I also have the Blethoraspams. Right now I am trying to decide whether to get the shots again. The fact that it only lasts three months and costs me $300 for the Botox and $150 for the five minutes it takes for the injections, I don't have the money to pay for that. My insurance only pay a tiny portion of the doctor fee. The shots do help some but I sure wish it would last longer. I also have chronic dry eyes and Parkinsons disease which makes it a bit more challenging. Good luck to you. Elaine