This is my first purchase of this pillow. I bought it to help with pain and fibromyalgia. All is well. One of the seams started to unravel (on the pillow, not the pillowcase), but I sewed it back up. I had to add more filler and I also added shredded memory foam which made it a lot more comfortable. It's not as crowded as it appears in the picture and all models must be under 4 feet tall as it's not as long as it seems. The pillowcase is soft and comfortable. That works first.
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