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hi kevin,
that doesn't sound good at all mate.
you say something has triggered them again, i'm sure you've already considered most things; diet or an underlying sickness that may resurface when you're rundown come to my mind.
really go through your diet and eat cleaner if you're not already do so that sounds like something some serious blood vessel constriction, I hope you don't drink coffee!
my friends' have had some success with acupuncture and neck / shoulder massage. could be worth a go...
good luck mate.
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