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Directions tear open pouch when ready to use peel away paper to reveal adhesive side. Place on pain area with adhesive side against underwear and not against the skin attach firmly it may take up to 30 minutes to reach therapeutic temperature. wear for up to 8 hours. Do not wear for more than 8 hours in any 24-hour period place wrap flat against your underwear. Do not fold or bunch as your risk of burn is increased