I am a board certified family practice physician and do a fair amount of sports medicine in my practice. I am an amateur mountain biker but put in about 6-8 hours a week in the saddle on the local trails. Last year I thought I needed quit mountain biking because I was experiencing cyclist neuropathy (pudendal nerve and/or pudendal artery compression from the pressure of traditional saddles against the perineum.) After trying two other traditional saddles, including the center groove cut outs… the symptoms continued. I tried the Adamo Peak (for mountain biking), and had a professional bike fitting, and loved the result immediately. No significant ischial bone (sit bones) tenderness, and NO compressive neuropathy symptoms. ISM’s Adamo Peak saddle has kept me on the trail. I am very much appreciative of such a quality product, and wanted to offer this review to formally say, “Thank you.” I have since purchased a second Adamo saddle for my trainer to keep me up to speed over the winter time.