I found the sweet spot for my seat. I tipped up about 2mm at the second fitting, which didn't seem to make a big difference. I made another adjustment on my own raising the nose another 2mm or so, which was a big improvement with respect to the amount of pressure on my hands. I tried tipping up another mm, and instantly decided that was too much.

At the fitting, we dropped the handlebars 2 full spacers and tipped them up a little bit. I just titled the bars back a tad more, we'll see how that works for the next couple of days.

I know I have already said it, but I really appreciate everyone's encouragement and advice.