I wear 3 of them in the same area I carry my pistol mags for IPSC. Mine are all in front of the hip.
The shell holder attaches to the belt so the shells are horizontal with the opening at the top. Imagine the picture rotated 90 deg CCW. The shells are stripped from the top. I can grab three at a time. I you plan to do lots of running around or going prone it's a good idea to line the interior rails of the holder with the fuzzy side of some velcro. This will really hold the shells in tight.
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