It gets smaller. Not easy, smaller. That distinction kept me going. Itchiness was my main issue with tramadol too.

Worth asking what specifically was measured. Pain scores move with mood and function does not.

This is the correct amount of effort for a thread like this. How long have you been on a bedside stack?

Half of what people describe as tolerance is a change in the underlying condition, and the two need different answers.

A certificate of analysis answers one question and gets quoted as though it answers four.