In the forward direction , the first Born amplitude is real. Symmetrize the second-order double integral under before taking its imaginary part. This replaces by , and gives
The preceding total-cross-section integral equals the same real integral multiplied by . Therefore
This is the optical theorem at second Born order. Comparing only the real first-order forward amplitude with a nonzero second-order scattering cross-section would mix perturbative orders. Terms of order require both the next amplitude order and interference in the scattering cross-section.

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