A thorough evaluation by a professional physician is recommended before any injection. The following groups are not advised to undergo this procedure:
🚫 BMI greater than 35 (gastric bypass or gastric reduction surgery should be considered)
🚫 Pregnant or breastfeeding women
🚫 Patients with neuromuscular diseases (such as myasthenia gravis, muscular atrophy)
🚫 Individuals allergic to botulinum toxin
🚫 Individuals who have undergone gastric surgery (such as gastric reduction or bypass)
🚫 Individuals with severe gastroesophageal reflux or gastric ulcers
