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Use of this product is therefore not intended to compensate for diagnosis, treatment, cure, or mitigation of medical conditions and must not substitute the obtaining of medical advice from a registered health professional for any health or health-related conditions

If no refrigerator is available, keep the insulated bag closed as much as possible and replace gel packs with fresh ice wrapped in a barrier (like a Ziploc bag inside a towel) if the original packs warm up

Its not just about storage

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One is preserved

Minor damage to peripheral nerves can result in acute burning sensations while major damage can lead to muscle weakness and even paralysis