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What Is Botulism? The Risk From Unlicensed Toxin You Need To Know About

25th July 2025
Updated: 28th July 2025

Between June and July 2025 alone, 38 cases of botulism have been confirmed in England, and every single one has been linked to unlicensed toxin injections carried out outside proper clinical settings. Yikes! So, what is this serious condition everyone’s talking about, and how can you stay safe without giving up your favourite tweakments? Here’s a sneak peek at a must-read guide from one of TTG’s most trusted pros, nurse prescriber Julie Scott.

What is botulism?

Botulism is a usually rare but potentially life-threatening condition caused by toxins produced by Clostridium botulinum. It is so dangerous because the toxins can paralyse the muscles that are critical for breathing and swallowing. In fact, at least six of the recently reported botulism cases required immediate critical care. The condition can cause drooping eyelids, blurred vision, and slurred speech too.

How do you keep yourself safe?

Top of your reading list should be a new 5-page booklet written by nurse practitioner Julie Scott, called “Botulism: The Invisible Risk Behind Unregulated Botulinum Toxin (Botox Like) Treatments.” It was developed for the JCCP (Joint Council for Cosmetic Practitioners) in response to the new rise in botulism cases, but don’t worry, it’s super reader-friendly rather than overly medical in tone.

Cutting through all the confusing headlines, it outlines not only the signs of botulism to look out for, but also how to avoid the fake products and unqualified practitioners that exponentially increase your complication risk.

“I’ve been a nurse prescriber in aesthetics for over 20  years, and I’ve seen the confidence a safe, well‑delivered botulinum toxin treatment can give, but I’ve also witnessed the fallout when things go wrong,” explains Scott. “Learning about those 38 botulism cases this summer, I realised there was a pressing need for clear, patient‑friendly guidance. I’ve taken my clinical experience and passion for safety into a straightforward guide so anyone can arm themselves with the knowledge to stay safe and avoid harm.”

The guide also goes into really helpful detail about the simple steps before, during, and after your treatment that you can take to protect yourself from harm. That includes information on how to check for the use of licensed products, practitioner qualifications, and clinic accreditation.

“My aim is to give a clear four‑step checklist and the exact questions to ask, so patients can verify practitioners, confirm the product’s authenticity, and secure proper aftercare,” affirms Scott. “With that knowledge, patients can approach their treatment with confidence, knowing they’ve done everything to safeguard their health and wellbeing.”

So, before your next toxin treatment, make sure you download the full botulism guide. And, tell your friends and family to give it a read too, because staying informed is super important for staying safe…

The Tweakments Guide Takeaway

38 cases of botulism have been confirmed in England, but you can keep yourself protected during your toxin treatments, by following a new guide by one of TTG’s most trusted pros, nurse prescriber Julie Scott.

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