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The primary ingredient in Botox is botulinum toxin type A, which is a neurotoxic protein produced by the bacterium Clostridium botulinum. While Clostridium botulinum is the organism responsible for synthesizing the toxin, it is the botulinum toxin type A that is utilized in cosmetic treatments to temporarily paralyze muscle activity, reducing the appearance of fine lines and wrinkles.

Botulinum toxin type A works by blocking the release of acetylcholine at the neuromuscular junction, preventing muscle contraction. This mechanism of action is crucial for its effectiveness as a cosmetic treatment, making the compound the main focus in discussions about Botox.

Other options, like hyaluronic acid and collagen, are commonly used in different types of fillers and skin treatments but do not pertain to Botox specifically. Therefore, while the presence of Clostridium botulinum is relevant to understanding the source of the toxin, botulinum toxin type A is the correct designation of the substance specifically used in Botox injections.

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