Risk rises if you are dehydrated or using high doses repeatedly
Thats exactly why third-party lab check certificates / COAs matter so much
The warmth promotes relaxation and stimulates the release of endorphins, reducing stress levels

Other ingredients Water, butylene glycol, glycerin, methylpropanediol, 1,2-hexanediol, niacinamide, chlorella vulgaris extract, cedrus atlantica bark oil, cynanchum atratum extract, cananga odorata flower oil, althaea rosea flower extract, chitosan, jasminum officinale (jasmine) oil, alpha-arbutin, propanediol, allantoin, glucose, glutathione(1000ppm), tromethamine, hydroxyacetophenone, pentylene glycol, polyglyceryl-10.isostearate, ethylhexylglycerin, caprylyl glycol, fructooligosaccharides, fructose, adenosine, dipropylene glycol, polyglyceryl-10 oleate, hydrogenated lecithin, cholesterol, ascorbic acid, 3-0-ethyl ascorbic acid, ascorbyl glucoside, ceramide np, panthenol, acetyl hexapeptide-8, ascorbicacid polypeptide, acetyl octapeptide-3, acetyl tetrapeptide-2,acetyl tetrapeptide-3, acetyl tetrapeptide-5, acetyl tetrapeptide-9, carnosine, copper tripeptide-1, nonapeptide-1, palmitoyl pentapeptide-4, palmitoyl tripeptide-1, palmitoyl tripeptide-5, carbomer, xanthan gum, disodium edta

Just because you started on one medication doesnt mean you cant switch to another whether its because of a shortage, severe side effects, or another reason