Knowing that quality is always a concern when purchasing nutritional supplements, we provide only the finest quality products. Because of the high quality, purity and effectiveness of these products, many are available only through physicians or other qualified healthcare professionals. If you had been seen in our office, have had a telephone consultation, or have order products from this site in the past and need a refill on a product, please feel free to e-mail us at pharmacy@naturomd.com or call (716) 373-5636 to place an order. Availability: Orders received before 5:00 p.m. are usually processed the same business day on stock items; orders received after 5:00 p.m. are processed the following business day. Items that are not in stock typically ship in 2-4 days.