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There are no neuromodulators that do not have albumin. However, the albumin amount is extremely low. It's used as a bonding agent so the Botox sticks to the nerve endings. Botox contains albumin, a protein component of human blood. The potential risk of spreading viral diseases via human serum albumin is extremely rare. No cases of viral diseases have ever been reported in association with human serum albumin. So... the long and short is that all current neuromodulators have it, but there's never been anything associated with using it, AND millions of vials of neuromodulators have been used on people. "This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."