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Try moving your cleats back a bit.
My toe area was extremely numb/painful by the end of the extra bit, although bearable at dunwich, and moving the cleats back has worked before. I suspect they may have shuffled forward a bit. I'm also terrible at mashing when tired, instead of spinning around properly.
(I also just have crappy dysfunctional feet.)
hoefla
I don't think it's tightness or size. Plenty of wiggle room at the toe end. I scrunch the toes up on very long rides. Shoes are due for replacement soon anyway, might put some effort in this time in case a different insole is needed.
These shoes are getting disinfected after visiting the toilets in the caf at Dunwich!