I usually wear 3x shirts. Based on reviews and research, I purchased this in 2x and that's the right size for me. The shirt doesn't completely hide my "girth" but it does help compress things a bit. As an example, if I am wearing this, I can fit into a smaller shirt that would normally strain the buttons - and the shirt will actually stay tucked in and won't strain when I sit down.
As an added bonus, I have found that wearing this shirt gives my back some support, which allows me to stand for longer periods of time without getting a sore back.
I tried a few other brands of compression shirts in addition to this one. They are all equally uncomfortable and difficult to put on, and this one provided the best compression for me - so much so that I purchased a second shirt so that I could rotate them through the laundry.
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