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nurse happens before the botulinum prescription","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"They can only be prescribed after a consultation between you and a healthcare professional, such as a doctor or nurse.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C4","text":"Ask the practitioner what could go wrong, and which products they will use","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/before-you-have-a-cosmetic-procedure/","host":"nhs.uk","quote":"Ask them about the procedure, the products they'll use and what could go wrong.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C5","text":"Check the practitioner has the right insurance to correct anything that goes wrong","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/before-you-have-a-cosmetic-procedure/","host":"nhs.uk","quote":"They should be trained and experienced in the procedure you're having and have the right insurance to correct anything that goes wrong.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C6","text":"Ask for the manufacturer's leaflet on the product that will be used","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"You can also ask them for information to take away with you, such as a leaflet from the manufacturer of the product they'll use.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pressure to decide on the spot, with no time to think after the consultation","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"Your practitioner should give you time after your consultation to decide whether you want to go ahead with the procedure.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F2","text":"The offer is promoted by a social media influencer, who is usually paid","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/before-you-have-a-cosmetic-procedure/","host":"nhs.uk","quote":"Social media influencers are usually paid to advertise the service.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F3","text":"The practitioner cannot say what could go wrong with the procedure","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/before-you-have-a-cosmetic-procedure/","host":"nhs.uk","quote":"Ask them about the procedure, the products they'll use and what could go wrong.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F4","text":"No consultation with the person who will do the procedure before the final decision","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"Always book a consultation with the person who will do the procedure before making your final decision.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F5","text":"The offer does not identify who prescribed the botulinum toxin or who will inject it","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/choosing-who-will-do-your-procedure/","host":"nhs.uk","quote":"who the prescriber is; who'll be giving the actual treatment","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Trouble breathing","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/drugs/18160-onabotulinumtoxina-injection-cosmetic-use","host":"my.clevelandclinic.org","quote":"Get medical help right away if you have problems with breathing, swallowing, or talking.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W2","text":"Trouble swallowing","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/drugs/18160-onabotulinumtoxina-injection-cosmetic-use","host":"my.clevelandclinic.org","quote":"Spread of botulinum toxin effects—unusual weakness or fatigue, blurry or double vision, trouble swallowing, hoarseness or trouble speaking, trouble breathing, loss of bladder control","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W3","text":"Trouble talking","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/drugs/18160-onabotulinumtoxina-injection-cosmetic-use","host":"my.clevelandclinic.org","quote":"Get medical help right away if you have problems with breathing, swallowing, or talking.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W4","text":"Unusual weakness in other muscles","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/drugs/18160-onabotulinumtoxina-injection-cosmetic-use","host":"my.clevelandclinic.org","quote":"Tell your care team if you feel unusually weak in other muscles.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W5","text":"Facial, lip, tongue, or throat swelling","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/drugs/18160-onabotulinumtoxina-injection-cosmetic-use","host":"my.clevelandclinic.org","quote":"Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge 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