The topic at hand is about ostomy support belts and whether they might restrict stoma output or cause leakage. If you're considering getting one, here are some helpful insights and advice from people who have used them:

1. StealthBelt (non-neoprene, thin Spandex version):
- This belt is meant to be worn just snug enough to stay in place, not so tight that it puts pressure on the stoma.
- When worn correctly, users generally don't experience any restriction in output unless the stoma protrudes significantly.

2. StealthBelt (neoprene “activity” version):
- This version is often worn tighter for activities like surfing or MMA. If it's too tight, it might restrict flow.
- One user is planning to make a custom belt with a looser outer layer to allow the pouch to expand while the inner layer holds the appliance securely.

3. General fitting tips for StealthBelt and similar belts:
- Aim for a fit that is secure but not compressive.
- If you're unsure, reach out to the manufacturer with questions about sizing and output before purchasing.
- Velcro extensions can help adjust the waist size, with most belts allowing about 6 inches of adjustment.

4. ComfortBelt vs. StealthBelt comparison resources:
- There is a detailed review by an experienced ostomate available online, which covers fit, material, support level, and everyday usability.

5. Nu-Hope Cool Comfort Support Belt:
- One user has worn this belt successfully for over 10 years.
- It doesn't restrict output unless the belt opening shifts over the stoma, which is rare and usually happens during sleep.
- It offers excellent hernia prevention and abdominal support, making it essential for active ostomates during physical activities like work, backpacking, boating, or even coughing.

6. Hernia prevention and activity use:
- Support belts are highly recommended for anyone engaging in strenuous or repetitive activities.
- The benefits, such as security, hernia prevention, and discretion, generally outweigh any minor drawbacks when the belt is properly sized and positioned.

7. Key takeaways:
- Ensuring the belt is the right size and not too tight is crucial to avoid restricting flow.
- Different materials and designs are better suited for different activity levels, so choose based on your needs.
- It's a good idea to check reviews and, if possible, try or borrow a belt before making a purchase, especially with more expensive options like the StealthBelt.