So the reason why commercial establishments use them is for hygiene. All dirt touches this part of the seat and it is also the dirtiest part of the seat. This helps keep it clean by adding an extra inch. For me as a 6ft 2 man this is very valuable. I was ready to rip out the toilet and install the extended bowl. This cup is still a bit small for me, but it doesn't bother me anymore. I feel compelled to continue with this project which has essentially saved me hundreds of dollars and some pretty hard work.
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