If made from spandex, you can buy one size larger than US sizes (if you are skinny and like them tight). I'm 6ft 1in, 145lbs, waist 32-33in, slim; I take US size "M" underpants; in this "long underwear" [not as heavy as American thermal underwear, but warm] "L" fits well, not too small. CHECK THE MATERIAL, SIZE CHART AND REVIEWS. quality product; I machine wash them (don't tumble dry!) and they hold up.
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