If you’re in the process of repaying student loans, your monthly payment probably ranks among your largest expenses. By some estimates, most recent graduates pay more than $300 a month, which is no small figure on any budget. Additionally, as they build their careers, millennials typically earn less than the median national income. That can make keeping up with significant payments difficult if they rely on their salaries alone.

Medicine is a fulfilling profession on many levels, including the prospect of earning a comfortable salary. But before doctors can bring home a six-figure paycheck, most medical students rack up six-figure student loan debt. The average medical school student graduates with $190,000 in student loan debt, according to the Association of American Medical Colleges.

Consolidating your student loans can simplify your finances, lower your payments, and make it easier to chart a path out of debt. But picking the right type of consolidation is an important decision. There are several options and no single “right answer” for all borrowers. At the National Student Loan Union, we’ve helped people save more than $200 million on their student loans. We’ve put together the following 3-step guide to help you choose the best consolidation for your specific loan profile.

If you’ve refinanced your student loans before, you know how useful this strategy can be for lowering your monthly payments and cutting interest.

You may wonder if you can refinance your student loans more than once. The answer is yes—but it may not be worth the effort. Ask these questions to see whether additional refinancing is right for you.