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@hippy
I don't know why you're transitioning from one position to another during a race. My fit doesn't change (with a couple of notable exceptions, ie. when I got my saddle height wrong in the first place or when I did TransP a couple of weeks before TCR and was trying anything to fix the resulting knee overuse) and I generally don't get knee pain or neck pain. Are you riding enough in-position beforehand so you know you can hold it for the race duration?
It takes effort some times to remind myself to get back into the aerobars but you should be tucked for the whole race, not just the first days.