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I'm in the group of folks that Ultram makes a world of difference in pain levels, and it also lifts my brain fog and feeling of inertia--not wanting to initiate any physical or even mental activities.
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I was diagnosed when I was 20 yrs old.
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At least she's not one of those opiophobic physicians who won't help a patient in chronic pain.
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Be sure to learn what meds are rx'd for if there being rx'd for off label use, etc.
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In any case, as you saw rxlist indicates 400mg as the max though your doc may have wiggle room, I dunno, and rxlist indicated the usual dosing schedule which is what you were asking about.
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