LOS ANGELES (AP) — A doctor testifying on behalf of “Octomom” Nadya Suleman’s fertility doctor repeatedly defended the in vitro treatments she received, saying it was appropriate considering her impaired fertility and desire for a very large family.

Dr. Jeffrey Steinberg testified in a hearing that resumed Wednesday in Los Angeles in the Medical Board of California’s licensing hearing for Dr. Michael Kamrava.

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The state licensing agency is seeking to revoke or suspend the physician’s license, accusing him of gross negligence in his treatment of Suleman and two other patients.

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Steinberg, a longtime professional acquaintance of Kamrava’s and a fertility doctor, says Kamrava has to take into account his clinic’s low success rate when treating patients for fertility.

Closing arguments are expected to begin Wednesday or Thursday.

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