I am 62 yrs old and was diagnosed with idiopathic sensory PN 12 years ago. Like most others, it took many doctor visits to get a correct diagnosis. Mine actually started after I ruptured 2 discs in my low back and 2 in the neck. I now get regular epidurals for the low back (which is now diagnosed as degenerative disc disease) and RF ablations for the cervical problems. So far, my PN has been isolated mostly to my feet, with the left being the worst where it has progressed up to above my calf. I get occasional numbness/pulsating in the fingertips of my left hand.

I currently take 1800-2400mg of Neurontin daily and ultram as needed. I have been following this routiine for most of the 12 years. I recently tried Lyrica but after the weight gain, ankle swelling and increased activity in my left hand fingers, I switched back to the Neurontin.

Before I made the switch to Lyrica, the burning in my feet really flared up and just wouldn't let up (which it usually would do after a few days or so).
That's when I decided that perhaps I should revisit the supplements that I take.

Currently, I take the following each day:

300 mg of Appha-Lipoic Acid
1400 mcg of Folic Acid
25 mg of coenzymated B6
25 mg B6 as pyridoxine hydrochloride (in a multi vitamin)
2 mg methylcobalamin
100 mcg B12 as cyanocobalamin (in a multi vitamin)

My recent B12 blood test resulted in 2000 pg/ML. I assume that this high number is good, but should I also check the folic acid level? Am I taking too much or too little of anything? Any advice would be much appreciated. Thanks.