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BMI can over and underestimate body fat [archived link] since it doesnt distinguish fat from bone and muscle mass

products may contain contaminants, adulterants, or unlisted substances Allergic reactions : Adhesive components and botanical extracts can cause contact dermatitis, skin irritation, or systemic allergic responses Drug interactions : Herbal ingredients may interact with prescription medications, including anticoagulants, antihypertensives, or diabetes medications False reassurance : Belief in patch efficacy may lead patients to neglect dietary modifications, physical activity, or medication adherence The financial burden represents another limitation