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If levels drop gradually, it may affect overall skin health followed by health concerns like fatigue, weakened immunity, hormonal imbalance, and poor appetite

In the first stage the liver cells convert the alcohol into an inactive compound, and then in the second stage they are conjugated into a water-soluble compound that could be carried safely out of the body 16

In fact, there was a published case of a lactating woman who had food borne botulism (exponentially higher amount of toxin load than what is received during a Botox treatment)

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However, a big part of it is destroyed in the stomach before it can get to the cells