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Each Spenco insole has a mold-able orthotic cradle, a low friction top cloth to prevent blisters and an antimicrobial top cloth to reduce odor. You can boil and bend Spenco insoles to get the exact arch height you need. They also make gender specific insoles to deal with the variations between men and women. Each Spenco insole is guaranteed for one year, as well as approved by the American Podiatry Medical Association.