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The physician or midlevel practitioner can delegate to an unlicensed professional only if a physician or midlevel practitioner is onsite during the procedure or a delegating physician is available for emergency consultation in the event of an adverse outcome, and if the physician considers it necessary, be able to conduct an emergency appointment with the patient. Its tough for the medical board to police all of the physicians who utilize illegal practices unless they are turned in to the medical board by another organization or individual

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On the other hand, thicker needles- lower gauge numbers -can deliver the injection faster