Short answer: Fabric changes and makes delivered light uncertain. Visible glow through clothing does not establish wavelength-specific transmission or a treatment dose.

What controls

FactorVerifyDo not assume
DeviceExact manual, intended use, mode, output documentation, distance, eye guidanceThat another panel's settings transfer
FabricMaterial, color, thickness, layers, moisture, coverageThat visible light equals a known dose
OutcomeCondition-specific evidenceThat longer exposure compensates for clothing

Do not calculate a medical dose from unattributed consumer specifications or increase time to compensate for unknown transmission.

Bottom line: Clothing makes delivery uncertain; follow the exact manual and condition-specific professional guidance.

Evidence and limits

Photobiomodulation evidence is condition-, device-, wavelength-, and dose-specific. Findings from a studied device or indication do not automatically transfer to a consumer LED panel.

Source: clinical photobiomodulation review.