These shoes are so comfortable I loved them!! The inserts have never been used, I had custom insoles. They are wide and the most comfortable shoes I’ve ever owned, just bought a new pair. Women’s size 9 D (wide) APMA Approved: The American Podiatric Medical Association Seal of Acceptance is awarded to products that promote good foot health and are substantiated by a committee of discerning podiatrists by wear-testing and review of the application and supporting documentation. APMA Acceptance must be applied for and is not automatically available to styles that meet its criteria. Eliminating weight while adding 3mm in stack height, the new Clifton 9 delivers a revitalized underfoot experience with a responsive new foam and improved outsole design. Light and plush for everyday miles. Vegan engineered knit upper. CMEVA foam footbed. Best for everyday run, walking, comfort. Stability: Neutral; features a symmetrical bed of cushion without additional prescriptive technologies. Cushion: Balanced; designed to provide protective cushion while maintaining a responsive toe-off. CMEVA foam midsole. Predecessor: Clifton 8 Lace-up closure. Round toe dsign. Heel-to-Toe Drop: 5mm Durabrasion rubber outsole. Imported.