I have been using the large pad for just over two months. I wanted to wait a bit - long enough to get a good sense of how much I like it. I paired this pad with the waterproof Home Max profile here on Revain, which actually acts as a dampener to keep air between the pad and the profile. This combo is extremely comfortable for me and as another reviewer mentioned, it's very easy to move the padding around to provide enough head support. Now I've used the pillow for a couple of nights without protection as in that order. . It's not as desirable as it's no more than half full of filling and doesn't support very well unless the filling is fully offset to one side (not effective for pillow sharing). I didn't expect it to be that dramatic, but I just don't want to use this pillow without a protector (I guess I'm a pillow snob!). The cotton cover is of good quality on this pillow, but if you don't want to buy more filling I would try the pillow protector option I chose (although this pillow protector is not organic).
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