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These shifters replaced bar end shifters on a recumbent bike. Twist shifters make it much easier to shift from the small chain ring to the big chain ring. The shifting is also more precise than the bar end shifters. The grips plug into the shifters which is a huge plus in my case because the grips are a little too long for the handlebars (but no longer than the bar end shifters). The grips are also comfortable and small enough for women's hands.
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