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She told me she’s had many conversations with Mays about his treatment options, including dialysis in a clinic or self-administered at home.

Once authorised, the lethal dose would be self-administered by the patient; or by a medical assistant if the patient were incapable.

His request to die has been approved by two doctors and the lethal medication is self-administered.

Both are given as weekly injections via pre-filled pens self-administered into the upper arm, thigh or stomach.

According to Vashi, cosmetic dermatologists have an important role to play in educating patients about the risks associated with self-administered treatments and unregulated services sold online.