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It has a useful side-effect in that it can make patients drowsy in cases of severe pain Amitriptyline can be prescribed at night Gabapentin &Pregabalin– Gabapentin &Pregabalin have a beneficial effect on chronic neuropathic pain They can be prescribed in cases of severe, chronic nerve pain and following nerve injuries Treatment is usually started with a gradually increasing dose until building up to a maintenance dose Cortisone Injection Cortisone is a corticosteroid that is naturally produced by the body’s Adrenal Gland

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This is probably because the body stores many years' worth of B 12 in the liver and gastric surgery patients are adequately supplemented with the vitamin