Animal studies have several limitations for predicting human outcomes, including interspecies differences in disease susceptibility, pharmacokinetics, and responses to stress. Studies in stressful laboratory environments and using chronic high doses can distort results. Alternatives to animal testing are needed and should incorporate the principles of reduction, replacement, and refinement. These include addressing methodological issues in animal experiments like small sample sizes, lack of randomization and blinding, and conflicts of interest. The external validity of animal models is reduced due to differences between young, healthy research animals and elderly, comorbid human patients.