Tried up, tried down, doesn't really work either way really. When I do wear it, I keep it to around the house, with the thumb screw parts as close to the base to keep it pointing straight down, fairly hard to notice, unless I'm bending over, where I'll walk funny if I do. I'm almost positive my roommates know I'm wearing it, but unless they call me out on it, I'm not gonna say shit, and even if I did, who gives a fuck?