#toxicology #TOXINology #incomplete See: [NSW public health alert botulism toxin cosmetic injections](https://www.health.nsw.gov.au/news/Pages/20250124_01.aspx), [botulism - victoria](https://www.health.vic.gov.au/infectious-diseases/botulism#reservoir-of-clostridium-botulinum) Sources: - unregulated cosmetic botulism toxin - raw honey — don’t give ANY honey to infants < 12 months - [2025 infant formula outbreak in USA](https://www.fda.gov/food/outbreaks-foodborne-illness/post-outbreak-response-activities-clostridium-botulinum-illnesses-associated-consumption-powdered) Suspect if: - Bilateral ptosis, dysphagia, dysarthria, or respiratory distress - Generalised weakness or descending paralysis - Recent cosmetic botulinum toxin injections, particularly from unregulated sources