I had no expectations for this little tool, I just wanted something to relieve my migraines while the medication was on - tired of the ice packs. I was pleasantly surprised by this product. I cleaned it and immediately put it in the freezer. I used it the next day and it gave me instant relief. I also had sinus and toothaches so it was nice to be able to focus the cold right where I needed it. When it felt warmer I just stopped using it for a while and then found that it stayed cold for quite a while (about an hour) - way longer than gel packs! Has it reduced swelling? I'm not sure but my eyes feel better so it's something!
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