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My rheummy said to take one every 4-6 hours, with permission to make it two every 4-6 hours (this was when I was still undiagnosed but erosions were found in my back and both wrists).

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Tramadol has a major metabolite which has a high affinity for opioid receptors.

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Even though Ultram is utter shit, it's still an opioid, and as such, when using it, your tolerance contiues to grow.

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