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Skin temperatures, measured under the arm or at the forehead, are not always reliable indicators of core body temperature, especially during those critical times when core body temperature is increasing or decreasing. This is because the skin is a tool the body uses to control core body temperature. For example, when fever is increasing people are likely to react by shivering and drawing in heat from the increased core body temperature. Skin temperatures are further influenced by factors such as fever-lowering medication, clothing and external temperature.