The size of the belt is sufficient for a 44" waist, but you will see vertical guides for different waist sizes which you should trim with any scissors. Most belts have small holes about an inch apart; You tighten or loosen the belt by moving the buckle tongue from one hole to the other, meaning you can tighten or loosen the belt "inch by inch". This belt is not. Instead of a buckle tongue, it's like a ratchet strap where you hear a clicking sound when you tighten it. Then pull a small piece of metal outward to release, releasing the strap. thin you can tighten your belt; This gives you very fine control over how much you want the strap to be. This is a great design in my humble opinion and I loved it. feel solid and sturdy so I hope to be able to use it for many years. worth a try; I'm sure you'll love the precise tightening feature of this belt.
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