@ams511
there are "tribes" in the sidemount world.
one "tribe" is the razor tribe and they are proponents of the bottom port on their first stages that go to super short inflator hoses. It works for them with their hose routing which is largely dictated by the use of a single bungee. That single bungee has the necks of the tanks quite low so the fifth port works. They run their SPG's down along the bottle with the valve outlet facing up
Another "tribe" is the Edd tribe who dive with a very similar configuration to the Razor crowd, but use loop bungees that bring the tank necks more in line with their spine vs their sternum. 5th port is not useful for this, and SPG's are facing forward with the valve outlet facing down.
Yet another tribe is the Dive Rite tribe that usually has their long hose on the left with a reversed second stage to prevent a hose crossing under the diver when making a single file exit. Ring bungees used with this group. This is a very small group.
Another is UTD with their shin dig that you can read about
Another is Toddy Style which you can also read about elsewhere
the only group that uses lefty or reversible regs in that group is the Dive Rite crowd who makes up a small percentage of the whole. There are only a handful of us that use non-directional regulators and actually use them to be left handed or ambidextrous.
One main advantage of reversible second stages is for those that subscribe to left lean, right rich for deco/stage bottles. When you have your "right rich" tanks, you can put a lefty reg on there and have it cross your neck exactly like a normal stage bottle would.
Another crowd that likes them is the double hose crowd who seem to like them for octopus use because it removes an S bend when you donate and have to swim side by side.
BSAC seems to like them for a similar reason. I tend to agree with them, but as I don't use sided regs, and am predominantly a cave diver where we have to make single file exits, it's not really a concern for me.