Abstract: A band is provided for effecting body temperature changes, locally as well as core body temperature changes. The band includes a shell containing and easily replaced thermal insert filled with a high thermal capacity substance, and may also include thermal insulation, a radiant barrier, or an insulating airs space in order to increase thermal efficiency. The band may be strapped or otherwise attached to a user's body, preferably inside the forearms, directly over the wrists, where core body temperature changes may be effected.