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Caudal brainstem processing is sufficient for behavioral, sympathetic, and parasympathetic responses driven by peripheral and hindbrain glucagon-like-peptide-1 receptor stimulation

However, clinicians should remain vigilant for signs of excessive metabolic suppression or thyroid dysfunction, particularly in patients with pre-existing thyroid conditions or those experiencing symptoms beyond cold intolerance, such as severe fatigue, hair loss, or cognitive changes that might suggest thyroid hormone imbalance requiring investigation

2023;46(Supp 1):S128-S139

[DOI] [PMC free article] [PubMed] [Google Scholar] 421.Al-Sabah S., Donnelly D

See safety info link on image.

Yes, as long as the cooler is pre-cooled