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Mediflow's Elite waterbase pillow is an upgraded version of their Original pillow and features a 300 thread-count hypoallergenic cover, a hand sewn rope cord edge, exclusive StaLoft Dacron polyester fiber filling for extra loft and resiliency and a 3-year warranty against defects. It takes comfort plus support for the best night's sleep. That's why every Mediflow pillow has 2 layers - on the bottom our proprietary adjustable waterbase that provides responsive support for the neck - on top a soft, plump layer of cloud-like Dacron polyester providing exceptional comfort for the head. Traditional single-layer pillows can only provide comfort or support depending on the filling but never both. What's more, you can even customize the waterbase when you add water to achieve as much support as you desire! If you have tried all those other single layer pillows that claim to be "the best pillow ever" only to suffer buyer's remorse, you owe it to yourself to try "the pillow with proof". Not only are we the only pillow with a published independent clinical study from a major medical university, we have more than 20 years of experience with millions of pillows sold and thousands of 5-star reviews. You sleep on a plump, soft layer of resilient StaLoft Dacron Hollofil fiber. Ranked best in a Johns Hopkins Clinical Study for sleep and neck pain reduction. Adjustable to anyone's choice of support. Soft, Medium, of Firm. Responds automatically as you move in sleep to maintain support for your neck.