It does take some getting used to; the shape of the pillow is downright bizarre the first few times you simply glance at it. However, it manages to keep my head, neck and even my jaw at just the proper angles so that I don't snore and any overnight guests can actually get a night's sleep! I've even been told that I snore so loud that I could wake the dead--but when I use this pillow my overnight guests never complain to me the next morning. The best way to use it is to sleep on your side with your head between one of the two "resting places" as shown in the picture up above on this webpage.
It comes with one pillowcase but if you like this pillow I would get at least one extra pillowcase. In my particular case it's preferable to my having surgery to correct a problem that might cause me to snore; but ask your doctor to find out what's best for you.
As far as sleep apnea is concerned, you should definitely discuss this with your doctor. Sleep apnea can be serious. You can always research sleep apnea on the web, but there's no substitute for discussing this with a doctor who knows your particular circumstances very well.
Overall, this pillow is terrific for me and I highly recommend it for anyone who has a problem with snoring (it can drive even the most loyal of spouses crazy). This pillow can also help people with mild sleep apnea as long as their doctor approves of it for that use.
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