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I had an emergency Hemr$$$d flare up and it was impossible to sit on my office chair. I ran to the nearest store and found this to be only acceptable fix. Tried other cushions and sub $200 seating solutions. I did get sticker shock at $160 and have the 30day return policy, but I think I am gonna keep it. I sit 1/3rd of my life on this chair so its a good investment. My weight - 255 lbs. PS it worked better with the removable insert in place.