I am lefty and it has never gotten in the way.
I have used the F/A many times over the decades. I would not call it a necessity though as the standard technique on just about every other platform is to re-rack which you can certainly do.
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The little voice always yells at me when I consider buying an upper without the FA. To me the only reason NOT to buy an upper with a FA is if you are one of the "it looks cool" freaks. Get the FA.
Why not the noveske vltor? They go great on gen2
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