I am 5ft 11" and 205 pounds. I had to exchange (at my own expense) for two sizes up to 3XL and it's still not perfect but it will do the trick. Size XL fitted my waist (and yes I'm a fat American, size 34) but was very tight in the crotch and hurt my shoulders and neck. It's clearly not made for taller people as the new one is looser in the waist, but it still doesn't feel long enough. After several hours of rafting my neck started to hurt. It certainly kept me warm and is actually thicker than my friend's suit which is also said to be 3mm thick.
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