This item fit my 21 month old girl (size 1) but was too loose in the arms and legs making it unusable. After 20 minutes, his lips were blue and he was shaking. For reference, he is about 33 inches tall and weighs 20-21 pounds. I contacted the manufacturer to complain and help troubleshoot, but received no response. Most kids using this are slim build so it needs to be constructed accordingly.
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