Love love this pillow. Whether the pillow itself is made of 100 percent cotton is not a problem. I use all cotton pillowcases. The pillow did not give off any chemical odors even when unpacked for shipping. I sleep on my back or slightly on my side AND at an angle with other pillows behind this one and needed a new one for the top right under my head and shoulders. Every pillow I've used for this warps quickly and causes discomfort, but not this one. It gives me solid support (literally and figuratively) and has a softness that feels very comfortable under my head. Finally a pillow that stays in shape and gives softness to my head and face. Update March 6, 2015: I slept on this pillow encased in a matching pillow protector and the sneezing and coughing upon waking was gone. It's a great combination and well worth the money. By the way, I use the pillow every night and it keeps its shape and is just as comfortable as the first night.
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