If i normally wear women's us 6.5 what size would i buy? thanks

depending on what type of shoes you will put these in, but I would recommend to buy size 7.I put mine (size 6) in regular running shoes it fits perfectly, although I usually wear size 5.

I bought thses last year from Amazon for under $20. Why the hike in price?

usually the hike in price is related to greed. but if its not (unlikely) it could be related to the trade issues with labor & manufacturing, materials, shipping, ect. its possible, if this was a recent price hike, its related to China and the trade issues there. but honestly is most likely because people will still pay it.

Do I take my shoes insole out and put those in ?

You can, but you don't have to. I put them right on top of the memory foam of my Sketchers and wear light socks. I don't have a problem with a tight fit because my feet are narrow. In my Brooks and Nike running shoes, I take out the crummy insole that is them and replace it with these. There is more cushion in these than in my Nikes plus I get the orthotic benefit for my neuroma.

These do not come in a wide. I don't believe they will fit a wide width shoe.

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