I have circulation problems that are causing pain in my legs. I put it on a heavy board at the foot of the bed, it doesn't bounce, and as others have suggested, I wear thick socks. It is very comfortable. Quiet, you can hear the TV without any problems. Another website said to drink water before and after to flush out toxins, I have no idea how true that is, but I still need more water. It also says to take a deep breath, so I do that too. I use it twice a day for 20 minutes. My legs feel great. I am very happy that I bought it.
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