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From my understanding, during the treatment the patient is not experiencing the sensation of bugs crawling around on them. I know it has been used in diabetics for example, and in their case they often suffer from diabetic neuropathy which means the sensation would be far less than a normal person. If I were faced with amputation vs a creepy sensation that I may not like, I would at least try the maggot therapy. It is also my understanding that after they are employed they are disposed of in the same manner of any other infectious waste. In other words, they are incinerated. They are never reused from patient to patient.
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