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Extra Large fits 41 inches to 47 inches or 104 centimeters to 119 centimeters. Measure your belly around the navel and as well as waist to choose the right size. Buy the average of the two measurements if your belly is significantly larger than your waist. The Aspen QuikDraw PRO back support belt provides innovative design with patented tightening system with dual pulltabs compression for lumbar support superior comfort and freedom of movement. The medical grade back brace is made of quality materials durable washable and non elastic. The non-elastic Aspen QuikDraw PRO works when elastic back braces don’t. Buy the back brace built based on scientific research and years of experience with thousands of patients worldwide. Effectively and naturally reduce lower back pain caused by sciatica scoliosis herniated disc degenerative disc disease or strains and sprains. The Aspen QuikDraw PRO is a waist support belt and lumbar support brace for work lifting exercising driving yardwork gardening or other activites that puts pressure on your back. Aspen Medical Products is proud to be recognized as a worldwide leader in spinal orthotics and multiple year winner of Spine Technology Awards. Aspen Medical Products builds the finest spinal braces on the market with an unparalleled commitment to Research and Development. Aspen braces are backed by more than 30 years of clinical research that substantiates the safety efficacy superior comfort and improved patient outcomes that these products provide.