I received this belt in X-Large size 37-46 inches (believed to be waist size). My waist is 36-37 inches and this belt fit perfectly with a little bit of stretch so it fits snug but doesn't make me look or feel like a center tied pillow. It even has 2 more holes when I lose weight and my waist is reduced by 2 inches. This size was a very good estimate based on the information provided. I hope my details here help someone else.
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