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We have no reservations about refrigerating or freezing buckwheat hull pillows. Perhaps you want to have a cool pillow on a hot night, or maybe you suffer from a condition that could benefit from a cool pillow.
If your doctor or therapist recommends cold therapy to help with pain, swelling, or other conditions, you can simply put your buckwheat pillow in a refrigerator or freezer until it is cool enough for your purpose. If you forget and let it in longer than you had intended, there is no harm done. Cooling or freezing the buckwheat hulls will not harm them in any way.
They will retain their coolness for a considerable period of time, depending on how warm the room temperature is, the size and volume of the pillow, and how thoroughly it was cooled.
If your air conditioner goes on the blink, it would be helpful if you had a buckwheat pillow cooling in the freezer.