These are long holds as other reviewers have noted. You will most likely need to move the shifters and brake levers. But they are worth it. I have carpal tunnel and wouldn't ride without an ergo grip. You dress well, without movement and without the risk of overdressing. Here's how: Release the brakes and shift collars and move these controls as close to the center of the handlebars as possible. Insert the grip into the end of the handlebar and squeeze firmly with the palm of your hand. It takes several clicks until it stops moving a few millimeters each time. This is important, if it is not fully seated it will not tighten. - Using the included wrench, tighten the handle until it *begins* to resist. - See if the grip rotates on the handlebars. Should first. Turn 1/8 turn. Check and repeat the process 1/8 turn until the knobs stop moving. Small twists are important to avoid overtightening. Take your time. Then stop. They are of great importance and value to the carpal tunnel.
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