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I wear size 11.5 EEEE. I tried the 47 and it fit like a glove but it was a little constricting but seem okay. However, I decided to get the 48 and we will see how that goes. I tried the northwave shoe on at a Sport Basement and I am thinking the 48 will do just fine. I did get a pair of the Diadora Aerospeed in a 47 and those shoes fit my feet perfectly. I tried the Diadoras fit at my local Performance Bike Store and would have bought them there, but those folks running that store are so rude. Anyway, I think RealCyclist.com is a great place to shop.