I know it does. Point of reference...I have super high cholestoral and have been medicated for must be at least 4 years. Well I ran out of meds and needed a new doctor. I met with him twice and all he did was talk to me, there was no exam, no discussion about doing an exam. Just a really weird meet and greet x 2. I blew off all the appts after the first and he finally refused to refil my meds so I'm off to a new doctor in hopes of getting my cholestoral under control.