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Thank you for your question.
There is one thing that has not been tried and that may be beneficial in your case and that is cymbalta starting at a dose of 30 mg and then increasing the dose if there is no response.
Also, sometimes, for the neuropathic pain applying over-the-counter topical capsaicin cream may help, which I would recommend trying as there is no harm in trying it to see if it would help.
Let me know if you have more questions.
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What kind of cream did you try using?
Also, have you tried using vitamin B12 supplements as well?
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