That makes sense. I had no elbow pain until the 2nd fitting. She moved my seat forward some, but the very next ride was the longest one I'd done. I moved it back about 1/2 the distance, but I'll move it back to it's original place where I had no elbow pain.

It's amazing how the smallest tweaks can cause everything to go from good to so bad. And I'm guessing as my strength improves I will have to continue to tweak things.