The Botox injection and the balloon dilation of the pylorus can lost for a month to a year. Similar to steroid injections in the joints. Unfortunately, it’s a temporary solution. It’s been five months. I didn’t notice much of a change, maybe with what else is going on with my gut. Now it feels a lot worse. It could be gastroparesis has returned. Unfortunately, I can’t keep having myself exposed to have these injections as the upper gastroscopy is an invasive procedure. Hopefully, the osteopath may help.