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Pain relief options include gabapentinoids (gabapentin, pregabalin), SNRIs (duloxetine, desvenlafaxine), TCAs (amitriptyline), and sodium channel antagonists (oxcarbazepine, lamotrigine, lacosamide, valproic acid), as per the 2022 guideline update [166,177]

You just think its weight loss, and then you start to look in your mirror like, Wait a minute, my skin is saggy now and it wasnt before