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I use the smallest font size, but with the biggest line spacing option.This is something I recently discovered and really enjoy. In all the years I've used a Kindlle, I never even played with the line spacing options. I stuck with the smallest one. But on the Kobo H20 I used the equivalent of Kindle's biggest setting because of the larger screen, and it seemed natural. I figured let me try it on the Kindle! I read comfortably with the smallest font, so it works out well. My natural vision is shot, with near sightedness and astigmatism. I use monovision contacts.