I lay mine horizontally across the bed so it's under my torso on either side of the bed. If I have a flush, I just flip over to the cold side. It saves a life and finally got me a good night's sleep. Of course, judging by other reviews, it gets warm after you let it run for a while. it's physics. But the side you're not on will cool down in minutes and bring you relief at the next flash. I had a pad that worked just as well, but it had gel pockets that leaked. This looks very durable.
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