I think the medium sits right where it should be. My waist is about 35 inches. This belt gives me room to grow or shrink. The only 2 downsides I've noticed so far are that it's a bit difficult to put on. I want them to use a hook and loop that is about 1/2 inch wide or has rounded corners so they don't catch me. An easy fix is to just move the strap a little to the side. My wife and I share this account.
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