My BMS symptoms started about 2 years ago along with other small fiber neuropathy symptoms that intensified about a year later. After some internet research I started alpha lipoic acid at 600 mg per day. My BMS symptoms are much improved, but I also started Lyrica at 300 mg per day about a year ago. I do think that the lipoic acid helped and when I consulted an oral medicine specialist about another issue she confirmed that it does help with BMS for many patients.