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Have you thought about going inpatient to wean off the kl-pin? Not before surgery, no way, but a controlled withdrawal? I met a few people who did that to get off their k-pin, like you they were on a high dose for a long time. It was their choice their Pdoc wasn't forcing them.
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Nammu
…Beyond a wholesome discipline, be gentle with yourself. You are a child of the universe no less than the trees and the stars; you have a right to be here. …...
Desiderata Max Ehrmann
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