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I had major wrist issues and made the switch to programmer dvorak around 2 years ago. Took around one to two months before my wrist got better and about the same time before I didn't feel constrained by the new layout.

Now two years later I would have to say I'm at about the same speed I was with qwerty, except for when I have to write numbers with the horrible positioning on the programmer dvorak layout :)

Would never recommend someone to make the switch unless they have problems with RSI.



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