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I only twist to the left from time to time and never for too long. Spend most the day facing forward.
What would I upgrade the chair to? It's a Herman Miller Aeron chair. About the most expensive (best?) chair you can get. I got it on ebay half price after consuluting you guys back when I built the office. http://www.codestore.net/store.nsf/unid/BLOG-20080429
Touch wood it's served me well so far...