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Patients with known or unrecognized neuromuscular disorders or neuromuscular junction disorders may be at increased risk of clinically significant effects, including generalized muscle weakness, diplopia, ptosis, dysphonia, dysarthria, severe dysphagia, and respiratory compromise from therapeutic doses of BOTOX (see Warnings and Precautions )

Social pressures may also apply with pet owners being compelled to care properly for visibly unwell older pets

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Present knowledge in nutrition: Basic nutrition and metabolism

If you are past that window and still feel worse, that is your signal to get checked rather than to keep going

doi:10.1001/archinte.159.12.1289