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Botox is more effective for dynamic wrinkles caused by muscle movement, like crows feet and frown lines

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L.RiebelingT.NischeR.SchmitzJ.et al (2022b)

Because it stimulates the bodys own growth hormone production, dosing needs to stay within physiologic limits to avoid excess IGF-1. If levels climb too high, she notes, you might get symptoms such as fluid retention, joint stiffness, carpal tunnellike numbness, or mild insulin resistance, though these effects are uncommon with conservative dosing and regular monitoring

Cell 89 , 755764 (1997)