How fast does your pain hit?

pen at 01h49
How fast does your pain hit?

Part of my problem is it hits like a button being pushed.
Goes from my normal hang around 3/4 to 8/9 in about 30 seconds.

Is this typical please? I get no warning.
No nausea, nothing.
Just something pushes a button and wham...pain.

How is it for you all?

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