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Th whole purpose of tempurpedic is that it supports you. You don't need an adjustable bed to get support with these great mattresses. When you lie down they will provide support in your lower back. You don't have to put a pillow under your knees, but many back sleepers do for added comfort...

I suggest sleeping on the bed for at least a few weeks. It takes time for your body to adjust and you don't want to change beds if the bed turns out to be ok. I would also suggest looking at your sleeping positions on the bed too. The majority of people that sleep the best are back sleepers...