Health authorities issue a renewed safety warning after reports that counterfeit Botox injections have caused serious and potentially life-threatening reactions. Multiple sources say the warning follows a spate of hospitalisations tied to the use of fake anti-wrinkle injections. The reported complications include severe neuromuscular effects, with at least some cases described as causing paralysis or paralysis-like symptoms. Officials urge patients to be cautious about where they receive Botox and to seek treatment only from reputable providers. The warning also highlights the risk that counterfeit products may be improperly made or incorrectly dosed, increasing the chance of adverse outcomes. While the sources focus on the dangers and the resulting medical cases, they do not provide detailed patient numbers, specific jurisdictions, or identification of the counterfeit product in the information provided here. Overall, the guidance centers on avoiding unverified Botox and responding promptly to concerning symptoms after injections.