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Qualifications vary by state, but key indicators of a legitimate operation include: a named medical director who actively oversees clinical protocols, licensed nursing or medical staff performing injections, a thorough intake process that includes health history and allergy screening, and compliance with state Board of Medicine regulations regarding injectable treatments

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When deciding between intramuscular and intravenous, we look at the patients health, how bad their B12 deficiency is, and how they react to treatment