Without getting too complicated:
it is these stack and reach numbers on a frame that help determine what size bike you would purchase, based on an "optimal" aero position. This position is relatively athletic, but as Dan puts it, achievable.
So, through the course of fitting, you would find out what your optimal stack and reach numbers would be. Then, if the fitter is also your bike seller, they would know which frames are close to those numbers, so that you can wind up running with the fewest number of spacers and other modifications that hurt the aero profile.
Hope that's not as confusing as it looks, and I'm sure Dan will do a better job than I...
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