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Once Botox is working, patients can often wean off daily pills being used for migraine prevention

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Documented side effects are usually mild to moderate: Injection-site pain, redness, or bruising Flushing Increased heart rate Nausea or gastrointestinal upset Headache Urinary changes or a fishy body odor at higher choline doses Because these are compounded products, sterile technique, pharmacy sourcing, and formulation verification matter

They also experience improved comfort and mobility compared to standard single-ingredient creams or oral regimens