This question was submitted via our Ask a TMS Therapist program. To submit your question, click here. Question I read Dr. Sarnos book and feel I truly have TMS. I also went through the structured program. My pain has definitely decreased and I am back to the gym few times a week. However I still have enough pain twice a day that requires taking ultram 50mg. I cannot seem to make it thru the day without it at this point. The past 2 days my stomach has been having pain apparently from using meds for at least a year. I tried to avoid meds last night but became really uncomfortable. As much as I am much more able to live more normally lately I cannot seem to eliminate the pain twice daily. Any thoughts?