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These writing instruments were designed to reduce muscle strain and writing stress. Ultra-comfortable, Dr. Grip has a soft, contoured rubber grip that is easy to grasp. Its special design can reduce the strength needed to grip a pen or pencil by up to 40%! The retractable pen has a medium point, and is available with blue or black ink. The pencil has a 5mm point. Dr. Grip pens use standard Pilot refills.