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This is a frequently asked question, and there is not a clear cut answer. There are both pros and cons to heating buckwheat pillows.
A buckwheat pillow can be heated and used similarly to the way you would use an ordinary heating pad, except, of course, that the buckwheat pillow will eventually cool. That can be an advantage, as you don’t run the risk of falling asleep and letting the heating pad heat longer, and perhaps hotter, than you intended.
Then there are the safety concerns. We do not recomend ever heating one in a regular oven. If you use a microwave oven, only heat for a few seconds before checking the warmth, because buckwheat hulls heat very quickly in a microwave oven, and the heating speed varies so greatly from one microwave to another, that the question of safety should be obvious.
Also, the heating will quickly remove the natural moisture and oils from the hulls, and we believe that this will substantially shorten the life of the hulls. Our opinion is, that while there can be benefits from using a heated buckwheat hull pillow, we can not recomend it.