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This pillow doesnt look like what you would expect C thats because it was designed by an Ergonomic Designer in consultation with a Doctor of Chiropractic. One of the key goals to sound sleep is Spinal Alignment which can help you to be more comfortable. Because people sleep on their backs sides or both this pillow was created to work for each sleeping position. The ergonomic design offers comfortable support and stability in all sleeping postures. The result is a more sound sleep and less tendency to wake with pain stiffness and many of the symptoms resulting from lack of support. Fitted zippered pillow cover included polyester/cotton machine washable. Made of non-allergenic non-toxic foam. Not only an investment in a pillow but an investment in your future health. Five sizes for a custom fit. Child Petite and Average fit into a standard pillow case. Large and X-Large fit a king-size pillow case. Shoulder Measurement: 5-14- 6-14″.