In practice, these protocols are quite effective. My typical patient has had symptoms for 2 to 5 years. They are generally referred to me when fellow medical doctor colleagues can no longer offer effective treatment. I can improve their symptoms in two or three once-a-week sessions. This encourages them to maintain their therapy, which can easily span several months. After six to eight weekly sessions, we then go to biweekly and eventually taper to a once-a-month regimen. With this particular symptom complex, it is unrealistic to reduce treatment fre quency to less than once a month. The acupuncture needle is akin to a drug, and the brain needs periodic reeducating to keep the desired effect apparent.

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