Each manufacturer has developed its own proprietary lasts for producing boots, which are considered trade secrets and are highly guarded. If it is not possible to avoid high heels altogether, some doctors suggest that the wearer wear high-heels no more often than twelve hours a day, and that they are spending at least a third of the time on their feet in contour-supportive "flat" shoes (such as exercise sandals), or well-cushioned "sneaker-type" shoes, saving high heels for special occasions. with openings or even itself consist of a series of straps, e.g. an open toe featured in women's shoes. Some shoe manufacturers now market heels with significantly larger sizes to accommodate men. Also, the Fall 2006 Dior Homme line by Hedi Slimane features 3.5 inch heels for men. Such damage can be prevented by heel protectors, also called covers, guards, or taps, which fit over.

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