This is a very subjective topic. There a various reasons to replace your old mattress. One might be dips in the mattress underneath hips. If your mattress is more than 10 years old then for hygienic reasons consider a new one because your old mattress may have way too many dust mites (if you wake up with a stuffy nose that is a good indication of dust mites). As we age we need cushier sleep surfaces for better blood circulation (tossing and turning to get comfortable is a good indication of pressure points).
If you think you might need a new mattress, you probably do.
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