Dr. Rosh Roddha

Is cheap Botox worth the risk? 💉 In 2025, 41 people in England ended up with botulism after cosmetic injections.

Between 4 June and 6 August 2025, UK health officials confirmed 41 cases of botulism linked to anti-wrinkle injections 👇
🏥 32 admitted to hospital
🚨 8 needed intensive care
📍 Five regions of England affected

Most had been given products not licensed in the UK. One seized product contained 370 units per vial, against the 200 printed on its label 😳 Nobody can dose safely when the vial is lying to them.

Botulism is what happens when too much toxin gets into the body. It can affect swallowing, speech and breathing.

Four checks before you book ✅
1️⃣ Licensed product. Ask to see it and where it's from.
2️⃣ Medical injector. Trained, insured and able to handle problems.
3️⃣ Price too good to be true? There's usually a reason.
4️⃣ Know the red flags. Trouble swallowing, speaking or breathing after treatment? Get medical help straight away.

Anti-wrinkle injections are brilliant, and very safe in the right hands. The risk lives in unlicensed products and untrained injectors. Cheap toxin is expensive later 💸

📌 Save this before you book, and send it to your friend who found a "bargain".

If you're committed to your health, make sure to follow. You won't see this page again.

📍 .dubai, Dubai

Educational content only, not medical advice.

Sources
UK Health Security Agency. Health Protection Report volume 19 issue 8, Aug 2025
Eurosurveillance. Iatrogenic botulism linked to cosmetic botulinum toxin, North East England. 2025;30(39)

Me at 4pm: one more coffee won't hurt ☕ Me at 1am: counting ceiling tiles 😅 Caffeine can still mess with your sleep six hours later, even when you don't feel buzzed. Last cup before 2pm and your sleep (and your skin) will thank you. Tag your 4pm coffee buddy 👇

The HRT warning is gone 🙌 A year on, here's what actually changed.

In November 2025, the FDA announced it would remove the black box warning from menopause hormone therapy. References to heart disease, breast cancer and probable dementia are coming off the labels.

Quick history 👇
📅 1991: the Women's Health Initiative begins
⚠️ 2003: black box warnings added
📉 Then: HRT use drops sharply. US officials say it fell from about one in four women to fewer than one in 20

That's a whole generation of women who were frightened away from treatment, while menopause symptoms affect more than 80% of women 💛

But this isn't a free-for-all. What I tell my patients ✅
1️⃣ Get a proper review. Your history, symptoms and risks first.
2️⃣ Timing matters. In your 50s, the benefits may outweigh the risks.
3️⃣ Still have a womb? Oestrogen alone keeps its womb cancer warning, so you need progesterone too.
4️⃣ Lifestyle still leads. Lift, sleep well and eat real protein.

HRT is a brilliant tool for the right woman, at the right time. It isn't the elixir of youth, and some of the big claims still need better evidence. Right woman, right time 🔑

📌 Save this for your next review, and send it to a friend who was told HRT was dangerous.

If you're committed to your health, make sure to follow. You won't see this page again.

📍 .dubai, Dubai

Educational content only, not medical advice. Speak to your own doctor about hormone therapy.

Sources
Urology Times. FDA removes warning labels on hormone replacement therapy. 10 Nov 2025
Scientific American. FDA strips health risk warnings from menopause hormone therapy. Nov 2025
Managed Healthcare Executive. FDA removes black box label for menopause hormone replacement therapy. Nov 2025

Subtle lips, still very much her own 💋

This patient wanted a little more definition and fullness without anyone being able to tell she'd had anything done. We used 0.55ml of filler, which is a small amount, placed carefully to support the shape she already had rather than change it.

When I assess lips, I'm looking at the whole lower face, not just the lips in isolation. Proportions between the upper and lower lip, the border, hydration, and how the lips move when you talk and smile all matter. Going slowly and using less product can help the result look soft and natural, and you can always build gradually if needed ✨

Good lip work should improve balance and definition, not announce itself across the room.

Thinking about your lips and want an honest opinion on what would suit you? Send me a message or book via .dubai 🤍

📍 .dubai, Dubai
Shared with the patient's consent. Individual results vary.

