That's a good question. I have seen some rigs with a custom 3D printed wedge which makes a lot of sense to me. TriRig does sell a tilt kit and includes it on their new kits I believe.

Since aerobars with a lot of rise (51 Speedshop, Zipp Vuka Alumina, etc.) are the trend and not all integrated bars have tilt adjustability I think a tilt spacer is a pretty good solution. I'll be curious to hear people's suggestions.

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Madison photographer Timothy Hughes | Instagram