let's talk trap tox. if you've had it, what was your experience? how many units did you need? did it actually slim your neckline?

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I got it from my neurologist actually - I did a lot of units - 150 (but some was injected into other muscles under/next to the traps). It didn’t slim my shoulders until like the third time I did it (at which point the slimming was noticeable and I def didn’t mind that), but I’m honestly not a fan at the dose I had. I think I got too much and want to go down in amount because it feels like I’m noticeably weaker and is impacting my workouts.

I think it’s worth noting that my neurologist did it via ultrasound guidance so he knew exactly where he was injecting. I personally wouldn’t feel comfortable with someone going at it blind, not even if my derm did it, who I trust implicitly with everything else Botox-related.

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Interesting you have yours done by a neurologist. I've been having mine done by a sports medicine doctor to treat chronic neck and shoulder pain. I get 200 units in my neck and shoulders and haven't really noticed any difference in appearance, however it has been life changing from a pain management standpoint. Only thing is that the injections they give me seem to only really last 6-7 weeks (my face Botox typically lasts a few weeks longer), and I'm only approved by my insurance to get injections every three months. I've been considering going to a neurologist to see if they can offer insight into why I chronically tense up my neck and shoulder muscles. Could you please share more?

My neurologist said I could get it done by a pain management dr too - my neurologist just had time to do it so I stuck with him. I likewise only get it done every 3 months (I think that’s all insurance allows). Don’t get me wrong - the pain relief has been IMMENSE. The neurologist put it down as cervical dystonia on my insurance authorization, but said he doesn’t know if that’s necessarily it. I think it’s a function of my scoliosis/curve. And when you combine that with being at a seated job most of the day and not working out as much as I should and stress, my body just responds by tensing up at certain muscles. I’ve been dealing with this for years (since I was in law school) and the neuros I went to couldn’t figure out what the cause was, just that it wasn’t due to xyz things (which I was happy to learn). What I’ve gathered is that sometimes there isn’t a cause that we can pinpoint and people’s physiologies are just a little different I think.

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