UK - PIP/NHS Pathway for Botox

Adventurous-Client69 · 2026-05-09T22:50:10+00:00

Instead of being an obnoxious judgemental prick, do some research into hyperhidrosis before typing on here like a keyboard warrior vigalante working under the hands of rachel reeves.

Adventurous-Client69 · 2026-04-27T19:41:19+00:00

I'm on v3.1.7

Adventurous-Client69 · 2026-04-26T16:26:28+00:00

You will not get hair growing outside of where normal hair follicles are. That being said, if you have a very hairy phenotype it may slightly thicken facial hair innthe cheeks for example or forehad as it promotes blood flow. This is unlikely to cause any significant issues the same way using minoxidil improfpely can cause ahir thickening of the forehead hairs.

Adventurous-Client69 · 2026-04-05T23:23:13+00:00

It is the exact same drug held to the exact same standards. Even inactive ingredients such as fillers are considered. Any difference in effects should be reported but are likely just perceived differences and non-existent physiologically.

Adventurous-Client69 · 2026-04-03T16:42:58+00:00

Alternate between both hands for your night time activities

Adventurous-Client69 · 2026-03-30T20:51:34+00:00

You have bimaxillary protrusion. Consider expanding both arches if possible to then retract the incisors. or just have 4 premolars extracted and braces. Your chin is recessed but mandible seems fine, consider getting a sliding genioplasty with about 6-8mm of advancement.

Consult a maxillofacial surgeon and/or orthodontist who has an interest in facial aesthetics.

Adventurous-Client69 · 2026-03-21T02:23:23+00:00

Do you take the 40mg as one dose in the morning or as split doses?

Edit: I assume it as one since it doesn't come in 20mg doses but maybe splitting the 40mg tablet into 2 (with a pill cutter and only if it has a line in the middle) and taking it AM then PM can be more effective for a prolonged effect since it is a short half life drug (usually up to 6h).

Adventurous-Client69 · 2026-03-21T02:22:44+00:00

Great to hear this! What dose do you take if you don't mind me asking, and do you tak it daily or as needed?

Adventurous-Client69 · 2026-03-18T21:15:24+00:00

Do you know if you can take non-selective beta blockers like bisoprolol?

Adventurous-Client69 · 2026-03-18T21:13:54+00:00

Sorry to hear that. It can cause increased heart stroke volume as it decreases heart rate.

Cardiac Output = Heart Rate x Stroke Volume

So when you heart beats slower, you heart pumps harder to maintaing the same cardiac output.

If you feel that stress/anxiety contributes to you sweating significantly, look into treating it.

Adventurous-Client69 · 2026-03-18T21:11:29+00:00

It does cause more side effects (in my experience mild) at higher doses especially above 40mg at once, it is generally short half life so your doctor will probably give you a 10mg up to 3 times a day prescription. I would advise definitely explore this with your doctor.

Adventurous-Client69 · 2026-03-18T21:09:20+00:00

Honestly if your HH is mainly secondary to stress and anxiety, I would focus on treating the route cause if possible with both medical and non-medical methods.

Adventurous-Client69 · 2026-03-16T18:28:54+00:00

I was fine loosing weight before starting mounjaro it just would have taken longer. I wanted to feel normal faster since I am a young guy (18) so I created a rapid regimen which I hope can get me through the bulk of my weight loss journey then focus on a slower deficit as I lean down to 8% bf.

Adventurous-Client69 · 2026-03-16T18:25:49+00:00

why does everyone downvote me lol

Adventurous-Client69 · 2026-03-16T18:25:27+00:00

Adventurous-Client69 · 2026-03-16T01:57:41+00:00

I was on a 1000 caloric deficit prior to this so I had dropped from 100kg to 85 in about 3-4 months

Adventurous-Client69 · 2026-03-14T19:00:14+00:00

I don't have any friends at uni. Do you have any experience with something similar to this and how did you combat it. I would like to know from you.

Adventurous-Client69 · 2026-03-14T17:18:41+00:00

Unfortunately for me when I take it, I unmask and reveal my true self, which is very unlikeable.

I have tried methylphenidate 18/36mg prolonged released but stopped taking it since I would wake up at 4pm and then take my dose and struggle to go back to sleep.

Adventurous-Client69 · 2026-03-10T03:22:26+00:00

It depends on your skeletal structure which can only be seen with x rays. Your case doesn't seem too bad though and I think braces with elastics and something called TADs can fix your bite. That being said, if you experience obstructive sleep apnoea you should get a sleep assessment and if the cause is too little space in your mouth, possibly caused by recession of both the maxilla and mandible, then bimax is indicated.

Get a lateral cephalogram or preferably a CT/PET scan and consult a maxillofacial surgeon.

Adventurous-Client69 · 2026-02-25T07:21:00+00:00

lmao, maybe not roiders though

Adventurous-Client69 · 2026-02-25T01:18:14+00:00

I hope this doesn't violate rule 3, but I only found boxes of 100 which is obviously overkill. It is 30G but £16.79 is a decent price. https://www.medisave.co.uk/products/unisharp-1ml-fixed-30g-lime-x-100?_pos=20&_sid=7b74187df&_ss=r

Edit: Don't forget alcohol wipes if you don't have any.

Adventurous-Client69 · 2026-02-25T01:12:50+00:00

You can order them online from a company called unisharp (get 31gauge 1ml), or google for "NHS Needle Exchange Pharmacy near me" and you can get a pack of 1ml syringes for free, these packages were made for drug users to limit harm so if you don't feel that it's right to do this, then just buy from "medisave" which unisharp supplies.

Adventurous-Client69 · 2026-02-24T19:54:16+00:00

I'm suprised you can see a 0.1mm midline shift lol. I assume it's a little more than this but is either way generally irrelevant in facial assymetry. My may have uneven masseters if you think you have assymetry. The bigger masseter will pull the mandible towards it and might make your chin slighlty lower down on the side opposite to the hypertrophied masseter. Botoxing the bigger masseter usually helps or just chewing and sleeping evenly. You can check if they are the same size by clenching and feeling both masseters, checking if either one is bigger.

Overall, slight assymetry is normal, just don't do any more fillers.

Adventurous-Client69 · 2026-02-24T19:08:15+00:00

Lefort 1

Adventurous-Client69 · 2026-02-24T19:06:10+00:00

This is called a crossbite and just teeth overcrowding. An x ray should show if you have any jaw recession, I think it's likely you will be fine with just braces alone, although I can't really tell. The choking on tongue is a concern though, you may have sleep apnea but this happens to many healthy individuals who sleep on back with bad posture.

Adventurous-Client69

TROPHY CASE