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I've been using these Royal Therapy pillows for a couple years now, and they completely fixed my neck and hip pain. I'm tall and thin and discovered my issue was that I needed a really thick pillow to keep my neck straight and between my legs to keep them parallel at night. This one contains shredded memory foam, so you can take some out if you need, but I left it all in. I also switch to my back in the night and have no issues with these