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Custom orthotics and semicustom shoes
If your problem is narrow heels/feet have you tried custom orthotics from a podiatrist? My setup is custom orthotics which are about $350-400 plus narrow Vittoria Velar shoes which were in the range of $300 when I bought them. This is a great combo. The orthotics need to be designed by a podiatrist who knows what their stuff and the Vittoria shoes are really nice.
Am sure you have been through a lot of options but this could be worth a try.
Feel free to PM me w questions etc
Alan
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