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- Elite Thickness: 5mm Toe to 7mm Heel - Fits In Most Shoes: Can be trimmed down up to one full size. - The Best Gamechangers Yet: Increased arch support, 2-3 times the durability, and nearly twice as much shock absorption as our original Gamechangers Custom Orthotics. - Comfort Plus: Our latest Comfort Plus foam formula stays soft and performs at its peak in all temperatures.