This product was disappointing. As someone who has slept on a wedge for2 years for my reflux (I am 47), I am used to the elevated position. I wanted the Medslant pillow because it has its own carrying case and had a dust mite cover (which really is flimsy and I doesn't cover the whole pillow!)Well, the Medslant is so hard and uncomfortable, after 4 nights of trying, I gave up since I could not sleep deeply. It caused an achy back.When I called the company about returning it, the said it was a personalitem and could NOT be exchanged. So, I am out almost $100 for a useless item.