I've had a pacemaker for just over a year now and also have some GI problems. The GI problems make it nearly impossible to cinch a gun belt enough to properly support a gun/holster for competition. If I use suspenders then I can get it to work with the belt being looser. The problem is that after a few minutes of movement my PM site is irritated and hurts from the movement of the suspenders even with them being over my clothes. So, for anyone who has had a PM, any ideas as to protect the PM site while still providing enough support via suspenders? Especially for those that compete in IDPA or USPSA. BTW I have tried numerous brands and types of suspenders, wide/narrow, more/less elastic, etc. Thanks!