
The cup holders on the 2019 Acura MDX are slightly larger, but not big enough for a 32-ounce water bottle. This product is too narrow even with the spacers provided. To fix this you can use a thick kuzi and something else to make it a bit wider if needed. Gorilla tape will do, but I had another drink wrapper on hand. Watch the demo video. BTW, THIS water bottle falls out when I make sharp turns, so it's really not a product if you're in city traffic, although I haven't found anything else. I carry a 32 ounce bottle in a "car stash" which you can view here: https://www.amazon.com/gp/product/B00FH3YB5K/ref=ppx_yo_dt_b_asin_title_o06_s00?ie=UTF8&psc=1

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