According to the search results, fake and unlicensed Botox products have been causing serious health issues, sending at least 19 women across 9 different states to the hospital.he key points are:

• The Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA) have issued warnings about the use of unlicensed Botox products and treatments administered by untrained professionals. 1
• At least 19 women have reported experiencing adverse reactions, with 9 being hospitalized and 4 receiving botulism antitoxin treatment. 
• The botulism-like symptoms include respiratory muscle paralysis, making it difficult to breathe, as well as weakness, blurred vision, difficulty swallowing, dry mouth, constipation, and incontinence. 
• The FDA has stated that medications obtained from unlicensed sources may be mislabeled, adulterated, counterfeit, contaminated, improperly stored, ineffective, and/or unsafe. 
• The CDC, FDA, and local health departments are actively investigating this public health concern and working to remove counterfeit Botox products from the market.
• It is essential for consumers to only use Botox products purchased from licensed sources and administered by trained professionals.
• In summary, the use of fake and unlicensed Botox products has led to serious health issues, including hospitalizations, for dozens of people across the United States. Health authorities are working to address this growing public health concern.