Keep in mind that Tramadol is very slow to act and give results.
It has to be absorbed by the liver first and converted to its active form. This takes time and will be delayed by the presence of food.
Some people lack the liver enzyme to activate tramadol, and for those people there will be little or no response.
This slow to give results sometimes leads people to increase that dose prematurely and if they take extra, there will be a sudden high response when it is metabolized/converted, and hence increased side effects.
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All truths are easy to understand once they are discovered; the point is to discover them.-- Galileo Galilei
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Weezie looking at petunias 8.25.2017
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