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The slow titration (125 mcg weeks 1-4, then 250 mcg weeks 5-8) mimics FDA-approved protocols that emphasize gradual increases for tolerability

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Rather than putting the patients through multiple repertoires of surgical procedures, none of which definitively culminates in a complete recovery or mitigation of intractable pain, TPIAT could be performed in advance once a differential diagnosis is made and eligibility is evaluated

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