Its not that bad, if the bow is in tune you should only have to adjust the elevation, it shouldn't affect left to right.

P.S. After further thought I should add that sometimes uping or lowering the poundage can affect the bow being in tune. Some change some don't. Bows are besttunedwith the poundagecranked full, then turned down to desired weight. Versus tuning a bow at lower poundageand then turning up the poundage.