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One more option: Custom.
I fractured and dislocated my right ankle. Ever since the injury, I have had difficulty with most cycling shoes. I forked out the money (and used my flex spending account - not sure if you can still do this) and had Don when he was with D2 shoes make me 2 pair. They have outlasted SIDI's and others. Expensive, but in the end they are bomb proof.
Not sure if he still makes shoes. Worth looking and asking around. I will need another pair eventually...
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