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A Florida clinic bought unapproved toxin from a California laboratory, according to federal documents, which was intended for anti-wrinkle injections. The shots left four people paralyzed with botulism.
The suspended clinic doctor, Bach McComb, who gave the shots, diluted the mixture as if it were made from a lower strength Botox instead of high potency raw toxin, federal agents said in a statement filed in a California federal court. The clinic assistant, Thomas Toia, according to the document, told FDA agents McComb asked him to call List Biological Laboratories (outside San Jose) and order a vial of botulinum toxin.
The toxin is shipped as power, which the doctor reconstitutes by mixing with saline solution. Toia said when the vial arrived at the end of November, McComb began mixing it with 10 milliliters of saline, as he would for the standard 100-unit vial of Botox.
Toia told the FDA agents he calculated the toxin was the equivalent of 20,000 units of Botox and said he warned McComb to use much more saline, but McComb injected himself and his girlfriend that day, as well as two more people the next day.
All four injected with the toxin remain virtually paralyzed in critical but stable condition.