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S (34-36 inch chest) M (38-40 inch chest) L (42-44 inch chest) XL (46-48 inch chest) 2XL (50-52 inch chest) 3XL (54-56 inch chest) 4XL (58-60 inch chest) 5XL (62-64 inch chest)

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It's okay I showed this to my friend who has a family member with down syndrome and he asked for two.