I needed a pillow that would help with neck pain, not get too hot and keep warm. I'm a truck driver so I keep turning my head and looking in mirrors and bouncing around in my seat until 10-11am daily. This pillow is not uncomfortable but my other pillows are a little more comfortable but they didn't help my sore neck and I often woke up because I was sweating and they were too warm. I've had this pillow for a few months now. After about 2-3 weeks of use, my neck stopped hurting. The only time I had neck problems was when I stopped using this pillow for more than a few days. It also gets too warm much slower and when it gets warm I flip it over and it seems nice and cool. Use the instructions to change its "fluffiness" and you'll love it.
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