Load lifters really don't need to be at a 45* angle... in fact, though 30* is often cited as the shallowest angle that is ideal, I've found that even 20* works and is certainly better than nothing.

Load Lifters are designed for just that... pulling the load toward your center of gravity (where it carries most comfortably) while at the same time "lifting-up" the shoulder straps from the top of your shoulders so that your back and shoulders are not doing the work, but your hips and legs are...

My wife is a Nazi about load lifters and yanks them as tight as anyone I've ever seen... far more than me. This picture should give an idea. And BTW, she's 52 years old and can hike!

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“Perfection is Achieved Not When There Is Nothing More to Add, But When There Is Nothing Left to Take Away” Antoine de Saint-Exupery