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I think for men it’s a bit easier to just buy the off the shelf ones as we typically wear shoes or boots which have an existing insole that can be swapped out and the different in height/thickness doesn’t really matter
For women though customs are almost required as so many women’s shoes are low profile and cannot be a full length insole.
In my experience Kintec doesn’t just shove your foot in a mold and spit out an insole but they actually work on pressure points and ecen actively shave down and shape the insole once you begin wearing it.
It’s the age old adage in, you get what you pay for
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