My neurologist and his partner promote a holistic approach to care. He claims that unlike the traditional medications, alpha lipoic acid (600 mg) promotes regeneration of nerve cells. I still may have to take the 'traditional' medications, regardless. I was just diagnosed with chronic small fiber neuroopathy and we are still testing for a cause.

I believe the l-carnitine is an amino acid that promotes energy through the citric acid cycle in the metabolic process. I used to understand metabolism (I studied dietetics extensively in college in early adulthood) but it has been a while. Mrs.D may know this area better...

He suggested that I try these supplements for a month or two and that I should know whether they are helping after that time period. I understand that it may take longer from reading here.

It can't hurt, he did assure me that, but you should check with your doctor about your own situation.