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In the United States, Canada, and Mexico, ring sizes are specified using a numerical scale with 1 ⁄ 4 steps, where whole sizes differ by 0.032 inches (0.81 mm) of internal diameter, equivalent to 0.1005 inches (2.55 mm) of internal circumference.
A "class III male living with obesity" with a BMI of 53 kg/m 2: weight 182 kg (401 lb), height 185 cm (6 ft 1 in). He presents with stretch marks and enlarged breasts . Obesity is typically defined as a substantial accumulation of body fat that could impact health. [ 26 ]