Well made and a good size. but if it is "medium" stiffness, then a wooden pillow should be high. There is practically no turning back. I put a couple of hardback textbooks on the pillow to try and "work" and it almost didn't sink. EDIT: It doesn't work at all. If you like toughness then this is for you. I couldn't sleep on it; it literally kept me awake from the pain of being too hard.
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