Consider adjustment room: you want to order the size closest to your measurement, and if you like a lot of adjustment the next larger size might be your best choice. The number measurement (e.g. 42, 48, 54, etc) is the length of the suspender fully let out. We can't guarantee fit, of course, any more than JCPenney's can guarantee that a particular size will fit even if your measurements suggest it will. We make the best recommendation we can without your having tried them on.
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