should I put the mattress pad over or under this pad?

We recommend putting the mattress pad over the topper.

does anybody use this topper upsidedown? so that the flat side is up and the egg carton divots face down?

In a hospital setting. The flat side is on the bottom. Allows air to circulate. Would be interesting to hear from the manufacturer says. I’ve had one of these in the past. I out a thin mattress pad down on the bare mattress, then this egg crate topper, then a heavy mattress pad, then the sheets. It was wonderful.

I have a xl twin. will the twin fit?

it should be fine, you will have a few inches at the head or feet with no topper, shouldn't be a problem. you only need it under your body . these things are pretty versitile, i have a twin bed and ordered a king, folded it in half, and put it inside a twin mattress protector to hold it all together. i had to cut a little of the lenghth but it is easy to cut with shears. i put the part i cut off in a pillowcase for my dog.

What is the length and width

Blessedxu you are wrong about the size of the Mattress it is 30 Inches WIDE

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Mattress Comfort Layer Material	Memory foam
Material Type	Memory Foam
Fill Material	Memory Foam
Product Care Instructions	Hand Wash Only
Cover Material	Terry
Item Weight	12.72 Pounds
Item Dimensions L x W x Thickness	75"L x 30"W x 5"Th
Size	75“ x 30"
Color	White
Top Style	Smooth Top
Is Customizable?	No
Construction Type	Memory Foam
Portable	No
Is Foldable	No
Is Electric	No
Weight Capacity Maximum	500 Pounds
Special Features	Durable, Pressure Relief, Breathable
Item Firmness Description	Plush
Number of Layers	2

ZINUS 5 Inch Memory Foam Mattress, Narrow Twin, Fiberglass Free, Medium Firmness, Day, Trundle & Bunk Bed Compatible, Certified Safe Foams & Fabric, Mattress in A Box, White

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