Fitter lowered my seat a few mm. When prompted on bar width he measured and said i could go with 44cm, up from 42cm.
I mentioned saddle issues. He wants me to go away from the leather saddle (selle anatomica). He recommended a shop that had a saddle library, where for a small fee i can test a lot of saddles.
He thinks a different saddle may help address hand issues as well.
Wider bars surprised me, but I'm game. And the saddle library sound like a good idea.