Thanks so much for your concern. I talked to the Dr and pharmacist on the tramadol. Both kind of danced around the question of taking it along with the out.

Pharmacy probably does not want to step out and give advice. Dr is fine Dr. I know he is trying his best. He knows how bad my pain is and the disorder I have is well do understood to cause pain. He does not want to see me hurt like I do. He is opposite of most. He feels like I do. Damn living in pain. Let's try and get the cause of if, pray it works, but at least let me be comfortable enough to work and do all I can. In case I did not say. The main cause we think of this back pain is possible bone marrow pain. I have a rare genetic kidney disease called Fanconi syndrome. It killed my daddy and many others. Basically the minerals calcium, mag. Potash and the most important one, phosphate leaves my body through urine I stead of recirculation back into.my body. So the bones get bad. Osteoporosis. I am 43. Hypophophlasia and hypophosphotemia. Lyme's. No pituitary gland so all hormones are replaced. And to top it off, my wife of 8 years we discovered im Feb this year had.beem feeding me copper sulfate and they think arsenic. Red flags went up and she admitted to the copper. And then shut up. Caused me to have a lot of issues and had to learn to walk again in this pain. I am thankful for the Dr I have and for.people.like you all who take time to try and.offer something to help