I bought this roll pillow because I was struggling to find a pillow that would support my neck without putting too much pressure on my ear. (Because of the long bed rest in the hospital, I can't stand having something hard on my ear anymore.) It was a great blessing. I put it in a pillowcase along with a regular soft pillow so it's right where my neck is. My regular pillow gently supports my head and the bolster supports my neck. The pillow was too hard at first, so I removed about half of the buckwheat hulls. Aha! Ideal! I sleep much better, hardly tossing and turning; I wake up less too. I keep extra sleeves in a ziplock plastic bag so I can add, remove, or replace them as needed. The cases remain as you set them. If they put too much pressure on my throat, I just put my finger on the pillow and press on it. It stays that way until the end of the night. I couldn't have asked for more responsiveness.
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