I wrap mine in a pillow case, it's strong and relatively comfortable. Remember that you are supported. So if this is an unnatural sleeping position, it will take time to get used to. But I don't snore or get sick anymore, so it worked. I use another regular pillow over it for the neck. As long as it's positioned correctly, my neck is fine. If not, my throat hurts a little. It's not the pillows fault, just be aware. It's well made and I don't get hot. I would say buy it for its value for money.
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