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Heres how it works: Botox has proven to be one of the most effective treatments for partial facial paralysis and Synkinesis caused by Bells Palsy Botox injections give great relief from the pain and symptoms It restores facial symmetry and overall facial comfort Botox injections paralyze the overactive muscles and allow them to be retrained Botox allows for complete neuromuscular and brain retraining in Bells Palsy cases Botox alleviates the pain/discomfort from Synkinesis Botox treatments are done in office with no downtime Reduced muscle action is noticeable within 12 to 18 hours post injection with maximum results seen by the end of the first week after treatment Topical anesthetics can be used on sensitive facial areas for more comfortable treatments Maintenance treatments (well spaced) have proven to increase the duration of effectiveness during retraining therapy Side effects from Botox injections may occurbut are rare Synkinesis is pain and discomfort caused by nerves that have regrown into the wrong facial areas thus causing misdirected muscle responses

10.1002/hep.1840210631 62 MarubashiS.SakonM.NaganoH.GotohK.HashimotoK.KubotaM.et al (2004)

Explain the potential complications associated with immunosuppressive therapy

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With a long half-life of 2030 hours, it promotes sustained muscle hypertrophy and improved nutrient partitioning