I completely forget I have this on and sleep all the way through the night. I bought a spare just in case they stop making it. The key is using the right size for your nose. I am a BIG guy, but I use the small pillow. I would also like to note that they stand up to the pressure. I have my CPAP set at 18 out of 20. That's pretty high pressure. The only piece to ever go out is the very inexpensive seals.
I hope this helps someone as much as it did me. My search is over!

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