rescheduled me for the following day and gave me a trigger shot. I told my husband as I was getting dressed that I was so happy that they accommodate patients on the weekends and some of us need to work as much possible to afford the journey of infertility so it puts me at ease that I can be seen on weekends if needed. They also scheduled me for the following day with no problems and that was amazing because my last clinic was usually overbooked most of the time and would almost never accommodate any last minute appt so that would cause for cycles to be rescheduled. We had the PCT test and got the answer we needed to make our choice in what treatment was going to be best for us. We are now waiting for CD1 so we can start our First Cycle of IUI. I’m super excited and feel I’m finally in the hands of someone who genuinely cares about my dream of being a MOMMY. I have known since I was a little girl that the biggest job/role I wanted in life was to be a Mommy. When I would get asked what I wanted to be when I got older I would not hesitate to quickly say “A MOM”. I have great faith I will soon be writing another review about Dr. Cassidenti helping me conceive.

Have all your files and record sent over to the office prior to consultation so she can have a clear picture of your history!

We did prepare for the PCT Test by being put on Metformin, 150mg of Clomid from days 3-7 and A Trigger Shot.

Dr. A was kind, caring and knowledgeable. From our initial consultation, I felt comfortable and trusted her knowledge. Her explanations are easy to understand and she ensures you trust your next step in treatment. When my chemical pregnancies occurred, she handled with compassion and gave me continued hope that our next cycle would work. She is open to changing up the course of action but doesn’t pressure you to move onto next steps.

She offers her cell phone and email - take her up on contacting her if you have a question and speak up if something doesn’t feel right. Dr. A is a great listener and has great advice as to how to proceed.

PCOS diagnosis with no natural ovulation + secondary infertility - 6 letrozole cycles, 3 timed (resulted in 1 chemical pregnancy) and 3 IUIs (resulted in 1 chemical pregnancy)

I have not elected IVF yet so I am not aware.

He is very caring and thorough. We only did a consult with him, but from the consult, I felt like I was in good hands. However, the lab was our problem and he had no solutions for us on that end. Basically, we're dealing with MFI, and had a daughter through another clinic. Trying for #2 we wanted to switch to this clinic where we were told the lab couldn't find any sperm. The Dr. then told us that we would have to do a TESE or we could not be patients here. We moved to another clinic where we have had enough sperm to fertilize >40 eggs with ICSI.

Dr. Huang is great. The lab is what matters though.

Dr. Huang just wanted to replicate everything that was suggested by my older Dr during the successful cycle of my daughter. He did suggest we try human growth hormone as well.

It was going to be 30-40k

She has been able to work with me to have a tailored experience through this. We ran a series of tests to eliminate certain risks and get more Information. She was never pushy and let us move at the pace we wanted and supported our decisions as to next steps. She’s highly responsive via email and texts. Love that she also believes in a holistic approach to infertility journey and encouraged us to continue with our acupuncture specialist.

Come prepared with questions and don’t be afraid to question or suggest different approaches. She’s very open to hearing your thoughts and working to customize a plan for you.

With DOR we wanted to initially avoid over suppressing with birth control. Unfortunately our first cycle with estrogen priming we developed a cyst and went forward with BC for two weeks before our first retrieval. She did a combination of gonal F, clomid, menopur and Lupron our first cycle. It resulted in 5 eggs retrieved and 2 day 5 blastocysts. As that transfer resulted in a chemical pregnancy, our next cycle she changed it to no BC and started medication early in our cycle. This time we did higher dosage of gonal F, menopur, cetrotide, HGH and our trigger shot. It resulted in a quick growing cycle and retrieved 6 of which 3 were day 5 blastocysts that all tested genetically normal. Before our next transfer we completed an ERA and did additional screening tests and confirmed the MTHFR mutation and high NK cells. While we’re treating for MTHFR with a diff folate supplement, no adjustments have been made for the high NK cells.

We’ve had our first two cycles covered by Aetna insurance and have only had to pay for genetic testing (3000 to office; 600 to genetic testing company), genetic testing, ERA (800) and co pays. Rates provided on initial estimate were ~$16k without medicine

Doctor was quite open to our decision. When untested we did 2 and she was comfortable with that. We have not decided on how many to genetically tested embryos to transfer. Do believe the clinic in general supports eSET but is open

I was told after having one chemical pregnancy that I would not be allowed to do another frozen embryo transfer because "we don't want our success rate to go down if it shouldn't take again." After we were promised at least three attempts, we only got one.

Don't go.

Nothing was covered my insurance, which I told them, but they insisted on running it through insurance anyway. This made for several surprise bills from the clinic for services they said were paid, but actually were not.

Dr. Amin was easy to talk to and remained positive when going over the different treatment options. She asked us about any history of our previous treatments we had and offered to review so we would not waste time on any additional testing if it was not needed. Based on our history, she determined that we had unexplained infertility and though it seemed to be the hardest type to be diagnosed with, she gave us hope that our upcoming treatments under her care would become successful. It’s only been one clomid cycle so far with Dr. Amin, so we are hopeful when trying the next few cycles will lead us to the pregnancy we are hoping for. We would definitely recommend Dr. Amin to anyone looking for a caring and compassionate doctor.

