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When I used to have Runflats on the MINI, I had punctures repaired twice on 2 different tires with no noticable effects.
Hopwever, since the older pressure sensing systems only inferred pressure by measuring rotations per mile (or whatever distance the computers use) and therfroe could calculate tire diameter, they were not always reliable at notifying you quickly, so I can see some merit in the replacement argument if you drive lots of long distances at higer speeds. At the time, I was driving all short trips less than 5 miles, so I could not see how the tires could get that heated, so I went for it.
The newer systems are supposed to be much better so I would say it is even more safe to have a repair done.
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