#toxicology #TOXINology #incomplete See: [NSW public health alert botulism toxin cosmetic injections](https://www.health.nsw.gov.au/news/Pages/20250124_01.aspx) Sources: - unregulated cosmetic botulism toxin - Suspect if: - Bilateral ptosis, dysphagia, dysarthria, or respiratory distress - Generalised weakness or descending paralysis - Recent cosmetic botulinum toxin injections, particularly from unregulated sources