Be prepared with any past treatment records you may have gone through.

We went through a normal cycle of clomid of 100mg for 5 days. I have appointments scheduled 2 times a week to complete an ultrasound to measure egg growth. Once confirmed that I did not naturally ovulate and the egg was mature, I was given the trigger shot and instructed to do timed intercourse.

The finance person went over the cost vs insurance coverage with us thoroughly and provided paperwork for reference.

Since day one, Dr A. explained very thoroughly each step and provided all the possible treatments available. Very enthusiastic with positive outcomes making me feel like she is on my team. She helped me connect with other doctors when I needed different treatments. My process is just starting but I see how knowledgeable she is and I trust her. I consider myself very proactive, searching through research articles for treatment. I like that she listens and takes into consideration my suggestions.

Ask every little thing, no matter how redundant it could be. You are an active participant in this process and need to know exactly what is happening

I’m just getting started. I recently had my Fallopian tubes removed and I’m on birth control due to endometriosis. Next step is IVF

The estimate for IVF is around $20k

She prefers single embryo transfer due to all the risks that a multiple pregnancy can cause

Dr. Rosen has been excellent through this process for us. Our first RE was a cheerleader and downplayed how long we had been trying since I’m young. Dr Rosen looked at the facts and immediately identified my short luteal phase which my OBGYN and past RE never even touched on. He put us on a plan that we feel confident in. He’s made himself available whenever I have questions, even if it’s a text at 7 PM. Every appointment he makes sure to go through things thoroughly and no question is ever too ridiculous for him to answer. I know even if I’m just coming in for an ultrasound I’ll either see him or one of the two other doctors, all three are always well versed on where I’m at in my cycle before seeing me.

Don’t be discouraged by seeing all three doctors, you’ll receive the best care. Also, the wait can sometimes be long, but it’s worth it knowing you’ll always see the doctor and they’ll spend more than enough time answering your questions.

We started with clomid which helped extend my luteal phase to 12 days, the next cycle we upped the dose which made me ovulate earlier and ultimately extended my luteal phase to 13 days. My progesterone levels still weren’t high and I had read about Letrozole so I asked to try it, which he agreed. My first Letrozole cycle I responded really well ovulating on the 14th day of my cycle and giving me a 14 day luteal phase, my progesterone level was highish, but boarderline of where they’d want it. So this cycle we’ve upped the Letrozole dose.

$160 per office visit for ultrasound, I think $80 or $60 for blood test, and $250 for original consultation.

Dr. Huang is a very educated and skilled RE, and I trust every decision he has made so far for my treatment. For the egg retrieval I had a pretty standard protocol, but he always stayed up to date on my file even when he wasn’t the one do my ultrasound that day.

He’s very popular, so getting an initial consult with him can be difficult.

I was on an antagonist protocol. My AMH is 5.14 (do not have PCOS or insulin resistance), and have always had an AFC in the 20s-30s. I started BCP on CD2 until CD15. Took a break for 5 days and then started injectables. 75 ius of Menopur in the morning, and 150 ius of Gonal-F in the evening. I started Cetrotide on day 7 of stims, and trigged on day 10 with 5,000 ius of Ovidrel once all of my follicles were between 17-19mm in size. Once I triggered I had my egg retrieval exactly 35 hours later. I had monitoring on days 3, 5, 7, 9, and 10 of stims. My follicles always stayed within 1-3mm of size the entire time. 21 follicles counted on the day of triggering, and 18 eggs were retrieved. 17/18 were mature, and 12 eggs were successfully fertilized using ICSI. We ended up with 8 blastocysts (3 day 5, and 5 day 6). Those 8 embryos were sent for PGS testing and we now have 3 normal embryos ready for transfer.

I used a program through United Health Care called ParentSteps to pay for my retrieval. The cost for my IVF freeze-all cycle that included ICSI, and PGS testing for up to 8 embryos was $12,900. This did not include the anesthesia fee of $880 for the retrieval, or the $1,500 fee from Igenomix for PGS testing. My medication costs ended up being around $2,100 and all meds but one vial of Menopur was purchased through Alto Pharmacy (I cannot recommend them enough— their Gonal-F pricing is ridiculously cheap).

Dr. Huang believes eSet is the way to go for all PGS normal tested embryos, otherwise he is open to transferring up to two blastocysts if untested.

Dr. Huang takes his time. I've had many moments when I've been in tears, overwhelmed. Be never makes me feel like I'm taking too much time. My care feels individualized. He works with me to create a treatment plan that's feasible financially. He makes sure I'm comfortable. He didn't push me to do pgs testing even I decided not to do it. I'm so happy I found him. He is well liked by my acupuncturist.

Make sure he's the doctor that does your retrieval and transfers. This is a multi doctor practice. I've had all of my transfers done with him except one and the experience with him is far better.

