I'm 5'3", 230lbs, 44 inch waist. I got the XXL and it fits perfectly on the last row of hooks. Not to tight that I can't breath, but tight enough it holds everything in while I workout. For my first sweat belt/ waist trainer, it's perfect. I've worn it all week, definitely helps with back pain while doing dishes, and helps with core strength when working out. I only wear it a couple hours a day, when I'm cleaning or exercising. The velcro and clasps are holding up well so far. Id recommend.Update: Into my second week of use, it has stretched out. The velcro bands don't stay put during workout. Not sure if this is the best option.
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