The belt is big enough for a 44" waist, but you see vertical guides for different waist sizes that you should trim with any scissors. Most belts have small holes that are about an inch apart. mutual; 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 "an inch". This belt is not. Instead of a buckle tongue, it's a ratchet strap that makes a clicking sound when tightened, then pulls a small piece of metal outward to loosen and the strap comes loose. Once you have figured out how thin the belt can be stretched, you have very fine control over how tight the belt is. In my humble opinion this is a great design and I love it. I just hope it's durable and feels solid and reliable so I hope to use it for many years to come. worth a try; I'm sure you'll love the precise tightening feature of this belt.
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