Even though I don't carry this way, I'd Imagine the Izula works well for waist carry being so thin. I like it horizontal even better but just don't carry knives on my belt regularly.
I carry a 3 or my Izzy weak side 10:00 and love it, very accessible. I use Paracord through the factory sheaths to make a belt loop. I would take pics but have same gut protrusion problem as another poster.
I carry my Izula or my HEST horizontal on my belt at the 11 o'clock position. I draw with my right hand. The Izula sheath is from hoopster, and the HEST sheath is from On Scene tactical. Both are very concealable when my shirt is untucked, or when wearing a jacket.
As long as I don't poke myself in the balls with the prybar
It lays fairly flat across the midsection and is easily concealed under a regular t shirt, doesn't poke me in the side like when I tried it vertical and it's super easy to draw.
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