I have smaller hands as well and have adapted well to the Moonlander. I have found that I prefer to keep the thumb cluster tilted upwards to reduce the distance to my space/return keys.
Unfortunately this means I can't use the tenting since that requires the thumb cluster to tilt down and act as one of the legs. That's my only real gripe so far.
I have smaller hands as well and I do tent it slightly but then I only use the first "piano" key regularly [1]. The others on the thumb cluster are for layer keys.
My only gripe is that you can't negative tilt it, which I prefer when standing. I do love my Moonlander though.
Unfortunately this means I can't use the tenting since that requires the thumb cluster to tilt down and act as one of the legs. That's my only real gripe so far.