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Its still in clinical trials

A 2021 systematic review and meta-analysis published in the International Forum of Allergy and Rhinology confirmed that botulinum toxin type A improved total nasal symptom scores and quality of life in patients with chronic rhinitis with effects demonstrated up to 24 weeks post-treatment in some studies

doi: 10.1016/j.midw.2009.05.010 51 HwangJ

These shifts from the third or fourth line of care to the earlier stages of cancer care, now including first or second-line settings, are because they are very potent in chemotherapy without significant systemic side effects (219)
