What is changing is the level of scrutiny surrounding it
Native to: Albania, Algeria, Austria, Belgium, Bulgaria, Corsica, former Czechoslovakia, France, Germany, Great Britain, Greece, Hungary, Iran, Italy, Crimea, Lebanon, Syria, Morocco, the Netherlands, North Caucasus, Poland, Portugal, Romania, Sardinia, Sicily, Spain, Switzerland, Transcaucasus, Trkiye, Trkiye-in-Europe, Ukraine, former Yugoslavia
Different forms of botulinum toxin solutions are used, depending on the problem being addressed
Lyophilized powder that remains white or off-white with no clumping is likely still viable even after brief temperature exposure