Botox damage is hard to prove and it is difficult to complain. The blood tests ordered by the doctor are likely to be normal. But the tests below can show damage.
Mouse test – test of botulism
If your own doctor or hospital refuse to test for botulism, you can be tested for botulism in Poland at this institute: http://www.piwet.pulawy.pl/
The link below is for a form that needs to be filled out if you want such a test. Unfortunately, it is in Polish, but google translate can help with translation.
You have to make sure that you can send a blood sample to the clinic in Poland. Sometimes you can get an appointment at your local hospital or doctor to take the blood tests and you can send them.
The laboratory is privately owned and the test costs 340 Polish zlotys, -or EUR 79.26.
The test they do in Poland is completely the same as mouse-tests done at hospitals.
There is also a German laboratory doing the botulism test, but here you have to write to the laboratory and get a price agreed: https://www.miprolab.com/34.html?&L=0%20and%201%3E1
The test that can prove one of the botox lesions is a tissue test for small-fiber peripheral neuropathy. Small fiber neuropathy is nerve damage (loss of nerves) and since you have had a nerve poison, you sometimes see that the nerves are damaged. And this is best demonstrated by a tissue sample. Read any Dr. Anna Hristova’s research articles on findings of peripheral small-fiber neuropathy after botox injections. https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=4&ved=2ahUKEwiT-dmYpcDhAhXR-qQKHf_nA3MQFjADegQIBxAC&url=http%3A%2F%2Faustinpublishinggroup.com%2Fbacteriology%2Fdownload.php%3Ffile%3Dfulltext%2Fbacteriology-v3-id1035.pdf&usg=AOvVaw2rKuxNvDmfK0NuR_Sv0MJM
SFEMG (Single-fiber electromyography)
Another nerve test is SFEMG (Single-fiber electromyography) which can show if the toxin has spread in the tissue to areas far from the injection site. SFEMG measures the electrical activity of the muscles and nerves just like the EMG nerve test, but SFEMG can measure the individual fibers in the muscle, whereas the EMG test measures the entire muscle at once. The link below shows a trial of SFEMG in patients who had symptoms of botulism following botox injections – as well as testing of a control group who did not have botulism symptoms. Muscle abnormalities were found far from the injection site in 75% of patients. https://www.ncbi.nlm.nih.gov/pubmed/25620718
An MRI scan of the brain can also show whether the toxin has passed the blood / brain barrier and formed white spots and / or brain lesions. It has been demonstrated in several after botox injections. If you experience a “brain fog” that lasts for months, it would be a good idea to have an MRI scan. It is also the neurologists who order MRI. Dr. Anna Hristova has done research on this: https://www.researchgate.net/publication/230743003_Severe_Nervous_System_Complications_After_Botulinum_Type_A_Therapy_Three_Case_Reports_With_Reviews_of_FDA-Reported_Nervous_System_Adverse_Effects
Examination of the eyes
Some people find that they have started to squint or get pupils of different sizes after botox. Or maybe they got blurred vision. It is a good idea to go to an eye doctor and get an examination. It will be a good idea to take the leaflet with you because eye problems are mentioned in it. this article of 6th nerve palsy after botox injection is also good to bring: https://www.semanticscholar.org/paper/Sixth-nerve-palsy-following-botulinum-toxin-for-Bilge-Sadigov/ba8b6eebe4007dfe1ce2e118ada7c8ad13b23593
If you have been diagnosed with a botox injury at your doctor and you want to complain about your botox treatment, please be aware that you have a limited time to complain: 2-3 years (in some countries the limitation period is 2 years). It’s also a good idea to get a good lawyer.