I've only used the roller twice, just got it yesterday so I'm not aware of any long term effects. It was really good, especially this morning after chilling in the fridge. I have a tight shoulder muscle that I have used Gua Sha on with very good results. The shipping label was only stuck on the box used to store and protect items, so the box was damaged. It's only a "cosmetic" damage, but if I were to order this as a gift I would be very unhappy with it.
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