dexter,

you need to figure out if its autoimmune or not. get a full autoimmune workup. if it is, some prednisone may help until your dr can get your approved for IVIG. Please find a good neurologist. where are you located?

I've never noticed alpha lipoic acid to be of any help. in fact, if you have silver fillings, it can be dangerous as its a chelator.

I've had next to no success with supplements. The only things that have helped me are gabapentin, IVIG, diet and exercise. In addition, when i have a very very bad flare, i take a Xanax. Its literally the only thing that will literally "calm the nerves" and give me a nights respite.

I'm looking into spinal cord stimulation as well, this is a treatment thts just just just starting to be considered for SFN, but with some very good results.