While riding today it dawned on me that I'm finally using the measurements the folks who fitted me to a bike almost 10 years ago tried to persuade me to go to. Instead of listening to the expert advice that I paid for, I tended to opt towards the advice of a close cycling friend and I rode the largest frame conventionally available. It seemed okay to me-except for the visits to the Ortho because of shoulder issues and knee issues.
I'm now riding two bike frame sizes smaller and narrowed my bars down a couple sizes from a 46 to a 42.
Good thing I have a college education, a number of professional certifications and a pretty good analytical ability. If not for that it probably would have taken 2-3 times as long to actually do what was the best thing for me.