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The #1 Podiatrist Recommended Heel Cups Columns of shock absorbing cells duplicate and enhance nature's own shock absorbing design. Tuli's are worn as an insert in the heels of your shoes where shock absorption is needed. Provides lightweight protection for the everyday pain of heel strike. How Are They Different? Tuli's patented multi-cell, multi-layer "waffle" design absorbs shock and returns impact energy just like the system naturally found in your feet. Upon impact, Tuli's waffle design collapses and even rotates with the normal motion of your foot to absorb the shock of walking and running. And just like a spring, Tuli's Classic Heel Cups returns that energy back for maximum performance. Sizing Guide Regular (Women's shoe sizes 9 and under. Men's shoe sizes 7 and under) - Weight up to 175lbs Large (Women's shoe sizes 10 and up. Men's shoe sizes 8 and up) - Weight over 175lbs Each box contains 1 pair of heel cups. CAUTION: Please be aware that the only authorized sellers for this product on Amazon.com are Preferred Pro-Formance Products, Therapy Connection, Ithaca Sports, and Arx Medical. PLease call this number if you have any questions about this product - (817) 865-1207. For returns, please contact the seller directly.