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MEGAComfort’s Personal Anti-Fatigue Mat (PAM) Puncture Resistant insole is ergonomically designed by a podiatrist, using a patented combination of high density dual layer 100% memory foam plus a flexible steel plate that meets and exceeds ASTM F2413-11. The memory foam dual layers compress together and gently rebound with every step. For over 15 years MEGAComfort insoles have been clinically proven and field tested to reduce pain and fatigue while increasing balance and comfort. The PAM Puncture Resistant insole protects from sharp objects such as shards of glass, metal and nails and is ideal for contractors, construction and renovation environments. The insole is directly in contact with the feet and body, making them far more effective than the standard anti-fatigue floor mats at reducing muscle strain, improving balance reactions and increasing blood circulation. Other features include a deep heel cup and soft contoured arch support. The heavy duty top cloth offers anti-fungal, anti-bacterial, and anti-perspiration capabilities. Perfect for steel toe footwear as the memory foam compresses for safe clearance. Great for stationary, mobile and those who work outdoors. Instructions for use: Remove existing insole from footwear. Using sharp scissors cut along the size trim line for better fit where necessary. Place MEGAComfort insole in footwear (yellow side down/cloth side down).