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If I wear the large silicone or foam tips on every IEM I've ever owned, would you say I'd want the large size plugs here?
It's odd that they say only 2% call for large or small. I would think more folks would fall into each camp.
Which makes me wonder if these are sized extra big or extra small compared to how IEM tips are sized.
I tend to wear large comply foam and silicone tips on IEMs as well. I used to own these plugs in size L until I lost them a few months ago and replaced them with a pair in size M. I am happy that I made the switch as they sit more comfortably and slightly deeper and the feeling of pressure that the large ones caused is gone while isolation is just as good.
Definitely go for medium. I also switched from large to medium following loss of a pair.
Some additional props for Medium tips: I go large (arr. arr. arrrr...) with most/all in-ear monitors (IEMs) and musician hearing protectors, and Medium works fine. You may have to push them in a bit further to get seal, but those little "antennas" on them to pull them out help avoid "OH CRAP I'M GOING TO HAVE TO GET THEM SURGICALLY REMOVED FROM MY HEAD!!!" fear moments.