I did mini stim IVF due to my diminished ovarian reserve. This resulted is high quality embryos- we froze 3 first cycle (aa, bb, and bc) and 5 second cycle (2x4aa, 3aa, and 2x4ab). Someone be with my levels would be lucky to freeze 1 embryo. We're doing a hysteroscopy this cycle because I've not had a viable pregnancy with the high quality embryos and dr. Huang wants to make sure my uterus is all good before transferring two embryos.

50k so far

I did 3 transfers. Two of those with 1, no pregnancy. One of these with 2, resulting in a chemical. I'll transfer 2 next time. They try to avoid twins but because I've not had a pregnancy, he's trying to increase the odds.

Dr. Wambach is smart and compassionate. She’s been there herself and understands how hard this process can be. I found her to be extremely professional with a warm bedside manner. My first experience with her was during a diagnosis of uterine fibroids. There was no question I had then; my OB had been tracking them for a year. The question was whether I needed a major surgery to remove them. I received conflicting advice from several different fertility doctors but Dr. Wambach did a saline ultrasound as the others had done but immediately saw that one of the fibroids was distorting my cavity and she definitively said “these must come out.” I had surgery two months later and conceived my son naturally six months later. My second experience with Dr. Wambach was four years later. With a different clinic closer to our home, we had completed two IUIs, two egg retrievals, and two embryo transfers of PGS-tested embryos all within the year. We had not had success with the IUIs or either embryo transfer. I have a couple of autoimmune diseases and was diagnosed with moderate adenomyosis after our last transfer. I felt overwhelmed and hopeless. I went back to Dr. Wambach to consult with her regarding what to do next. She was so incredibly helpful. She spent an hour with me going over the different variables and building a game plan. We are still working on executing the game plan but I have nothing but respect and the highest regard for Dr. Wambach’s skills and compassion.

The office can have long wait times and the three doctor’s share patients so even if you request Dr. Wambach and begin working with her, there may be appointments in the future where you meet with one of the other doctors. All three are outstanding so I never had an issue with this but it may not work for some.

Following a saline ultrasound, Dr. Wambach recommended an abdominal myomectomy to remove uterine fibroids distorting the shape of my cavity. Years later, after two failed transfers of PGS tested embryos, she recommended a hysteroscopy to check for adhesions or scare, ERA to check for optimal timing, a course of Lupron to address the adenomyosis and was willing to consider some immune-oriented protocols around transfer.

I don’t remember the costs of a consult or appointment but the cash cost for IVF is a minimum of $15K bot including the medications

Dr. Huang was the best Doctor, with Dr. Wambach a very very close second. They both proved to be extremely knowledgable and patient with me, after having two miscarriages with PGS embryos. They are the most compassionate Doctors!

Sometimes you have to ask for the real deal, as Dr. Huang is so positive sometimes he will make things seem better than they might be.

I had one retrieval, got 7 embryos and was encouraged to PGS test. I ended up with 4 normal embryos. We did 2 transfers with a standard protocol (estrogen, progestrone, and baby aspirin) and I miscarried them both. The third transfer we put in 2 embryos and added in more meds - I was put on blood thinner shots, did 3 rounds of intrilipid infusions, and took pepcid, claritin, and steroids. One embryo stuck and I now have a baby girl!

$25,000

Dr. Huang suggested eset for my first two transfers and at my third transfer he said if I was comfortable with twins we could put both embryos in as one of the embryos didn’t have a great grade and didn’t seem likely to stick on its own. It turned out that embryo didn’t make it, so I ended up with a singleton.

Dr. Amin was really professional, nice, showed compassion, patience and understanding. She was not the best communicator. She talked a lot at the consultation, but at subsequent visits she was very quiet and at times didn't fully inform me. I had to be proactive in asking questions and making suggestions. She was responsive, just didn’t initiate or advise as much as I would have liked. I don’t know if it was due to lack of experience, but she seemed to want to stick to a protocol, even when it seemed like it may not have been working. I’d like consult with other doctors for 2nd or 3rd opinions on what may work better next time.

Educate yourself about the fertility process and be proactive by pointing out your own observations and asking questions.

I believe an antagonist protocol was used. First, I was put on birth control pills for about 2 weeks. All patients start stim injections on Saturdays. I took Menopur, Gonal-F, Ganirelix, and hCG for 2 cycles. Doses (mg, units etc) were not adjusted at all day-to-day or cycle-to-cycle. Only difference was I was on meds for longer # of days during 2nd cycle to give follicles more time to grow. 1st cycle: started with 8 follicles. On retrieval day, out of 7 follicles, 3 mature eggs and 2 immature eggs retrieved. 2nd cycle: Started with 9 follicles (based on what Dr told me during appt, but medical records I requested later only show max of 6 follicles during that cycle). On retrieval day, out of 5 follicles, 2 immature eggs were retrieved and the other follicles were “empty”. The immature eggs retrieved were able to mature overnight in the lab. So, total of 5 eggs frozen from 1st cycle and 2 eggs from 2nd cycle.

It was covered by insurance. Insurance covered 30% of everything (consults, follow ups, labs, procedures, meds) until OOP max met, then covered 100%. I easily met my deductible and out-of-pocket max of $6500.

I think she recommends eSET