I've always been told that I'm allergic to metal and that I have to tuck in my t-shirts to keep the ulcer from staying down in my stomach. didn't help as I'm wearing jeans and t-shirts. Now that I'm in my 30s I decided to google and found this belt in 30 seconds. game changer. The belt is as good or better than any I've bought from any store and so far it has worked wonders. For the first time in over 5 years this ulcer has healed and I am not afraid of itching in the lower abdomen. The belt looks just like the picture - super simple. I'm grateful that this version works, but when the plating wears away and exposes other metal, I'm glad a titanium version is also available.