Leah: "So with all the standing I do (because I (erroneously?) believe it 
gives me an upper body workout as I pull on the bars up giant hills, this 
is a risky thing, huh?"

Arm and core work happens to varying degrees with every pedal stroke. The 
more you pull up on the bars in opposition to you pedal stroke down, the 
greater the arm work out. Ideally, all motion (legs and arms) initiates in 
your core (because of modern chairs et al, core muscles tend to be fairly 
weak), the idea being that big work should be done with big muscles, then 
attenuated through small muscles (hips, legs, feet) in finer gratiation of 
application and finesse. Your core can't push the pedals, that's what feet 
are fore, but it can initiate the engery push through the hips, to the 
legs, to the feet, each of which refines and applies that power along the 
way until it goes into a pedal traveling in a circle.

None of this is dependent on standing, though applying power through a 
high, parallel handlebar, such as Bosco, is made far easier standing than 
sitting (as opposed to a more perpendicular bar, such as bullmoose, that 
make sitting power strokes very easy.

All of which is to say you may want to play (within the limits of your 
current stem) some more before trying for a taller stem. Enjoy!

With abandon,
Patrick 

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