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I take Tramadol, too. So I understand what you're going through.
Have you tried taking 100mg with Tylenol or ibuprofen? You can. You wont OD or anything.
You may be able to go to an assisted pain management clinic in your area. I hear they're like the health clinic, based on income. If you have no insurance, they can work with you and get you a decent price.
I also have no insurance (lost the job due to downsizing), so I know about this one, too.
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