how do you determine size so it will fit

As someone posted, go by the shirt size. So XL would be around 46-48 shirt size. XXL would be 50-52 shirt size. I will be honest. I ordered the product and it did not fit right. It did not give support to my left shoulder. I have this product and it works much better: http://www.amazon.com/EVS-Sports-Shoulder-Brace-Medium/dp/B005MJYTYC/ref=pd_sim_sg_2?ie=UTF8&refRID=0VG5Y8TFV9E5V4HC3GAD

My opinion and from putting my own on just to verify , I would say that it is a harness meant for the right shoulder. My own personal one is meant for the left shoulder and is completely opposite of this one. Dennis

On you're chart you show a 3xxl is one available? I dont see one

Hello and thank you for your inquiry into our Shock Doctor Shoulder Support. The Support is available in a XXL and XXXL option but at the moment both are sold out. I do apologize for this and if you have any further questions regarding this or any of our other products please feel free to contact our customer service department through Amazon Messenger.

For the X-fit strap that velcros onto the shoulder, sliding them into which of the 3 notches gives the best support (top, middle, or bottom) ?

Once you have it on it really depends on the comfort level of support for you or for the individual. You won't know until you wear and make the proper comfort adjustment. Every body and person is different. Just keep adjusting the Velcro position until you feel the comfort and get good snug comfort .

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🛡️ Elevate your recovery game — support that moves with you, not against you.

THERAPEUTIC COMFORT - Soft Lycra binding and stretch mesh zones provide breathable, long-lasting wear without sacrificing support.
ANATOMICAL VERSATILITY - Designed for both left and right shoulders with multi-position X-Fit strap retention for precise positioning.
LIGHTWEIGHT DISCREET - Compact design (0.4 kg) fits seamlessly under clothing so you stay active and confident without bulk.
CUSTOMIZABLE COMPRESSION - Dual chest-wrap straps ensure a tailored fit that adapts to your body for all-day stability and comfort.
TARGETED INJURY RECOVERY - Engineered to accelerate healing from AC sprains and moderate shoulder separations with clinical-grade support.

The Shock Doctor Shoulder Brace for Men delivers targeted support and stability for AC sprains, rotator cuff injuries, and moderate shoulder separations. Featuring adjustable dual chest-wrap straps and an anatomical X-Fit design, it ensures a customizable, secure fit for either shoulder. Crafted with breathable N-Tex vented materials and soft Lycra binding, this lightweight brace offers therapeutic warmth and all-day comfort, making it an essential recovery companion for active professionals.

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Item Package Dimensions L x W x H	13.19 x 5.24 x 3.46 inches
Package Weight	0.45 Kilograms
Item Dimensions LxWxH	5 x 3 x 1 inches
Item Weight	0.4 Kilograms
Brand Name	Shock Doctor
Model Name	Shoulder Support
Color	Black
Material	Plastic
Suggested Users	unisex-adult
Number of Items	1
Manufacturer	Shock Doctor
Part Number	842-01-10
Model Year	2012
Style	Support
Included Components	shoulder wrap
Size	Small / Medium

Shock Doctor Shoulder Brace for Men, Shoulder Support Brace, Prevents & Promotes Healing from AC Sprains, Rotator Cuff Shoulder Brace & Moderate Separations, Rotator Cuff Support Brace

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