In reply to DaveHK:
Sadly I can't help with comparisons to any other LaSportiva shoes, as they don't seem to work for me...
But, I have a set of the MKII TC Pros (and had a set of the first version).
I bought the first version marginally too big (totally flat toes in both feet) and soon found them a touch sloppy.
With the MKII, I had them sized almost exactly as you say, just a smudge under flat toed. After 2 weeks use in the bugaboos and elsewhere (so probably 2k+ of climbing) the had bagged out a bit and we're a touch sloppy on harder pitches (5.11+ /E3/4) and my mate suggested socks.
SOCKS YOU SAY? Crazy talk. Worked a charm. Just a thin pair of merino liner type socks, great for all day comfort with only a tiny loss of sensitivity.
I'd say stick with your 42.5, but you'll probably be ok with 43. 43.5, imo, will be too big.
I can't remember my size and am busy travelling so can't check right now.
Post edited at 21:17