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As far as I know, the only thing that can cause that is blood flow restriction. So it seems to me, a number of things could cause this. Tight shoes, tight socks, tight shorts, maybe a seat that cuts blood flow off because it's too high up, or maybe the contour doesn't agree with your artery's.
If the cleats were positioned wrong, I'd be skeptical of the shoes themselves, because I'd think that would imply that they're bending in, and obviously lock in bike shoes should be stiff for that very reason.
Can't figure how stem adjustment would matter, but that doesn't mean he's wrong.
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