A consumer group is pushing the Food and Drug Administration (FDA) for stronger Botox warnings, pointing to the danger of negative health effects from the cosmetic injections.

In a Tuesday petition, Public Citizen asks the agency to “take action to strengthen the risk warning on the labeling of all approved botulinum toxin biological products.”

It warns that the use of “cosmetic and therapeutic” versions of the aforementioned products at “recommended doses” can still result in negative health effects.

“The petition asks that the black box warning of both cosmetic and therapeutic Botox and related drugs should make it clear that they are associated with systemic iatrogenic botulism and related symptoms, even when used at recommended doses, in initial or subsequent (repeated) treatment,” a press release by Public Citizen on the petition reads.