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The disease course varies among individuals. Symptoms usually appear 12 to 36 hours after ingesting contaminated food, and can include muscle paralysis caused by the extremely potent toxin. Botulism food poisoning is treated with botulinum antitoxin and hospitalization (Source: CDC).
These are all symptoms of the muscle paralysis caused by the nerve toxin. If botulism is not treated, advanced symptoms may cause paralysis of the arms, legs, and trunk and the muscles that help you breathe. In food-borne botulism, symptoms generally begin 18 to 36 hours after eating a contaminated food. But they can occur as early as 4 hours or as late as 10 days after eating the food.