This product suits me perfectly! I used to be an avid cyclist, but about ten years ago I started riding less and less. The reason was that my bike was the right size for me; I had a lot of weight on my arms transferred to my wrists, elbows and shoulders. When I was 40 it wasn't a problem, but by 60 the pain and numbness this position caused had seriously ruined what used to be a fun hobby that kept me physically fit. With this product I found my bike again. and I still LOVE cycling! I resisted this switch for years because I thought stem extensions were stupid, the bikes handled poorly (too little weight on the front wheel) and wind resistance from a more upright riding position slowed me down. Guess what? I actually walk faster in a more upright position! Why? Because I'm no longer in pain! I would say if arthritis, injury or just old age is keeping you from cycling, try an adjustable stem. Who cares what the purists think when you're having fun again? So it's worth it and definitely recommended!
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