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Yeah I first started out with them low and now run Profile Design with 60mm spacers. Comfortable first, another place to mount shit to second, aero (a bit) third...
...added benefit being you can reach the tops of your bars without needing the flip-up pads kind, which I tried but found to be super annoying as they rattled. I know there's hacks with bits of rubber but meh
honk
Another thing to consider is aerobar position. I see loads of numpties with aerobars set up like they're gonna be riding a 25mi TT on them and presumably they don't get touched after day one.
Also, when on the drops, my biggest issue is the 'heel' of my palm, so I make an effort to move this off the side of the bars/levers for the most part.