As a food supplement, take as directed on the label
Like Botox, it is a botulinum toxin type A, but it features a unique peptide exchange technology that enables it to stay effective at the neuromuscular junction for an extended duration
Brain Dev 33:512517 Sakai E, Yamanaka G, Kawashima H, Morishima Y, Ishida Y, Oana S, Miyajima T, Shinohara M, Saitoh M, Mizuguchi M (2013) A case of recurrent acute encephalopathy with febrile convulsive status epilepticus with carnitine palmitoyltransferase II variation
However, it also targets the GIP receptor