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@matthew
Damn. Just had my first go at HH West this evening, and failed miserably. Tried to go for it early on, but ran out of puff/strength/will literally half way up. Absolutely hopeless. Had a bit of a rest, tried to get back on bike, but barely had strength left in my legs to clip into spds!
Do you guys have any theories about ratios? I'm running 48/19 (about 66in), and wonder whether it might be too low (paradoxically).