I have a 38” waist and losing the battle of the bulge… I’m beginning to appreciate the expression: “Round is a figure”… but this belt fits me well and I have used the ice pack that comes with it. It’s sufficiently thin or lightweight to wear under your shirt and I have worn it all day. My line of work is white collar and I sit most part of the day… again, no measurable discomfort. It works as expected and I am guessing here, you will have difficulty using it with a 42+ inch waist. I have about 2” overlap. It does what its supposed to do, provide you with lower back support. Also it comes with a ice pack and a support that slips into a built-in pocket to boot (see picture for details).
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