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HIPAA, standing orders, and documentation compliance Regardless of practice authority level, every clinical practice is subject to HIPAA, requires written clinical protocols and standing orders for delegated procedures, and must maintain documentation standards that satisfy both the state board of nursing and, where applicable, the state medical board

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These provide fiber for gut health, vitamins and minerals that are critical when calories are reduced, and modest amounts of net carbs that keep you well within ketosis range

Others are "slow and steady" types who notice gradual improvements over several weeks