I sleep on my side, switch between nasal pillows and fill my CPAP mask. While this is a great idea, I did not subjectively improve my sleep quality and found that the bulkiness, size and weight of the pillow outweighed the benefits of the cut out slots to accommodate CPAP machines. I also found it too firm and not as pliable as a traditional foam pillow. Since I sleep on my side I tend to put my arm under the pillow which made it too high even when I adjusted the removable layer and since it's so firm it's just not for me. Finally, the smell of the foam is significant and I'm not usually bothered by foam mattress or pillow smells. Finally returned mine.
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