I have Hashimotos, and my liver enzymes (ALT) are slightly high. Do you think I'm OK to go ahead with Botox?

Thank you for your question! I don't believe that Botox would pose any problem for you. However, you may want to discuss the matter with your primary doctor to see if they have any concerns or reservations. 

Besides a known neuromuscular disorder, there are few to no issues that would interfere with a persons ability to get Botox. Be sure to tell your injector about your condition, but it should not be an issue. Patients can have side effects from Botox such as headaches, acne eruptions, or tinnitus; among other rare issues. 

Yes, you should be able to have Botox. Make sure to disclose your history to your injector. It takes 1-2 weeks for final results with Botox. Best, Dr. Emer

As long as one's blood tests do not indicate severe liver disease, which can cause easy bleeding and bruising, mild liver enzyme increases on blood tests are not a contraindication for a doctor to inject Botox, nor is hypo or hyperthyroidism.Do check with your doctor for their approval.The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs. 

Botox will not affect your Hashimoto’s  or your abnormal LFT’s . However it is a good idea to let your Dr know you are getting Botox.

Thank you for your question lforbes21. I understand your concern. Botox is a purified protein used to address wrinkles associated with facial expression. When injected into the skin Botox will relax the muscles and smoothen out the overlying wrinkles. The most common areas of treatment are in the upper face. These include the horizontal lines seen on the upper forehead when one raises the brows, the vertical lines seen between the brows when one frowns (frown lines), and the crow's feet seen around the eyes when one smiles.It is difficult to make an assessment without a formal exam where the entire medical history is reviewed. However, I hope the information provided here is useful.The safety record of Botox is well established. The product has been used for over 20 years for a variety of treatments with minimal side effects. Botox is amongst the safest treatments for treating facial wrinkles.While Botox is one of the safest treatments offered, there are some situations where it is not appropriate. These include anyone who has an allergy to any of the inactive ingredients or who has had an allergic reaction to any botulinum product including Botox, Dysport, Xeomin, or Myobloc. The safety and efficacy of Botox has not been established in women who are pregnant, trying to become pregnant, or breast feeding. Therefore, women in these categories are advised to wait until breast feeding is completed prior to having a Botox treatment. Botox should not be placed in the skin on the site of an infection. Those who are taking an aminoglycoside antibiotic, an anesthetic, D-penicillamine, antimalarials, or immunosuppressants should not be treated, nor should those who have undergone chemotherapy within the previous six months. It is important to avoid blood thinners before and after a treatment. These include both prescription and non-prescription medications such as warfarin (coumadin), aspirin, ibuprofen, alcohol, fish oil, vitamin E, and ginko biloba. Those with conditions that affect muscles and nerves such as amyotrophic lateral sclerosis (ALS or Lou Gehrig's disease), myasthenia gravis, or Lambert-Eaton syndrome should not undergo Botox treatments.Having Hashimoto's thyroiditis or elevated liver enzymes are not contraindications to Botox treatment. If I had a patients with these conditions I would say that it would be safe for her to have a Botox treatment.With any injection, there are risks such as pain, bleeding, bruising, redness, swelling, tenderness, and infection. We take special precautions to minimize these risks such as using a painless technique. We also treat bruises with a laser as early as the next day. Bruises usually resolve within two weeks if untreated. After a laser treatment bruises usually resolve in 1-3 days, but may still take two weeks for full resolution. In addition to these risks, with Botox there is also a risk that the product spreads or diffuses to nearby structures. Spread to nearby muscles can lead to side effects such as the temporary appearance of droopy eyelids or a temporary asymmetric smile.After a Botox treatment, I recommend that my patients avoid heat exposure, alcohol consumption, and strenuous exercise for 24 hours and not lie down flat for four hours. This is because all of these activities may possibly lead to the movement of the product and consequent side effects such as droopy eyelids as described above. Although there have been no definitive studies shown that these actually occur and some physicians do not provide such aftercare instructions, in the absence of data I err on the side of caution and recommend that my patients avoid such activities.Please consult with a doctor for specific recommendations. Good luck!

Hello and thank you for your question. Botox is very safe because it is injected in a localized area without distribution to the rest of your body. I have many patients with Thyroid issues and they visit regularly without any problems. Best of luck to you!

I think it is perfectly fine to have the Botox treatment. I would of course mention the treatment to your primary care physician. Good luck.

 Yes, there is no problem with Botox and your conditions. Of course be sure to tell your Physician about these.Best of luck! Dr. Boschert

Thank you for your question. It is perfectly fine to go ahead with your Botox treatment. All the best, Dr.Michon