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Doctor thinks she is a Beverly Hills Neuro Surgeon? Very greedy and has zero compassion for terminal cancer patient. My last one with her was $80 for SIX MONTHS. Now she wanted $600 a year. My Oncologist laughed and told me she would write this cancer patient a free rec and did. Dr Vivi is exactly what is wrong with "dermatologists writing recs".....greed! I no loger use her, huge mistake. Caveat Patient