Trying to tweak my fit shy of the May MS150 in DFW. I went on about a 25 mile hilly ride on my weekend road bike. All and all it was comfortable, but I noticed something that I think will be problematic extrapolated out to 150 miles. My left inner thigh slightly rubs against the top-tube while my right inner thigh has plently of clearance. I also get a slight bit of numbing in my left hand that is easily alleviated with the "open and close your fist behind your back" move.

Any thoughts? I've had a fitting done at the LBS with arm and knee angle, KOPS, and the basics. My angles look good, but this whoe body angled right thing is kinda strange.

If its important info, I'm 6'2, 209 lbs, 32" inseam on a 60cm Trek 2.3 with a shortened stem.

This is counter intuitive, and might be a bad idea, but you could try rotating the saddle a few degrees nose left. It might reposition your entire body and cure the problem...or it might just cause your left leg to chafe on the saddle nose...

Physically, we're almost the exactly same dimensions (although I haven't seen 209 for a few years) and I'm trying to visualize how your thigh would hit the top tube under any circumstance. Do you just have a bigger left thigh or something?

I take it the bike shop evaluated your position so you're not sitting crooked... and that your Q is appropriate so you don't need to spread your feet out any. Aside from fixing one of those two things I'm not sure what you could do aside from the suggestion above. And yes, I'm sure it would drive you nuts after 150 miles of the same thing.

The question is why are you off to the side like that.

Could be a leg length issue. Have someone measure them to see if they are different.

If they are, try a leg length shim.
https://www.bikefit.com/products.php

No offense intended, but if you were rubbing against the top tube for any length of time, you should feel it. You must have skin like an elephant. Or you just occasionally brush it.

I assume you don't have anything out of the ordinary about your legs, pelvis, spine, etc. "Whole body angled right" sounds like scoliosis, uneven leg length, etc. But I could be projecting.

You might try moving the saddle nose slightly to the left, and see if that forces you to 'square up' on the saddle.

Steve Hogg, an Australian expert on bike fit, recommends just that as the solution for riders with a crooked pelvis.

I need to play around with it a bit this weekend, but it may be my pedals/cleats. I think I noticed this morning that I'm toed in a bit. I do have a tendancy to pigeon-toe, especially when I jog. Nothing malformed about me that I or my wife can tell. Sitting here at my office desk as I type, it might also be a learned behavior. My keyboard is square in from of me, with my monitor and window slightly to the right. I might be training myself to point right...