The main reason I bought the Apple Watch was the continuous heart rate monitoring and EKG capability (I have a bad heart). This strap covers the crown of the watch, preventing the use of the EKG, and the case back interferes with the sensors on the back of the watch. Example: I ran 3 miles in 45 minutes and my watch only counted 11 minutes. work out. It never happened before I installed this strip and not since I removed it. It always showed my heart rate at around 77 beats per minute, even during exercise. This band/cover was a waste of money. If I hadn't thrown the box away, I would have sent it back.
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