I both have multiple sclerosis and can't live without them. I spend (mostly) everything in my chair and spend too many hours coloring greetings, postcards, etc. I am very happy that there is a refill. The "handle" they come in is extremely comfortable and easier to hold on to. Also, with my limited income, I am so glad I found a product for the disabled that is economical and affordable. I LOVE HER!
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