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In 2024, Koniver was sanctioned by South Carolina public-health officials who found, among other things, that hed failed to maintain his registration with the Drug Enforcement Administration while prescribing controlled substances, and that hed neglected to check patient vital signs before administering ketamine

Administration is clinictaught for home use (rotate injection sites, refrigerate product), and patients are screened/monitored because hCG can increase risk of ovarian hyperstimulation syndrome and thrombotic events, so followup and exact dosing are important

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