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@Stonehedge
OK, so turns out that the La Sportiva Nepal Extreme is more complex than I thought!
Just discovered that the padded tongue is removable and adjustable so that you can move the padding from the lower part of the foot to the ankle/shin area to fill out dead space if you have it.
Put new insoles in today and moved the tongues. Will do some longer dog walks in them when the weather is a little cooler to see if these changes have helped.