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I had to poke another hole in my belt with an ice pick today. Pants were falling down again. Love it! I also had to cut the first part of the belt down because the tail was too long, traveling through 2 belt loops after I buckled it. I will need a new belt soon. Went from a 46 waist pants to a very saggy loose 40 now. BMI has went from 48 to 39 which takes me out of the morbidly obese category and now I'm just plain obese. Thought I would share. This sleeved life is good! 60 lbs down and 70 to go. I'm 2 months out. Woo hoo!!