The“ Secret Lives of Mormon Wives” Get Laughing Gas Pre-Botox and We Had to Call a Derm About It

Is it safe? How much does it cost? PEOPLE asked double board-certified dermatologist Dr. Jacqueline G. Berliner to answer our burning questions on Botox and nitrous oxide

The cast of The Secret Lives of Mormons Wives know how to get fans talking.

And the Utah-based mom influencers on the show, who are a combination of practicing and former members of the Mormon religion, just unleashed yet another jaw-dropping revelation. No, not another "soft-swinging" sex scandal. This time, it's related to the "MomTok" gals' cosmetic procedures.

In the third episode of the Hulu show, some of the members of the group, who range in age from 24 to 32, chose to use nitrous oxide before getting Botox.

“It’s a party,” one of the wives, Whitney Leavitt, 31, said. A producer then asked her if she “comes for the Botox or the laughing gas,” and Leavitt responded, “For both.”

“I would low-key never get laughing gas with Botox, but I’ll do it today just for fun,” 29-year-old Mayci Neeley says. “Am I not gonna get high for free? It’s not against the rules.”

According to the Cleveland Clinic, nitrous oxide is a short-acting sedative that “slows down your nervous system and induces a sense of calm and euphoria” and eases feelings of anxiety. It can either be inhaled through a mask or nosepiece and is typically used for minor medical and dental procedures.

Related: DWTS' Lindsay Arnold Reacts to Buzzy Mormon Reality Series as a Fellow Church Member: 'Not How I Was Raised'

But we wondered if it's safe to use before a cosmetic procedure like Botox. So, we called Dr. Jacqueline G. Berliner, who's double board certified in dermatology and Mohs Micrographic Surgery (a form of treatment for skin cancers like basal cell carcinoma), to give us the facts.

Dr. Berliner, who practices out of Greenwich Point Dermatology in Greenwich, CT, says that using nitrous oxide for non-invasive procedures like Botox is safe — if used in low dosages. (It's not safe for patients who are pregnant.)

She uses Pro-Nox, an FDA-cleared formulation that is 50-50 nitrous oxide and pure oxygen as opposed to "traditional" laughing gas which is 70 percent nitrous oxide and 30 percent oxygen.

"I wouldn’t say it’s standard to get before Botox, but I definitely have a handful of patients that prefer it," she tells PEOPLE.

It doesn't take away any feelings of pain, but is mostly requested by patients who have a phobia of needles and are looking to relax and feel more comfortable during their procedures.

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Related: The Secret Lives of Mormon Wives' 10 Biggest Bombshell Moments, from a Chippendales Visit to an Arrest

Pro-Nox enters the body within seconds after breathing it in via mouth through a "tubing system." How much is inhaled is completely up to the patient.

Side effects during usage depend on the individual and those who have a bit more sensitivity or inhale too much of Pro-Nox have, in the past, experienced dizziness, nausea or headaches. Dr. Berliner notes that it leaves the system within 5-10 minutes after the last inhale, which mean it's safe for patients to drive afterwards.

Though Pro-Nox for Botox is "rare," it can also be used for microneedling, laser or filler procedures, skin cancer surgeries and preventative treatments and Platelet-Rich Plasma injections, which according to John Hopkins Medicine involves using one's own blood cells to accelerate healing in a certain area.

At her office, Pro-Nox is an additional $75, while other pain-management options, like numbing cream (though not usually common for something so quick like Botox) or vibration tools, which "distract the nerves" that transmit pain, are free of charge.

Partaking in laughing gas is just one way this group of moms is redefining what it means to be Mormon.

"For a lot of us, following the rules of the Mormon religion is just impossible," Mikayla Matthews, 24, says in the first episode.

"When it comes to the Mormon scale, there's definitely a wide range," explains Jessi Ngatikaura (who at age 32, describes herself as the "grandma" of the group). "Some are more Mormon than others, but in MomTok, I don't think we should be judging people whether they go to church every Sunday wearing their special underwear or reading their special book."

MomTok has helped these women come together in search of a modern way of living within and adjacent to members of the Mormon community.

"We were raised to be these housewives for the men, serving their every desire. Well, I'm like, 'f--- this,' so I created MomTok," Taylor Frankie Paul, 30, says in the first episode about creating the TikTok group. "It started as a group of Mormon moms making TikToks. There was something freeing about it."

Jennifer Affleck, 25, adds, "We are a new generation of Mormon women. We have a platform that the generation didn't have before us."

"We're just powerful women trying to change the stigma of gender roles in the Mormon culture," Neely notes.

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