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While it is generally agreed that direct supervision of support personnel generally creates more access issues for patients compared to general supervision, the reverse is also true, that general supervision allows more access to services since the supervising therapist, in this case, does not have to be present onsite when the therapy services occur

The patients knew what they were receiving, and the outcomes were self-reported

2008 Sep 1;466(9):2268

Referral and coordination: When care cannot be provided locally, assist families in accessing services in supportive jurisdictions or through telehealth

The only options listed are lipo-B12 injections and low-dose naltrexone for weight-loss support