I got this for my elderly mother who has dementia. To her, it looks and feels like a real dog. She sits with the dog on her lap and pets him, and he makes her so happy! She also sleeps with him. It is such a comfort to her. For her, the dog is just a little too heavy with the pack inside (that can be heated or cooled), so we removed it. The dog is still weighted without the pack. We tried it once with heating up the pack, and it felt good to her because she is always cold. But he was just too heavy for her to lift because her hands are so weak.
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