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One thought: before making bike fit changes, I always recommend reviewing the human element first. Core and neck strength/mobility are areas cyclists often neglect. We love to ride our bikes, but aren't always willing to spend a few sessions each week doing strengthening and stretching exercises. With concurrence from your health care professionals, back/neck issues can often be resolved through yoga and other means. If you add strength/mobility improvements to bike fit changes, you have a powerful combination that can increase cycling comfort.
Greg
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