While I would think (although anything is possible) that I am well past the age of someone to "choke" me, this belt fails. This is by far the most comfortable belt I have ever worn. I wear this belt every day. Where it fails, if you will, is that it doesn't get as tight as I'd like. If I work during the day, go shopping and lead a normal life, my pants won't fall out on their own. I get a plumber's rupture from time to time (with all due respect to plumbers), but more importantly, I can take my