I'm 5'7 158 lbs and ordered a large. I've gained a few pounds due to the pandemic (love to eat lol) and my usual size in most tops is medium. Lately I've been buying everything in plus sizes. Honestly I wish I had bought a very large one as the sleeves seem a little tight to me so I would definitely go a size up from your actual size. Also, this bodysuit is really cute and the buttons are easy to open and close.
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