One thing i don't understand, you took tramadol because you were in pain, if you stop taking it what are you going to do about the original pain, maybe still there?
I was watching a 1988 Jack the Ripper movie the other day, at the end of the movie it showed when people died, all in their 80s, this was back around 1880s, healthcare was obviously nowhere near as good as now so maybe diet was much better then