Popular hand warmers, such as HotHands®, are made of iron powder, water, salt, activated charcoal, and vermiculite. These ingredients react together when exposed to air to cause the warming sensation. Due to the iron content, there is a potential for toxicity if ingested, although this is not expected from the usual small exposure to the product. Symptoms of iron toxicity may include persistent vomiting, abdominal pain, and blood in the vomit.
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