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Physical and Cognitive Effects The most consistently reported short-term effects include: Increased drowsiness and grogginess, which raises the risk of falls, accidents, and poor decisions Dizziness and unsteadiness, which the NHS lists as serious enough to warrant urgent assessment if severe Impaired coordination and slower reaction time, making driving or operating machinery especially dangerous Slowed thinking, confusion, and reduced ability to focus Nausea, which can become dangerous if sedation is also present because of aspiration risk Next-day residual impairment, even after obvious intoxication has passed Psychiatric and Emotional Effects These are often the more consequential harms

She co-founded Amanecia Health and leads the Houston practice, serving patients across the greater Houston area through telemedicine and in-home visits

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Individuals with peripheral motor neuropathic diseases, amyotrophic lateral sclerosis (ALS), or neuromuscular junction disorders (eg, myasthenia gravis or Lambert-Eaton syndrome) should be monitored when given botulinum toxin

Specific qualified assays for quality assurance (QA)/quality control (QC) were also developed and approved by the regulatory authorities