Im using 71 gear inches. It feels fine on flat, and starting and stopping was a slight pain at first but Im used to it now. But its almost not worth it because there are so many hills in Seattle, and I have to ride a very long, steep one up to my house, and I just cant seem to do it.
If it makes any difference, my fitness level is probablly much less than many of the people on here. I do ride my bike everyday for at least an hour or more and use it to go pretty much everywhere, I just figured after a month Id be able to at least go up the hills without getting so exhausted.
Do you recommend going lower?