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Is an expensive mattress worth the money?
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I think it depends on how heavy you are. I am kind of long & lean not heavy and no. We have a probably 18 year old mattress and it's survived thousands of rounds of sex and nights of sleep. No mattress has caused me back pain BUT one time I did have to put a board under the mattress I had because the combination of frame (it was not a real bed frame just a space a mattress fit) and soft mattress did hurt.
But it's a purchase that will last for years, regardless. If yours is old why not get one, one that suits you perfectly? Sleep is so important to your health.