men typically need higher dosing per area due to greater muscle mass, and goals usually emphasise natural-looking results that preserve expression Patients seeking revision or complication management from previous nurse-led treatment elsewhere Not appropriate Pregnancy or breastfeeding Neuromuscular conditions (myasthenia gravis, Lambert-Eaton syndrome, motor neurone disease) Concurrent aminoglycoside antibiotics or certain other medications affecting neuromuscular junction Active infection or skin condition at the injection site Known hypersensitivity to botulinum toxin Patients with unrealistic expectations particularly those expecting deep static lines to disappear, sagging skin to be lifted, or volume to be restored Patients with body dysmorphia referred for psychological assessment first Patients under 18 (clinic policy) What well tell you at consultation We tell you directly if anti wrinkle injections are not the right treatment for your specific concern
We solicited public comment on each of these issues for the following sections of this document that contain information collection requirements (ICRs): A
If you have specific dietary concerns, diabetes, or other metabolic conditions, discuss your fruit intake with your GP or a registered dietitian who can provide personalised guidance tailored to your treatment plan and health goals
Changing food habits: Switching to organic food that includes fruits, vegetables, conventional meat, and dairy products can help you manage the estrogen levels to a great extent
