It relieves my hot flashes so I can sleep. Put it aside before you fall into deep sleep, otherwise you might wake up sweaty because of the material it's made of, which of course defeats its purpose. It works and cools even with a sheet over it, but if not removed in time it can still cause the material to sweat. It needs to be reactivated frequently without being in contact with your body, but it seems to reactivate quickly. As soon as you lie down on it, it cools down immediately. If you can handle the need for frequent reactivation, it can be considered a lifesaver. I even took it in the car so when the fever sets in there is instant relief. Warning, it's a little hard and can be a struggle for a weak person, and it can be frustrating to deal with at night when trying to sleep.
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