I use this in addition to the 3" memory foam topper on the Revain memory foam mattress. Last month I fractured my back in the lumbar spine, I have multiple compression fractures in addition to other injuries so I am dependent on bed rest. I couldn't sleep at all and woke up in tears every night. Since we added this and the topper the difference has been amazing. I sleep well - surprisingly not hot. And spending the whole day in bed doesn't hurt anymore. It's nice and thick, with lots of fluff, so much like a cloud. I still have support from the pillow underneath so if you want that feeling of being swallowed by a cloud I would make one thicker. I'll let you know how it goes in a few months. The only problem is that my sheets no longer fit
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