I had to modify this case to make it work well for me. I had to remove the fish next to it/zip on the front and back flap. I also noticed that the center organizer is sewn closer to the front flap. This meant I could fit taller items in the back by pushing the center organizer forward. All of these things fit perfectly. I had plenty of space, so I took a bottle of aspirin and extra medicine with me. I could easily add more needles and lancets to extend the "reach" (no refill days) of this kit. I wear this everywhere I go. I open at least 2 times a day. And I often overload it, which means I have to squeeze it to close it. 154 * 2.5 = 385 uses. I'm not sure how this compares to other promoters, but I think it's really good. Nevertheless 5 stars
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