Me at every dinner party: "Lift weights." Them: "Right, but what's the injection?" 😩🍷 There's no shortcut that beats building muscle. Tag the friend who always wants the hack 👇

They asked to see my work.
So here it is. 11 real patients, 11 different goals, and every result planned to look like them, only better.

Beautification, masculinisation, nose and tear trough filler. Swipe through and tell me which one you like the most 👇

Consultations at .dubai, Dubai.

Shared with each patient's consent. Individual results vary.

Is your collagen powder actually doing anything? 🤔 A 2025 study says probably not.

Researchers pooled 23 randomised trials of collagen supplements for skin ageing, with 1,474 people. Lumped together, the results looked great. Hydration, elasticity, wrinkles, all better ✨

Then they split the studies up 👇
💰 Industry-funded trials: positive results
🔬 Trials without industry funding: no benefit
✅ High-quality trials: no significant effect
⚠️ Low-quality trials: better elasticity

Their conclusion: there's currently no clinical evidence that collagen supplements prevent or treat skin ageing. To be fair, industry groups have pushed back hard on the analysis, so it's not the final word. But it's worth knowing before you spend another fortune on tubs.

Here's the thing. Your body makes its own collagen from the protein you eat. So what I'd do instead:
🥩 Eat your protein. Meat, fish and eggs at every meal.
🍲 Eat the whole animal. Skin-on fish, slow-cooked cuts, proper broths.
😴 Sleep well, get daily daylight, and use SPF when you're out in strong sun.
💉 Use proven treatments. Retinoids and in-clinic options, done well.

Spend it on steak 😉

📌 Save this before you restock, and send it to your collagen-coffee friend.

If you're committed to your health, make sure to follow. You won't see this page again.

📍 .dubai, Dubai

Educational content only, not medical advice.

Sources
Myung SK, Park Y. Effects of collagen supplements on skin aging: a systematic review and meta-analysis. Am J Med. 2025
NutraIngredients. Industry pushes back on meta-analysis concluding collagen supplements show no benefit for skin aging. 26 Aug 2025

Microdosing your GLP-1: smart move or TikTok nonsense? 🤔

Microdosing means taking smaller-than-standard doses of drugs like semaglutide or tirzepatide. It's everywhere right now, often sold as a wellness or longevity hack.

And loads of people are doing it. A survey of 8,486 current injectable GLP-1 users found 15% had microdosed at some point. Their reasons 👇
🤢 40.8% to manage side effects
💸 31.9% to cut the cost
⚖️ 29.6% to keep the weight off

Fair enough, those are real reasons. But here's the problem. Microdosing for weight loss hasn't been validated in clinical trials, and Eli Lilly says it has no data on the benefits or risks of microdosing its tirzepatide drugs. Anecdotes aren't evidence 📊

My rules if you're curious ✅
1️⃣ Lifestyle first. Protein, strength training and proper sleep.
2️⃣ Doctor-led only. Dose changes belong with your prescriber.
3️⃣ Licensed supply. No grey-market pens or mystery vials.
4️⃣ Protect your muscle. High protein and lifting, every week.

Lower doses can make sense for some people. But it's a medical decision, not a TikTok protocol. Personalised, not improvised 💡

📌 Save this before your next dose, and send it to the friend splitting pens.

If you're committed to your health, make sure to follow. You won't see this page again.

📍 .dubai, Dubai

Educational content only, not medical advice.

Sources
Evidation. Emerging patterns of GLP-1 microdosing in a large real-world population. ISPOR 2026 poster
ConsumerAffairs. GLP-1 microdoses not a good idea, doctors warn. 2026

Nose filler, the non-surgical way to refine your profile 👃✨

This one is all about the side view. A small amount of filler, placed precisely, can soften a bump and help the nose look straighter and more balanced from the side. No surgery, no general anaesthetic, and you walk out the same day.

What I look at before I treat a nose:
👉 The whole profile, not just the nose. Forehead, lips and chin all change how it reads
👉 Whether filler is the right tool at all. Some noses need a surgeon, and I'll tell you if yours does
👉 Safety first. The nose is one of the higher-risk areas for filler, so it needs a doctor who knows the anatomy inside out

Subtle, balanced, still you 🤍

Thinking about your profile? Send me a message 👇

📍 .dubai, Dubai

Shared with the patient's consent. Individual results vary.